Permit III CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00138
Date Issued: 7/20/2021
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AD03050
Jurisdiction: Tigard
Site address: 12850 SW ASH AVE
Project: Attwell off Main Apartments Subdivision: BURNHAM TRACT Lot: 5
Project Description: Install sign on canopy 40#
Contractor: SECURITY SIGNS INC Owner: ATTWELL PEAK LLC
2424 SE HOLGATE BLVD 4582 S ULSTER ST PKWY STE 1200
PORTLAND, OR 97202 DENVER, CO 80237
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Specifics: Date Amount
Description
Type of Use: COM
Permit Fee-Additions,Alterations, 07/15/2021 $134.54
Class of Work: ALT Type of Const: VB
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 07/15/2021 $16.14
Dwelling Units: 0 Plan Review 07/15/2021 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/15/2021 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,720 Building Misc Fund(copies/prints) 07/15/2021 $6.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $245.63
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: H&ay va4,t,De we..e Permittee Signature: DwA vt
pplicatio
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. Yf
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 RECEIVE::` I OR ofrit I. r'r.oil l
City of Tigard JUJN 1 "' 2021 Y��,22�-2v�� Pennaxo.: l3j/p102/ Cd/38
111 13125 SW Hall Blvd.,Tigard,OR 97223 p�RAW ^7
Phone: 503-718-2439 Fax: 503-59S-I9¢0 Date/BY: 7' /�sa� Related Pemat°
CITY OF T{GACU
f I(,'•I'-D Inspection Line: 503-639r1175 p Date Ready/By: `u rurir: ®Sec Page 2 for
Internet: www.tigardor.gov -3UILDING DMSIOr Nodfied/Metaod: /j/ I/z%/ ( Sappkmentol loformatioa
'71 /1 t-- (.. A.I
Ft"' ew construction 0 Demolition Permit fees*are based on the value of the work performed.
indicate the value(rounded to the nearest dollar)of all
l:/ Addition/alterati. replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
,, i work indicated on this application.
•_'�'aa 'i� r... .-'al . �"-.i`.>>k 1. '::, �•_,
❑ 1-and 2-family dwelling IIICommercial/industrial Valuation: S
❑Accessory building 'Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Y 4; -:.: 1.':". " ,' •4,;,�,- ar . fi''' )$; "`J`` Total number of floors:
h eki- '"k;e .v.4,,,.... '1.7 1�a$E '-V.-L. ,v.r7 sM¢ Cr... V ,+ ^;FS xe,
r ../ /lam� fi.:'.�'.�rT.bx. •r .,,:->6'.,'S.,�
Job site address: /Z S 5a 5 ) ��! /IJ1" New dwelling area: square feet
City/State/ZIP: '7-'7 A-72.190,qel'722 3 Garage/carport area: square feet
Suite/bldgJapt.#: I Project name: rI d l ZC.) i L OF At i Covered porch area: square feet
Cross street/directions to job:site: Deck area: square feet
,g'�Other structure area: square feet
ta.
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: I ik1--J 0 3C90 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
!/ S7fL/_ /�(4N /v ON LXL 0 # !Valuation: $3 , Z0$
V
Existing building area: square feet
New building area: / " l0 square feet
! ) �; t i3 z a Number of stories:
Name: -v'aL LFr migta Type of construction:
Address: /z v s yJ� �- ��i' Occupancy groups:
City/State/ZIP: Existin
g:
Phone:( ) Fax ( )
� rxp Itxas rr s' y ^xi New:
�4 , •y. .�� ','?v'�cf+� Ai� ..,', c� SS,'t`Srr�F'. .E, , '�le >h _EEPe
Business name: e7fi&)/2 TY 5/6/j r //UG Structural plan review fee(or deposit):
Contact name: CyJJ1Qt sT)CKs
Of— FLSplan review fee(if applicable):
Address: 2,4211 SE goL6/7
nore�AN
Q72-02 Total fees due upon application:
CitylStaW w 7ZIP:
Phone:(t g 7 6 -7`O � 0
. I Fax::( � 2 3 /S6 it Amount received
. y�, ��� .r - ,YOtfi a.. Xt C 9F 1 i YRT '{P F5'-
Emad ' /'p%1-I ? €. watt_ r 5J/ -PIS 0 t -_ l ../ :: .s_�_. 1s 1.r 'F;'`s i
y� y. 3: y_ Commercial and residential prescriptive installation of
..1.*,.� A 24,jnYr,.G 1' ;"v~ ,...., tt f ij,t 'r„r41 r.'C. {{N-i 'n`r`i`x '44""
�� ; - �` �.t- �•- roof-top mounted Photovoltaic Solar Panel System.
Business name: a�i2, 5(,A N Submit two(2)sets of roof plan with connection details
) 1�C. and fire department access,along with the 201 Q Oregon
Address: LJlLy g,e- iiAJ Ix- Ole Solar installation Specialty Code checklist,
City/State/ZIP: ego -A-A0 �fl- Permit fee(includes plan review SI80.D0
and administrative fees):
Phone:( 52: %/ 7/0.2 Fax:( 7 2*-3 /8t ( State surcharge(12%of permit fee): S21.60
CCB Lie.: 1ZZ g0�
C � Total fee due upon application: 5201.60
Authorized signature: r / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
yn1,
Print name: CQ( t^.ieS Date: 04ji!/7 f2" " Fee methodology set by Tri-County Building Industry
Service l y/srfee- 0' )./0' )./ e-j —
1:lBuildinglPennitslBUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) It
/' 'p-e4 `
ram s ,211S. C.3