Permit C
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMEI
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Request Permit Action /... ?
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TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • w - Y.,ED
OCT 2 3 2013
TO: CITY OF TIGARD
Building Division Services Supervisor CITY OF TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 BUILDING DIVISION
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor fo City Staff
(check one)
REFUND OR Name: / i ,
INVOICE TO: (Business or Individual) o /a a a / L '- ! /► y /"�
Mailing Address: of ti 9. el a E rr
l ' CD C} -r /aLIIIj
City /State /Zip: \ofZ.T1_6 -,01J 02- C 17 3o2-
Phone No.: 503 - 5y4,-7! i 5!
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ✓):
13 CANCEL /VOID PERMIT APPLICATION.
REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
El INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
El REMOVE /REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit #: --- uP ao13 -co dLI 9
Site Address or Parcel #: 7 i Q Q . ,,,,-, , t,tQ. �o'
Project Name: e q ,31 ( k a ,J /-
Subdivision Name: Lot #:
EXPLANATION: LAD O 12.14.,„:1 nn ►3 o 7 - kt ou 1 � A P6 2H'r /g am
Hoc.,t �7 > ■oT 4/4 f,J 1 t H / 7re /00 y iFr%4,✓n
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Signature: C ac. , ,` ` ,..2, ‘ Date: (D /a-s / 3
Print Name: — T As6 .1 - 151 , I
Refund Policy
1. The Director or Building Official may authonze the refund of
a) any fee which was erroneously paid or collected.
b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use apphcation fee for issued permits.
d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended.
e) not more than 80% of the budding permit fee for issued permits pnor to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds.
FOR OFFICE USE ONLY
Rte to Sys Admin: Date Ac / -1, BT7 Rte to Bldg Admin: Date,6 /3 43 B i //4L
Refund Processed: Date /2/, j /3 By A Invoice Processed: Date By
Permit Canceled: Date / / 4'/ /3 By, Parcel Tag Added: Date By
Receipt # Date Method Amount $
I:\ Building \Forms \ReqPermitAction.doc Rev 05/25/2012
CITY OF TIGARD BUILDING PERMIT
111 ' COMMUNITY DEVELOPMENT Permit #: BUP2013 -00249
T E c A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/22/2013
Parcel: 25101 DCO3800
Jurisdiction: TIGARD
Site address: 7190 SW SANDBURG ST 10
Project: Spec Space Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: New frestanding monument sign, approximately 4.5' x 8', for Sandburg Center (McCormack Properties, LLC)
located at 7190 SW Sandburg Street.
Contractor: SECURITY SIGNS INC Owner: MCCORMACK PROPERTIES LP
2424 SE HOLGATE BLVD 7190 SW SANDBURG ST
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503 - 546 -7114 PHONE: 503 - 624 -4649
FAX: 503 - 230 -1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee - Additions, Alterations, 10/14/2013 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 10/14/2013 $14.32
Dwelling Units: 0 Plan Review 10/14/2013 $77.56
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 10/14/2013 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.71
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: Permittee Signature:
�' ' .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 /..2 3 i 3"
Commercial FOR OFFICE USE ONLY
City of Tigard RECE9IE • 'lied
- ■ 1312 SW Hall Blvd., Ti ard, OR 97223 OCT 7 2013 Plan Review : ( !Rio, r Permit No.: ����i 3 _ 00,41 g 1 . Plan Re ,
Phone: 503.718.2439 Fax: 503.598.1960 DateB : �(k /� Other Permit: (��i 3` UV-
Inspection Line: 503.639.4175 Date Ready : y: Juris: 3 See Page 2 for
TIGARD Internet: www.tigard- or.gov CITYOFTIGAR Notified/Method: l 0 2.„1 /3 err- TAG Supplemental Information
q $ I► $ . . , (.C.e V..1 )V%
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: equipment, materials, labor, overhead, and the profit for the
j am .> �n� 7,61 .: -9Mu
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwellin ® 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: —411+0 . `. 4 ae t r(� New dwelling area: square feet
City / State/ZIP: 1 V � N•• Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: �e i! 1V� ,\ �Q ` y.. ` o Covered porch area: square feet
Cross street/directions to job site: ���t ( 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.
M G Valuation: $ Q/S/yT+
l Existing building area: �� feet
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:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Security Signs
(Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Melissa Hayden
FLS plan review fee (if applicable):
Address: 2424 SE Holgate Blvd
City /State/ZIP: Portland OR 97202
Total fees due upon application:
Phone: (503) 546.7114 Fax: : (503) 230.1861
Amount received:
a, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: Melissa @SecuritySigns.com d.;.
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Security Signs Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City / State/ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 122809
Total fee due upon application: $201.60
Authorized signatur . This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Melissa Hayden Date: * Fee methodology set by Tn -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/ 24/2011 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD .
