Permit ill v , CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00200
COMMUNITY DEVELOPMENT DATE ISSUED: 5/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103DD -01201
SITE ADDRESS: 13920 SW PACIFIC HWY • ZONING: C -G
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: Freestanding monument 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: 5N sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 20 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: $ 8,000.00
Owner: Contractor:
GOODWILL INDUSTRIES SECURITY SIGNS INC
1943 SE 6TH AVE 2424 SE HOLGATE BLVD
PORTLAND, OR 97221 PORTLAND, OR 97202
Phone: • 503- 238 -6190 Contact #: PRI 503- 232 -4172
FAX 503 - 230 -1861
Reg #: LIC 122809
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 4/10/2007 $78.08 •
[TAX] 8% State Surcha 5/15/2007 $9.61
[BUILD] Permit Fee 5/15/2007 $120.10
Total $207.79
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 thes es or dir- • quest'• • to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By: OP P I ,I Permittee Signature:
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.
., Commercial t `
l Tenant Improvement S T �
- BuildinE Permit Application roiz oiiicv t isE ON 1
City of Tigard RECEIVED oat�� I /0 i M� d 'am? --Bbd
13125 SW Hall Blvd. Ti g ard, OR 97223 Plan Revfe /
'� Phone: 503.639.4171 Fax: 503.59 8.196A P R 1 O 2007 �� ai �� Other Permit: A.,/ :,1, --_.4_ ,
T G n R L) Inspection Line: 503.639.4175 Date Ready • y. runs: ® See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: Supplemental Information
BUILDINS ftVISION
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
V it.Add ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
•
❑ I- and 2- family dwelling Cotnmercial /industrial Valuation: $
. ❑ 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:. L A e 6 a... J . c l ' . 1 c l \ ) New dwelling area: square feet
City /State/ZIP: / 3980 (4-WZZ Garage /carport area: square feet
Suite/bldg. /apt. no.: l Project name: e,.w - col � ( I 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
p 1 I, , e ( ,n„ 1 -( 'in c Valuation: $
6lV Y 1U1� Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: l r C .171 11 Type of construction:
Address: 0 6 aA)C l f '1 (, .Nkii) ( 1 Occupancy groups:
. City /State/ZIP: I ' C!i of? "1 '1�� I Existing:
Phone: ( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact ni licensed with the Oregon Construction Contractors Board
- under ORS 701 and may be required to be licensed in the
Address: I jurisdiction in which work is being performed. If the
Melissa Hayden, Security Signs — applicant is exempt from licensing, the following reasons
City /State apply:
2424 SE Holgate Blvd
Phone: ( Portland, OR 97202 —
E-mail: p 503 546 7114 f: 503 230 1861
• Melissa @SecuritySigns.com _,
Business i CCB: 122809 BUILDING PERMIT FEES*
—
Address: ,,
26560CLS metro #: 2561 (Please refer to fee schedule)
City /State — Structural plan review fee (or deposit): -2g Dg
— FLS plan review fee (if applicable):
Phone: ( ) 1 rax: ( )
•
CCB lic.: Total fees due upon application:
Amount receivV '4 lc.- 1)
Authorized signature: ( < �i/ This permit application expires if a permit is not obtained
I Prim name: i' Date' within 180 days after it has been accepted as complete.
- �(iC I ¢/07" Fee methodology set by Tri -County B • _ .. stry
Service Board.
• I:\Building\Permits\BUP- 1- PermitApp.doc 0323/06 440-4613T(11/02 /COM/WEB) „Gft'
n
Building Division
Plan Submittal Requirement Matrix
T I G n 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 plans bear the original seal of an
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 #: BUP2007 -00200
13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 5/1512007
Phone: (503) 639 -4171 111
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Freestanding monument sign.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503- 238 -6190
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 - 232 - 4172
Inspection Request Scheduled For: Date: 6/14 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 050190-02 503. 546 -7114 N
Corrections/Comments/Instructions:
0
10 PASS 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL F, CA L FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: 7 ....
Date: 6 / 6 Phone #: (503) 718- 2-1
■ L__.- `------------- X ----
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: BUP2007 -00200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5115/2007
Phone: (503) 639 -4171 1 1!
Inspection Requests (24 Hrs.): (503) 639 -4175 1J.
INSPECTION WORKSHEET FOR DATE: 5/31/2007 . TIME: 7:00AM PAGE: 71
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: Freestanding monument sign.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 238 -6190
CONTRACTOR: SECURITY SIGNS INC PHONE #: 503 - 232-4172
Inspection Request Scheduled For: Date: 5/31/2007 Pour Time: 1
Code # Inspection Description Confirm # Contact # Me/ /_ ft
205 Footing 049278 -01 503-232-4172
Corrections/Comments/Instructions:
gi
PASS rA "A ' L APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • ' AL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: ) Date: 9 6 Phone #: (503) 2h
P ( ) 718- 9