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Permit
CITY OF TIGARD BUILDING PERMIT q COMMUNITY DEVELOPMENT Permit #: BUP2010 -00122 TiGARI? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/23/2010 Parcel: 2S 102AA00602 Jurisdiction: Tigard Site address: 11960 SW PACIFIC HWY Subdivision: Lot: 0 Project: Kaufman Streamborn Project Description: Relocate existing pole sign. Owner: FEES AMAN, WALTER Description Date Amount PO BOX 2990 Permit Fee - Additions, Alterations, 06/11/2010 $317.06 TUALATIN, OR 97062 Demolition PHONE: 503- 692 -9182 12% State Surcharge - Building 06/11/2010 $38.05 Plan Review 06/11/2010 $206.09 Contractor: MALAYA SIGNS 7625 NE ML KING JR BLVD PORTLAND, OR 97211 PHONE: 503 - 517 -0990 FAX: Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 20 ft Bedrooms: 0 Bathrooms: 0 Value: $15,500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $561.20 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This per 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 do - in accordance with approv- = • - •s. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mor- the 180 day-. ATTENTION: Oregon law - quires yo • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set fort OAR 95.- 001 -0010 through OAR 9 - 001, -0100 Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.246.669• .:00.33.4. Is - ued By: Perm ittee Signature: � Call 503.639.4175 by 7:00 a.m. for an inspection that b siness day. This permit card shall be kept in a conspicuous place on the job site until completio of the prof] /• . Approved plans are required on the job site at the time of each inspection. .__ __.v �J6sJo`w!0 40/07 Building Permit Application H �F1�aol —pvv ,c Commercial k. , } I OR OFFICE USE ONLI City of Tigard ��te ved Permit No.: 4 ' /0 661.2 ° ° 13125 SW Hall Blvd., Tigard, 5 51R 972 Revi ►ern �� Iii Phone: 503.639.4171 Fax: ,03.59: i ; . /g i (7 zz I A Other Permit: Ins ection Line: 503.639.4179 a., Read /B TIGAKD p Y Y t ug 0 SeePage2for -1 Internet: www.tigard - or.gov i / / / 9 tried/Method' 1 , 3 1 1 , t 4i Supplemental Information V TYP OF WO' K REQUIRED DATA: 1- AND 2- FAMILY DWELLING K New construction le 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 ther: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder Other: /j f/6 Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: #960 o "'j //9-e7;//4-e' /. „�" New dwelling area: square feet City /State /ZIP: 77 f 7Zj3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: ,, r 5 2 t , 8,,,,4/ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 6-iii ,06--- ,e-2 Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: 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.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. G ©� f Val uation : $ / — cc v,F�i �j - rG -.r I 500 Existing building area: square feet ,sue New building area: square feet tai PROPERTY OWNER ❑ TENANT Number of stories: Name: ( /,417' Ali,9y1/' Type of construction: Address: PC 0 Ic 2- 9 9 D Occupancy groups: City /State /ZIP: rz "- ijj .. 9-7 01 2--- Existing: Phone: ( ) !� 2 � ' f " 2 - Fax: ( ) New: APPLICANT 0 CONTACT PERSON NOTICE Business name: ii27 4 ..,9 v� .r` y $ All contractors and subcontractors are required to be Contact name: 010 -- e ---- / /- 0 , 2 fy2 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: - '7G 7-5- y-� 4, i e/ - - ? - - ,e9c., %a jurisdiction in which work is being performed. If the City /State /ZIP: ' O dam. '7- Z- // applicant is exempt from licensing, the following reasons �? l 7 r ,7ff apply: Phone: ( ) �!�-s Fax: ( ) E -mail: 2' " C:' .1,1$ - / j70vv./ . e.c. CONTRACTOR Business name: 147/Lit r' )7G-et/ BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City /State /ZIP: Structural plan review fee (or deposit): Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: / 7 b it 0 / /7 / Total fees due upon application: l Amount received: 6266, U? Authorized signature: /_ , _/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nam ,4 .."