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Permit CITY OF TIGARD REROOF PERMIT `1 a COMMUNITY DEVELOPMENT Permit#: RER2022-00015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/25/2022 Parcel: 2S110DC01000 Jurisdiction: Tigard Site address: 11230 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 $286.64 Specifics: 12%State Surcharge-Building 03/01/2022 $34.40 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $13,748.00 General Information Building Area 0 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $321.04 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1..800.332.2344. Issued By: Nis{l y Viu1 Dv. 1A lv9v, Permittee Signature: ow ApT -vt' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicati E E`VE Re-Roof FOR oFrl( l:t'SI:(lV'I.V DEC 2 3 201` c7 Received Deceive: 1\\\\\7 L \ Permit No.:R�1 zotz.-000k S— City of Tigard . -- 13125 SW Hall Blvd,,Tigard,OR 972t$ITY OF TIGAFsL Plan Review ,per: Phone: 503.718.2439 Fax: 503.598 Date/By: Inspection Line: 503.639.4175 3 WINr D!VISIOh' Date Ready/By: � \\`2„Z emokk), ®See Page 2for t 1��n l:l) Internet: www.tigard-or.gov Notified/Method: e,\<'t coc\-— _ Supplemental information __ TYPE OF WORK I REQUIRED DATA:1-AND 2-FAMILY DWELLING 0ElDemolition Permit fees*are based on the value of the work performed. New constructionIndicate the value(rounded to the nearest dollar)of all rg Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ Ej 1-and 2-family dwelling E.Commercial/industrial Number of bedrooms: la Accessory building KMulti-family ❑Other: I Number of bathrooms: ❑Master builder JOB SITE INFORMATION AND LOCATION 1 Total number of floors: Job site address: `I,••,:,?C) k..kjacAospuobccnte., Of. New dwelling area: square feet City/State/ZIP: T`�(y.c © `i- .2q Garage port area: square feet y Suite/bldg./apt.no.: I Project name:iht a i ",.cock. 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: ( 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. Q ` mn �� Valuation: $ � VseirAnd�— �� Q1C ` ` Existing building area: square feet �IC-S c © - Q.Y�Slim• New budding area: square feet 0(PROPERTY�OWNE�R l 0 TENANT Number of stories: Name: 5;�`S 1�..�j P cl-�r` t.Cr) Lli..1es'T+� 1 /*� Type of construction: - 'co co p P. Address: \ v4 1 r)4� s�s.•g16 1e:. Lft5() Occupancy groups: Ciry/State/ZIP: QQ 91,rc o`1 Existing: Phone:( AS) Li 6(1 —6 0jii.E Fax:( ) New: A,APPLICANT © CONTACT PERSON NOTICE Business name:Eikico\5c,�,( c'%t1 fr\„ MtC. All contractors and subcontractors are required to be �1� licensed with the Oregon Construction Contractors Board Contact name: y, O%J (� AL C under ORS 701 and may be required to be licensed in the Address: X C 9 jurisdiction in which work is being performed.If the �Q e , applicant is exempt from licensing,the following reasons City/State/ZIP: 1\15 b0 09,„ co- k 2�—.4, apply: Phone:\. .c.‘G 1 I Fax::( ) E-mail: E.,Xe� Q "I1 4.O cc . C 0 CONTRACTOR 9 Business name: fi b p n h�<i c\ �CP C Lc 1 1A C., BUILDING PERMIT FEES* Address: `e. t � C^sX 1� .� (use ref r or d ) ua �t� (�j Structural plan review fee(or deposit): Ciry/State/ZIP: e( FLS76 plan review fee(if applicable): Phone: ) ( — j 6 Fax:( ) { '7� $� ` V Total fees due upon application: t'CB lie.: s�(� to 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: u ^, Date: ..► * Fee methodology set by Tri-County Building Industry Service Board. 1:1Bu0dng\Pemits\ROOF-PermitApp.dot 10/01/09 440-4613'1(i1/02/COM/WEB)