Permit q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00030
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2014
Parcel: 1 S 136DCO2504
Jurisdiction: Tigard
Site address: 7301 SW DARTMOUTH ST
Project: Lumber Liquidators Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Installation of(1)wall sign.
Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: AMERICAN INDUSTRIES INC
1625 WASHINGTON ST 1750 NW FRONT AVE STE#106
OREGON CITY,OR 97045 PORTLAND, OR 97209
PHONE: 503-655-2610 PHONE:
FAX: 503-980-7919
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 02/12/2014 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 02/12/2014 $14.32
Dwelling Units: 0 Plan Review 02/12/2014 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 02/12/2014 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,310
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. > = • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 001-0010 through 0 - 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8';.332.2344.
1
ssued By: I ! Permittee Signature: i�1
Call 503.639.4175 by 7:00 a.m.for the next availabl. spection date.
This permit card shall be kept in a conspicuous place on the job until completion o e p Oct
Approved plans are required on the job site at the tim .f each Inspection
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Received
City of Tigard Re eiv ��� Permit No.: ,1 1� (�� •
IN 13125 SW Hall Blvd.,Tigard,OR 97.2
a Plan Revue
ti Phone: 503.639.4171 Fax: 503.59 r' I 1 1 2014 DateB :AJai! IJ1W Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Rea7i/:y: � Juris: ee Page for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. �y Supplemental Information
B WING DIVISION, ;:, cc�c,, !r C ) .
TYPE ORK REQUIHIED DATA I-AND 2-FAMILY DWELL[ IU` £o:
®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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
7voi JOB Sll'E INFORMATION AND LOCATION Total number of floors:
Job site address:j V Darthmouth St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Lumber Liquidators Covered porch area: square feet
Cross street/directions to job site:same parking lot as Tigard WINCO Deck area: square feet
Other structure area: square feet
REQUIRED DATA:.COMMERCIALA SE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
Install(1)illuminated wall sign Valuation: $$2,310.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name:Luber Liquidators Type of construction:
Address:7500 SW Darthmouth St Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT CONTACT PERSON NOTICE
Business name:Rudnick Electric Signs,LLC All contractors and subcontractors are required to be
Contact name:Steven Rudnick licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1625 Washington St jurisdiction in which work is being performed.If the
City/State/ZIP:Oregon City,OR 97045 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)655.2610 Fax::(503)980.7919
E-mail:steve @rudnickelectricsigns.com
CONTRACTOR
Business name:Rudnick Electric Si LLC
Signs, BUILDING PERMIT FEE xEt
keit
Address:1625 Washington St fr~fr }
City/State/ZIP:Oregon City,OR 97045 Structural plan review fee(or deposit):
Phone:(503)655.2610 Fax:(503)980.7919 FLS plan review fee(if applicable):
CCB lie.:186588 Total fees due upon application:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Steven Rudnick Date:02 OS-14' within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)