Permit CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2005 -00074
A DEVELOPMENT SERVICES DATE ISSUED: 3/9/2005
t�� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11440 SW PACIFIC HWY PARCEL: 1S136AD -06400
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SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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: $ 5,200.00
Remarks: Canopy.
Owner: Contractor:
TIGARD BP SERVICE CO INC MEYER SIGN CO OF OREGON INC
11440 SW PACIFIC HWY 15205 SW 74TH
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 620 -8200
FEES Reg #: LIC 64014
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/28/2005 $100.90
[TAX] 8% State Surchari 2/28/2005 $8.07
[BUPPLN] Pin Rv 2/28/2005 $65.59
[FLS] FLS Pin Rv 2/28/2005 $40.36
Total $214.92
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: - / ' , __
Permittee _
Signature: w���
Call 63' ' 175. :00 p.m. for an inspection the next business day.
This permit card shall be k • •t in . 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.
/yyv $ w f r noCeti
FOR OFFICE USE ONLY ,
Building Permit ►: !I �w. i�10n Received / ((� Building ® •
Date/ o val dS IJ PermitNo.. I V , / , — o Al
M = Planni ng Approval Other - I
City of Tigard ' B Date : Permit No.:
13125 SW Hall Blvd. FEB Plan Review IT / ii — Other o
Tigard, Oregon 97223 81UU , Date/B : g , Permit No.: �\
Post - Review Land Use
Phone: 503 - 639 - 4171 Fa>�(�3I58 t9 4 ,010
I, ,-Li�7 Date/B : Case No.
Internet: www.ci.rigard. s j f - » ,� = Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 =63`9 1I/DIVISIO Name/Method: Su lemental Information
• 'TYPE OF WORK ' . •
. , -t - :'f- :. ::, , - • : � REQUIItED DATA: . _ ;
❑ New construction ❑ Demolition _ : , _ ' i 42 FAMILY DWELLING .
[ .Addition/alteration/replacement ❑ Other:
, CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total of the work performed. Indicate
❑ 1 & 2- Family dwelling LLCommercial/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 ❑ Other: Valuation $
' .,- JOB INFORMATION and LOCATION . ' -' \ No. of bedrooms: No. of baths:
Total number of floors
Job site address: • / /[{ti( 3W / J `' ' (9 New dwelling area (sq. ft.)
Suite #: I Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: L(#voc fg..L Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.) _ -
Other structure area (sq. ft.)
. , : ' REQUIRED DATA:.. _ -
COMMERCIAL - US
Subdivision: I Lot #:
Tax map/parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
- DESCRIPTION OF WORK_ " • , .. _ , - - the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
8 1 oc-b xii..l fizom dflio&pit
attel , tau_ W Valuation $ 5
Existing building area (sq. ft.)
L4tla e 1 New building area (sq. ft.)
• Number of stories
PROPERTY OWNER ' ; . ` TENANT, , . Type of construction
Occupancy group(s): ' Existing:
Name: Cdyloc�� leg/ lf S ire, e..4 New:
Address: (poo j .. /,Py
City/State /Zip: ) 7 70 79 .. •
Phone' 3 — /30 6 Fax: NOTICE: All contractors and subcontractors are required to be • licensed with the Oregon Construction Contractors Board under
0 AP - NT. - , >:' ,�][ CONTACT PEON . provisions of ORS 701 and may be required to be licensed in the
Business Name: (I: a s c.. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: j V 1,1442-p lAY from licensing, the following reason ap lies:
Address: - 4 . 4 - 5.59
City/State /Zip: TX g, p 7
Phone: - I Fax: , :::�' ; BJI
M. i .. , �:�_ X ,:,. ;
t ' ' �! B * -` ; i ` :�` - -. �•
E -mail: ' .. ., ,., ,, - , Y ,, r .y: .;,er to ,: -, ::.; , ,,,,�o , , , • _ .- . ,
:."-4 ' 1-� . V ' .`. :.:: ,i P lea§e t 'ife f sche du ' ie :i. '`•`;' " * • .
;, ° : ` , a CONTRACTOR: :'fly , : ` 't:1-'", ' ,. , 0- ‘7..,-.-"" .. ,:. . 1
Business Name: 1165 i,1 a- 6 ,el - Fees due upon application $
Address: / 52_0 6 w 7 ( f-•. e. -
City/State /Zip: '-- (tsAt,(L N )
(0 DR . ?7 Z Amount received $
Phone: o�gwp I F ax: ('ZO -7o Date received:
• CCB Lic. #: (o ({D/ I
Authorized — A AIM I f Notice: This permit application expires if a permit is not obtained within
Signature: _ , �s--- F . .__ Date: c2 -,IF-01--7- 180 days after it has been accepted as complete.
J E — L P 0 • • *Fee methodology set by Tri -County Building Industry Service Board.
: (Please print n. e) .
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: BUP2006.00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2005
Phone: (503) 639 -4171 AvikelitA
Inspection Requests (24 Hrs.): (503) 639 -41' ...'—� `:_.L )207------
INSPECTION WORKSHEET FOR .,ATE: 6/2/2005 TIME: 7:12AM PAGE: 85
SITE ADDRESS: 11440 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: UNION 76
DESCRIPTION: Canopy.
OWNER: TIGARD BP SERVICE CO INC, PHONE #:
CONTRACTOR: MEYER SIGN CO OF OREGON INC PHONE #: 620 -8200
Inspection Request Scheduled For: Date: 6/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 008123 -01 503.620 -8200 N
Corrections /Com /Instructions: Q L
I1 fi y_i q____ r t
I v
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
t I'w/ �1 1/ Inspector: (1vl/ Date: 1 1 6 Phone #: (503) 718-