Permit CITY OF TIGARD BUILDING PERMIT
1111
• UP2 Permit#: B020-00073
COMMUNITY DEVELOPMENT Date Issued: UP220
20
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S136AD05901
Jurisdiction: Tigard
Site address: 11455 SW PACIFIC HWY
Project: Motel 6 Subdivision: None Lot: None
Project Description: A new 24 sq.ft.internally illuminated wall sign on south elevation.
Contractor: MEYER SIGN CO OF OREGON Owner: GOPAL LLC
15205 SW 74TH AVE 11455 SW PACIFIC HWY
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/12/2020 $104.12
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 03/12/2020 $12.49
Dwelling Units: 0 Plan Review 03/12/2020 $67.68
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/12/2020 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total 8186.29
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- 90. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: Permittee Signature: 5C/-
// ����L
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 OFFICE USE ONLY
Cityof Tigard / Permit No.:
• 131SW Hall Blvd.,Tigard,OR p�Rev i �' I ��
Inspection Line: Atte
503-639 4175-2439 Fax: 3 EIVED Date/By: ^, ` Related Permit ge 2-for
'1 IGAR17 / ®"See Yap
Internet: www.tigard-or.gov MAR 1 12020 ',tified/M • y/j// 7 Supplemental Information 1
TYPE` ' ••• DATA:1-AND 2-FAMILY DWELLING
❑New construction (i1:WiDNI I 1 Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
4Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
;i'.CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El1-and 2-family dwelling li Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
_ _J B$>l1E„LIYFOBM! TION Total number of floors:
Job site address: //i m I n ai1 C New dwelling area: square feet
City/State/ZIP: / I b Q/C- 7,71 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: 1)Trt. f, Covered porch area: square feet
Cross street/directions to job site: [ Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERC' CHECKLIST
Subdivision: I Lot#: Permit fees'arc based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
/ DESCRIPTION Or j/.WORK t. work indicated on this application..
hviril-/ / /urf/-&,i 1/_Y� // J Iry 4-T1/) !{flies- Valuation:Valuation: $ 2,0hd . 60
LI 4i j,t f t T D)J j N ATS ,dory 6..6.)l4-n ed,,1 Existing building area: square feet
New building area: square feet
Number of stories:
Name: 1 Type of construction:
Address: /J7 J f Ii `e///( HK/ Occupancy groups:
City/State/ZIP: /'fit° D/ 17.3)31 Existing:
Phone:( ) Fax:( ) New:
C ONTACT PERSON .• BUILDING PERMIT FEES*
Business name: z. /bi4 / g 7(.'A, (Please refer to,fee sandal)
0� Teeetmi
Structural plan review fee(or deposit):
Contact name.
Address: f5 S' ttflf Al/E. FLS plan review fee(if applicable):
City/State/ZIP: - Alio of 9,la,1 f Total fees due upon application:
(l l ) L - ..O / s ( ) Amount received:
Phone: l � � � a„� Fax::
E-mail: l i . /j3 ' M15 1J)bA) (:.�, &IAA ,'r' '4'''t;''MC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
i y 7 roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 147ruf� OA) / d' P 0 At) Submit two(2)sets of roof plan with connection details
F�,/�, AVEnd fire department access,along with the 2010 Oregon
Address: n r
5 ,t�,.f� � J �f 'V - Solar Installation Specialty Code checklist.
City/State/ZIP: 1)6/ti ft�, 91gldPermit fee(includes plan review $180 00
cc and administrative fees):
Phone:(91/) 232 Fax( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: G Ain Total fee due upon application: $201.60
Authorized signature• 722This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 6 ,un(a____ I Date: r l J� ' Fee methodology set by Tri-County Building Industry
Service Board.
I\BuildingtPermits\BUP_COM_P tApp.doe Rev.04/21/2014 440-4613T(11/02/COM/WEB)