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Permit CITY OF TIGARD REROOF PERMIT - COMMUNITY DEVELOPMENT Permit#: RER2022-00003 Date Issued: 4/25/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DC01000 Jurisdiction: Tigard Site address: 11075 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: $22,586.00 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 w va. De Wege, Permittee Signature: Or`'Ato-plicalio-w 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 Applicatid mr'CEIVED CO Re-Roof molt orrit'i:t si O\I.V City of Tigard DEC 3 MI Received '\\��ZZ �v Permit No.:FZ .?2o22-oocd OF Re a Received .11114 i 13125 SW Hall Blvd.,Tigard,OR 972 � OF 1 IGARu Plan Review Other Permit: „� Phone: 503,718.2439 Fax: 503.5985 0 Date/By: Inspection Lane: 503.639.4175 3UILDING DIVISION Date�dy/By: \\\\ 2Z lure: 0 See Page 2 for 1 f t''''I� Notified/Method: \ than\e� 1 1e1 supplemental Information Internet: www.tigard-or.gov _ e . e..\ZZabc\-1-• TYPE OF WORK REQUIRED DATA:1-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 gAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑1-and 2-family dwelling (.Commercial/industrial Multi-family Number of bedrooms: ❑Accessory building y Other: Number of bathrooms: ❑Master builder 0 \\ 0'-1 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 1 \ -- ' v'J f-&Q j , c cc iS, C). New dwelling area: square feet City/State/ZIP: m wit-- � ` Garage/carport area: square feet Suite/bldg./apt.no.: (l Project name:� 2XA4. _cozg,I Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet r _ 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. ci Valuation: $ t a 61G, ��` )� Q� � � � �l'r\able � Existing building area:41600 square feet \ � ``e-S ©(l S e�• New building area: square feet R "t 0 PROPERTY OWNER 0 TENANT Number of stories: Name: C,'\``.V 0 Rn. \tuts Type of construction: e,_ .C(0 0 (N. Address: N.l L� Co O � k. &t e. . Ll Occupancy groups: City/State/ZIP: k (t4209. Existing: Phone: ) 959 _octi,if Fax:( ) New: At APPLICANT 0 CONTACT PERSON NOTICE Business name: C o ate.t3tcyck,n {... k,,,,i 1( d All contractors and subcontractors are required to be �h 4 C licensed with the Oregon Construction Contractors Board Contact name: � CL, 4 under ORS 701 and maybe required to be licensed in the Address: w.l 6 ‘ vQ,,. P♦ x \ 6,Cj5 jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP: *AkS\DOcCD} 0 9-3 ‘2„,3 aPPIy Phone:cstz a4 G - i t Fax::( ) E-mail: Q{`oi- - a Cook.\a ct . C..0 (1 CONTRACTOR Business name: j ` fir^ BUILDING PERMIT FEES* Address: , , 44\1 1h` `e._ . O Zn x 1 1(, .Jj refer Wese dale, Structural plan review fee(or deposit): City/State/ZIP: tt` { FLS plan review fee(if applicable): Phone:(cc ) 84 G s 15-3 5 I Fax:( ) Total fees due upon application: CCB lic.: 1 SCi 6 g( - Amount received: Authorized signature: rI „���7% permitapplication�`,r,� This expires if a permit is not obtained �,, within 180 days after It has been accepted as complete. Print name: i• t .a►i[y���'L!!a` a' •� .,rtr. * Fee methodology set by Tri-County Building Industry * Service Board. IatuildastPermits\ROOF-Per itApp.doc 10/01/09 4404613111l/02/COM/WEB)