Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00171
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/15/2009
TIGARD Parcel: 2S110AD08801
Jurisdiction: Tigard
Site address: 10695 SW MURDOCK ST, APT# 3
Subdivision: PACIFIC CREST APARTMENTS Lot: 0
'Project: Pacific Crest Apartments
Project Description: Demo and replace decks for units, 3, 4, 7 & 8.
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 don - ••••• • = - - • - • proved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
da ATTENTION: Oregon la •=qui =s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 2 -001 -0010 through OAR 952 -• : -01.0. - may obtain a copy of the rules or direct questions to OUNC by can! 503.246.6699 or 1.800.332.234%. Ass
I sued By: / / Permittee Signat j
Call 503.639.4175 by 7:00 a.m. for an inspection that business -da .
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.
� C� P� P��CC- M �1Y �I 0( ?5 3 (,t) tit 0 Q. D Ock
B Permit Applicati
Commercial DE D
CEIVE FOR OFFICE USE ONLY
City of Tigard
97223 ! ` S EP 15 2009 Dat ed • MD �j r u Permit No.: , z OI/7
I ° 13125 SW Tigard, OR W Hall Blvd., Ti Or= Other Permit:
Phone: 503.639.4171 Fax: 503.59 Pl
OF TIGARD Dat Rev e/B : iew ill 1
T 1 GA RD Inspection Line: 503.639.4175 Date Ready/B . See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: () 7 D �� Supplemental Information
TYPE OF WORK REQUIRED 1 TA: 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.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building 0 Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i Olo9S SVJ MAIL ST, New dwelling area: square feet
City /State /ZIP: T G 2 p c o e. .q i ZZ4 Garage /carport area: square feet
Suite/bldg. /apt. no.: p_ g Project name: �sr A'rs. Covere porch area square feet —
Cross street/directions to job site LAN) ITS 3 / 4 , 1 -8 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.
DEY1f1D �X 1ST I WI CONCRETE SI.�.R : E 'DEC ACS Valuation: $ 12 00 —
Ismv ize 2P ntE. W/ Y�E O Tiaap TED �tTE . • Existing building area square feet
AND t7u.TPID D -e . S P ll New building area: square feet
'I PROPERTY OWNER CAE . T) ❑ TENANT Number of stories:
Name: PVPV III , AmA6s eisr Type of construction:
Address: I 1 ` SIN r 5 144 tkv u 1 . I -s 7 Cq 0 Occupancy groups:
City /State /ZIP: 1 irri,p D ' 17.- Existing:
Phone: (5te $q2- p ociC Fax: (503) Z°R. -33 I t New:
II APPLICANT ❑ CONTACT PERSON NOTICE
Business name: (, 2 , ,1 So .4 ) 1 n1 � . All contractors and subcontractors are required to be
Contact name: V it4 I'Fpg. VOR 1 ri t .41-0-K1 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lensed in the ,
Address: 1 p . 'B x 11 ICI (D jurisdiction in which work is being performed. If the
City /State /ZIP: ' oiz n �� Oa _ Q12_\' 1 applicant is exempt from licensing, the following reasons
apply:
Phone: (5(8)m - 0' 33g g ' I Fax: (503) ?!t0.34T�{-
E -mail: 3 evvc.. � 1 r- 14,‘ i
`� J CONTRACTOR Q
Business name: 9 p BUILDING PERMIT FEES*
Address: v (Please refer to fee schedule)
Structural plan review fee (or deposit): 4776 .b .. i .. \ --) .„
City /State /ZIP: ,,pp l 1 d.
, '�rplan review fee (if applicable):
Phone: ( ) Fax:( )
Total fees due upon application:
CCB lic.: \02 1v'1 , to .1. U 777
�= Amount received: 3Da. 32
Authorized signature. ,t • ,/ 1111M111111V Th is permit application expires if a permit is not obtained
■ I � �� within 180 days after it has been accepted as complete.
h
Print name: 0 1 # ( 1` �'�l��� Date: 1RHIMIlli $ Fee methodology set by Tri- County Building industry
r Service Board.
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