_ — 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) ■f - IP - . . MALAYA . S I G N S 7625 NE ML King Jr. Blvd. Portland, Or 97211 Phone (503) 517-0990 Fax (503) 517 -0991 PROJECT DETAILS II .i. I OR CC8 V 178858 WA LI<r MA,WS Type - Main sign: Backlit Pylon box sign. PROJECT MANAGER nave Forster 90 x 109` Construction, Installation, Sign permit, DESIGNER Project completion dependant on permits, Marry McCurdy i of mann and electrical connection by other. 90" PROJECT MASSE treamborn height of light box to be 20 feet. Flyfishing t u boii Flyfishing 1 I 109" 240" I K sveamlwm ■ _ . 144" I P DE SCRIPTION 2 SIDED BACKLIGHT SIGN R at Change Graphics 6f t Aalua Ia< i . k . - . `C D. (D O 'CS APPROVALS i'll 84" y � � - cllemspDDwre 4. ■ rA cl 111••z Vs-iln i me _ DATE: ik 1, , • `C � ,i,..\\09 • Additional permits, inspections, design 01/05/10 I 7 LJ I N� ,7 O � ' O ii : ® I review fees, engineering fees & traffic 1 PAGES: 1 of 1 10" /� permits & barriers will be additional if 36" l'J - 0 C j applicable. Customer to confirm suitable JO8 ° 0 r wiring and connection available. s K. ® •� 0 oci t • • 1 `6 Soma Garr , ' �1 / / C)\ / m n 1 A (G.15 S / Stec M 504.4 PA-C.1 ? 1-\,..- 4, ■ (G -w , / ' ....., p yc,biQ II ( / . ,---- .0 t ��a'�QO� ® LIMIT OF WORK �,� GP V� S p10 P p �O � Q F {v `°ja� P\ � tJ � �! I , � 0 e -- ,0*-`krfgd`'' te': 4 1.4 iiiji min 0 / � J N x2 15'6' 0 ,e \ U b�R� 1 5' PACIFIC PLAZA / aliWrA � °' COMMERCIAL BUILG : 5 , 61 *9'3 \ _,, - 0 N,..\ A, ,, t z . ,:, ... .., � � Oj 11940 5w PACIFIC HlC ,* __._ ,-- ) _. ___---0-- ____-,-, _,......._ _...._ .., .6 6' _ (001i _ (DO Lo S s,, > o . - � ,: a S a N G ■ ,� CS \ CD / /.....**'..' ,5 )00 ‘ t5 • A VW ;S) iiiii-,31...10111r 5. .) 0 10 '' lie 11'11111! 0 F ,, FS 0 9 G I , � ' e \\ p.,tw c.,\\-- \ o >( 0 10 G �I \`9 10‘ ''A 4.r..*' ■ ' 0 Tp • \ - fa) \IOldiliiiii, 2� \ KAUFMANN STREAMBORN FLYFISHING SIGN GARRETT SIGN SIGN POLE AND FOOTING ENGINEERING MJD 6/9/10 16048 11960 HWY 99 TIGARD, OR rc c ,EO PROP - 6 . G I N FF s ro ep 72514PE OREGON y -9r z 0, c) <1- 9 F� J DAU8� CONTENTS: RENEWAL DATE: 12 -31 -2011 16048 SK1 16048 1 - PARKIN ENGINEERING INC. CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE (360) 694 -8378 VANCOUVER, WA. 98686 FAX (360) 694 -3376 WSW JOHNWPARKfN.COM • PARKIN ENGINEERING INC. 14014 NE SALMON CREEK AVE., VANCOUVER. WA98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE (3601694-S176 • FAX (360) 694 -3376 emuil: iI johnwparkin.com CONSTRUCTION DOCUMENTS SK IN-ROOT, INC. A tnunbu of the ,kiviyk1vof,nn111 rarniiyofbusincssu !'ww.jolinwpa tic IIE.com ®® pp�� ®� i r�1 INC. 16048 -SK1 PARKIN ENGINEERING NC 14014 NE SALMON CREEK AVE., VANCOUVER, WA 98686 CONSULTING AND STRUCTURAL .... �. -.., ..__. ..,...., ENGINEERING PHONE (360) 694-8378. FAX (360) 694 -3376 cmail: infoCjohnwparkin.com KAUFMANN STREAMBORN FLYFISHING SIGN 6/9/2010 Q POST Q. FOOTING MATERIAL NOTES CONCRETE: C F'c = 2500 psi STEEL: o Pipe to be ASTM A53 Gr. B 1 PROJECTED SIGN AREA 8" SCHEDULE 40 PIPE 8" ID, 8 5/8" OD FOOTING POURED DIRECTLY AGAINST UNDISTURBED NATIVE SOIL. NO FORMS Q /\ ' �� / /\ co / .\ / • j` s ,�` / 3' -O "SQR SIGN POLE & FOOTING SCALE: NTS SMJTH•ROOT, INC, A member o! No Smi(h - Root, In T. J A1.i ( ri;n lanNty of businossos -- n>vw. johnwparkon.corn PARKIN N ENGINEERING INC. 14(114 NE SALMON CRPTKAVE., VANCOUVER, WA98686 CONSULTING AND STRUCTURAL ENGINEERING PHONE(360)69 FAX(360)69-1-3376 email: inIoC'. johnwparkin.com CALCULATIONS ` -`- SMITH -ROOT, INC. A mrmb:r of the Smith -Roo:. Inc »nI trf +.,tr•<nc• t uyotbusiness <s 1Yww.]O }IIIWparkiII.com PARKIN ENTGINEER.ING INC. /6:).1(3' _ / CONSUI_1ING AND STRUCTURAL. ENGINEEF-CI IJG 14014 NE SALMON CREEK AVE, (3((1) 69q -637£1 VANCOUVER, WA I86B0 FAX (360) G04 -3376 Jvrc ; ef..(7yop 760-ef) — si6 Al CX2-1 R4( (4 i6C- 2.az(p W!ND; 945 Ivop . ( ; j 5 e---c_. GuS l C�=Po'5 v t2. 5 t✓ J ..L = /,D S01(.- A-sst>Y. 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"':n er o[ du Smi h Roo , In . •1 Iw• 3,p liF`ra(v n. +r f i yofbu�inr•sis www.johnwparkin.com PARKIN ENGINEERING INC. (7 L CONSULTING AND STRUCTURAL ENGINEERING 14014 NE SALMON CREEK AVE. (360) 694 -8378 VANCOUVER, WA 98686 FAX (360) 694 -3376 d .7 , .s E i i (4,36A/ A).7 V2 0.34177, 6 - - 6 /goo ,f 44-s , 63. r /5 ?/3)( )(7) V god lf� ✓ . b 04/ 7 7r 0.5 � O 7 0, 5 (a gqc)r I -± [ "l• (.'CO(, ( 5 5tr -ROOT, INC A nf:mb;r °f, $ud(h•Root, Inc. I i Gonly of lmm s^sws www.johnwparkin.com