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Permit CITY OF TIGARD REROOF PERMIT . COMMUNITY DEVELOPMENT Permit#: RER2022-00007 T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/25/2022 Parcel: 2S110DC01000 Jurisdiction: Tigard Site address: 11295 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 $408.32 Specifics: 12%State Surcharge-Building 03/01/2022 $49.00 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $21,604.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $457.32 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: j<.j U D€ wege Permittee Signature: 0lit'Ark 'Q,t-1,Pw 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 Application EC E IVE Re-Roof DEC 2 3 7021 Received 1 J City of Tigard YV Da By: \\\\\22 '4' Permit No.:RLR c z- X�-1 ,I 4 13125 SW Hall Blvd„Tigard,OR 97223 t 8 OF f)UAkL.: Plan Review Other Permit Phone: 503.718.2439 Fax: 503.598.19 Date/By: Inspection Line: 503.639.4175 1,?R I nlh'� r'11l t r r Date Ready/By: Jam= BJ See Page 2 for 1Ii;A1:1} \t,2Z t?rna'\ ��[ Internet: www.tigard-or.gov Notified/Method: t Q Supplemental laformadoe TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction 0 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: $ ❑ 1-and 2-family dwelling ®..Commercial/industriai - Multi-family Number of bedrooms: ❑Accessory building y ❑Master builder ❑Other: Number of bathrooms: \`ZcA 5 JOB SITE INFORMATION� _ AND LOCATION Total number of floors: Job site address: "+(� �} �0 l,0(}, VV001,+ c)(..V• New dwelling area: square feet City/State/ZIP: ---5 t^t 's 9 C f�3,4 Garage/carport area: square feet Suite/bldg./apt.no.+l�,�`.Yr"5`'..at -tProject name:SIEa C,i c —„cozk. 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. Valuation: • $ to 609 I c Existing building area: 0 0 square feet s. (XQc)L i S.� N S -e)© Sys �• New building area: square feet S � Q ❑ PROPERTY OWNER 0 TENANT Number of stories: Name: 4 (<c jct` h ku es\ LI, Type of construction: _ ,C©© P• Address: \ i Vy &DO VV n & '�,1)J Occupancy groups: City/State/ZIP:' tits q oQ !cc-lavaExisting: Phone:`t 3) 9 I "n C�i.i Fax:( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: ClcK,4G�''i��, `v ,(\ M Mkt ‘(c m All contractors and subcontractors are required to be Contact name: L l tZrb ( s licensed with the Oregon Construction Contractors Board 6w t \Q_ R ` under ORS 701 and may wbe required g p ro be licensed in the Address: x , �9� jurisdiction in which work is being performed.If the ,+�'y applicant is exempt from licensing,the following reasons City/StateJZIP: p��ir� ( � -! T �� apply: Phone:( -z.� C1�(, 15 9 ( Fax::( ) E-mail: Qj°‘? '> 11 .Ca(t 4501.ccrx5 • " CONTRACTOR Business name: 0.„0064,�/C�-j,N `�, 0 ic s �j/( c - 'c cic ! ‘t�C BUILDING PERMIT FEES* Address:C�� V�,S tP`t l;A,�i l • C 7T• T 1.1 X 165t ( r*o•p fee schedule) �,. +-r Structural plan review fee(or deposit): City/State/ZIP: ti\\ 1 c s 0 (41 1 ..,`�„ q FLS plan review fee(if applicable): Phone:( ) $,�(, 153 a Fax:( ) Total fees due upon application: 1 '.. CCB lic.: 1 ClV G s,4 ��r Amount received: Authorized signature: � R�!/1 This permit application expires if a permit is not obtained �/t t ��t J C( �] /"� within 180 days after it has been accepted as complete. Print name: u • u Date: "�P�-)0).1 * Fee methodology set by Tri-County Building Industry r' Service Board. l:lButldintU'ermits\ROOF•PamitApp.doc 10/01/09 440-4613TO1/02/COM/WEB)