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Permit
CITY OF TIGARD ttP/A4 BUILDING PERMIT PERMIT #: BUP1999 -00401 DEVELOPMENT SERVICES DATE ISSUED: 9/13/99 13125 SW Hall Blvd., Tigard, OR 97223 (5008 -41164 I PARCEL: 0 SITE ADDRESS: 15905 116TH SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 32 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N : sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 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: 4000 Remarks: Freestanding sign Owner: Contractor: NORTH SHORE CORP YOUNG ELECTRIC SIGN CO 17 E 47TH ST 416E 41ST ST NEW YORK, NY 10017 BOISE, ID 83714 Phone: Phone: 220 -8167 LOCA Reg #: LIC 00000693 SUP 445SIG ELE 37 -51CLS FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PLCK BON 9/3/99 $56.55 99- 318103 Final Inspection FIRE BON 9/3/99 $34.80 99- 318103 PRMT DEB 9/13/99 $87.00 99- 318275 5PCT DEB 9/13/99 $6.09 99- 318275 Total $184.44 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 -1987. Pe rm itee Signatu -. Sl�Qm(j -- Issu • d By: Call 639 -4175 by 7 p.m. for an inspection the next business day 5°C CITY OF TIGARD Commercial Building Permit Application Recd By v. •/. Date Rec . 1 13125 SW HALL BLVD. New Construction and Additions Date to P.E. - /D if TIGARD, OR 97223 Date to D '- '1 0 ' /I!I (503) 639 -4171 Permit # g f' - '.'atO\ Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called 9-/O-q4 -C ' Name of Development/Project G•GT I/1 /te.s5>)C�° - Job Bank of America Existing Building Uj New Building 0 Address Street Address Suite 15905 SW 116th Av=_ Building Bldg # City /State Zip Data King City, OR 97224 Existing Use of Building or Property: Name tanking Property North Shore Corp Owner Mailing Address Suite , Proposed Use of Building or Property: 17 E. 47th St rerr°"e & replace ce pole sign City /State Zip Phone New York, NY 10017 503-620-2E15 No. Of Stories: 1 Occupant Name Sq. Ft. Of Project: Bank of America Name Occupancy Class(es) Contractor young Electric Sign Co Prior to permit Mailing Address Suite Type(s) of Construction issuance,acopy 10535 SW Avery St sign/electrical of all licenses are required if City /State Zip Phone Will this project have a Fire Suppression System? expired in C.O.T. Tuaaltin, OR 97062 612-667? Yes O No database Americans with Disabilities Act (ADA) Oregon Const. Cont. Board Lic.# Exp. Date 69308 9- 2 6- 9 9 Valuation X 25% = $ Participation Complete Accessibility Form Name Project $ Architect Monigle Associates Valuation 6,000.00 Mailing Address Suite 150 Adams St Plans Required: See Matrix for number of sets to submit City /State Zip Phone on back Denver, CO 80206 303- 388 -9358 3 Engineer Name g I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and Young F,1 PC'. t r i C` Si gn C'n that plans submitted are in compliance with Oregon State Laws. Mailing Address Suite 2401 Foothill Dr Signature of Own Date City /State Zip Phone 1,.... ( � /� 2"--.3Q Salt Lake City, UT 801 - 464 -460 ontactP me Phone / -- — - -- — -- ---8-4-14-9.------ -- Indicate type of work: New Addition 0 Demolition 0 Tanya Firm= 612 -6672 Accessory Structure 0 Foundation Only O Alteration 0 Repair 0 Other 0 FOR OFFICE USE ONLY Description of work: mauve existing [rile sign (irrlu j_r]CJ Map/TL / Land Use: IBC farrhticn) alrrl replace with new chile face, . t iLlurninated Notes: � pole sign (with mg fa tirn) . fit C4A-CollikV c . + 4 ., /1 Parks: Estimated # of Emplo T1F: \ + I 1„ lD O p If the above figure is not supplied at the time of application, the city will �`� C -' ttaaNtt 111 --re0e I '' calculate the fee based upon the number of parking spaces. Note: Site Work Permit Application must precede or accompany Building 1 Permit Application /1)79- I: \COMNEW.DOC (DST) 5/98 q e COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan P eview Is cue:er dent utn p siubt tttal: BoT t pians COMPLETED For a i ation. Fo an ae `: >:: .