Permit A ` CITY OF TIGARD BUILDING PERMIT
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a COMMUNITY DEVELOPMENT Permit #: BUP2010 00045
7 1 . 1 GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/10/2010
Parcel: 2S110AD08801
Jurisdiction: Tigard
Site address: 10695 SW MURDOCK ST OFC
Subdivision: PACIFIC CREST APARTMENTS Lot: 0
Project: Pacific Crest
Project Description: Construction of free standing 12' x 16' pergola.
Owner: FEES
AFFINITY PROPERTY MANAGEMENT Description Date Amount
111 SW 5TH AVE 3690 Permit Fee - Additions, Alterations, 03/10/2010 $225.80
PORTLAND, OR 97281 Demolition
PHONE: 503 - 802 -0129 12% State Surcharge - Building 03/10/2010 $27.10
Plan Review 03/10/2010 $146.77
Contractor:
NORTHWEST CONSTRUCTION SERVICES INC
PO BOX 231087
TIGARD, OR 97281
PHONE: 503 - 780 -2969
FAX: 503 - 443 -1065
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $9,225
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $399.67
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o her •plicable 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 wor. is . uspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul= - e set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 • • •.6699 or 1.800.332.23•
Issued By: Ilk AC/0 ^ 1, ( \I 1, . Permittee Signature:
I.
Call 503.639.4175 by 7:00 a.m. for an inspection that business • a .
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.
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Building Permit Application -. 1 -4 " _ , : ', .:4slam ` - ( ,,y(,t t.ed' Wt ,,,,„„n i) . 9.,./._/c.
Commercial - FOR OFFICE USE ONLY
III City of Tigard M AR 4 2013 Date /Bea .. Permit No.: ti • • , OW
° 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review t�
C Phone: 503.639.4171 Fax: 503.598.1960' ' ' Date /B : WW in h Other Permit:
T I G A RD Inspection Line: 503.639.4175 ' • Date Read ... 7r ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ` L Ca Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
E Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial
Valuation: $
❑ Accessory building ® Multi- family Number of bedrooms:
ID Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10695 SW Murdock Street New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: Pergola A kliti1Ln 4Ctlef C L��S� Covered porch area: square feet
Cross street/directions to job site: Murdock/Canterbury Deck area: square feet
Other structure area:
square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are 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.
Installation of free standing 12' x 16' pergola Valuation: $$9,225.00
Existing building area: square feet
New building area: 192 square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Affinity Property Management Type of construction:
Address: 11 I SW 5 Avenue Suite 3690
Occupancy groups:
City /State /ZIP: Portland, OR 97204
Existing:
Phone: (503)802 -0129 Fax: (503)892 -3311
New:
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Northwest Construction Services All contractors and subcontractors are required to be
Contact name: Charles Pontrelli licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 231087 jurisdiction in which work is being performed. If the
City /State /ZIP: Tigard, OR 97281 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 780 -2969 Fax: : (503) 443-1065
E -mail: charlespontrelli @nwcsinc.net
CONTRACTOR
Business name: Northwest Construction Services
BUILDING PERMIT FEES*
Address: PO Box 231087 (Please refer to fee schedule)
City /State /ZIP: Tigard, OR 97281 Structural plan review fee (or deposit):
Phone: (503) 780 -2969 Fax: (503) 443 -1065 FLS plan review fee (if applicable):
CCB lic.: 173576 Total fees due upon application:
// 6, Amount received: 3G (, 9 7
Authorized signature: \i �`���
-
JC This permit application expires if a permit is not obtained
Print name: Charles Pontrelli Date: 3/8/2010 within 180 days after it has been accepted as complete.
L \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)