Permit . •
CITY OF TIGARD BUILDING PERMIT
a ; COMMUNITY DEVELOPMENT
Permit #: BUP2009 -00173
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/15/2009
• Parcel: 2S110AD08801
. Jurisdiction: Tigard
Site address: 10825 SW MURDOCK ST, APT# 1
Subdivision: PACIFIC CREST APARTMENTS Lot: 0
Project: Pacific Crest Apartments
Project Description:
Owner: FEES
•
AFFINITY PROPERTY MANAGEMENT Description Date Amount
111 SW 5TH AVE SUITE 3690 Permit Fee - RES 09/17/2009 $170.80
PORTLAND, OR 97204 12% State Surcharge - Building 09/17/2009 $20.50
PHONE: 503 - 892 -0099 Plan Review 09/17/2009 $111.02
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: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
_ . Total $302.32
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 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 t - _ • OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: / t d / v i ) P ermittee Si gnature: �%V � ii = ,
Call 503.639.4175 by 7:00 a.m. for an inspection that c i =ss 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.
•
•
r _
Building Permit Applica • �\ r[D .
Commercial �r V � V G FOR OFFICE USE ONLY
City of Tigard SEP 15 2009 Datei 9 16 o� 0/ Permit No.: , uM 60/73
1 - ° 13125 SW Hall Blvd., Ti °3 97223 Plan Review `MT�
Phone: 503.639.4171 Fax: ax: 503. ' 4 Other Pennit:
�� TIGA Date/B : � _ ✓j
TI G ARD
Inspection Line: 503.639 Date Ready _ ` ;�� ` ® See Page 2 for
Internet: www.tigard or BUILDING DIVISION Notified/Method: d / "•.... MEM Supplemental Information
- .., — ' DO/ .- _
' % I i
TYPE OF WORK / REQUIR ,( 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
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 ❑ Comercial /industrial Valuation: $
m
❑ Accessory building Ill Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i n2.5 . sin/ rA k12.1 0 CK.. Cr. New dwelling area: square feet
City /State /ZIP: TIG,pm_c 02 c - Z- 4 Garage /carport area: square feet •
Suite/bldg. /apt. no.: 7 -p , , Project name: VI G �� AS Covered porch area square feet
Cross street/directions to job site UN ITS 1 1 10 ) 19- 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 no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
Demo WORK work indicated on this application.
Pm* � c ST I1 CON tei SU. - -FAe� 'D
Pm* SC� Valuation: $ i l OW.• 0
ize czkrne w%/ Ye-Es�6U.fL TQeA�'ED YVI aufai - Existing building area square feet
AND o1 P o p Dsexitz • S u, A New building area: square feet
mil
' PROPERTY OWNER ( sr ) ` •
❑ TENANT � Number of stories:
I
Name: PtFF t J r , ' 'O pj VVIAI4A6Emetsr Type of construction:
Address: ` I 1 SW 5 Axe tu - s 2 ) 0 1 0 Occupancy groups:
City /State /ZIP: 1 LP t 1 0r � n -o4- Existing:
Phone: (f Iva.- p Oq % Fax: (50 5) $02 - 33 i t New:
Z. APPLICANT 0 CONTACT PERSON NOTICE
Business name: tj.Q • 1
01.1-AS014 , i kl c_. All contractors and subcontractors are required to be
Contact name: '-', E13IJ I FFtz . voRyrtt ar I oil.1 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be l in the
Address: '?.o • Sox n ici jurisdiction in which work is being performed. If the
City/State/ZIP: 12OQ p p 0 q'12 \'1 applicant is exempt from licensing, the following reasons
Phone: (5518) ✓30 O Fax:: (503) 0."5424 apply: /70' $0
E -mail: o P.n.V1e. �J 0 �1111S6Y1�.fC.C��6VV� l/ � • '
v jr - CONTRACTOR ��
Business name: . JP 1 1tT/ \5 je- BUILDING PERMI 9...._ Address: , + `J (Please refer to fee schedule)
Structural plan review fee (or deposit): •
City /State /ZIP: `
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): )
CCB lic.: 10241
Total fees due upon application: 0
- Amount received: -# 0o A -
Authorized sign. ure: f 0 IF ' �• � This permit application expires if a permit is not obtained
VFW
n 'E 1. w ∎ within 180 days after it has been accepted as complete.
Print name: 11 Pa,/� Date: its O 1 * Fee methodology set by Tri- County Building Industry
- Service Board.
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