Permit ili - a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00285
COMMUNITY DEVELOPMENT DATE ISSUED: 9/8/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102BD -00600
SITE ADDRESS: 12725 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 050 JURISDICTION: TIG
PROJECT: NEW YORK NEW YORK
Project Description: Installing new sign on existing posts.
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: 5N sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 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: $ 2,000.00
Owner: Contractor:
FARID ADRANGI HIGHLIGHT SIGN CORP
4289 ORCHARD WAY 18270 SW BELTON RD
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 -8205
FAX 503 - 624 - 3725
Reg #: LIC 104599
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/21/2008 $40.63
[TAX] 12% State Surch 8/21/2008 $25.00
[BUILD] Permit Fee 9/2/2008 $25.00
[BUILD] Permit Fee 9/8/2008 $37.50
(additional fees not listed here)
Total $110.63
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC • - - • • s 503.246.6699 or 1.800.332.2344.
Issued By. �� — - • - - - Signature: � %�� rr
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1O9E63 t i p - Maio ? c € 1 & 1 21`7 5 P L 1i',
Building Permit Application qv -UV ((p 9
Commercial FOR OFFICE USE ONLY
City of Tigard Received Permit No.: i / 25-- 13125 SW Hall Blvd., Tigard, OR 97223 Pl R ev i ew � '� Phone: 503.639.4171 Fax: 503.598.1960 � *e le$
DateB : C J an Other Permit:
T I G n R D Inspection Line: 503.639.4175 �` Date Ready/13y: luvs: 0 See Page 2 for
Internet: www.tigard or.gov G , Notified/Method: # l' o r iir , Supplemental Information
TYPE OF WO � , REQUIRED DATA: I- AND 2- FAMILY DWELLING
n `` `� Permit fees* are based on the value of the work performed.
❑ New construction ❑ De � * P
Indicate the value (rounded to the nearest dollar) of all
ition/alteration/replacement ❑ v 0 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONS%•CTION work indicated on this application.
❑ 1- and 2- family dwelling mmercial/industrial
Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms: •
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 1 2 7 0 r 9W . g H'I . /,f401.1. , New dwelling area: square feet
City/State /ZIP: ... 7 2i II° I/ p ev� Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: ANA) y p eisj r Covered porch area: square
Cross street/directions to job site: e el . 3w, % 0 kApsi t. i Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
p
�N, e. ® Lt,Il� 'D SL e r. d�*, it I
Valuation: $ a UcJC�
f i riall4 .. 1 s l, , 1 - , 5 454 Existing building area: square feet
1109r* New building area: square feet
2IROPERTY OWNER 0 TENANT Number of stories:
Name: Appe F
$ LU �. Type of construction:
Address: �, / '1 Z.‘" to, poil- t{ / 7 , Occupancy groups:
City /State /ZIP: • Thr jp eP/ay e t .7 AP 7 6 Existing:
Phone: (T 3 ) lo J . p t4. Fax: ( ) New:
aqtirPPLICANT QKONTACT PERSON NOTICE
Business name: (4 /1 H/ /41/ 9/4 glaitep, All contractors and subcontractors are required to be
Contact name: s bs i ix 1,0moo4744.0 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /Sri 0 Sw / &fi k reiJ /201 jurisdiction in which work is being performed. If the
City /State /ZIP: 8 gel (,tte i t 40 . Gl7/ It-0 applicant is exempt from licensing, the following reasons
_ apply:
d
Phone: ( VI ) (pae, Fax:: (MT ?p.2. (k 375i�
E -mail:
CONTRACTOR
Business name: /41ph kifitt a 7 /'
� ♦ ilia■ BUILDING PERMIT FEES*
Address: , fl, 0 . $S 1Pri y (Please refer to fee schedule) /
City/State/ZIP: ( � 4/i _/ Q "/ / / � Structural plan review fee (or deposit): ii
Structural �3
(PO) � w� Fax: � ( y to FLS plan review fee (if applicable):
(
Phone: w O
CCB lic.: -,s/04 S''� Total fees due upon application: 5 G?
Amount received: 70. V V
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: fr)014i 1-01(11~1 I Date: 9e/LOS * Fee methodology set by Tri -County Building Industry
Service Board.
L: 1Building\Permits\BUP -COM PermitApp.doc 2123/07 440 -4613T(11 /02 /COM/WEB)
o.
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible, elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(0 Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
I: \Building \Permits \BUP -COM PermitApp.doc 10/30/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BliP2008-00285
13125 SW Hall Blvd., Tigard, OR 97223
. 4: 4 DATE ISSUED: 9/8/2000
Phone: (503) 639-4171 ,_.111:411
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/12/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 12725 SW PACIFIC; HWY CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE:
PROJECT NAME: NEW YORK NEW YORK
DESCRIPTION: InsIaliing new sign on existing posts.
OWNER: ADRANGI, FAR1D PHONE #:
CONTRACTOR: HIGHLIGHT SIGN CORP PHONE #: 503-620-8205
Inspection Request Scheduled For: Date: 9/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 075380-01 503-620-8205 N
Corrections/Comments/Instructions:
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El PASS 11/ fARTIAL APPROVAL D CANCEL . 111 NO ACCESS
VA CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: - ....411.-_____ - Date: TA-Ag Phone #: (503) 718- Z-6 V e- 7
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