Permit `° BUILDING PERMIT
i w,? CITY OF TIGARD
r ; g ,: COMMUNITY DEVELOPMENT Permit #: BUP2010 00042
:I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/26/2010
Parcel: 2S110AD08806
Jurisdiction: TIGARD
Site address: 10660 SW MURDOCK ST, APT# 1
Subdivision: PACIFIC CREST APARTMENTS Lot: 0
Project: Pacific Crest Apartments
Project Description: Demo (3) suspended walkways, rebuild (2) walkways with stairs. Units 1 thru 18.
Owner: FEES
AFFFINITY PROPERTY MANAGEMENT Description Date Amount
111 SW 5TH AVE #3690 Permit Fee - Additions, Alterations, 03/05/2010 $317.06
PORTLAND, OR 97217 Demolition
PHONE: 503 - 892 -0099 12% State Surcharge - Building 03/05/2010 $38.05
Plan Review 03/05/2010 $206.09
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: $16,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $561.20
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 -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: _A �_ AI t r • $ 1 � • Permittee Signature: Q Q j\ p ^
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. J
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 RECEIVED FOR OFFICE USE ONLY Received 2 City of Tigard DatefB id A" PermitNo.: ` ', 040.. `r 2
li - ° 13125 SW Hall Blvd., Tigard, OR 97223 AAAp Q Plan Review ►
Phone: 503.639.4171 Fax: 503.598.196 1} ° t '' '" Date /B ' f It ') En Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 m �, Date Ready /By: Juris ® See Page 2 for
Internet: www.tigard - or.gov CMM ,. / OF :.IGARD Notified /Method: Supplemental Information
RI JILDINi s DIV ION
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
® Addition /alteration /replacement ❑ Other: equipment, materials. labor, overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ 1- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ® Multi- family Number of bedrooms:
El Master builder III Other:
Number of bathrooms:
JOB SITE INFORMATION AND
��``W LOCATION 1 Total number of floors:
Job site address: Ip�Q01D J I�it(,ratee SI • New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Bldg PF Project name: Pacific Crest Apartments 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
Tax map /parcel no.: equipment, materials. labor. overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demo 3 existing suspended walkways. Rebuild the 2 walkways with stairs per Valuation: SSI6,000.00
provided engineering. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Affinity Property Management Type of construction:
Address: 111 SW 5 Ave., #3690 Occupancy groups:
City /State / ZIP: Portland, OR 97204 Existing:
Phone: (503)892 -0099 Fax: (503)892 -3311 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: J.R. Johnson, Inc. All contractors and subcontractors are required to be
Contact name: Jennifer Whittington licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to he licensed in the
Address: P.O. Box 17196 jurisdiction in which w ork is being performed. lithe
City /State /ZIP: Portland, OR 97217 applicant is exempt from licensing. the fbllowing reasons
apply:
Phone: (503) 240 -3388 Fax: : (503) 240-3424
E -mail: jenne @jrjohnsoninc.com
CONTRACTOR
Business name: J.R. Johnson, Inc. BUILDING PERMIT FEES*
Address: P.O. Box 17196 (Please refer m fee schedule)
Structural plan review fee (or deposit):
City/State/ZIP: Portland, OR 97217
FLS plan review fee (if applicable):
Phone: (503) 240 -3388 Fax: (503) 240 -3424
CCB lie.: 102676 Total fees due upon application:
— �%■ ./ ; Amount received: $5 r, a?°
Authorized sigttatur . I� J .l-�. This perm application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jennifer Whi on "ate: 3/5/10 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BHP -COM PermitApp.doc 10/01/09 440-4613T( I 1/02/COM/WEB)