Permit •
.-
..
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2000 -00087
� DEVELOPMENT SERVICES DATE ISSUED: 04/07/2000
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DD -01000
SITE ADDRESS: 13935 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
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: 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: $ 40,000.00
Remarks: Construction of 20' high freestanding sign.
•
Owner: Contractor:
VILLAGE BUILDERS 98LP ES + A SIGN + AWNING
121 SPEAR ST 1210 OAKPATCH ROAD
SAN FRANCISCO, CA 94105 EUGENE, OR 97402
Phone: 414- 546 -9373 Phone: 541 - 485 -5546
Reg #: SIC Q0111286
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PRMT DEB 03/16/200C $50.00 0000728 Foot/Found Insp
Final Inspection
. 5PCT DEB 03/16/200C $4.00 0000728
PLCK DEB 03/16/200C $32.50 0000728
5PCT GEO 04/07/200C $25.12 0001267
(additional fees not listed here) ORGN A L
Total $775.32
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 rrri itee
Signature: Oir
Issued By ��
Call 639 -4175 by 7 p.m. for an inspection the next business day
TIGARD Commercial Building Permit Application Plan Check #, �� IIIFF
SW HALL BLVD. New Constructipn and Additions Recd By , - _40
IGARD, OR 97223 Date Recd 2 — ✓ -/
Date to P.E. - ,9. y -oP
(503) 6394171 Date to DSkk Vet ? � Ib +
Print or Type Permit# Vet (co
Incomplete or illegible applications will not be accepted Related SW
.
Called / —t'P — 2 -a 9 4
Name of Development/Project
Job Existing Building ❑ New Building ❑
Address Street Address I Suite
Sub PACIFIC-141 Building
Bldg # City /State Zip Data
16412.D / 012. Existing Use of Building or Property:
Name
Property VILLAGe Bottas ¶St-P
Owner Mailing Address Suite Proposed Use of Building or Property:
121 SPA 2-SO
City/State Zip Phone No. Of Stories:
3P0J FNGd.Sco, CA c4'Ic 41 -1 -937?
Occupant Name Sq. Ft. Of Project:
Name Occupancy Class(es)
Contractor ES4 A G46 I1 N IIJC/ u.i.„/
Prior to permit Mailing Address Suite Type(s) of Construction
is o ante all lic, n a co ses py 193 sl) I
of FI� 9 ,
f en
are required if City/State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. Yes ❑ No ❑
database T0/1/41&TN) DR_ 910 (32_ 5030- 0-1 -(4 Americans with Disabilities Act (ADA)
Oregon Const. Cont. Board Lic.# Exp. Date
1112QSco 211210 9 Valuation X 25% = $ Participation
Complete Accessibility Form
Name Project $ fti
Architect Valuation Orr v
Mailing Address Suite I ,1c�,-
"0 (lD
Plans Required: Se atrix for number of sets to submit
City/State Zip Phone on back
Engineer Name 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
Mailing Address Suite
. :. submitted are in compliance with Oregon State. Laws.
Signatu • • of 0 -‘-,/ • • / Date
City/State Zip Phone / ; � 2111 /CO
• - act Pig" e Phone
Indicate of r p �, , , ��[ �-7
type o work: NewX Addition 0 Demolition 0 503- I o-1 I
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other o FOR OFFICE USE ONLY
Description of work: qq ` Map/TL# Land Us g •
5(11\1 1 t srik to 1 (O 1 4 Notes: �
•
Parks: Estimated # of Employees
TIF:
If the above figure is not supplied at the time of application, the city will
calculate the fee based upon the number of parking spaces. �1
Note: Site Work Permit Application must precede or accompany Building a #Y # 4) 3-7-5 3 ? " ?
2i 4
Permit Application n f t Li) 5 —0 0 l• —vw
is \dsts \forms \comnew.doc 5/10/99 V791C G •5 1••
1
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
pohing000101#400:§:44g6. flOgo#:#1401.041fit.p)TtfrogiiiiliMpi.,41..ditl.6044ETO.vil
00011040.66 ::;:::::for an electncal submttaI, the apphcation must contain the
ogw4qtpiotlop:ip
After plan revtew approval, PIan Examiner will ccntact t he apphcant to request
adthtional plan sets for distribution purposes (Copy for Contractor City,
Washingtont poOptygmg§tomallesoFtrotiggggpoy::
1111111.111111
• •• I • Submitted
KEY:
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
tar&MNORAIRME101:11:11:11111111001:11:::
NOTES:
I: \dsts Vormskmatrxcom.doc 10/30/98