Permit r
i,t Vi,` BUILDING PERMIT
r: __ ' CITY OF TIGARD
Ip
'- COMMUNITY DEVELOPMENT Permit #: BUP2009 -00148
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/08/2009
T1GA RI? Parcel: 2S102CA01300
Jurisdiction: Tigard
Site address: 9915 SW FREWING ST 19
Subdivision: Lot: 0
Project: Orchard Park Apartments
Project Description: Tear down and replace decks at units 19 and 25.
Owner: FEES
SUSNJARA, MARKO A/BETTY M Description Date Amount
16225 NE EUGENE CT Permit Fee - COM 09/08/2009 $112.55
PORTLAND, OR 97230 Plan Review 08/05/2009 $73.16
PHONE: 12% State Surcharge - Building 09/08/2009 $13.51
Contractor:
JR JOHNSON INC
PO BOX 17196
PORTLAND, OR 97217
PHONE: 503 - 913 -1167
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: $8,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $199.22
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 done in accorda - 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. ATTENT i : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -001' through OAR 952 -00 -1100. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: . V . / ` �y Permittee Signature: .
I
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 o • e proje
Approved plans are required on the job site at the time of each inspection.
Building Permit Application Fri ` ��-' #� „, • . .
Commercial FOR OFFICE USE ONLY '
City of Tigard An O J 2009 Received
11114 Date /B : , Permit No.: �j 48 13125 SW Hall Blvd., Tigard, OR 97223 p Plan Revs: �r
Phone: 503.639.4171 Fax: 503.598.1960 dF TIGARD Date /By: 7� Other Permit:
T I G A R'D Inspection Line: 503.639 DI V IS IGttl Date Rea. .y: J is: ® See Page 2 for
Internet: www.tigard- or.gov BUI Notified /Method: ` 3 O . 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
Ad dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1- and 2-family g ❑Commercial /industrial
❑ Accessory building ulti- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB' SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: square feet
City/State /ZIP: 7 : , ati (..4t .,... t 2;2_3 Garage /carport area: square feet
Suite/bldg. /apt. no.:cs . 2 Project name: „"R. A P A. Covered porch area: square feet
•
Cross street/directions to job site: Deck area: square feet
�� c pL, CI cam I-, . y . 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
W DESCRIPTION OF WORK work indicated on this application.
- 10,.] , k, he�l� 1ae.Al la v1 -- •,i ri _ Valuation: $ �3 - a -� '' L
I q A ' ZS Existing building area: C7 square feet
�� New building area: square feet
�I rROPERTY OWNER ❑ ' TENANT Number of stories:
Name: s ej .„‘ 71,,14... Q ) a L G Type of construction:
Address: cli o 1T' s,..6 c-v--- SA” Occupancy groups:
City/State /ZIP:"\ 0tZ O 1_2-3 Existing:
Phone: (g'b3) (0'3 V., on 9 Fax: ( ) New:
PLICANT ❑ CONTACT PERSON NOTICE
Business name: (Z — S e L..,,_..1 J-...;1 , . 1 .... sz . All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
'\ "... under ORS 701 and may be required to be licensed in the
Address x (, \ 9 4, jurisdiction in which work is being performed. If the
1 applicant is exempt from licensing, the following reasons
City/State/ZIP—Ad ` p '`''l — 1 - 2-t `y apply: _
Phone: 3) Z 0 . s 3 B `g Fax:: (503) 440 ' i Zci
\
E - mail: a-c_ e . r . bN.__ l Z , C_ s ,.._
CONTRACTOR
Business name: S t.,......--., ( &, \ x r-+. BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City /State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable):
CCB tic.: ( ` ) (e Total fees due upon application:
Amount received: )) , (
Authorized signature 4 F'
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name`� Date: 8 /3 / 0 e; * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PennitApp.doc 2/23/07 440- 4613T(I l /02 /COM /WEB)