Permit Est K41 :* f' CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit #: BUP2010 -00077
it t G At. L5 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/11/2010
Parcel: 2S102CA01300
Jurisdiction: Tigard
Site address: 9915 SW FREWING ST 1
Subdivision: Lot: 0
Project: Orchard Park Apartments
Project Description: Building 1. Remove and replace decks at units 3, 5, 11, 13 & 15. Repair decks at units 1 & 17.
Owner: FEES
QUANTUM RESIDENTIAL Description Date Amount
205 E 11TH ST, SUITE 100 Permit Fee - Additions, Alterations, 04/15/2010 $438.74
VANCOUNVER, WA 98660 Demolition
PHONE: 503 - 227 -3000 12% State Surcharge - Building 04/15/2010 $52.65
Plan Review 04/15/2010 $285.18
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: $23,380
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $776.57
Reauired: 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 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. ATTE ft51■17 law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 through OA1=95 You may obtain a copy of the rules or direct questions to OUNC by calling-5037246.6699 or 1.800.332.2344.
Issued y: Permittee Signat e: �/ / �� t ✓��
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 RECEIV Pennit No.: &7"10 � ' 7
13125 SW Hall 131vd., Tigard. OR 97223 ! �.. r
Other Permit:
`� "
AA
Phone: 503.639.4171 Fax: 503.598.1960 ffi U
TIGARD Inspection Line: 503.639.4175 AP1\ R 201 i Date Ready /By: Juris ® See Page 2 for
Internet: www.tigard- or.gov Notified /Method: Supplemental Information
CITY OF TIGARD
TYPE OF WORK BVILDING 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.
111 1 - and 2- family dwelling El Commercial /industrial Valuation: S
ill 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: 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 1 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 I
Tax map /parcel no.: equipment. materials, labor. overhead. and Ole profit for the j
L DESCRIPTION OF WORK work indicated on this application. 1
1
Valuation: S :.
,�
Remove and replace failing decks at units 3,5,11,13 and 15
Repair failing decks at units 1 and 17 Existing building area: square feet i
—1
( 00 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: i
Nance: (AGENT) Quantum Residential Type of construction: ,
Ofl Address: 205 E 11 Si, Suite 100 Occupancy groups:
City /State /LIP: Vancouver, WA 98660 Existing:
1 Phone: (503)227 -3000 Fax: (360)696 -9609 New:
M ❑ APPLICANT ❑ CONTACT PERSON
O NOTICE
Business name: .I.R..Johnson, Inc. All contractors and subcontractors arc required to be i
Contact name: .Jennifer Whittington licensed with the Oregon Construction Contractors Board
I- under ORS 701 and may be required to he licensed in the
ii j Address: P.O. Box 17196 jurisdiction in which work is being performed. I
1 City/State/ZIP: Portland, OR 97217 applicant is exempt from licensing, the following reasons
apply:
I Phone: (503)240 -3388 Fax: : (503) 240-3424
E -mail: jennenjrjohnsoninc.com
CONTRACTOR
• Business name: .1. R. Johnson, Inc. BUILDING PERMIT FEES* -1
Address: P.O. Box 17196 (Please refer m fee schedule)
S. sit): 5/3 ---
1 CitsiState / /_II': Portland, OR 97217 _4
FL ble): l$
I'he ne: (503) 240 -3388 Fax: (503) 240-3424
1 �gS�
I-- . B lie.: 102676 1' on: 5A- 4 ;
c ,- A 1 776. 5 7
Autimrized signature : \� This permit application expires if a permit is not obtainedl
within 180 days after it has been accepted as complete.
;Print name: Jennifer Whittington 1 Date: 4/9/ i * Fce methodology set by Tri- County Building Industry
Service Board.
Eu ilding APermits \BUP- COMPermitApp.doc 10/01/09 440- 46131(11102/COM/WEI3)