HomeMy WebLinkAboutPermit tCITY OF TIGARD REROOF PERMIT
I. COMMUNITY DEVELOPMENT Permit#: RER2023-00032
Date Issued: 7/19/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CA01800
Jurisdiction: Tigard
Site address: 9710 SW NORTH DAKOTA ST
Project: The Bismarck Apartments Subdivision: GREENBERG HEIGHTS Lot: 8
Project Description: Re-roof-repair and replace.
Contractor: CARLOS ROOFING SYSTEMS LLC Owner: JAUCH, ROGER P
11918 SE DIVISION ST 218 389 SUGAR MILL DR
PORTLAND, OR 97236 OSPREY, FL 34229
PHONE: 503-760-9000 PHONE:
FAX:
FEES
Description Date Amount
Permit Fee 07/19/2023 $438.74
Specifics: 12%State Surcharge-Building 07/19/2023 $52.65
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $24,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
Overlay:
Existing Roof Layers:
Parapets:
Total $491.39
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 1.800.3 344.
Issued By: / Permittee Signature:
.639.4175 by 7:00 a.m.for the next available ins
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 RECEIVE111111111111111111
�,1 1,/�}�
Cityof Tigard r Received -i!s 1167,3. 1i D Permit No.: WZ CeL L
131 SW Hall Blvd.,Tigard,OR 97223 JUL J LticJ plan R hew. MG
Phone: 503.718.2439 Fax: 503.598.1960 ^'�/ �+�p� Date/By: lJ IV Other Permit:
Inspection Line: 503.639.4175 W 1 1 OF 11171'RD Date Ready/By: J ri, Z See Page 1 for
1 It t A R 1) Internet: www.tigard-or.gov otified/Method: Supplemental Information
�IIq.DING DIVISION
TYPE OF WORK REQUQBED DATA:2-AND 2-FAMILY DV6'ELLtN {„):y
0 Demolition Permit fees*are based on the value of the work performed.
O New constructionIndicate the value(rounded to the nearest dollar)of all
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 tvi Commercial/industrial
Number of bedrooms:
❑Accessory building 2/Multi-family
El Master builder
El Other:
Number of bathrooms:
C1 In} JOB SITE,INFORMATION AND LOCATION. ; Total number of floors:
Job site address: •- 9-1� SWtsj . 0A (o4-C. S4. New dwelling area: square feet
City/State/ZIP: \--�G coca d� al -77,7.75 Garage/carportarea: square feet
Suite/bldg./apt.no.: Project name: --c ce t,%Vint i,.vC 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
DESCRIPTIONN OF WORK work indicated on this application. A /�j�
\('U� Ve.-pl.CAU.MtieA'\ ., \-eGlt-- O�c C.Y. 5'� t� Valuation: $ 7 /JICO
Existing building area: square feet
Voc \t%) YVTJ.,eeN\a\S i Ve,3lA.cZ wk26,,,.. v\nk.,,
New building area: square feet
®°PROPERTY OWNER 1 {] TENANT Number of storks: 2,_
Name: (t p {qv T(,\U(�t 1 Type of construction: yc- tor(Q1G.c.0.wdze-vt'
Address: Cil(�j 5k,.,.) • \)(,LkO,C(n %} Occupancy groups:
City/State/ZIP:^•\--ts,trj' -cA i 0� G(72.23 Existing:
Phone:(1 ) `Z I4O1 - \-1 ()(p Fax:( ) New:
APPLICANT (CONTACT PERSON " NOTICE ' <
Business name: C,(-,rkj,,S.-kled1/4, `Z4t -\yr*j 5-ctr\,1 er All contractors and subcontractors are required to be
lJS licensed with the Oregon Construction Contractors Board
Contact name: '� Ce,l�A L.fj. e ,.
under ORS 701 and may required to be licensed in the
Address: ,,tfA\Ill- S`' DI V i 5(de $i.. ' 'Z(8 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: 2(y(.I(tt 0 t CI ae(p apply:
t�
Phone:(SO) ( 4 4 i ' (42.3s( Fax::( )
E-mail: c) c_t ( roC:)c-1N: CV S .Coll--t-A,
s= vM IT9 :', ,
Business name. CAN,...„(r.eCi 9_UOc-tvi S-e-te V t.R.$ BUILDING PERMIT'FEES*
(Please refer to fee sckeduk
Address: `�C( ,S 5t \V15(t?Y1Z(O
Structural plan review fee to deposit):
City/State/ZIP: P o Or Cw.d t OR: 9/2(p b
FLS plan review fee(if applicable):
Phone:( 1-7 l 0•C1 aj ) Fax:( )
Total fees due upon application:
CCB lie.: -1_-`\ b Z-
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
m within 180 days after it has been accepted as complete.
Print name: F' 4llT__VI c.t G Ca V Lt. S Date:-7•3• 2 3 • Fee methodology set by Tri-County Building Industry
Service Board.
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