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Permit
NCITY OF TIGARD REROOF PERMIT COMMUNITY DEVELOPMENT Permit#: RER2022-00014 T 16.A R j7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/25/2022 Parcel: 2S110DC01000 Jurisdiction: Tigard Site address: 11240 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 $53.27 Specifics: 12%State Surcharge-Building 03/01/2022 $6.39 Permit Fee 03/01/2022 $370.26 Type of Use: COM 12%State Surcharge-Building 03/01/2022 $44.43 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: Ho-Wj Va,K, pc,weye, Permittee Signature: 00-,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 AnplicatMECEIVED C..) Re-Roof rOR OIT1( 1:1 'NI.O\l.l DEC 3 Qe' Date By: ‘\\\,2.z v $ LO2Z-CX \y City of Tigard Date/By: Permit No.:9 III— 13125 SW Hall Blvd.,Tigard,OR 972 3;ITY OF 1 GARL Plan Review Other Permit: Phone: 503.7182439 Fax: 503.59819 Date/By: ® page 2 is 11 ,,„ Inspection Line: 503.639.4175 IU LDING DIVISION DateReady/By: \\\‘\ZZ ema;lt AFT s See ige2ftai orormaflna Internet: www.tigard-or.gov Notified/method: eAtZc\b. Il"'a upp TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*arc based on the value of the work performed. ❑New construction Indicate the value(rounded to the nearest dollar)of all fit Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION — Valuation: $ ❑1-and 2-family dwelling a Commercial/industrial Number of bedrooms: ❑Accessory building ,Multi-family Number of bathrooms: D Master builder 0 Other: JOB SITE INFORMATION AND LOCATION Total number of floors: lob site address: t t,d/_}V S\._.MQ, ck:1 '�' coot',-- Dc.. New dwelling area: square feet City/State/ZIP: -'t'f'Qcj j(j Gil 2:P—A Gage emport area: square feet Suite/bld .i t.no.: U ject name: eA ..{oz, . Covered porch area: square feet g � �,,�c2.tilz. �M �- Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 1 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. $ 2v ; t to1k1 OQ_ k-wC� t p\r0, N_ 66\,a0te Valuation: O r�� Existing building area:ii G o© square feet cl. q � (\,C `e-s c © s y s e11,• New building area: square feet 0 PROPERTY OWNER 0 'TENANT Number of stories: Name: l;at P Slid we S l.L- Type of construction: .. coo . Address: \�, ♦ �1 Cry t�C S'1. &k e- L4��±y�-/� Occupancy groups: City/State/ZIP: 111RA Qcl.,_ 9I a()9 Existing: Phone:( ) 9Q i `Ock R Fax:( ) New: pit APPLICANT = L CONTACT PERSON i NOTICE Business name:r ASteni Qc*+t\ .10. Mc('iAS•1 t( All contractors and subcontractors are required to be �� ` licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: ,f 6t,,,,� vQ,. 8 . i X It 16- jurisdiction in which work is being performed.If the r�y applicant is exempt from licensing,the following reasons City/State/ZIl': \\*Ara n OR `t 7 t 2.• apply: Phone: ') igiA G ' ( Fax::( ) E-mail: eg. .2 -h '0�CcA 1.tnoVr • C..C10(Y% CONTRACTOR Business name: ) t BUILIiING PERMTT FEES* �/�� o, /� [� (Plame+�tfa�h*'aeNrdrrlr1 Address: ' I`u AQ`t�, !��7t. �i gVtt'SX ,�cs t� Structural plan review fee(or deposit): City/State/ZIP: �A {�j ` Q o "1 i FLS plan review fee(if applicable): Phone:(icy ) VI,G IFj`3 Fax:( ) Total fees due upon application: 1 CCB lie.: �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: v ,• te: --+ * Fee methodology set by Tri-County Building Industry Service Board. 1:113ddngTermits1ROOF,PcrmitApp,doc 10/01/09 440-4613T(11/02lCOM/WEB)