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Permit (3) CITY OF TIGARD REROOF PERMIT tIII Permit#: RER2023-00009 a COMMUNITY DEVELOPMENT T F G A R j a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/22/2023 Parcel: 2S102BA00800 Jurisdiction: Tigard Site address: 12155 SW GRANT AVE A Project: SKMV Properties Subdivision: None Lot: None Project Description: Tear off Existing. Install 1"secure shield insulation and 60 mil TPO. Contractor: JIM FISHER ROOFING &CONST INC Owner: SKMV PROPERTIES LLC 13580 SW GALBREATH DR PASKILL, MARK L&VANESSA SHERWOOD, OR 97140 3760 SW JERALD CT PORTLAND, OR 97221 PHONE: 503-625-2586 PHONE: FAX: FEES Description Date Amount Permit Fee 02/22/2023 $1,075.83 Specifics: 12%State Surcharge-Building 02/22/2023 $129.10 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Load: Stories: 1.5 Height: 0 ft Project Valuation: $95,495.00 General Information Building Area: 11300 Re-Roof Area: 0 Roof Class: Tear Off: Overlay: Existing Roof Layers: Parapets: Total $1,204.93 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 95 -001-0090. You m ,obtain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ......Z Issued By: .- Permittee Signature: 5-C-_ .gri:,///e Call 503.639.4175 by 7:00 a.m.for the next available inspection date. //� ,L 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 RECEIV City of Tigard RecedB,ed Permit ry {�titNn.: • 13125 SW Hall Blvd.,Tigard,OR 97223 FEB U 6= 2023 Dm Plan Review Phone: 503.718.2439 Fax• 503.598.1960 Davey: Other Permit. I ItiAR n Inspection Line: 503.639.4175 CITY OF TIGARU Date Ready/By' Iva See Page 2 tar Internet: www.tigard-or.gov BUILDING DIVISIONP ifi'vm"I'nd' I ® Suppkmental Information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fecs•are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement p Other: J 2(041,4 equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-famil y dwelling ,��55 Valuation: S UY Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I i 5 S) ,5 /rG(A. 11-4f New dwelling area: square feet City/State/ZIP: tier', dR cl7}al- 3 Garage/carportarea: square feet Suite/bldg./apt.no.: Project name: C tU l. AA(' 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'arc based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. _repr pr+- nre4 A45 . e:,,, l ,,6.ec ,P y..54,,,, Si4a s /e/A.1 Valuation: S q 5 n. �p, r/5 �._ 4Aof W/lfh/►../ ec/(/ "I-Herb GOarr, / - 7,e, Existing building area: //300 square feet / New building area: square feet PROPERTY OWNER 0 TENANT Number of stories: l Name: SNN1v /Lc y Type of construction: tip/1(!(.rr//se Address: 3 7� 6 it/ -S e rad r T/; Occupancy groups: City/State/ZIP: Ice kl,, a r- e7 71 f}/ Existing: Phone:(5a3) 7tf'f- 1 q/66 Fax:( ) New: 1,APPLICANT ❑ CONTACT PERSON NOTICE Business name: Ju 5 4 or. kaliwi All contractors and subcontractors are required to be Contact name: 13 lj/V e,P licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Add. 13 h w -5_L`v 6.6/by s 4 t7✓ jurisdiction in which work is being performed.If the City/State/ZIP: 3tipr�' / Glle 97/Y(f applicant is exempt from licensing,the following reasons Phone:(5.93) 1 apply: /5/9-GG*77 Fax::( ) E-mail: 6fi{:© ,C,4Aer yap(, (ON7 CONTRACTOR Business name: I u Stogy kce f.,A 4) BUILDING PERMIT FEES* Address: /36e° Aty 1/P/_G/br�,7(/ 1 ✓ (Please refer mjeescbeduk City/State/ZIP: �/ l Smtctural plan review fee(or deposit): Phone:( ) per:( ) FLS plan review fee(if applicable): CCB lie.: N5970 Total fees due upon applicatiod: Authorized signature: d-�......... Amount received: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: "11„ Br(/Cce Date: ; -e? -a Fee methodology set by Tri-County Building Industry Service Board. IUiudmng.PereursilOOF-ParmiiApp doe 70.ei/09 440.e613T(11/O2/COMWES)