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Permit
:1tM{istur;lia x%rHirrFWlviltiil/1/ftH'/tAlK3UfJtds{ILJi213liirikllfNL/JinNtst!/d1IJi1%rN J%FtbtsMfl i6tx✓'+F r€3ifl/ltltJaNtbly{ItANtAf I+FIIYffAttlilPst3JlIStFHJkH.,r,.> .. rsr /i.r r rsin ry rial I ! e ,F IJ I.ri fl l U t !.ta s. r s. CITY OF TIGARD REROOF PERMIT COMMUNITY DEVELOPMENT Permit#: RER2021-00025 Date Issued: 1/4/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S133AD02500 Jurisdiction: Tigard Site address: 12658 SW NORTH DAKOTA ST Project: Kindercare Subdivision: None Lot: None Project Description: Re-roof-remove and replace:Tearing off(1)layer of existing roof,and installing a new CertainTeed GAF roof system. Contractor: CARLSON ROOFING CO INC Owner: KCP RE LLC PO BOX 1695 BY SCHWARTZ, KALES ACCOUNTANCY HILLSBORO, OR 97123 CORP 6310 SAN VICENTE BLVD STE#250 LOS ANGELES, CA 90048 PHONE: 503-846-1575 PHONE: FAX: 503-640-2122 FEES Description Date Amount Permit Fee 12/28/2021 $696.39 Specifics: 12%State Surcharge-Building 12/28/2021 $83.57 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $46,044.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $779.96 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: Permittee Signature: a.0c) ll 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. Building Permit Applicatio' ECEIVE CO Re-Roof foil tlrrl( L t SE ONLY City of Tigard DEC 2021 Received Permit No.; 11 • 13125 SW Hall Blvd.,Tigard,OR 9722CITY OF TIGARD Plan Review Other Permit: Phone: 503-718.2439 Fax: 503.598J 0 ry n'� DIVISION �+ /� Date/B': / 1 T i l;A R U Inspection Line: 503.639.4175 'UILDING DIVISION Date Ready/By: / f Juris: T o See Page 2 for Internet: www.tigard-or.gov Notified/Method: l /I7/2 i J —11er 1 Supplemental Information re T „7,�-r t %1. -* TYPE OF WORK L REQUIRED DATA:l-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. - Indicate the value(rounded to the nearest dollar)of all ,Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application.Commercial/industrial Valuation: S El 1-and 2-family dwelling a --- _ -- Number of bedrooms: ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: _ JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: .1 26 b14,1 tAoAh, . • New dwelling area: square feet City/State/ZIP: • 4'1 1,g _ Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ` 4 �. Covered porch area: square feet _... 1Sn�C cue _�----1-. _. Cross street/directions to job site: Deck area: square feet Other structure area: square feet i REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: [Lot no.: Permit fees*are based on the value of the work performed. — Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application.— TeS T , k ' e � �i ceek)Q.• Valuation: $ —1 Gs •Q4� . .. t� Existing building area: ©Ob square feet cQQ c EN S cQM ` U. New building area:(�©©0 Y square feet Q PROPERTY OWNER ❑ TENANT Number of stories: Name: C Type of construction: .0 *V tak Address: f30 Occupancy groups: City/State/ZIP: KA i R�� , y -A �©a�2. Existing: Phone:( )3'70 fs t 7 t.Gxk C)O Fax:( ) New: N. APPLICANT 0 CONTACT PERSON NOTICE , iBusiness name: \Sol �i� CONWO 'i `(\L- All contractors and subcontractors are required to be __1_ � licensed with the Oregon Construction Contractors Board Contact name: E.),RAjt ‘1(,5-ll<1 o, under ORS 701 and maybe required to be licensed in the Address: �Q jurisdiction in which work is being performed.If the City/State/ZIP: `1 bQc Q OR. Cf- -`,�� applicant is exempt from licensing,the following reasons r aPapply: Phone:&Nei 6 " 1546 3'6 Fax::( ) E-mail: a.c\ oc1O x . ocr‘. CONTRACTOR Business name: ate 1• Q� 4 BUILDING PERMIT FEES* ---- � '` (� i [Please refer to fee schedules Address: � � .SW �. � 8� Structural plan review fee(or deposit): City/State/ZIP: ."A cQ Qh_ � t2 ) ___ + FLS plan review fee(if applicable): Phone:( )gl.i 6Fax:( ) p— — �� — — Total fees due upon application: .. '7 -- �� CCB lic.: '64 O Amount received: ` Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name. El i z ie _ �� a4¢;G Q."" Date: 01'l * Fee methodology set by Tri County Building Industry Service Board. I:1B,,0ding'd'ermits1ROOF-PermitAPP doe 10/01/09 440-4613T(11/02/COMIWEB)