Permit (33) CITY OF TIGARD REROOF PERMIT
44
-" COMMUNITY DEVELOPMENT Permit#: RER2023-00027
Date Issued: 7/19/2023
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 1S135CA01800
Jurisdiction: Tigard
Site address: 9714 SW NORTH DAKOTA ST
Project: The Bismarck Apartments Subdivision: GREENBERG HEIGHTS Lot: 8
Project Description: Carports only: re-roof-remove 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 $408.32
Specifics: 12%State Surcharge-Building 07/19/2023 $49.00
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: 0 Height: 0 ft
Project Valuation: $22,000.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off: Yes
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 OAR952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 2.234 .
ug
Issued By: Permittee Signature: •
03.639.4175 by 7:00 a.m.for the next available inspection d . ---- --
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 RECEIVE H.: Otl,t i r>I (1\1.1
City of Tigard 5 Received [�n I Pen tNo.: I `���� '
JUL �u� Received.
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' _
Phone: 503.718.2439 Fax: 503.598.1960 Date/B ; Other Permit:
TIGARD Inspection Line: 503.639.4175 fly OF TIGARD Date Ready/By: Jets: 121 See Page 2 for
Internet: www.tigard-or.gov �Jtil!WILDING� t�7 nel, ohfied/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
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
2/Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
�,/ Valuation: S
❑ I-.and 2-family dwelling UV Commercial/industrial
❑Accessory building Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
q„`1 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: JW 0 , okc 4,„ S4. New dwelling area: square feet
City/State/ZIP: 7111(,5 G p ra p R 01 ?"inGarage/carport area: square feet
Suite/bldgJapt.no.: ti Project name: -j "k%W,Cs 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.
Tax map/parcel nu.: 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. 'L2(000
V Mk V cp l ctCskok -A, -\-e A.r- Oc- C}c( -V I 1^5 Valuation:
�� \CA.\ lie vt Q CR+ �+.,L,1 "` V1�lJ Existing building area: square feet
((%r u 1, i New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories: Z
Name: R. pc,.4,r J (�U(..,,'-\ Type of construction: ytj( V{9\Cti4„12.4s-v2.r\4'
Address: C('I t10 5 W I1sS • \)(tik,O1c o, ${ Occupancy groups:
City/State/ZIP:-�‘.°)Osv rl I OR. di1223 p.sisting:
Phone:(r-c(55) 'ZLkf - \.--1 0(0 Fax:( ) New:
APPLICANT [CONTACT PERSON NOTICE
Business name: C tir 1 Lc_,,e d 2 O lj-\v'. S e Y\J 1LQ-S' All contractors and subcontractors are required to be
Contact name: d 1-Irt( Vir, C (�1.(JS licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 1\C,\g S t Or V( 5(cw S . 'v--Z(s jurisdiction in which work is being performed.If the
City/State/ZIP: �7 11 G�'�2�(p applicant is exempt from licensing,the following reasons
C �"`Gi-eB'( t apply:
Phone:(SO)L1,14 ( • U j 3' Fax::( )
E-mail: p' tL-C Q. rOOS"\w�e CVS .Cur-A
CONTRACTOR
Business name: CAA(�,fr\id �a0S Ic-j S e V V'c.L S BUILDING PERMIT FEES*
Address: 1\C( t,$ rj . D\\ sC i ' ., 2A (Please refer to fee schedule)
U v -& r t 2 Structural plan review fee(or deposit):
City/State/ZIP: µVYfFLS plan review fee(if applicable):
Phone:( )1 le C.• C(C(j° Fax:( )
CCB lie.: 21 0b Z Total fees due upon application:
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: G fa Ca V U. 5 Date:7.3• 2 3 * Fee methodology set by Tri-County Building Industry
Service Board.
1:IBuildinePermas1ROOF-PermitApp.doe t0/a1/a9 440-4513T(I 1/O2ICOM/WEB)