Approved .. c\-1
Cond itinnally Approved. [ ]
See Letter to: Fol low [ I ) c! � O
Exterior I Sandburg Center Monument Attached 6
Permit Number: 1 - WA+ 7410 1s.= - — , SECURITY
.e �� SIGNS
'- 2424 SE .+a y.n 6ou.vrd
$y. lice r)10,: OM 7jy° Portland 9 1702
.n
Approved plans ° �:: °m :n.,,K,
>hall be on job site.
;: '' :: r.n9a99
OFFICE COPY PROJECT MANAGER
'
Kevin Kaljo
. , + DESIGNER
• , l>: - - , _ • J. Fwd •
iiiiiiiii. 4a• .. PROJECT NAME
SANDBURG � VW
OS
O
CENTER OW 10ri. Q O
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JW LAW OFFICE
INDUSTRIAL PARTS j PAGE DESCRIPTION
_.n M c C O R M AC K Nr •' ^� Monument Display
�: NW PNE `"
�• PROPERTIES REVISIONS
BIOJECT _ •NA
f �� r
CARD COMPANY ..
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PLAN VIEW
APPROVALS
Client Signature
Landlord Signature
I DATE: 09/25/13
O S/F MONUMENT DISPLAY f PAGE * 1 OF 3
Scale: as noted
DRAWING 1:
13 -JF671
Exterior 1 Sandburg Center Monument Monument Displays O
Non - Illu minate d SECURITY
a nu rid
install one (1) S/F internally SIGNS
illuminated monument sign
3M White PSV line added
9 a2aE.Eya.aw...a
HACK VIEW OE SIGN- oT.. &Egon OM,
to back of monument
Main Structure 5 a. 501230180
PLAN VIEW �. c rr »... ....c.rsoxc.
Cabinet: ABC Type II extruded aluminum ,_�_
o cabinet painted Satin Black
CO in
- - - Retainer & Dividers: 1 1/2" ^a'•'`
Faces: .090 aluminum painted Satin Black PROJECT MANAGER
1 with 3M White 220 -10 and Geranium 220 -63
DESIGNER
J. Ford
Decorative Elements: fabricated decorative
radius ends painted Satin Black PROJECT NAME
le
9' -5 1/4' Note: add 3M White 220 -10 PSV line to the V y N
q _1 back of cabinet AC ty
1' -0" Z7-
6 .. /2' B . 0.. /z., • 6E 8 1/2" Pole Cover W O a w 0 . ii .5
Construction: fabricated aluminum with U0 tt 22
fabricated decorative radius ends textured faux finish d p
u
N S A N D B U R G painted Satin Black a°
n Installation FA �a
no C E N T E R • ABC Type II extruded aluminum
non - illuminted S/F cabinet with Install- Poured concrete footings check for
obstructions PAGE DESCRIPTION
1W LAW OFFICE X 11/2 "retainers and dividers, MonumartDisplay
v w paint sign Satin Black
' INDUSTRIAL PARTS Colors
kA CORMACK REVISIONS
N PROPERTIES NW PNEUMATICS .090 aluminum faces painted ■Satin Black 3M 220-10 pNA
Satin Black with 3M White & _ White
BIOJECT Geranium PSV graphics
Textured Faux 7M 220-63
CARD COMPANY Finish
I. G eran i um
-- fabricated aluminum base with
textured faux finish
OCapprall 1 . 2 I SIDE VIEW " �-e• a +"� ..r
SCALE: 1/2 -1E -0" 6.. .tw....
• 4" Schedule 40 pipe til .Ea.w
\ j concrete footing 2' -0"
\ square x 2' -6 "' Deep
l / / APPROVALS
`��— —f Client Signature
S/F MONUMENT DISPLAY
', SCALE: 1/2" = 1, Landlord Signature
DATE 09/25/13
O S/F MONUMENT DISPLAY PAGE •: 2 OF 3
Seale: as noted
DRAWING •:
13 -JF671
Site Plan 0
SECURITY
SIGNS
242.5E Holen.9o444434s—
Pe
503 232.41221a 503 2301861
a, �ryjE
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t+ .
I
. ,,, SIN San8t ur9 SI EMe�e'FC1M•
g "' ' • - PROJECT MANAGER
•
Row+ Kell*
• •3 DESIGNER
J. Ford
_ PROJECT NAME
� : I .6/ I I i I I I 1 I I ~ _ - •. NC m
rt Vtn
•
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1 t f �i;f I I „ 1 S I _ r �; - „ -- - �� ' Rr
... y . ' 4,-m— PAGE DESCRIPTION
W. • Site Plan
iW andburg St Tigard OR 97223 _
•
•.- r I > r. ----- • % a• REVISIONS
J11: • I
ig I 11113,4 5-
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p ` S I r..... I Nett n °` Corr.
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t . .� - . 1 ..-.. _ .. _ L I - -. _ _ -r,� APP .- .+e.+..w.w+ •
I Client Signature
Landlord Signature
f DATE : 09/25/13I
PAGE I 3 OF 3
DRAWING I
13 -JF671