Permit CITY OF TIGARD BUILDING PERMIT
t.' COMMUNITY DEVELOPMENT Permit#: BUP2013-00244
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2013
Parcel: 1S135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY 121
Project: Archers Afield Subdivision: METZGER ACRE TRACTS Lot: 9
Project Description: Installation of(1)wall sign,approx.28 sq ft and 65 lbs.
Contractor: SIGNCRAFT ELECTRICAL ADVERTISING LLC Owner: COMMERCIAL ENTERPRISES LLC
8900 SW BURNHAM, E109 8320 NW HWY 99
TIGARD,OR 97223 VANCOUVER,WA 98665
PHONE: 503-639-4910 PHONE:
FAX: 503-639-4999
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-COM-New Construction 10/08/2013 $123.72
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/08/2013 $14.85
Dwelling Units: 0 Plan Review 10/08/2013 $80.42
Info Process/Archiving-Sm$0.50(up to 10/08/2013 $0.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $4,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $219.49
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 through 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.
Issued By:l/• Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available itte4re Ion 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 RECEIVED FOR OFFICE USE 0��1.Y
City of Tigard Received . Permit No.: C96/5-1,a24/41
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:l O
Phone: 503.718.2439 Fax: 503.598.1960 OCT 3 2013 Date/By: `' /0 7 13 Other Permit:a2 /0 42,/
Inspection Line: 503.639.4175 Date Ready:y: Juris: 65 See Page 2
IIC;HRLi 2 g for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Me od:�D/tr �j #(7,(//
�I Supplemental Information
s'i, L`D !!"99IV�) 1� �
TYPE OF WO 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.
❑ I-and 2-family dwelling Z Commercial/industrial Valuation: $ _4 00
❑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: 11945 S.W.Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 121 Project name:Archers Afield Covered porch area: square feet
Cross street/directions to job site:Tigard Plaza Shopping Center 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. _
Manufacture and install 1 electric wall sign. Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Tigard Plaza LLC. Type of construction:
Address: 11945 S.W.Pacific Hwy Occupancy groups:
City/State/ZIP:Tigard,Or 97223 Existing:
Phone:(503)746-5324 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Archers Afield (Pleaserejerl°jeeschedul�
Structural plan review fee(or deposit):
Contact name:Jim Kneeland
FLS plan review fee(if applicable):
Address: 11945 S.W.Pacific Hwy ste.121
Total fees due upon application:
City/State/ZIP:Tigard,Or 97223
Phone:(503)639-3553 Fax::( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Signcraft Electrical Advertising LLC. Submit two( sets of roof plan with co •ection details
and fire dep. :It access,along wi • the 2010 Oregon
Address:8900 s.w.Burnham RD.STE.E109 Solar Installation •• 'alty Code • ecklist.
City/State/ZIP:Tigard,Or 97223 Permit fee(include . •- review
and adminis •.tive -_ • $180.00
Phone:(503)639-4910 �4y/ Fax:(503)620-9568 State surcharge(12°/of permit fee): ) $21.60
CCB lie.: 155420 !' -
Total fee due upon application: $201.60
Authorized signature:j 1 A14\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: OY` - ti% V Date: 10 —a- * Fee methodology set by Tri-County Building Industry
` 4 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)