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Permit III CITY OF TIGARD BUILDING PERMIT 111 COMMUNITY DEVELOPMENT Permit#: BUP2021 00317 T f C;A R I_) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/3/2022 Parcel: 2S 101 AA08700 Jurisdiction: Tigard Site address: 12511 SW 68TH AVE 150 Project: Dr Snip Subdivision: WEST PORTLAND HEIGHTS Lot: 34 Project Description: Install wall sign#25 Contractor: SECURITY SIGNS INC Owner: TIGARD TRIANGLE PROPERTIES LLC 2424 SE HOLGATE BLVD 3232 SW FAIRMOUNT BLVD PORTLAND, OR 97202 PORTLAND, OR 97239 PHONE: 503-546-7114 PHONE: FAX: 503-230-1861 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/03/2022 $119.33 Occupancy Grp: U Occupancy Load: 0 Demolition 12%State Surcharge-Building 01/03/2022 $14.32 Dwelling Units: 0 Plan Review 12/22/2021 $77.56 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/03/2022 $1.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $2,685 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $212.21 Required: Required Items and Reports(Conditions) 1 Bolts in Concrete 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: Edgar-do-Maloto-K-ado- Permittee Signature: set- 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-4ECEIVECCDell Commercial CC Toni OITICc USE ONLY City of Tigard DEC 17 1021 Re Date/By: I ' 21 _i, VvP21lL1"W�17 111 = y Permit Ho.: 11 e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503-718-2439 Fax: 503-598-1960 Y OF TIGARD Date/By: Ja„-,2J Related Permit: TIGARD Inspection Line: 503-639-4175 'JICDING DIVISION DateReadyBy: /� rill 0 See ental Information S. = 5��,s1."I R ^a 4 ,j��^��F' �7'+,cn4, f., �^ '.�" ,'�" r: Yk.. a . ,'v,i4:3: c rr i T ' �. .- t �. '�-.:c>i �'&' f '3 's "V� 7.i! .,, _ .t_w Sx `V.;,,2 C., .�� 'D.A`A 1—A;`="2..7 'DWELLING. fig New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the "v177A to 4 mR' 3 ,. a e ta�a work indicated on this application. ❑ I-and 2-family dwelling EgCommercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: r'� 9-yfi Q* A D.. Cr aF!-* ' � �A rt Total number of floors: ... szhGu'..,iE'>.ktn,.-: ..= L3. .6s.:b aY+,a.•.'.6L34,,_.. cd�w.,,.. �..->1�xe. :w''x s�k.f,t .._.. :. Job site address: L 251 J 5� WE' New dwelling area: square feet Cit to/ZIP: -r/6 1!2/) oR ei?2.2-5 Garage/carport area: square feet cSui f g./apt.#: /5j-0 Project name: dR 5A)// Covered porch area: square feet Cross street/directions to job site: eel/a - 6 Deck area: square feet Other structure area: square feet -- REQXIIRED`DATA:COMMERCIAL-USE CHECKLIST'. • Subdivision: Lot#: Oe'7Q0 Permit fees*are based on the value of the work performed. Tax map/parcel#: 2 S Indicate the value(rounded to the nearest dollar)of all ' - equipment,materials,labor,overhead,and the profit for the c6 -' }' ':a;a� .Ols:,::,1..1V 4z ` 3 x,r,-m '` ^.i : ; work indicated on this application. ..,�n�-^?....�.�s, .¢,r...t 1::.xi ..:fi^..a . :c.?,+r�, ,n.n�� _. .r r.,.+�.,r,.F;;i :. / ��S�tiL l 0 tim-G 1_ `6A/ y/-25 LBS Valuation: $ 2, S c.A.) Existing building area: 2° square feet New building area: /9,75. square feet s�a� v ,..ns.�:,�. r�:- sari✓ �` °- :x PAR`IWKI EI _ z x ._. .", s 3..�3�c`- 5 Number of stories: Lwa_.s �wwt+.ram,�x::a.._.r.. ... _. .., wrm. ,x^.�.... f.fs-1'�_...s;:�,„..t.,w,t,. Name: OR, 511/>° Type of construction: 5/6)/\ Address: /2-S/ / 573 &Qt-t% �( Occupancy groups: City/State/ZIP: T16t� �Jg72_2_' , Existing: Phone:(200 e94 9 t;Z Fax:( ) �... �" F New: stovot �� r t� .{yPleast`��,lii�actiaerrte) * Business name: � <1Vie 5/ ./ti S� /�G : ... ( eSTfl s Structural plan review fee(or deposit): Contact name: C.Viv ✓�_ FLS plan review fee(if applicable): Address: 2./42Y SE HoL -7'-E 01- ^ .n n��� Q Total fees due upon application: City/State/ZIP: f"t�)q 14AJ 2 L^72-©2 �—��,,rr��� f/ /�/ Amount received Phone:(�'! 7 tP -7/ Fax::(�� 230 /06 x s l 5 115E mail "arm l S�`„^ '74J i :. r r : Commercial and residential prescriptive installation of� dltC . a M 1,4 r4i , a A*. oDu .,. jiri,2>. 0_.A.A.<, M ,,,.� M, . ,, . , __ _ ' roof-top mounted Photovoltaic Solar Panel System. Business name: eoetr � 9 4 N S ,itD Submit two(2)sets of roof plan with connection details n 2 �/ l // and fire department access,along with the 2010 Oregon Address: .G 41 1 Solar Installation Specialty Code checklist. City/State/ZIP: ��l 9-720 ..... Permit fee(includes plan review $180.00 and administrative fees): Phone:( � 4. 7/02 Fax:( 52; Z 1 L'{�& State surcharge(12%of permit fee): $21.60 CCB Lie.: ./Z2--80� � � �-, Total fee due upon application: $201.60 Authorized signature: / w 7� r�, ; This permit application expires if a permit is not obtained v / ////��// within 180 days after it has been accepted as complete. Print name: 6�NO( S Date: 12/17/21 1 * Fee methodology set by Td-County Building Industry _ 1 Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)