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Permit
CITY OF TIGARD BUILDING PERMIT e • COMMUNITY DEVELOPMENT Permit #: BUP2013 -00154 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/03/2013 Parcel: 2S 101 DA00101 Jurisdiction: TIGARD Site address: 13190 SW 68TH PKWY 200 Project: In Focus Subdivision: VARNS ACRES Lot: 9 Project Description: Installation of illuminated wall sign, 12' x 2.5'. Contractor: SECURITY SIGNS INC Owner: PACIFIC NW PROPERTIES LIMITED PA 2424 SE HOLGATE BLVD STERN FAMILY LIMITED PARTNERSHIP PORTLAND, OR 97202 STERN, HELEN R REVOCABLE TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 • PHONE: 503 - 546 -7114 PHONE: FAX: 503 - 230 -1861 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Other Permit Fee - COM - New Construction 07/03/2013 $112.96 Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 07/03/2013 $13.56 Dwelling Units: 0 Plan Review 07/03/2013 $73.42 Info Process /Archiving - Sm $0.50 (up to 07/03/2013 $0.50 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $3,500 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $200.44 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. 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 throueh OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Iss d By: ' i � 4 _, Perm ittee Signa , ' Call 503.639.4175 by 7:00 a.m. for the next available inspectio • • ate. This permit card shall be kept in a conspicuous place on the job site unti completion of the project Approved plans are required on the Job site at the time of each Inspection. Building Permit Application Commercial - � � FOR OFFICE USE ONLY City of Tigard RECEIVED � D [ // Per No.: ,W017/3—'00/ ° 13125 SW Hall Blvd., Tigard, OR _ Phone: 503.718.2439 Fax: 503.598.1960 '' Date : Plan Revi ©® Other Permit: / / / �a!,� Annum T I G A R D Inspection Line: 503.639 JUN G 5 ^ ' 3 Date Ready t y: / lurks: 61 See Page 2 for L : : Internet: www.tigard or.gov Notified/Method: e Supplemental Information TYPE I#1i I J DIVISION 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: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial /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: / . ?J /.0 erle) / /aL Ah "11. New dwelling area: square feet City /State /ZIP: T , 0 Z 9 7 2 Z / / Garage/catport area: square feet ir Suite/bldg. /apt. no.: Project name: .... , 047 Cite, 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: 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. Valuation: $ 5, ' c 0 - . // /J //I! M /OA fe� Lv.I /f . T/rh, - J Existing building area: square feet *Mount Only* New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: Ap APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Security Signs Structural plan review fee (or deposit): Contact name: Melissa Hayden Address: 2424 SE Holgate Blvd FLS plan review fee (if applicable): City /State/ZIP: Portland OR 97202 Total fees due upon application: Phone: (503) 546.7114 Fax: : (503) 230.1861 Amount received: E -mail: Melissa @SecuritySigns.com ' HOTOVOLTAIC SOLAR PANEL SYSTE "' S* Commer . I and residential prescriptive I.: a lation of CONTRACTOR roof -top moun :' PhotoVoltaic Sol 'anel System. Business name: Security Signs Submit two (2) set : roof pla •tth connection details and fire department acce .. ong with the 2010 Oregon Address: 292V rE /ia®4>(-e- ,r/ Solar Installation Spec•• ty •.. checklist. City /State/ZIP: 447I41 -Ve-~e d 724P Z Permit fee " eludes plan re $180.00 . d administrative fees): Phone: ( 3 r1/6 7// S/ Fax: ( ) State : ircharge (12% of permit fee): $21.60 CCB tic.: 122809 Total fee due upon application: 01.60 Authorized signature: Th is permit application expires if a permit is not obtain within 180 days after it has been accepted as complete. Print name: Melissa Hayden Date: 6 /Zs� / * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /02/COM/WEB)