Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00256
� DEVELOPMENT SERVICES DATE ISSUED: 6/16/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DD -00300
SITE ADDRESS: 15900 SW 72ND AVE ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Free standing 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: 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, a
Owner: Contractor:
TIME OIL CO MEYER SIGN CO OF OREGON INC
P 0 BOX 24447 15205 SW 74TH
SEATTLE, WA 98124 TIGARD, OR 97223
Phone: Phone: 620 -8200
FEES Reg #: LIC 64014
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 6/15/2005 $121.75
[BUILD] Permit Fee 6/16/2005 $177.70
[TAX] 8% State Surchari 6/16/2005 $14.22
Total $313.67
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. it• i
Issued By: e�i_ _ _i . Permittee Signature: /!�
I
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 o - : 'pct.
Approved plans are required on the job site at the time of each inspection.
SC&Naoas- 00 78
�€;..r $' >t �.�>' �`�„« :FOR'OFFICE.USE�`ONI:Y` 'F , �+�' ° ' �F.��'��,
Building Permit Application Received - i Building if
Date/B : % j . Permit N :.C. 4�.__ 1•^.e)G
City of Tigard - j, Date /B : Planning Approv• Other Permit No.: /
13125 SW Hall Blvd. ��� -- ' _, - )J' , ' Plan Review L t � ,�� Other
Tigard, Oregon 97223 Date/B : 1 �i� /� Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -14 l f��� Post - Review Land Use
l -
y,, : e. (`' Date/B : Case No. .
Internet: www.ci.tigard.or.us r . ,,, �p - -� .• - Contact Juris.: ® See Page 2 for
24 -hour Inspection RequestC503'- 09 -41 ''- • • Name/Method: Su tementat Information
- ..';."..'TYPE OF WORK - -• ... , y. REQUIRED DATA:
..❑ N ew construction ❑ Demolition _ 1 & 2 FAMILY DWELLING
❑ Addition/alteration/replacement ❑ Other: v
- . . :: .CATEGORY =3'`i'= :`` L-., % ' - Note: Permit fees' are based on the total,value of the work performed. Indicate
❑ 1 & 2- Family dwelling „.1%1-Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi - Family
❑ Master Builder _12- Other: «,..Ai/ Valuation $
' JOB=SITEiNFORMATION,and LOCATION•. • ="' :t;- No. of bedrooms: No. of baths:
Total number of floors
Job site address: /, pp �� 724, ax. e • New dwelling area (sq. ft.)
Suite #: 1 Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: ,0Jr'.8 LL Covered porch area (sq. ft.) •
Deck area (sq. ft.) . .____— _ . _ .
Cruss to job aiiu: Other structure area (sq. ft.)
t ."� e 7 // -"-"O >..
. ._r, � • �ItEQiJIIt DATA �i � ;. t ::�, ' :• -
Subdivision: 1 Lot #:
• _ '- '' COMMERCIAL U ':'
�. .. • .:_
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
•._ ;;• ,. :.. r ;, " •: :: the value (rounded to the nearest dollar) of all equipment, materials, labor,
DESCRIPTIONOF.WORK. •.': ::` overhead and profit for the work indicated on this application.
: Q%s' ti (6) .A.e / laeorn fit ;x. — •
1.t LS/Lc,"J P °�°� „�v toce,, Valuation $ /3� 2So
'p'� / Existing building area (sq. ft.)
,0.44- . 40 ' v Y1 New building area (sq. ft.)
Number of stories
Type of construction
s'�!'sPROPERTY:O)'Vh[ER•�:v.<. ,:. ��:� ® ';TENANT.: :•'` `: °::�``;!�:% '=f . YP
Occupancy group(s): 'Existing:
Name: �� o�L Co New:
Address: ;77 )1J Oeig ,9OdCQQ W
City /State /Zip: geolfte , 9-g / ci
NOTICE: All contractors and subcontractors are required to be
Phone: .5 -$l LI R Fax: licensed with the Oregon Construction Contractors Board under
,APPL CANT: s'' .. ` CO TACT•PERSON" r:' :,` provisions of ORS 701 and maybe required to be licensed in the
Business Name: jurisdiction where work is being performed. IOh pIi ant is exempt
Contact Name: from licensing, the fo19wing reason applies: J 7 7 1
Address: ;fP a__�_ •ir,e' %?_
City /State /Zip: �— /ii . c7. �--
Phone: Fax: - :1L:;�4 _ ;.....:. •r.•':-v ,•, Kt•r�_;. . =..-z
�`. ' • BUILDJNG- PE1hIT FE ` , • . � i
E -mail: . . 4 ' � �, : • ;"'Please refer fg fee schedules . ' , k , ' , ° . ; r
• •.•. ,:;: >. .. . . • `r = CONTRACTOR. �; - ::•. -a _ •_ •= •., .....
Business Name: #654-lE3/Z. 5 G 0/( J Fees due upon application $
Address: i5 zo S ,_.0,, w a
City/State/Zip: 1-2- V Amount received $
y p; 7� �y9� � OR .. 9 7 Z -
Phone: G 20 —Q2D U 1 Fax: , 20- 20 7'/ Date received:
• CCB Lic. #: Ce (./0 /Ll
Authorized / to / . Notice: This permit application expires if a permit is not obtained within
Signature: kr.- — +AW. Date: 180 days after it has been accepted as complete.
‘6775\1C-}% � (.l a p/4-
*Fee methodology set by Tri -County Building Industry Service Board.
: (Please print name) •
is \Dsts \Permit Forms\BldgPermitApp•doc 01/03
CITY TIGARD
BUILDING DIVISION PERMIT #: I3UP2006- 002136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61160006
006
Phone: (503) 639 -4171 44te
41
Inspection Requests (24 Hrs.): (503) 639 -4175 "LL
INSPECTION WORKSHEET FOR DATE: 1/31/2006 TIME: 7 :01AM PAGE: 64
SITE ADDRESS: 15900 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SHELL
DESCRIPTION: Free standing sign.
OWNER: TIME OIL CO, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON INC PHONE #: 6211820()
Inspection Request Scheduled For: Date: 1/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 025990 -04 111 - 111 -1111 N
Corrections /Comments /Instructions:
V
[ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
dr * Inspector: Date: Phone #: (503) 718 - - z- ✓
1
CITY' OF TIGARD .' . .
BUILDING DIVISION PERMIT #: BUP2005.00266
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/16/2005
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I /1.
INSPECTION WORKSHEET FOR DATE: 8/19/2005 TIME: 7 :07AM PAGE: 87
SITE ADDRESS: 16900 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SHELL
DESCRIPTION: Free standing sign.
OWNER: TIME OIL CO, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON INC PHONE #: 620 -8200
Inspection Request Scheduled For: Date: 8/19/2006 Pour Time: 10 : 00
Code # Inspection Description Confirm # Contact # Message
205 Footing 013888 -01 503 -620 -8200 Y
Corrections /Comments /Instructions: �� ivST l�i.,-
Fo
fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Offiv Date: U ( ( 5 Phone #: (503) 718-