Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00399
COMMUNITY DEVELOPMENT DATE ISSUED: 8/14/2007
r1 RD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102AA - 04700
SITE ADDRESS: 08900 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
PROJECT: BALLROOM DANCE STUDIO
Project Description: 20' sign.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: NONE : sf N: S: E: W:
OCCUPANCY GRP: U1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 20 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 4,800.00
Owner: Contractor:
KATHLEEN E. PAGE GARRETT SIGN CO INC
7122 SE MILWAUKIE AVE 811 HARNEY ST
PORTLAND, OR 97202 VANCOUVER, WA 98660
Phone: 503 - 639 -4861
Contact #: PRI 360- 693 -9081
Reg #: LIC 66826
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 8/1/2007 $54.57
[BUILD] Permit Fee 8/14/2007 $83.95
[TAX] 8% State Surcharl 8/14/2007 $6.72
Total $145.24
This permit is issued subject to the regulations contained in the Tigard Munidpal 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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 • •.669• • .800.332.2344.
Issue. By: • PermitteeSignat lib / r ✓ Ja r
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
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Building Permit Applica :on.. ,,,,,, 1' 1.7 cf--
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City of Tigard Receivede
Date/By: 0 i 0 1 6 Permit No. 0 i o .
13125 SW Hall Blvd., Tigard, OR 97223, i 2007 OCt 7 Other Permit: Plan Revie . a e . , ,d,..
P"
4. t 11 ii Phone: 503.639.4171 Fax: 503.598.q960 tY Date/B : illeg 14 dIffr
, r - 4 - 44 „ 1 ,1 n Inspection Line: 503.639.4175 ( s r -. . , t -..„ Date R ..y/By: le &I See Attached Checklist for
:$4 Internet www.tigard-orgov t- '. ; - ' .'"- '"-# Notified/Method: ' / 0/ ii) l r Supplemental Informatiz
BU:..: a
. ON .ta-44A -0_z,.._ ggEA-
TYPE OF WORK REQUIRED DATA( 1-AND 2-FAMILY DWELLING
0 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
0 Addition/alteration/replacement /E ... equipment, materials, labor, overhead, and the profit for the
• work indicated on this application.
. CATEGORY OF CONSTRUCTION •
Valuation: $
0 1- and 2-family dwelling 0 Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 00ther: 'S776-Ai Number of bathrooms:
, . JOB SITE INFORMATION AND LOCATION , Total number of floors:
Job site address: 4 M) , 0, &/Avi& .7--e.F----T- New dwelling area: square feet
City/State/ZIP: 771:6751-gb ()g 7 3 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name:13 bfiNz-26,03. Covered porch area: square feet
Cross street/directions to job site: /744QV 57:" To e Deck area: square feet
r SOCR•I 040 ea6 ' RD ST7-- Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: q 700 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: Q.,5 Oc2 A,4O 7OCD equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. 4pc c:).c)
MV OF keid Potc -it/ Valuation: 5 - ee) _
'---:. - 2r2_
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER • • 0 TENANT' • Number of stories:
Name: 13fill_ge,04 L2-se_ 1-, Kr(4-77-11-6: 6 . Piy.r.5-C Type of construction:
Address: 70 a 6 1 4.17-21v41T&---- l egte ---- , Occupancy groups:
City/State/ZIP: porzi-z44,06 i (YR q7c)g____. Existing:
Phone: ( V)3) 6 3 q " Li‘6 I Fax: ( ) New: '..4,..._-// • . ..- 0 APPLICANT . 0 CONTACT PERSON '
NOTICE ,
Business name: . KiP/i/-4) All contractors and subcontractors are required to be
Contact name: .4 r7(901-111/494.1 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 't 1 H/?/J' 6 7 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: VAIVOrZi Ve7 t(279 9 apply:
Phone: ( 3) ( q3- czos7 Fax: : (/)) 61(:?Z — 5qqa, 93 .q:c
,
E-mail: N I 6 en 4 a gairett-ss ,c6m 52/. 52
CONTRACTOR
• Business name: 6figg s_ a y mp l f9, 1 k9 BUILDING PERMIT FEES
Address: LJ fit+00Etti 61-7-&—er (Please refer to fee schedule)
City/State/ZIP: Li/9— .
Structural plan review fee (or deposit):
V/I-Neey) Vt7Z qq660
i FLS plan review fee (if applicable):
Phone: ( 36) 6q3 ( e) I&Y Fax: (76()) 6 q3 v oqs
CCB lic.: 66 ,g(9..(-_, Total fees due upon application:
Amount received: 5',4 67
Authorized signature: Z:T7y442.—i14:911,44:5‘at..141/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:.„4 _„ Date: 7-30 0 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \ BuildingTermits \ BUP-PamitApp.doc 03/21/06 440-4613T(1 1/02/COM/WEB)
CITY OF TIGARD , I n
BUILDING DIVISION , PERMIT #: 61.1P2007 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2607
Phone: (503) 639 -4171 ''} tr'ij's.
Inspection Requests (24 Hrs.): (503) 639 -4175 f`A-lI
INSPECTION WORKSHEET FOR DATE: 12127/200 r' TIME: 7:O0AM PAGE: 49
SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORNS ADDITION ION LOT #: TYPE OF USE:
PROJECT NAME: BALLROOM DANCE STUDIO
DESCRIPTION: ?0" sign,
OWNER: PAGE, KATHLEEN PHONE #: 503-639-4061
61
CONTRACTOR: GARRE1T SIGN CC) INC PHONE #: 360-693.9091
Inspection Request Scheduled For: Date: 12727/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 062169-01 360 - 693 -9091 N
Corrections /Comments/ Instructions:
ij (A RTIAL APPROVAL _ CANCEL n NO ACCESS
1 I FAIL /A CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: — - Date:( 0 P #: (503) 718 -�'� /
wr
CITY OF TIGARD •
BUILDING DIVISION • ,• PERMIT #: BLJRJOU7- 003139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/14/2007
Phone: (503) 639 -4171 hio ,.,, ,�v lick.,
Inspection Requests (24 Hrs.): (503) 639 -4175 'Ill
INSPECTION WORKSHEET FOR DATE: 817W7001 TIME: 7 : 00AM PAGE: 65
SITE ADDRESS: (lt1900 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORNS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: BAi L ROOM DANCE STUDIO
DESCRIPTION: 70, s
OWNER: PAGE, KATHLEEN PHONE #: 503.639 - 188,1
CONTRACTOR: C ARF FTT SIGN Co INC PHONE #: 360.693.9091
Inspection Request Scheduled For: Date: W29/2001 Pour Time: 12 -(J0
Code # Inspection Description Confirm # Contact # Mes :.
205 Footing 0EA645 -01 3604393-9081
Corrections /Comments/ Instructions:
S Y X 7 � - //
6g_ Tb t v r2 - � IC :. 0 ` r
is PASS IN, PA TIAL APPROVAL n CANCEL n NO ACCESS
FAIL A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_____.
Inspector: Date: 2i Phone #: (503) 718-
.
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AUG 0 1 2007
BALLROOM DANCE SIGN
GARRETT SIGN
POLE AND FOOTINGS
JLP 27-Jul-07 14912
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RENEVVAL 12-31- 02 -' OFFICE COPY •
pp. 14912-1 To 14912-3
PARKIN ENGINEERING INC.
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