Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00021
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2014
T[C�A R D g Parcel: 1 S 134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Installation of(1)75 sq ft wall sign.
Contractor: SECURITY SIGNS INC Owner: FW OR-GREENWAY TOWN CENTER LLC
2424 SE HOLGATE BLVD PO BOX 790830
PORTLAND, OR 97202 SAN ANTONIO,TX 78279
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: Permit Fee-Additions,Alterations, 02/04/2014 $119.33
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 02/04/2014 $14.32
Dwelling Units: 0 Plan Review 02/04/2014 $77.56
Stories: 0 Height: 0 It Info Process/Archiving-Sm$0.50(up to 02/04/2014 $2.00
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 $213.21
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
' 5
Issued By: as+ " - ittee Signature:
al 9.4175 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 Applicatio RE D
cEnic
Commercial V FOR OFFICE USE ONLY
City of Tigard JAN 2 7 2014 Received / /�r��� 4i/ 9 /e/ /
• Y g DateB . ! /► / Permit No.: Y r06p a
13125 SW Hall Blvd.,Tigard,OR 97223
111111 11 g Plan Rev•w� �
Phone: 503.718.2439 Fax: 503.598.Q pF TIGARD Date/13 : ' G��..�p Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Rea Sr.- Juri.: ® See Page 2 for
Internet: www.tigard-or.gov Notified/method:A/3/�kt .I J Supplemental Information
h.k-e. Lafit_c—fie(
111111111F TYPE OF WORK
REQUIRED DATA 1-AND 2-FAMILY DWELLING n
®New construction ❑Demolition Permit fees*are based on the value of the work performed. V
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the t
CATEGORY OF CONSTRUCTION 4111111.011, work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building ❑Multi-family
Number of bedrooms:
C1 Master builder ❑Other: Number of bathrooms: l
JOB SITE INFORMATIION AND LOCATION Total number of floors: Q
Job site address: 1 Z2.21'P.. „0 CC \,�_Q: CS New dwelling area: square feet Q
rI
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: s ` ■ y r e_cer ,.,/S Covered porch area: square feet N
Cross street/directions to job site: �1� Deck area: square feet 4.
Other structure area: square feet 1:i
REQUIRED DATA:COMMERCIAL-USE CHECKLIST a
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. h
Indicate the value(rounded to the nearest dollar)of all U
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. N.
�M/1 16�;cAn _(� -7 Valuation: $ L•
�``� ` ( �1 Existing building area: square 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
Total fees due upon application:
City/State/ZIP:Portland OR 97202
Phone:(503)546.7114 Fax::(503)230.1861 '
Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:Melissa @SecuritySigns.com ,
CONTRACTOR Commercial and residential prescriptive installation of
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 lie.:122809 Total fee due upon application: $201.60
Authorized signature: - 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.
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12220 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
May 6, 2014 at 2:42:58 PM
BUP2014-00021
Chip Barnett
Violation Summary:
Inspector Contractor