Permit .. . i w
Ai CITY OF TIGARD BUILDING PERMIT
P ERMIT #: BUP2001 -00249
DEVELOPMENT SERVICES DATE ISSUED: 7/12/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AA -03100
SITE ADDRESS: 08635 SW SCOFFINS ST
SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD
BLOCK: LOT: 016 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: 5N : sf N: S: E: W:
OCCUPANCY GRai U2 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAM BASEMENT: sf AREA SEP. RATED:
STOR: HT: 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: $ 2,500.00
Remarks: 35 s.f. sign - Free Standing
Owner: Contractor:
AMERICAN LEGION POST 185 LUMINITE SIGNCRAFT INC
8635 SW SCOFFINS 9033 SW BURNHAM
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 503 - 639 -4910
Reg #: LAC 116449
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PLCK CTR 7/9/01 $46.87 27200100000 Foot/Found Insp
Final Inspection
FIRE CTR 7/9/01 $28.84 27200100000
PRMT CTR. 7/12/01 $72.10 27200100000
5PCT CTR 7/12/01 $5.77 27200100000
Total $153.58
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 -6699 or 1 -800- 332 -2344.
Penn ittee
Signature: ,,,,,,e j l
Issued By: -Z
Call 639 -4175 by 7 p.m. for an inspection the next business day
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IF: . .......__
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��11► Da tereceived. /1 " ' Permit no. 1) , a9a ' 1 L'
;. City of ° Citf Tigard 1
- -.. Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tig. d OR 9 3
. _ _
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type: —**°---
Land use approval: k.)4i)( 0015- l &2 family: Simple Complex:
TYPE OF PERMIT
r
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction CI Demolition '
0 Addition/alteration/replacement U Tenant improvement 0 Fire sprinkler /alarm CI Other: 4
JOB SITE INFORMATION
Job address: t 3 4j. . • .]ir� Bldg. no.: Suite no.: '
Lot: Block: Subdivision: Tax map /tax lot/account no.:`".,
Project name: i =' t L 10 ' OCj ., ,�'9
Description and location of work on premises/special conditions: --_ /UG1 ii 9 IV .-
.
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
k.
= - ( F loodplain . septic capacity', solar, etc.)
Mailing address: ��, — 1 & 2 family dwelling: �.y� r `� .
�( ��i Stater ZIP' Valuation of work $ 29 u - r
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: ` _ , / Total number of floors —
Phone• ' 1 !E„ E-mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (s r . ft.)
Phone: Fax: E -mail: Commerciallindustriallmulti- family: �.
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.) I
New bldg. area (sq. ft.) k -
Address r' � i' .,, Number of stories
Phone , - , • • [,= Type of construction
CCB no.: 11440) New:
group(s): Existing:
New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
INOSMEMIK- State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: AIIIIMIMEIMEMIM Date received:
__ State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and exami ed this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information-
attached checklist. All provi 'ons of 1. s •rdinances governing this 0 Visa 0 MasterCard
work will be compli =.amt` , • eth: i . 1. herein or n Credit card number: Expires
Athorzed signatu - tor, / � J, ,, Date: Name of cardholder as shown on credit card
Print name: C$n" Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (blVO/COM)
3,. •
34, IF
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
•
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
.Alt = ,Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
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