Permit CITY OF TIGARD BUILDING PERMIT
4. 14
s ' COMMUNITY DEVELOPMENT Permit #: BUP2013 00276
13125 SW Hall B lvd., Tigard OR 97223 503.718.2439 Date Issued: 12/12/2013
T[ c r\ I7 D 9 Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10350 SW GREENBURG RD
Project: Gustav's Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Installing (2) illuminated wall signs to replace existing wall signs.
Contractor: E S & A SIGN & AWNING Owner: LINCOLN CENTER LLC
89975 PRAIRIE RD BY SHORENSTEIN PROPERTIES LLC
EUGENE, OR 97402 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
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: Permit Fee - Additions, Alterations, 12/12/2013 $210.59
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 12/12/2013 $25.27
Dwelling Units: 0 Plan Review 11/06/2013 $136.88
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/12/2013 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $8,300
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $374.74
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. • 2.1987 or 1.800.332.2344.
Issued By: - - 'Pee Signature:
it If . ul'•■ •175 by 7:00 a.m. for the next available ins • • • date.
This permit card shall be kept in a conspicuous place on the job site u mpletion of tae r roject.
Approved plans are required on the job site at the time of . inspection.
Building Permit Application
Commercial RECEIVED r r —
FOR OFFICE USE ONL •
City of Tigard Received
`J Permit No.
13125 SW Hall Blvd., Tigard, OR 97223 6 q DateB, I 6.,47 / 3 _ UC A.7 �
= Phone: 503.718.2439 Fax 503.598.1960 NOV V 2013 Plan Review j .
Date/B 4,1k9... . � , Other Permit r __-. - r )
TIGARD Inspection Line. 503.639.4175 Date Ready By / or El See Page 2 for
Internet: tvww.tigard or.gov CITY OF TIGARD Notified/Method: II / 01 , - Supplemental Information
• . . .v, - 6>r jtNtl
TYPE OF ' , • 1 _ • RLQUIR I)1'FA: I- AND 2 -F MIL% DNA k LUNG
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. —
Indicate the value (rounded to the nearest dollar) of all
N Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGOKI OF ('t) \5'i'RU('1ION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwcllinrt ® Commercial/industrial
Accessory buildint: Number of bedrooms:
❑ ry ❑ Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
l013 SlIE 1'`tOR:111FION YN) LOCATION I Total number of floors:
Job site address: 10350 SW Greenhorn Rd New dwelling area: square feet
City'State /ZIP: Portland /OR/97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Gustav's Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RF.QUIRFD D %1'A CO sI IF RCIAI,- :SF ('III Chi IS I
Subdivision: f 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
Dt:SCK1PI ION OF WORK work indicated on this application.
Install (2) illuminated wall signs to replace existing wall signs on South Valuation: $$8,300.00
and East elevations Existing building area: square feet
New building area: square feet
0 PROPrlft l OWNER ❑ FEN tN7 Number of stories:
Name: Guten Foods, time Type of construction:
Address: PO Box 13068 Occupancy groups:
City /State/ZIP: Portland /O11/97213 Existing:
Phone: (503)249 -0507 l Fax: ( ) New:
0 AP1'I IC ‘NT 0 CON'f AC7 Pi.RSON r
Bl ILllIN(, I ER1117 Ft l! S
Business name: ES &.\ Sign & Awnign
{Please refer so lee .rhedule)
Structural plan review fee (or deposit):
Contact name: Jenny Oberst _,
FLS plan review fee (if applicable):
Address: 89975 Prairie Rd _
- City /State/ZIP: Eugene /OR/97402
Total fees due upon application:
Phone: (541) 868 -2389 Fax:: (541) 485 -5813 Amount received:
E -mail: joberstCesusigns.com PITO TAI( SOL.AK P-NLL St57111 errs"
( ON! RA( FOR
Commercial and residential prescriptive installation of
roof -top mounted Photovoltaic Solar Panel System.
