Permit CITY OF TIGARD BUILDING PERMIT
'"! COMMUNITY DEVELOPMENT Permit#: BUP201500080
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2015
Parcel: 25101 DB00200
Jurisdiction: Tigard
Site address: 7582 SW HUNZIKER RD 17
Project: Hillcrest Apartments Subdivision: VARNS ACRES Lot: 9
Project Description: Building F-Units 17 through 20. Replace windows like for like. Replace siding with Hardie lap. Replace rotted
deck and railings.
Contractor: NFN INVESTMENTS LLC Owner: HILLCREST HOLDINGS LLC
9 SE 3RD AVENUE SUITE 100 9 SE 3RD AVE,STE 100
PORTLAND, OR 97214 PORTLAND, OR 97214
PHONE: 971-279-2295 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: MF
Class of Work: OTR 7 Permit Fee-Additions,Alterations, 04/07/2015 $453.95
ype of Const: VB Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 04/07/2015 $54.47
Dwelling Units: 0 Plan Review 04/07/2015 $295.07
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 04/07/2015 $4.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $24,129 Info Process/Archiving-Sm$0.50(up to 04/07/2015 $7.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $814.49
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 through OAR 952-001-0090 You may a copy rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 OFFI('F I'SE O\1.1'
Received /
City of Tigard RECEIVE Dateiv : �f Permit No.: G 5-�
13125 SW Hall Blvd.,Tigard,OR D7�4 . Plan Revie, ►1_ �' r�
= Phone: 503.718.2439 Fax: 503.598.1960 {5 Date/By: 'v l Other Permit:
TIGARD
Inspection Line: 503.639.4175 MAR 2 6 201 Date Ready/By: luris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: S ��.. Supplemental Information
CITY OF TIGARD '.�t./(�,r ( t ...) /"kiUJp
TYPE }NG UIVISIOPI 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
❑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: $
❑Accessory building M Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 76 g z sW. 1/,_,),„ Z 1 k.e....- s-(-. _ B 'F ' New dwelling area: square feet
City/State/ZIP: T,..s�,c) Z)v,.. C 7 Z -z_ Garage/carport area: square feet
Suite/bldgJapt.no.: Project name: N t 1 if c,v.ecf A,Q'T- Covered porch area: square feet
Cross street/directions
__1
to job site: Deck area: square feet
an)t T 5 /7 —,9-0 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 for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 2¢,/2 7 ,o p
V. e-k:'1c.c_e (...J (NdowS L1 k• _ Fov- Ll ke
�� .s'Lam.G'e. 5 1 d l N G-f (� l41— u -d•e. Lo..?
Existing building area: 34. square feet
e 0,41r, e_ cr e.Lk 0-Qvs-4 Q.o"1�,..s W o ock New building area: square feet
{s] PROPERTY OWNER I ❑ TENANT Number of stories:
Name: A t a a Gv,-es-l- -1 a Ij 1 N cS L L G Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
—8 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: N Su V Es MEN.S L L L Structural plan review fee(or deposit):
Contact name: L _Q.Y S 0.h o Qd FLS plan review fee(if applicable):
Address: ef' S.& . 3+"`-k tV E S o c t: lCyo
Total fees due upon application:
City/State/ZIP: ' 2.JVL IAN d C>R... Cl -1 Z 1 if
Phone:(91 1) z,-I of - Z7.�( 5 Fax::(97 I ) z7 S- I cq 5
Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-ti• Mounted PhotoVoltaic Solar Panel Syst•
Business name: .3 f N T NJ VEST r'l f-NITS L LC. Submit two( : of roof plan with con •- on details
and fire department ac along w' e 2010 Oregon
Address: 9 5.t; . 3r,4 Av . S u c 1 E 1 w Solar Installation Specialty 0 checklist.
Permit fee(in ..es plan reN $180.00
City/State/ZIP: ��r-j-L G„ci �,, a`7 Z 1 administrative fees):
Phone:(9-1( )Z79- Z Z 9 5 Fax:(ol-7 )Z`J 5- (ca,y 5 State surcharge(12%of permit fee): $21.60
CCB tic.: i cb c-( (o Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
.-, within 180 days after it has been accepted as complete.
Print name:jper7CQ� /Q�C�/��- Date: l !Sl/S- ` Fee Service methodology set by Tri-County Building Industry
/(/ / Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEE)