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Permit (4) CITY OF TIGARD REROOF PERMIT a: COMMUNITY DEVELOPMENT Permit#: RER2022-00036 Date Issued: 9/14/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S133AD16100 Jurisdiction: Tigard Site address: 12730 SW NORTH DAKOTA ST Project: Sorrento Animal Hospital Subdivision: 1995-073 PARTITION PLAT Lot: 2 Project Description: Re-roof:Installl/2"HD covering board over existing roof system,and then installing 60 mil TPO. Contractor: CARLSON ROOFING CO INC Owner: CYR-OREGON LLC PO BOX 1695 6541 SEXTON DR NW BLDG G HILLSBORO,OR 97123 OLYMPIA,WA 98502 PHONE: 503-846-1575 PHONE: FAX: 503-640-2122 FEES Description Date Amount Permit Fee 09/14/2022 $641.29 Specifics: 12%State Surcharge-Building 09/14/2022 $76.95 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: Height: 0 ft Project Valuation: $41,878.00 General Information Building Area: 0 Re-Roof Area: 0 Roof Class: Tear Off: No Overlay: Existing Roof Layers: Parapets: Total $718.24 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 R 952-001-0090. You spay obtain a copy of the rules or direct questions to OUNC by calli 03.232.1987 or 1. 00.332.2 44. Issued By: -Z= ) Permittee Signature: afn 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 Re-Roof FOR OFFICE LSE ONLY CityPermit No Received of Tigard DateB : civ . 1 I , ,_, ., 11111 II q 13125 SW Hall Blvd..Tigard,OR 97223 Plan Revie v Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Ions: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: `I//1/y�,_ A Supplemental Information TYPE OF WORK REQUI ED°D ifi'Ad'1-AND 2-FAMILY DWELLING 0 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 tgl Addition/alteration/replacement ®Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ i-and 2-family dwelling Eil Conunercial/industrial Number of bedrooms: ❑Accessory building El Multi-family ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:G-3 sw ,,,,(1i,,\_c)/1 yc1A(`, ti New dwelling area: square feet City/State/ZIP:li \Cd i O 1i Obl�„ �� Garage/carport area: square feet Suite/bldg./apt.no.: " Project name: cQA 46t ` Sn'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 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.�f (� TO('1 * \( -\` Pf Px°&VT c C 5i i-e •C Valuation: $ 1 `) ni. 0 0 4\n C © /� 1 I ^acc,,,,Q., p C (,ionzikvi Existing building area: square feet S1 Q --00(n; h ins \1 (\ A) COO (1.n\-\(\/'O,, • I New building area: square feet !gi PROPERTY OWNER 0 TENANT —AirNumber of stories: Name: .TOv` -\ iVQ ,l l Type of construction: Co cc \G1 Address: C6.11 I SeAkoo Qc. WV - e , . 5 - Occupancy groups: City/State/Z1P: di V �r �1(a ag�j,3� Existing: Phone:(3 0 ) g7 .. .1 gce Fax:( ) New: CR APPLICANT 0 CONTACT PERSON NOTICE Business name: Cole\5oec�sncic._,c'c e cc-picl `c\Ca All contractors and subcontractors are required to be a licensed with the Oregon Construction Contractors Board Contact name: xt-t do,• , ;0 under ORS 701 and may be required to be licensed in the Address: • ) �v V k D 2 .) .. ( � ��,,G q 1/45 jurisdiction in which work is being performed.If the ��\�� Q_`©� 4 r�C. applicant is exempt from licensing,the following reasons City/State/ZIP: apply: Phone:6a): 24: t,5 ^� IFax::( (� ) /�� E-mail:�`k�Z �K.l•' ► �4 C\`c-= `�( e©\ . CONTRACTOR Business name: Cct,Atoel-ItZo ,V ( „c `y BUILDDIG PERMIT FEES* Q� � �rp ` (Please rEjbl Wee schedule) Address: ` \.J �� 1`� Qw &`> 6 �� Structural plan review fee(or deposit): City/State/ZIP:, �\cZ\\Sb�c 0 0. { FLS plan review fee(if applicable): Phone:(�3 ) L k � Fax:( ) 9 �`."�'+ ���6.g �/ � Total fees due upon application: l �., CCB lic.: t 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: 14 � • ' _ Fee methodology set by Tri-County Building Industry Service Board. 1.\Building Permits\ROOF-PennitApp.duc to ttl09 440-4613T(II'112!COM WEB)