Permit A;- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00168
l y ;, DEVELOPMENT SERVICES DATE ISSUED: 5/17/02
- -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14200 SW 72ND AVE PARCEL: 2S112AA -00300
SUBDIVISION: ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
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: NONE TOTAL AREA: 0.00 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: $ 32,000.00
Remarks: 35' freestanding freeway sign.(Sign area 91 square feet)
Owner: Contractor:
ASGARD L L C VANCOUVER SIGN COMPANY INC
c/o GERBER LEGENDARY BLADES 6615 SW HWY 99
14200 SW 72ND AVE VANCOUVER, WA 98665
PORTLAND, ND OR 97223 Phone: 360- 693 -4773
Reg #: LIC 63951
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PLCK CTR 5/7/02 $218.27 27200200000 SMRF welds final report
Structural welding final reps
FIRE CTR 5/7/02 $134.32 27200200000 Final Inspection
PRMT CTR 5/17/02 $335.80 27200200000
5PCT CTR 5/17/02 $26.86 27200200000 EXPoiED
Total $715.25
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rm ittee
Signature: �/ 11116—...
Issued By: f A .Cti- �,c.A—Cl . gi,(rezA___,
Call 639 -4175 by 7 p.m. for an inspection the next business day
. 5/0 OZ
Building Permit Application OF ►C USI.: ()N ►_Y
Date received: t j 7 . Da Permit no.: s. #., - °W
'' t "'�! 1; = City of Tigard
�+ Project/appl. no.: date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 - 4171 Date issued: Receipt no.:
Fax: (503) 598 - 1960 l O 7 Case file no.: Payment type:
PP
Land use approval: iv/Co/JAVA 1 &2 family: Simple Complex:
"11 l'l: OF l'E Rii\•IIT
0 1 & 2 family dwelling or accessory 0 Commercial /industrial 0 Multi - family ❑ New construction 0 Demolition
0 Addition/alteration /replacement ❑ Tenant improvement 0 Fire sprinkler /alarm 0 Other:
Job address: Ise Zoo S w "92 • =•r A „ .. _ Bldg. no.: Suite no.:
Lot: I Block: ISubdivision: I Tax map /tax lot/account no.:
Project name: (� g-itp�crt LGGC . DA g✓tpc
Description and location of work on premises /special conditions: t7'yt(UU- (I) FPees lied IN 6 St Gk.
OWNER FOR SPECIAL INFORMATION. USE CFIECKLIST
Name: &C Q (Floodpl :tin. septiccapacit),solar,etc.)
Mailing address: 1000 5,,, -17 ,Ai'c 1 & 2 family dwelling:
City: Ita n I State: 6t2-I ZIP: ti' } 2E/ Valuation of work $ k Phone: 5 3 ' o 3 ll Z 6 I Fax: �3 t{o3 t(oZ I E -mail: No. of bedrooms/baths Owner's representative: F. Few t &,..4 Total number of floors
Phone: C• t Fax: ..4rE E -mail: New dwelling area (sq. ft.)
Garage /carport area (sq. ft.)
Name: VAt' o u .tr 46 C , Covered porch area (sq. ft.)
Mailing address: 6,Cc.s' iris --( /ei Deck area (sq. ft.)
City: Uij-ju cowlr6= I State:w•p- I ZIP: el 6-66.se Other structure area (sq. ft.)
Phone: ?jYj Fax: z4, 2E -mail:
Commercial/industrial/multi- family:
Valuation of work $ 32,00o -
Existing bldg. area (sq. ft.)
Business name:
UAt,I to " (wN Co • New bldg. area (sq. ft.)
Address: C6[s tf `f`{
Number of stories
City: lli riveow✓ti- I State: A/I+ 1 ZIP: i-LL
Type of construction
Phone :36154i; t{ fi'r3 I Fax: 3yL16f32 'NT I E -mail: Occupancy group(s): Existing:
CCB no.: � 3 IS- ( New:
City /metro lic. no.: ?p Z 2 Notice: All contractors and subcontractors are required to be
ARCII I I I ( :L /DFSIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: 'State: 'ZIP: exempt from licensing, the following reason applies:
Contact person: 1Plan no.:
Phone: Fax: E -mail:
_ ENGINEER OFFICE USE ON1..Y
Name: ontact person: Fees due upon application $
' Address: Date received:
City: 'State: ZIP: Amount received $
Phone: Fax: 1E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with er s ecified herein or not. Credit card number: / /
Expires
Authorized sign t� ure: ‘ < < L��L Date: �17Io Name of cardholder as shown on credit card
I�`�
Print name: Cardholder si:.•;,, $ Amount
U
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as •r.. IJlg 440 -4613 (6 /00 /COM)