Permit CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT Permit #: BUP2013 -00036
E GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/06/2013
Parcel: 2S 110DC00500
Jurisdiction: TIGARD
Site address: 11455 SW SUMMERFIELD DR
Project: Kona Kids Subdivision: WILLOW- BROOK -FARM Lot: 17
Project Description: Install 5 illuminated signs and one (1) set FCO aluminum letters
- Contractor: E S & A SIGN & AWNING Owner: CDBK PROPERTIES LLC
89975 PRAIRIE RD 11565 SW DURHAM RD BLDG F 100
EUGENE, OR 97402 TIGARD, OR 97224
PHONE: 541 - 485 -5546 PHONE:
FAX: 541 - 485 -5813
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee - Additions, Alterations, 03/06/2013 $487.01
Demolition
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 03/06/2013 $58.44
Dwelling Units: 0 Plan Review 03/06/2013 $316.56
Stories: 0 Height: 0 ft Misc Administration Fee 03/06/2013 $34.00
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 03/06/2013 $9.50
Value: $27,168 - 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
•
Deck: 0
Garage: 0
Mezzanine: 0
Total $905.51
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 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. ENTION: Orego law r ' s you to follow the rules adopted by the Oregon Utility Notificatio Center. Those rules are set forth in OAR
95 01 -0010 through OAR 952- -0090. Y. • ay obtain a copy of the rules or direct questions to OUNC by calling 503 32.1987 .800.332.2344.
ssued By: // ,, Permittee Signature: (Or // f /, /-
Call 503.639.4175 by 7:00 a.m. for the next available inspection 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.
Building Permit Application
Commercial FIECFtVEO FOR OFFICE USE ONLY
City of Tigard Received a� I 3 I (PJ0' 3- /
Illq - Date /By: Permit No.: vp
° 13125 SW Hall Blvd., Tigard, OR 97223 FEB 1 3 2013 �.
Phone: 503.718.2439 Fax: 503.598.1960 Plan Revt v Date : Wag& 2t us Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY pFTIGARD Date Read / r � lur,s: ®See Page 2 for
Internet: www.Ii or.gov Notified /Method: :9 . 7 /2 YI (p Supplemental Information
BUILDING DIVISION Sp .ok ofr_eic...
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
❑ Addition/alteration/replacement ® Other: Sign Install equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I- and 2- family dwelling ® Commercial /industrial Valuation: S
❑ 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: 11455 SW Summerfield Drive New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Kona Kids Covered porch area: square feet
Cross streeUdirections to job site: Corner of SW Summerfield & SW Durham 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install five (5) illuminated signs and one (I) set FCO Aluminum letters Valuation: $$27,168.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: CDBK Properties, LLC Type of construction:
Address: 11565 SW Durham Rd., Bldg F, Suite 100 Occupancy groups:
City /State /ZIP: Tigard, OR 97219 Existing:
Phone: ( ) Fax: ( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ES &A Sign and Awning, Co. (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Kele Johnson
FLS plan review fee (if applicable):
Address: 89975 Prairie Road
Total fees due upon application:
City /State /ZIP: Eugene, OR 97402
Phone: (541) 485 - 5546 X331 Fax: : (541) 485 -5813 Amount received:
E -mail: kjohnson @esasigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: ES &A Sign and Awning, Co. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 89975 Prairie Road Solar installation Specialty Code checklist.
City /State /ZIP: Eugene, OR 97402 Permit fee (includes plan revie $180.00
and administrative fees):
Phone: (541) 485 -5546 Fax: (541) 485-581 State surcharge (12% of permit fee): $21.60
CCB lie.: 163470 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kele Johnson Date: 2/6/2012 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits\BUP - COM PermitApp.doc 02/24/2011 440- 4613T(I I/02 /COM/WEB)