<>: : _; .:., ibittal, . , ;li a<.:>:_::<° to p� � i �:tc�rraal s��mittal, the ap�l�o�tior� u�� inn trt #h e :..;: signature of the supervlstrl lei tr n before plan review will k e conducted utter plan review a pprc?vat Plans argine will contact th pplicant tt re quest additional ogot000givan sets for:tltstrrbu€tar :: i t :' es. Ca for ontractor, i Wash ngton County; Tualatin fall .. Ffre & Rescue) TYPE OF SUBIVIIUAL ' Plans , > KEY: _ . Sutmitted :' S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & 1t AIt)'i 1 *B & M &'P (Alt) 3 *B & M & P & E- (Alt) j __ - - &M &P&E & F(Alt) I 3 NOTES: *Shiaded: a l es note f l c s' o� l I: \dsts \forms \matrxcom.doc 10/30/98 Ikair KING CITY 15300 S.W. 116th Avenue, King City, Oregon 974 Phone: 639 -4082 C OMm UN I T PME NT A PPL I CP_T I ON PO?? S i ON P EI ± I T 1. _ App'ica_n_t. CC ( �`+ , �� �l 1�� /�I��j - 1 -- H l - �) Ad ress: 6 % r j phone: (O 7 . N o f (:Ontractor: l�L�>1 C{ � (�� i�' err-, rj y� J v Addr /LS3 ��t�" 1��t1��( Phone (C/ (C'Lc72_ 3. Type of Sign: ie M Sa_ndwic1'?, Etc. F ! (_fi C,Irt 1. (Please st1Fbmi t 7 copies of Arti sketch J {cr ph statin di mension s , With this apnl _cati o - Check O T Permanent d Si gn Area `i n sgiTare feet and rn1 nr`cl �� G ��' 1 C k L2 ? i�C', PLS�._.�ZL.LLC - K;-c C.l(� r 6 Y ( E pC (C CC i,L `- Cc PL nn 5. Total square footage —Of building: )C�' 6h -fall, 6. Describe location where sign w ill b placed: V I StAl ) Omltk 7. Method of illumination: S h(,t(Ia fr 1A 8. Method of support: f C �? & J 9. Approximate area covered by all existing signs pertaining to this business or development and distance between signs: 1 i X Signature of Applicant ne,_ **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FOR OFFICE USE ONLY • Applicati received by: Date: 7- Applicable Fee received: $50 -OD pr"ANNTNr: COMMI DECISION: Approved: V Denied Condi tions: • Approved b 4 (e / Date: � o Q q o • - KING CITY 15300 S W. 116th Avenue, King City, Oregon 97224 -2693 Phone: (503) 639 -4082 • FAX (503) 639 -3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639 -4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: h la-Cane/17 i( UK it/ bircea-- located at: l S90 5 5-{,k) 111 a '` VDt.tnj Uee etc Sc3n Co, King City Representative 1 . DSTS_KCiNST DGC CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 I g Bu g siness Line: 639 -4171 BUP li'7 9�y0 r Date Requested / 9 - c-/ ! ( AM K PM BLD Location 1 S/ O S 1 c ( Jf f Suite MEC 1 V Contact Person 1 Ph p I / G - (408'8' 9 PLM Contractor Ph SWR EWERS a : Owner (2j ©c ! ELC Retaining Wall ELR =ion FPS FPS Ftg Drain SGN Crawl Drain Inspection Notes: poor) ad" ©q co SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Z _ Fire Sprinkler Li A la I L LL Fire Alarm \ • • Susp'd Ceiling lJt v Roof •i al PASS. PART FAIL • - ' BING Post & Beam 1 1 pp'o' Under Slab `` 1 i MEMS Top Out Water Service Sanitary Sewer Rain Drains p r Final PASS PART FAIL MECHANICAL Post & Beam ! — -- • Rough In 1 • Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date _ g - C — _ Ins Other Final PASS PART FAIL DO NOT REMOVE this inspec ion record rom the job site.