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Permit CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00130 „V IP DEVELOPMENT SERVICES DATE ISSUED: 4/24/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S136DA - 02600 ' SITE ADDRESS: 11140 SW 68TH PKWY ZONING: C - SUBDIVISION: MLP1999 - 00011 LOT: 002 JURISDICTION: TIG Project Description: Monument sign. REISSUE: ' \ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: , FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: . sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 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: $ 3,500.00 Owner: Contractor: WEBSTAR VI, LLC SECURITY SIGNS INC 610!GLATT CIRCLE 2424 SE HOLGATE BLVD WOODBURN, OR 97071 PORTLAND, OR 97202 Phone: 503 Contact #: PRI 503 - 232 - 4172 FAX 503 - 230 -1861 Reg #: LIC 122809 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/17/2006 $81.70 [TAX] 8% State Surcha 4/17/2006 $6.54 [BUPPLN] Pln Rv 4/17/2006 $53.11 Total $141.35 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 by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: ) Permiftee Signature: t 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. 1 /I90 sw 6 kt ( immercial Tenant Imp_ �r k 1l e•I «� I V F aoo 6, .. oo/g • Buifdin2 Permit Applica `' o " roll ()Frick a i.: r)\i.\ Ci }y of Tigard t 7 ► 1 406 Received Ol Permit t No.: at� �D 7 . n 13125 SW Hall Blvd, Tigard, OR 9 Ilan Reviy'��� C Phone: 503.639.4171 Fax: 503.5 Other Permit: G n It [) Inspection Line: 503.639.4175 t, t OF llI Prkiti p��g i �'� l Date Re :'fir!' lic ® See Page 2 for Internet: www.tigard- or.gov 5 j l, j� lI(r,TnR NdifiedIMethody ��� � � Supplemental Information i TIT DIN \ .Ltia - 12,3-3 cy8...e_. W / - Z. d,N TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ 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. El 1- and 2- family dwelling gComrnercial/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: Job site address: I L y O de > \Ar (n��� '.J{ New dwelling area: square feet City /State/ZIP:71, CR./Iv (DA_ Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: l..,#4.0Z tJ (L l Covered porch area: square feet Cross street /directions to job site: Deck area: square feet 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. �cF 'l/V vi dok_10w (a'il,! T S 1 Ls-4.( i $ � i �" Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: ).A 4 S -■ I L(' _ Type of construction: Address: /O[ D ..t,,, 1 c; (' , Occupancy groups: City /State/ZIP: LV crzy,Q l i t ,, Q0/4— / 7 7/ Existing: Phone: ( ) , / A Fax: ( ) New: ❑ APPLI ANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State/ZIP: applicant is exempt from licensing, the following reasons apply: gI •70 Phone: ( ) Fax:: ( ) e - 5-5. / c � E-mail: TA 49.57 /9 / .-? 5 { CONTRACTOR Business name: �� c...) 4 t - r - - S ( S BUILDING PERMIT FEES* Address: 'Z, c...4 2 4 se. l"1'w:)l � ?? -P • (Phwsene e(ord e posit) le) pc/2.-n_ 09 c'r2 q 7r72 �1 Structural plan review fee (or deposit): City /State/ZIP: p Phone: (503 )'23 Z L 1 '7 2 Fax: (5b?) Z .)p i 86 FLS plan review fee (if applicable): CCB lic.: [' Z'' F7 c '1 P 7 j � ,3 -3i -/ 1 Total fees due upon application: f Amount received: Authorized signature: _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print namec Cpl LO244-4 3 2 (ii I Date: , 17 • (o • Fee methodology set by Tri- County Building Industry Service Board. 1:\ Build ins \ Permits \BUP- 11- PemitApp.doc 03/23/06 440-4613 T( 11/02/COM/W EB) 11111 . _ s Building Division Plan Submittal Requirement Matrix T [ G A R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) • Site Work 2 (must include location of all accessible parking) ' • Plumbing (site utilities) 2 Building 1* • . Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) • 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. .. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. , ** "New" fire protection systems require that plane bear the original seal of 'ati . Oregon licensed fire suppression engineer, or NICET level "3" technicians. • I:\ Building \ Permits \BUP -TI- PermitApp.doc 03/23/06. • • • • - • CITY..OF TIGARD BUILDING DIVISION PERMIT #: Bup2006- 001 30 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2412006 Phone: (503) 639 -4171 A pu4 � Inspection Requests (24 Hrs.): (503) 639 -4175 -Ai!. INSPECTION WORKSHEET FOR DATE: 602006 TIME: 7 :03AM PAGE: 88 SITE ADDRESS: 11140 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: MLP1999 -00011 LOT #: 002 TYPE OF USE: PROJECT NAME: CASCADE VETERINARY REFERRAL CE DESCRIPTION: Monument sign. OWNER: WEBSTAR VI, LLC, PHONE #: 503 CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 - 23241172 Inspection Request Scheduled For: Date: 6/8/2006 Pour Time: 12 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 031351 -01 503 -232 -4172 N Fc L-- ost orief- ©o Corrections/Comments/Instructions: go .0./ t---ocyik)--,_. ,....„„,,,, , ,„, I I ► _I . Ilifil p ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED Inspector: A Date: LI V 0 Phone #: (503) 718 - Z p � �