Business name: ES&.1 Sign & Awning Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 89975 Prairie Rd Solar Installation S. •cia /tv Code checklist.
City /State /ZIP: Eugene /O R/97402 Permit fee (includes plan review
$180.00
and administrative fees):
Phone: (541) 485 -5546 Fax: (541) 485-5813 State surcharge (12% of permit fee): ' $21.60
CCR lie.: 163470
Total tee due upon application: $201.60
Authorized signature: , di/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
.. i Date: 11/5/13 methodology by Y Building Print name: Jenny Oberst' "ice methodolo set b fri -Count fluildin Industry
Service Board.
t: \Building \Permits \13U1' -C � PermitApp.doc 02/242011 440- 4613T(1 t /02 /COWWEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard ECEIVE Date/B ived
: / Ir i/." rl• Permit No.: _ 3_ 4,
• 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review " �. t
3 `
Phone: 503.718.2439 Fax: 503.598.1 Date/By: Permit: S l3- U� I - 3 /
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov 4 `t013 Notified/Method: --a(9 Supplemental Information
TYPE OF WORK NOV V PLAN REVIEW
❑ New construction ® Addition /alterati r�y]r (aceirien T AIZD Please check all that apply (submit 2 sets of plans w /items checked below):
B U �� .DING DIVISION 0 Service or feeder 400 amps or more 0 Building over three stories.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 and 2 family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "l -2 ", "l -3 ",
Job no.: Job site address: 10350 SW Greenburg Rd 10OHPormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Portland /OR/97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Gustav's ❑ Service or feeder 600 amps or more.
job site: FEE SCHEDULE
Cross street/directions to
J Description I Qty. I Fee. I Total 1 •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
Install (2) Illuminated Wall signs to replace existing wall signs on South residential (with above sq. ft.)
Renewable Energy ❑ See Page 2
& East elevations Services or feeders installation, alteration, and /or relocation
® PROPERTY OWNER J ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Guten Foods, Inc 401 amps to 600 amps 200.34 2
Address: PO Box 13068 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State /ZIP: Portland /OR/97213 Temporary services or feeders installation, alteration, and/or
Phone: (503)249 -0507 Fax: ( ) relocation
200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
® APPLICANT ® CONTACT PERSON A. Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: ES &A Sign & Awning each branch circuit
B. Fee for branch circuits without
Contact name: Jenny Oberst service or feeder fee, first 56.18 2
branch circuit
Address: 89975 Prairie Rd Each add'I branch circuit 7.42 2
City/State /ZIP: Eugene /OR/97402 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: (541) 868 - 2389 Fax: : (541) 485 - 5813 dwelling, service and/or feeder
Reconnect only 67.84 2
E -mail: joberst @esasigns.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 2 67.84 135.68 2
Business name: ES &A Sign & Awning Signal circuit(s) or limited- energy See
panel, alteration, or extension. Page 2 2
Address: 89975 Prairie Rd Each additional inspection over allowable in any of the above
City/State /ZIP: Eugene /OR/97402 Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
Phone: (541) 485 - 5546 Fax: (541) 485 - 5813 Industrial plant (I hr min) 78.18/ hr
Inspections for which no fee is 90.00 / hr
CCB Lic.: 163470 Electrical Lie.:: CL Suprv. Lic.: 514 - SIG specifically listed (/z hr min)
Suprv. Electrician signature, required: N.( -� / �, ELECTRICAL PERMIT FEES
Subtotal: 135.68
Print name: Gordy Roseboro Date: 10/28/13
Plan review (25% of permit fee):
State surcharge (12% of permit fee): 16.28 ✓
Authorized signature: TOTAL PERMIT FEE: 151.96
This permit application expires if a permit is not obtained within 180
Print name: Jenny Oberst Date: 10/28/13 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: \ Building\ Permits \ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440- 4615T(11 /05 /COM/WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10350 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
2014-01-16 00:00:00
BUP2013-00276
PASS - No C of O
Violation Summary:
Inspector Contractor