Permit (26) CITY OF TIGARD BUILDING PERMIT
` "! "' COMMUNITY DEVELOPMENT BUILDING
BUP2016 00243
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2016
Parcel: 2S110AA00900
Jurisdiction: Tigard
Site address: 14050 SW PACIFIC HWY
Project: ESP Properties Subdivision: None Lot: None
Project Description: Relocate 16'7"freestanding sign,due to road widening.
Contractor: HANNAH SIGN SYSTEMS INC Owner: ELLINGSON REVOCABLE INTERVIVOS T
1660 SW BERTHA BLVD BY ELLINGSON,JOSEPH M&JEAN E TRS
PORTLAND, OR 97219 420 W LASSEN AVE
CHICO, CA 95973
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/23/2016 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/23/2016 $14.32
Dwelling Units: 0 Plan Review 08/23/2016 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/23/2016 $7.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $218.71
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 applic•.le 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 sus.-nded for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul are set forth in OAR
952-0: -6.10 t r...ROAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 or 1.800.332 344.
Is'-ued By: I ...6` Permittee Signature:
,\ (.0
Call 503.639.4175 by 7:00 a.m.for the next available inspection dab `W
This permit card shall be kept in a conspicuous place on the job site until completio •f the project.
Approved plans are required on the job site at the time of each inspectio .
Building Permit Application
Commercial RECEIVEDFOR OFFICE USE ONE\
A.
Received i
I Permit No kapck/6„....6a2, .
City of Tigard
Date/By. 46 / - ,
114 " 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 4 2016 Plan Revii4 , ,
: g Phone: 503-718-2439 Fax: 503-598-1960 Date/By p i v „lc ics5 ,40,j'iierilsated Permit.
Inspection Line: 503-639-4175 CITY OF TIGAI3E) 0 See Page 2 for
TIGARD
DNaottifiRediNle Notified/Method: r A5 /- ' Supplemental Information
Internet: www.tigard-orgov
V 1,!;1-?7DIt,V11:?j,:%;4,/,%//, , ./%;1,1,'.*7''7417';
:,±i,:;,::::.,tni-c'tic:;;''''''''''' El' ',,:-.1-2:.,--- ' ' 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
/ 'M/, /////A!''''q work indicated on this application.
0 1-and 2-family dwelling , Commercial/industrialvaluation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
r'''''?"''' %t /'AI''':•%/,,f';;;5;'•;,42-:;e?,;•a•,•,,,„,& r%,/,7;;;,-,7;,*%,, i'/,; ,,,, '''''$1 :,•,4, ,,fz,iz Total number of floors:
New dwelling area: square feet
Job site address: itios-0 ji,j /209.cieric_ ./A.0 y
City/State/ZIP: //bola.) 0,e- Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Eg? ?)ZooPrz...per Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot 4: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel 4:
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
''5,77/;: h'/>/; ,, /Y",/t7'' ''Q,',e/V-• ',/'', ,,,,'„4/h,04,e/'',,,:,//Z,,,,z,/,,,,,. .,, A i2valuation:
$ ZettIC:.,--
Z -.in.157114.2„/"6 /611".3,-ArVIervr"Si6^-1
Existing building area: square feet
New building area: square feet
Number of stories:
,,'/ V z'',;W /' A''','‘a'• ,',/ ,.‘%.,, // '.!;., ig,7 A„ / , /
Name: )
Type of construction:
E.37i /...,R,4> e,-„ir
Address: Nos-D sto tlqc-one— goy Occupancy groups:
City/State/ZIP: PeNg)24) OZ. Existing:
Phone:( ) Fax:( )
New:
, am',. //,- . /, // // ,,/r 7,,,,,,,;
,,%'Z.,,,,V,,%', /7*,,!'7";" :4, r'',/,,,,/ /,>:1' ,,,,,,,,,,,,4,-,,,„.:,,./::,,,,,,,, - ' L., ,,:.,‘, A '4&;,,A"; A"fy-;,4,/,An: A;),A,',,,:ipi•M'e;,,,,-$0',/ / y5s1 A
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4v: ,:, /AAA
Business name: d44-forig 1,k,,,, syfrerits
Structural plan review fee(or deposit):
Contact name: _biog.- tirwt./Gaz
FLS plan review fee(if applicable):
Address: AND Sid%) gertrita EL.,,>
Total fees due upon application:
City/State/ZIP: p,)>C. 4:X... ?"--)2-1 9
Amount received:
Phone:(94 ) 9,14, 133-73 Fax::( )
%
E-mail: ' A,7) • .:,?../ ,. ,
ill ct-i(- E-C2// ///wvomyy/// / Comm-rcial and residential prescriptive installati/o/n"4,7 —
kew, 5f,',e„,147717_,,/1,/,,,,,,,,,:;0,‘/:4?-,),',,;,if,,,, ,„„„J,„•,,,,Ac,4,,,x,;,4,,,,,„,,,,,,/A roof-top , ounted PhotoVoltaic Solar Panel System.
Business name: )4 is Submit twi 2)sets of roof plan with connection details
and fire depent access,along with the i : *regon
Address: Solar Installatio.Specialty Code c •• ist.
City/State/ZIP: Permit fee(1 ludes pl.: review
$180.00
and ad •s'- rative fees):
Phone:( ) Fax:( )
State surcharg- %o •ermit fee): $21.60
CCB Lie.: Z-03 42 0 7713/f .
Tot. fee due upon app ation. $201.60
_
Authorized signature: This pe 1 it application expires if'. permit is not obtained
within 181 ., er it has bee 1 ,ccepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: /),x,e-- (49/ 49/70z,--- Date: Ski /4"
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
[ _
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
14050 SW PACIFIC HWY, TIGARD, OR, 97224
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
B U P2016-00243
Inspector:
Chip Barnett
Contractor