Permit III CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00018
Date Issued: 2/17/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110AA00500
Jurisdiction: Tigard
Site address: 10580 SW MCDONALD ST 101
Project: Justo Tax Subdivision: None Lot: None
Project Description: Removing existing"Allstate"Electrical sign&installing same style of sign for"Justo Tax"
Contractor: BRENNOCK INC Owner: LEVI PROPERTY LLC
12176 SW GARDEN PLACE 8839 SW FIRVIEW PL
TIGARD, OR 97223 BEAVERTON, OR 97007
•
PHONE: 503-244-8813 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/15/2022 $195.38
Occupancy Grp: U Occupancy Load: 0 Demolition
12% State Surcharge-Building 02/15/2022 $23.45
Dwelling Units: 0 Plan Review 01/31/2022 $127.00
Stories: 0 Height: 0 ft
Info Process/Archiving-Sm$0.50(up to 02/15/2022 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $7,719
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $348.83
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�OARR 9952-000111-000r9j0..�You mayobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: aPPIC CC l O \ C
Call 503.639.4175 by 7:00 a.m.for the next available Inspection dale.
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.
ttuildint., Permit • 1
Commercial }-41 CEIVE® FOR OFFICE: !IS1:ANI.A
Cit. of Ttg rd JAM 19 2022 1 ';u, mi(9//26./ZOZ2 C' Bd 22-fit
ItI]s Wllallltlsd I lgard.Olt
, v72_1_.. tlu,It ev a
- - �� , ,�Ltln ra Phone co 71g11.r Ins " �I71 OF TIGARD rue' I„ n '
IG{K , 'Qn ,I,m �J hOLII 'bole NJiII f rl , l
1.11eR t ,,,,, I „d BUILDING DIVISIO A ,I ,,,,,.,,,,,, ttt,,,,,�
7YPL OF WORN RFQUI :D DATA:11AND2-FAMII Y DYVVLLING
\. .OTI,.nlauou 1 ❑It,i hi„,., I'crnul lees"arc bilged on the value of the work performed- I
�(� _. _.. -. _ __ Indicate the value(rounded to the nearest dollar)of all
'`--`.rs n,o-r aherau n n{I. e'sent i ❑I1Ilrel equipment,materials,labor,overhead,and the profit for the
t':1T PG(1RY OF COW UCTION work indicated on this application.
I.'ommcrci:d industrial
❑Aaessor building I ❑Multi family Number of bedrooms. ___..
❑other. Number of bathrooms:
JOB KITE INFORMATION AND LOCATION Total number of floors:
ile address New dwelling area: square feet
C,s.State-ZIP ‘gd`-YG !
SnG'e t a,9 ,�,.�`7tv', _"___ Garage/carport area: square feet
e bldg.apt.r: 1 O \ 1 Pro ect name: —I-]C7 , � Covered porch area. square feet
v ,
. nos.strict direction:.to job sic: {�-_- Deck area: square feet
--_` ""��"`"��� _ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST.
\ubh:n,bitul: Lot ik. Permit fees'are based on the value of the work performed.
'.s map parse!=: Indicate the value(rounded to the nearest dollar)of all
__ .. equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK ` y work indicated on this application.
�\' ` , Qt , << F 'sScOrt_. ►( Valuation: S 7l IG
r ,^ Existing building area: '7/JL quare feet ip.1$
+- ��'[7l'leri-��:�'���_�l�li�l��Ji) If New building area: square feet
PROPERTY s ' 'ER 0 TENANT Number of stories:
—
I Nano: V� ' 0A- Type of construction. b t9 g a qJ C
Addres ' V I-CAA , ,l
City'State/LIP: 2 I cl7OO1 Existing: StiftrE f- ^. A Phone:(%3 I - a3-- I ate --t-- - Y
Ncw'. Vb i I/S
� ❑ APPLICAh7 CONTACT PERSON B LD► G PERMIT FE S"
r- ! - -- {Please refer to fee aeheedrk)
Business name. e�-�
Structural plan review fee(or deposit): +4/,0
Contact name,:
Address: alai FLS plan review fcc(if applicable):
�_� } l Total fees due upon application:
City/State/ZIP ( I C17
( '7J Srf 5 �7 G Jfax: : Amount received:
Phone: ) (/ f ( ) j�,^�
F mail; 1�{ 11(13 `)5-� (5 cS4 5vic C 4►/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
Suborn twotCommercial and residential unt mounted toVol ate prescriptive installationeSystem.
ys .of
CONTRACTOR
-� - - ------ Panel System.
s of roof plan
con
ction
Busutcssoarne: and lire
I department rtiess,aongwththet 010Oregls
_' I
13
olar
altv
Oregon
Address: C ���� I
C,i, �t Permit fee(includes plan fees): $180.00
- and administrauvc fees):
1 ?7?S •
_ 1 (3 State surcharge(12%of permit fee): $21.60
CCH r
- --- J-023 Total fee due upon application: $20 L60
Authorized sign. This'rerun'application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: pale, ' Fee methodology set by Tn-County Building Industry
Service Board.
' 1:1Buildineermits\BUP-COM_ ennitApp.doe Rev.04/2112014 440-4613T(II/02/COM/WEB)
I