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Permit 1 BUILDING PERMIT �q CITY OF TIGARD a COMMUNITY DEVELOPMENT Permit #: BUP2010 -00105 Date Issued: 06/01/2010 +TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110DB00500 Jurisdiction: Tigard Site address: 15336 SW PACIFIC HWY Subdivision: Lot: 0 Project: Sonic Drive -In Restaurant Project Description: Illuminated freestanding sign (7' wide x 8' high) Owner: FEES MWF TIGARD LLC Description Date Amount 2123 NW ALOCLEK DR #1203 Permit Fee - COM - New Construction 05/20/2010 $199.04 HILLSBORO, OR 97124 12% State Surcharge - Building 05/20/2010 $23.88 PHONE: 503 - 617 -0175 Plan Review 05/20/2010 $129.38 Contractor: VANCOUVER SIGN COMPANY INC 2600 NE ANDERSEN RD #50 VANCOUVER, WA 98661 PHONE: 360 - 693 -4773 FAX: 360- 693 -2747 Specifics: Type of Use: COM Class of Work: OTR Dwelling Units: 0 Stories: 0 Height: 8 ft Bedrooms: 0 Bathrooms: 0 Value: $11,500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $352.30 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. ATTE ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth 'n OAR 952-001-0)10 through OA' • 5 X01 -810. You may obtain a copy of the rules or direct questions to OUNC by calling 503. ..6699 or 1 :00.3 . 344. Issued B / / Permittee Signature: � e i / Call 503.639.4175 by 7:00 a.m. for an inspection that busin: ss day. This permit card shall be kept in a conspicuous place on the job site until ompletion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application Se-''go, a -vaDl, Commercial ;'. , , .� " ' F cr�R c i,,r MIT, i)N Fl -�'V �.� i (�,.F 7 � 1 a �+ � I , �r ��1 () lW fir, $ , :u in ,, . � Received :::^6.-.25//0 Ell "� City of Tigard a Date/By: - Permit Note UP:a ■6tJ/os,, Y ° 13125 SW Hall Blvd., Tigard. OR 97223 Plan Review ✓� I D' Phone: 503.639.4171 Fax: 503.598.1960tI "'AY 0 2010 Date /By: ' � 5 11) Other Perna a ©/D --40--4040a p� /37 T I�AR Inspection Line: 503.639.4175 Date Ready /B . /�I , \ Ju<is ® See Page 2 for � o=>IWR� Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: v 776—' Supplemental Information RL'L-D NC DIVISION Lit I. e ,A TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING jg New construction ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application � Kg { Valuation: t .r„ . � j t ;, i , . � ❑ 1- and 2-family dwelling Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: 11 Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total Total number of floors: Job site address: /6 3 3ev 5w - H- &1 Fr I /'I C., H New dwelling area: square feet City /State /ZIP: ` 0xel OA 17 Z Z L{ Garage /carport area: square feet Suite/bldg. /apt. no.: ° Project name: O 0, G Covered porch area: square feet Cross street/directions to job site: Deck area: square feet , 3 3 C 5 w )/w y 9 c( Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials. labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: s' I $OZ 5 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ]g TENANT • Number of stories: Name: s Type of construction: Address: / 63 3 (,, S IA ) LJ y 91 Occupancy groups: City /State/ZIP: 'r i ara, nit, / 7 2-V-1 Existing: Phone: ( ) Fax: ( ) New: APPLICANT ,Qg, CONTACT PERSON NOTICE - Business name: Vooeu 0 U.V e, c 5 I qn All contractors and subcontractors are required to be A �J licensed with the Oregon Construction Contractors Board Contact name: 1'je.t �. StDT rn under ORS 701 and may be required to be licensed in the Address: ep 1600 N E A n e_s a Rd, Sr) jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: J U Gl.V1.GA lA..0 e, p LC.) A a 8 ` (7 ( apply: Phone: ( 360 ) 4 4 4 3'1 7 7 3 Fax:: ( 360) /9 4 3 2.7 M 7 E -mail: CONTRACTOR Business name: V (4n,e,0 I.I,UC c' 51 V n BUILDING PERMIT FEES* Address: Z60 AIE Ayri,d,CGs RrL SO view erefertojee osit): le) Structural plan review fee (or deposit): City /State /ZIP: vco l,GO u.v et-, A 15‘6 I FLS plan review fee (if applicable): Phone: (3400) vf 3 Li 773 I Fax: ( GO eoi 3 2 i Z CCB lie.: ? c5 Total fees due upon application: Authorized signature: to Amount received: ,3507, 3.9 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: R f t str rIli Date: * Fee methodology set by Tri- County Building Industry Service Board. 1:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)