Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit #: BUP2012 -00088
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/10/2012
Parcel: 2S112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Project: Gerber Blades Subdivision: MILLMONT PARK Lot: 49
Project Description: Adding an 81 square foot sign cabinet to an existing freestanding sign.
Contractor: VANCOUVER SIGN COMPANY INC Owner: GERBER LEGENDARY BLADES
2600 NE ANDRESEN RD #50 14200 SW 72ND AVE
VANCOUVER, WA 98661 PORTLAND, OR 97223
PHONE: 360 - 693 -4773 PHONE:
FAX: 360 - 693 -2747
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 05/10/2012 $180.17
Class of Work: OTR Demolition
Dwelling Units: 0 12% State Surcharge - Building 05/10/2012 $21.62
Stories: 0 Height: 34 ft Plan Review 05/01/2012 $117.11
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 05/10/2012 $2.00
Value: $6,200 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $320.90
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 180
days. NTION: • =gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 -0010 through OA 95 10 , 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1. • , 0.332 ■• • .
I , ,
Issue By: i • � ' � � Permittee Signature: ,
Call 503.639.4176 by 7 :00 a.m. for the next available Inspectio date.
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.
����,Pin/2 --e
Building Permit Application RECEIVE I- FOR OFFICE USE ONLY
City of Tigard eceve id Permit No.: �'
114 13125 SW Hall Blvd., Tigard, OR 97223 M - 1 2012 Plan R : 5 �'.i �uP. � ,
a : Phone: 503.639.4171 Fax: 503.598.1960 Plan Review t�
Date/B : j�
T 1 G n K D Inspection Line: 503.639 CITY OF TIGA^ Date Ready /B : 1uris: ® See Attached Checklist for
Internet: www.tigard- or.gov t Noti fied/Method: Supplemental Information
BUILDING DIVISIO
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
iaNew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
j a.Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling tg Commercial/industrial Valuation: $
1:1 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: /41 ZOO 5 J 7 2 N 0 A V E New dwelling area: square feet
City / State/ZIP: ;0 ,,, 4, 0 R / 7 Z'ZL -I Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: 6t✓i 6P4 a la d 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.
P zS I t Z/� 003 p p R S �� g 33 Indicate the value (rounded to the nearest dollar) of all
Tax ma / P arc no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
(� Valuation: (ZOO
$
AIL Y( a rr S I 51 YI C ; Ive.t -a? O 0.1)
t'6 e,e,Si'OI,YI i t 5 tq el
building area: square feet
� J New building area: square feet
❑ PROPERTY OWNER I fff TENANT Number of stories:
Name: Ge vbeA 3ta1s Type of construction:
Address: ) f zoo s W l z.A O Av E Occupancy groups:
City /State/ZIP: T; OR q 72.1/-1 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT El CONTACT PERSON
NOTICE
Business name: Vancouver Sign Co All contractors and subcontractors are required to be
Contact name: R 50i, lYl licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: Zc OG NE A nc,tr erg. toy), # S(') jurisdiction in which work is being performed. If the
City / State/ZIP: Vancouver WA /SG applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 6934773 Fax: : (360) 6932747
E -mail: ( lets., ■IcuYL51cAYLGO , C,FI yI
(
CONTRACTOR
Business name: Vancouver Sign Co BUILDING PERMIT FEES*
Address: 2.600 NE A Ad, - 'sue (Please refer to fee schedule)
City /State/ZIP: Vancouver WA 9 ( 1, (o(o Structural plan review fee (or deposit):
Phone: (360) 6934773 I Fax: (360) 6932747 FLS plan review fee (if applicable):
CCB lie.: 63951 Total fees due upon application:
//
i
/f7 .
Authorized signature Amount received: This permit application expires if a permit is not obtained
e within 180 days after it has been accepted as complete.
Print name: R P. d, J to r fY2 I Date: * Fee methodology set by Tri- County Building Industry
Service Board.
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