Permit CITY OF TIGARD BUILDING PERMIT
''1 I COMMUNITY DEVELOPMENT Permit#: BUP2014 00012
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2014
Parcel: 2S110DB01300
Jurisdiction: Tigard
Site address: 15298 SW ROYALTY PKWY
Project: EyeHealth Northwest Subdivision: 1996-010 PARTITION PLAT Lot: 2
Project Description: 3 ft.by 12 ft.wall sign.
Contractor: SECURITY SIGNS INC Owner: TIGARD INVESTMENT PROPERTIES LLC
2424 SE HOLGATE BLVD 11086 SE OAK ST
PORTLAND, OR 97202 MILWAUKIE, OR 97222
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 01/23/2014 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 01/23/2014 $14.32
Dwelling Units: 0 Plan Review 01/23/2014 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/23/2014 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,000 Misc Administration Fee 01/28/2014 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $216.71
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 — Permittee Signature:
�C�II •.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 _ ,•iris
Commercial ` FOR OFFICE USE ONLY
City of Tigard Received /
Date : M Permit No.: /`t , _ I L'(�
13125 SW Hall Blvd.,Tigard,OR t'V O'��` Date/B �L l / r r
1111 2
Phone: 503.718.2439 Fax: 503. 9 .t ��. / Other Permit:
TI GAR n Inspection Line: 503.639.4175 _`�1 rw�D 56\ Date Rea.y:y: y„ lurks: ® See Page 2 for
Internet: www.tigard-or.gov P. C `�O�`► Notified/Method: 1/A6/ Supplemental Information
V.TYPE OF WO ._ lik,QUIRED DATA:1-AND 2-FAMILY DWELLING,141111.111
❑D. ton Permit fees*are based on the value of the work performed.
®New construction i+
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: $
El Accessory building 12 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I S 798"
I" & '(ialAc I New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldgiapt.no.: Project name.9 f 1/4\* , Covered porch area: square feet
Cross street/directions to job site: J �l J 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 44 work indicated on this application.
O� Valuation: $
`�
Q Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT i 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
Total fees due upon application: oC�f
City/State/ZIP:Portland OR 97202 r -
Amount received:
Phone:(503)546.7114 Fax::(503)230.1861 a� , -7/
E-mail:Melissa @SecuritySigns.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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 lie.:122809
Total fee due upon application: $201.60
Authorized signatur441.— 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 Tri-County Building Industry
I Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
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SIGNS 4,4
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Health rlt r
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• ' . . • PROJECT MANAGER
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Dylan Martin
REMOVE&DISCARD CABINET II - I DESIGNER
..: 3'>';;. a .� I _ PROJECT NAME
�Mw , lam— —_
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K' Eye Health NW
/ 1 i --....,- 15298
.1 SW Royalty Parkway
'? .....,,.., Tigard Oregon
... .c 9224
711111.' .
``..4:..,
� ,.
-. - - - ' _ PAGE DESCRIPTION
.,7._J& r'+M. 4 *,:.,f N • 1. \ _„. .' Charnel Letters
Note:Verify All Dimensions '. s w..ar t ...
� ", .". � ; � Identification
Before Manufacturing
� REVISIONS
Coll•,2 rc'•.i,i iWGa.::.P•.osed Si rat ' "Logo,Health" Channel Wrap 12.139 13
""
I c See Letter to:Follow.. .. •Add 1r3 o
to: ................[ 1 Faces:3/16"White acrylic Face:3/16"White acrylic w/1st e,7,23,3
X V —. i 5", _____ pP aeiCr... m;:,=w::,
heel 3M 230 127
\ 142.125" surface a. .•.r Trim Cap:1"White Jewelite Intense Blue vinyl "e"
t
Permit Number. Ir +( •
�- Irl , l t, ` Returns:.040"aluminum,5'deep, Color:3M Intense Blue
�' h White
Ad. T` �� Trim Cap:1"White Jewelite
By: �i./� Date:
\ ' i Backs: aluminum,pre-coat
• N' r white Returns:.040"aluminum,5"deep,
, in�� J �'L . 1 k ii I White •• W•R••..`■1'� * Illumination:White LEDs
Backs:.040'aluminum,pre-coat p;,,� s, ,
NORTHWEST "Eye" white .,;. ,,,, "'
aa/ouSc N
Faces:3/16"White acrylic w/1st Illumination:White LEDs
surface applied 3M 230-127 ;;; 1).. �mo
-SY4 Intense Blue vinyl Raceway
7'
Approved plans APPROVALS
O Channel Letter Display Layout-33.68 Sq.Ft. 111 bed y�bbosite Color:3M Intense Blue Construction:8"deep,paint g
P Y Y 4� �, t1 lltrf JJ Ll" l TM Wall Client Signature
r Trim Cap:1'White Jewelite
Colors Channel Letters
Installation Landlord Signature
Health White Acrylic Illuminated Returns:.040"aluminum,5"deep,
Manufacture and install(1)one set of internally illuminated White Wall Type:dryvit over plywood and studs DATE 12/23/13
3M Intense Blue 230-127 channel letters on raceway 1 of 2
W E 8 T ■ Backs:.040'aluminum,pre-coat Mounting:3/8"lag bolts through top PAGE
PTM Fascia,verify color Scope:Remove and discard existing wall sign. white raceway into studs,32"on center
Alternate View-Night Shot DRAWING a
Illumination:White LEDs Transformers:Raceway mounted,120v 13-AM277r2
I
-30#S 0ai&e-Pe•✓ 2112-(ner6'
OFFICE COPY
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
15298 SW ROYALTY PKWY, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
2014-03-24 (null)
BUP2014-00012
PASS - No C of O
Violation Summary:
Inspector Contractor