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Permit
••• ..., ,.. •, 711YiiiYWYYIIYYYt. 1111 CITY OF TIGARD REROOF PERMIT COMMUNITY DEVELOPMENT Permit#: RER2022-00008 T l G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/25/2022 Parcel: 2S 110DD00400 Jurisdiction: Tigard Site address: 10985 SW DURHAM RD Project: Summerfield Re-roof Subdivision: WILLOW-BROOK-FARM Lot: 14 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: FOWLER,ANNA C &TRACEY K PO BOX 1695 10985 SW DURHAM RD HILLSBORO, OR 97123 TIGARD, OR 97224 PHONE: 503-846-1575 PHONE: FAX: 503-640-2122 FEES Description Date Amount Permit Fee 03/01/2022 $332.27 Specifics: 12%State Surcharge-Building 03/01/2022 $39.87 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $16,203.00 General Information Building Area: 0 Re-Roof Area 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $372.14 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-Utij Va.ri., Pe,Wecie, Permittee Signature: GPI/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 Applicatio` 1V D 110 Re-Roof FOR ()I (ICE(•sl.0\1.1 City of Tigard EC 2 3 2621 Aate/1Bed \1\\\22 t"\' ) PennitNo.:?\Sg2. 22.,.. X :153 .1114 1e 13125 SW Hall Blvd.,Tigard,OR 97223.1 Plan Review Other Permit: • % Phone: 503.718.2439 Fax 503.598.1�60TY OF 1-IGAR� DaIe/BY: lns tionlirre: 503.ti39.4175 3UILDINGDIVISION DateReadyBy: 1t 'ZZ errC"�eb Seepantalkfermation l e;11:i?, Internet: www,tigard-or.gov Notified/Method: ` ,Q11 *DPP TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING 1 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 14 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 0 1-and 2-family dwelling IR,Cormnercial/industrial Multi-family Number of bedrooms: ❑Accessory building y Other: Number of bathrooms: ❑Master builder 0 toCk Z 5' .10B SITE INFORMATION AND LOCATION 06,Avvr, 9.6. Total number of floors: Job site address: r New dwelling area: square feet City/State/ZIP: , , )` -1.73aa"4 Garage/carport area: square feet Suite/bldg./apt.no.:,Orr t Sect name. 1 crk f. A.4„ f. .$2,...coz:k. 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 perfonned. 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' ++,,,,,,v ,\- work indicated on this application. ln— A-Lt)b 1 QA' C ESQ t 6 Valuation: • $ i G , Q 3 a, k �1 eo cA Existing building area:,00 square feet (3"). ,S h\C\ t e-S c O s t. New building area: square feet 0 PROPERTY OWNER © TENANT Number of stories: Name: L"�l`�.C.7 v c�,Cll'i k-1(\WeS'\ Type of construction: e,...c©Q T Address: \\ \ Cr t 5 l3'\ Occupancy groups: City/State/ZIP:c c-\ C)9,... (fi-4 F O S._. Existing: Phone: ) Li fA9Ci Fax:( ) N• ew: itzt APPLICANT ❑ CONTACT PERSON NOTICE Business name: ,0,,M0� Iv'C,(\ cry, (L`i \({-'- All contractors and subcontractors are required to be ` licensed with the OregonConstruction Contractors Board Contact name: `1 + under ORS 701 and may be r�uired to be licensed in the Address: ,, `e, a C'"ti j, G 16- jurisdiction in which work is being performed.lithe applicant is exempt from licensing,the following reasons City/State/ZIP: k\NWS ,jn {jam 9.4 k a,- apply: Phone:( `" l S ,,(: 1blt c,I.Fax::( ) E-mail: Q\o l.Cy/1.Q. " \S +�CQ • C...0 0(\ CONTRACTOR Business name: ) BUILDING PE11MIT FEES* Address:ti e- 1 /�, /� C]X t (Pkese refer so fee sdKlak) 1` �`� . LJ q Structural plan review fee(or deposit): City/State/ZIP: 1 (i(� ` c( % j t FLS plan review fee(if applicable): Phone:(4 $ 7-�l -3 a Fax:( Total fees due upon application: �%CB lie.: 1 lc TS 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: d ate: - 02, * Fee methodology set by Tri-County Building Industry Service Board. 1:1&eilding\Permits\tOOF-PcrmitADD.doc 10/01/09 440-4613Tt]1/02/COMAVEB)