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Permit 11111 CITY OF TIGARD REROOF PERMIT = COMMUNITY DEVELOPMENT Permit#: RER2022-00004 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/25/2022 T r G AR D g Parcel: 2S110DC01000 Jurisdiction: Tigard Site address: 11135 SW MEADOWBROOK DR 1 Project: Summerfield Re-roof Subdivision: WILLOW-BROOK-FARM Lot: 17 Project Description: Re-roof: remove and replace(2)layers of asphalt shingles and install new Certainleed Landmark asphalt shingles roof system Contractor: CARLSON ROOFING CO INC Owner: SUMMERFIELD ASSOCIATES LLC PO BOX 1695 BY GREYSTAR RS NW LLC HILLSBORO, OR 97123 1125 NHW COUCH ST STE 450 PORTLAND, OR 97209 PHONE: 503-846-1575 PHONE: FAX: 503-640-2122 FEES Description Date Amount Permit Fee 03/01/2022 $423.53 Specifics: 12%State Surcharge-Building 03/01/2022 $50.82 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $22,095.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $474.35 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: H o-UA9 VO,.A,De,Wege, Permittee Signature: Qw A 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. Building Permit Applicatia EEIV Re-Roof [� City of Tigard DEC < 3 ZOE Received \\\\2� Permit No.:RSR'Z�L-t�p(b9 ipli Plan Rev • 13125 SW Hall Blvd.,Tigard,OR 97223.wry Plan Review Other permit: Phone: 503.7182439 Fax: 503.598.1 OF I I fV Date/By: Inspection Line: 503.639.4175 3UILDING DIVISION DateReady/sy: 1`\\V2z ema;I'eb See Page 2tor 1 t C;'I:1)' Noti£ed/Method: e,\iZotbec t_s �- Snppiemental lnformatioa Internet: www.tigard-or.gov TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the value of the work performed. New construction Indicate the value(rounded to the nearest dollar)of all kAddition/aiteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ 0 1-and 2-family dwelling ®.Commercial/industrial Number of bedrooms: 0 Accessory building Multi-family Number of bathrooms: ❑Master builder J 0 Other: JOB SITE INFORMATION AND LOCATION Total number of floors: „� ' ��� New dwelling area: square feet Job site address: 1—t'46 b�} `„1?__adiotA)by 00k 0 t City/State/ZIP: s ek. >Q 3 Z.LJ4 Garage/carport area: square feet Sttite/bld J t<no.: ), g 11 l j -1116-Project name: ,'l rfmsettA 2,4 ro12.,—{C,Z,V. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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. valuation: $ 0 9 6 \,rv� Existingbuildingarea: square feet l'v �� Q l° � �� New building area: square feet (,4 c\\\- sS NC6 e.S fiG?© YS • 0 PROPERTY OWNER '0 TENANT Number of stories: Name: . t(j,,3 c'1C1l. wQS W Type of construction: - ,co 0 , Address: \.‘, • CrD O Ckc A)t* &\e.• Li 50 Occupancy groups: City/State/ZIP: lbB,( Q4k,, ci-la e) Existing: Phone:(6*) Li C —6'CI j F I Fax:( ) New: At APPLICANT 0 CONTACT PERSON NOTICE r ` \(lc. Ail contractors and subcontractors are required to be Business name: ��qs� ©� b t\ c_c:x.,,,\.crit\.,%.1 licensed with the Oregon Construction Contractors Board j Contact name: ���'t , r (� R f p under ORS 701 and may be required to be licensed in the Address: `�-� 6 1, �y�Q„ G� • '](, ` 5� 6 jurisdiction in which work is being performed.If the - T ■�y ^ applicant is exempt from licensing,the following reasons City/State/ZIP: \,`r`,4� 101L- ' C)� `1 T i 2..?, aPP1Y: Phone:(t5tAN co,6, — 1-:18 I Fax::( ) E-mail: ei.- 4k @.51 A. `ACCIBt • C..U(1"\_ CONTRACT O"R Business name: W C\S o f1 r „Q,�c# i R C g cn'.i 11\C, BUILDING PERMIT FEES* ~Address: Mt,�Q 4(�. K 7T. C CJtie refer(or h*•ea deposit): (� qStructural plan review fee deposit): City/State/ZIP: 4� C(") 1 Q '[ i. 1 2,,...6 FLS plan review fee(if applicable): Phonei(. ) 84_ - ]�j` ^y Fax:( ) Total fees due upon application: 1 CCB lic.: C-t C 9 to Amount received: , Authorized signature: i;//fiir7 �f„/ This permit application aspires If a permit is not obtained within 180 days after it has been accepted as complete. I Print name: EJr (San l t;( 1e:lanall 79.0€21 ` Fee methodology set by Tn County Building Industry Service Board- 1:1Buildm1;lPermils1ROOF3'ameApp.doc 10/01/09 440-4613TO1/02/COMlVEB)