Permit CITY OF TIGARD REROOF PERMIT
' s COMMUNITY DEVELOPMENT Permit#: RER2021-00020
Date Issued: 1/10/2022
T[GAR.T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 DB12801
Jurisdiction: Tigard
Site address: 9400 SW LAKESIDE DR
Project: Summerfield Condominiums Subdivision: SUMMERFIELD NO.12 Lot: 679
Project Description: Remove and replace one layer of shingles.Warranty job due to shingle failure.
Contractor: CLEARWATER CONSTRUCTION INC Owner: BROWN, ELLEN H TRUST AGREEMENT
22307 SE SHARON DR 9400 SW LAKESIDE DR
DAMASCUS, OR 97089 TIGARD, OR 97224
PHONE: 503-789-0592 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 01/10/2022 $408.32
Specifics: 12%State Surcharge-Building 01/10/2022 $49.00
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $21,500.00
General Information
Building Area: 9035
Re-Roof Area: 9035
Roof Class: A
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $457.32
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Edgardo-Mc L4.c-v.ader Permittee Signature: yee,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
NOV 23 2021
CITY OF TIGARD
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