Permit •
CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit #: BUP2009 -00172
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/15/2009
Parcel: 2S110AD08806
Jurisdiction: TIGARD
Site address: 10790 SW MURDOCK ST, APT# 12
Subdivision: PACIFIC CREST APARTMENTS Lot: 0
Project: Pacific Crest Apartments
Project Description: Remove and replace existing deck for unit 12.
Owner: FEES
AFFINITY PROPERTY MANAGEMENT Description Date Amount
111 SW 5TH AVE SUITE 3690 Permit Fee - RES 09/17/2009 $73.33
PORTLAND, OR 97204 12% State Surcharge - Building 09/17/2009 $8.80
PHONE: 503- 892 -0099 Plan Review 09/17/2009 $47.66
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: $3,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $129.79
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: • regon law re. ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 • rough 0 - 9 - 001 - 0110. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued c : t I ,/ () / . Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an Inspection tha usiness d y.
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.
'B di ng Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Cl of Tigard Received Q / permit No.:
° 13125 SW Hall Blvd., Tigard, OR 9S3P � Plan DateB : � Revtew :7
��
' a Phone: 503.639.4171 Fax: 503.598.1960 5 2009 � �o Other Permit:
TI C A R D Inspection Line: 503.639 C I� Date Ready /: y: , 1uur ® See Page 2 for
Internet: www.tigard or.gov O F TIGARD Notified/Method: (Q/7�Q9 ' (a Supplemental Information •
BUILDI DIVISION j / /AA -
TYPE OF WORK REQUI1t11D DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ❑ Commercial/industrial Valuation: S
ID Accessory building Igl Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 OHO SW YYI bl12fJOCK. ST, New dwelling area: square feet
City /State /ZIP: TIGfoto o(.. ' z. z.4 Garage /carport area: square feet
Suite/bldg. /apt. no.: ? -0 , 1 Project name: P vyC Cessr APTS. Covered porch area square feet
Cross street/directions to job site: (Arsi 1T' 1 2... 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
D g 1ST I 1 CO Actele sUL -FRO . DECKS Valuation: $ 5 D b D .O D
Pm? - i'z en. w/ Y( esuge TrzekTED IMA•f l Existing building area square feet
AND ou,1' D -D PeC 1 . ATTAI• ie New building area: square feet
x PROPERTY OWNER CAS' f) ❑ TENANT �� Number of stories:
1
Name: P"CP1F 1 tJ rry C Q Q r Y .I- Ammetttell�r Type of construction:
Address: 1 1 t SIN 5-4+ IBCVG urs GC! 0 Occupancy groups:
i !
City /State /ZIP: PP N D 1 e c^l DA- Existing:
Phone: ( $°12— Co cgiGl Fax: (5/3) 8011. 33 k New:
Ca APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Z , SvSo A , l kl e_ . All contractors and subcontractors are required to be
Contact name: T ` �, licensed with the Oregon Construction Contractors Board
V 1�� I VV 1'Tl ( I b1J under ORS 701 and may be required to be licensed in the
Address: T.D . fox 1 " 1 1qu jurisdiction in which work is being performed. If the . 4
City /State /ZIP: 1/1211... ' , 09
.9 12v1 applicant is exempt from licensing, the following reasons
2 apply:
Phone: (5G)240. 338 O p F (5D3) VI0.34? 4
E -mail: U yule. e \ y r yiuls rn n y0 .C.15
•i
CONTRACTOR
Business name: skate- Rs f -P t �� BUILDING PERMIT FEES* f v� (Please refer lo fee schedule
Address: 111
Structural plan review fee (or deposit): 4 ?S , 3 '
City /State /ZIP:
Phone: ( ) Fax: ( ) plan review fee (if applicable): 4 vie
CCB lic.: D . Total fees due upon application: * g . 8a
r
Authorized sign.' re: ' ,•' - 1nal ,st This permit application expires if a permit is n obtained
ilIwlain f'', within methodology 180 days after it has been accepted as complete.
Print name: , g � � •lltll ! Da• IP ' na� • Fee methhodd s b
ology set by Tri- County Building Industry
Service Board.
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