Permit � AY.
CITY OF TIGARD BUILDING PERMIT
Lt: COMMUNITY DEVELOPMENT Permit #: BUP2010 -00079
f Date Issued: 05/11/2010
ITIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102CA01300
Jurisdiction: Tigard
Site address: 9915 SW FREWING ST 29
Subdivision: Lot: 0
Project: Orchard Park Apartments
Project Description: Building 3. Remove and replace decks at units 29 & 35.
Owner: FEES
QUANTUM RESIDENTIAL Description Date Amount
205 E 11TH ST, SUITE 100 Permit Fee - Additions, Alterations, 04/15/2010 $210.59
VANCOUVER, WA 98660 Demolition
PHONE: 503 - 227 -3000 12% State Surcharge - Building 04/15/2010 $25.27
Plan Review 04/15/2010 $136.88
Contractor:
JR JOHNSON INC
PO BOX 17196
PORTLAND, OR 97217
PHONE: 503- 240 -3388
FAX: 503- 240 -3424
Specifics:
Type of Use: MF
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $8,217
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $372.74
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 other applicable law. All work will
be do ' 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
day . ATTENTION: Oregon law re ' es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OAR 5 01 -01 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.3 .2344. ,
Is ed By: ' C % _,, Permittee Signature: 6A � % , / ,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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
Commercial FOR OFFICE USE ONLY
City of Tigard
��� Received �
I� z( a �o
egg Permit No.: 1 o2o10 .� peic7r
Date /B
13125 SW I -fall Blvd -, Tigard, OR 97223 Plan Revie
` . Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
A PR 13 2010 Date /By:
TIGARD Inspection Line: 503.639.4175 Date Ready/ . J uris Ei See Page 2 for
Internet: www.tigard or.gov Notified /Method: TO Supplemental Information
CITY OF TIGARD
TYPE OF wILDING DIVISION REQUIRED DATA: I- 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
® 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: S
❑ Accessory building ® Multi- family Number of bedrooms:
CI Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of' floors:
Job site address: 9915 SW Frewing St. New dwelling area: square feet
City /State /ZIP: Tigard, OR 97225 Garage /carport area: square feet
Suite /bldg. /apt. no.: Bldg 3 Project name: Orchard Park Deck Repairs 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 fbr the
DESCRIPTION OF WORK work indicated on this application.
Remove and replace failing decks at units 29 and 35 Valuation S 0 )21 1 2-g
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: (AGENT) Quantum Residential Type of construction:
Address: 205 E 1 1th St., Suite 100 Occupancy groups:
City /State /ZIP: Vancouver, WA 98660 Existing:
Phone: (503)227 -3000 Fax: (360)696 -9609 New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: J.R. .Johnson, Inc. All contractors and subcontractors are required to be
Contact name: Jennifer Whittington licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: P.O. Box 17196 jurisdiction in which work is being performed. lithe
City /State /ZIP: Portland, OR 97217
applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 240 -3388 Fax: : (503) 240 -3424
E -mail: jenne @jrjohnsoninc.com
CONTRACTOR
Business name: J. R. Johnson, Inc. BUILDING PERMIT FEES*
Address: P.O. Box 17196 (Please refer to fee schedule)
City /State /ZIP: Portland, OR 97217 n revto e.
n review et. • $14
Phone: (503) 240 -3388 Fax: (503) 240 -3424 3�P
CC13 lie.: 102676 - a � •' - a pp i �3 • ?
A -Feseiaed: 3 7 a• 7 Y
Authorized signature: t.L This permit application expires if a permit is not obtained
— -- I within 180 days after it has been accepted as complete.
N
Print name: Jennifer hit[i gt n Date: /10 * Fee methodology set by Tri- County Building Industry
Service Board.
1:ABuilding \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM /WEB)