Permit CITY OF TIGARD BUILDING PERMIT el
I 11 • COMMUNITY DEVELOPMENT Permit#: BUP2014-00136
T IGA.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2014
Parcel: 1 S126BC01500
Jurisdiction: Tigard
Site address: 9000 SW WASHINGTON SQUARE RD
Project: Embassy Suites Subdivision:CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: New wall sign,approximately 243 square feet,located on the north facing wall at 9000 SW Washington Square
Road.
Contractor: INTEGRITY SIGNS OREGON Owner: FO PORTLAND PROPERTY LLC
PO BOX 88 BY WINSTON HARTON HOLDINGS LLC
HUBBARD,OR 97032 745 FIFTH AVE 33RD FL
NEW YORK CITY, NY 10151
PHONE: 503-981-3743 PHONE:
FAX: 503-982-8153
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 06/10/2014 $77.00
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 06/10/2014 $9.24
Dwelling Units: 0 Plan Review 06/10/2014 $50.05
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/10/2014 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $137.79
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. A • ••. ! _,•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-r -0010 through OA- 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin• • 232.1987 or 1.800.332.2344.
Is ed By: Permittee Signature:
--- ��0,4..�(S/s r C.-✓tom
Call 503.639.4175 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
CommerciaEIGENED FOR OFFICE USE ONLY
Received
City of Tigard Permit . I- _.
Date/By: ,(Y/ f'k r O, 1 tk —4,
13125 SW Hall Blvd.,Tigard,OR 9 2 1 4 Plan Revi
■ •
Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 0 2(1 Date/By: ,S,'If mi(I7k A Other Permit:,;(g,/‘/ f .--aacep
T 1 C.A It 1) Inspection Line: 503.639.4175 Ar Date Ready/:y." Duns See Page 2 for
Internet: www.tigard-or.gov ��1�T Notified/Method: - Supplemental Information
TYPE OF VN�Ii��V, ��� REQUIRED DATA: 1-AND 2-FAMILY DWELLING
❑New construction El 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: 51 b/0 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El 1-and 2-family dwelling Commercial/industrial
I=1 Accessory building ❑Multi-family Number of bedrooms:
ID Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9 CLOD tD 1 J si in ,,,,z, New dwelling area: square feet
City/State/ZIP: --t-I 1 6, Y 02__.02__. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:E 55.Sul-6� Covered porch area: square feet
Cross street/directions to job site: .lJ 4+l° LE Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Valuation: $ 1, .UQ h t n 1.) Q_( s j C a i .a a 44.0 - 4?3.J..)
0.41 ,t — _ Q� k) Ex
isting building area:
square feet
New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories:
Name: C WV.hQ1lp C i--, J
0 ±- �ta Type of construction:
n:
Address: (a)t ►1 0 I t k ^-, 1 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
PPLICANT _. CONTACT PERSON BUILDING PERMIT FEES*
Business name:\1O( .t ems•, r 4 s n S �� review fee rode posit):schedule)
"'`v� Structural plan review fee(or deposit):
Contact name:......... 1 p rt¢
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application: ,.j-'-7, 71
Amount received:
Phone:(5?)3) �j Cl 6 1 --3-74 3 Fax: :( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: N c���S Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: f,D . day VV Solar Installation Specialty Code checklist.
�I /r` Permit fee(includes plan review
City/State/ZIP: ly fJ � , - 0'3 01 and administrative fees): $180.00
Phone: l y
..3 7[�3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: n4.1 SS Total fee due upon application: $201.60
Authorized signatur . This permit application expires if a permit is not obtained
l� within 180 days after it has been accepted as complete.
Print name: / Date: / * Fee methodology set by Tri-County Building Industry
//Q� art (/mss !O///� Service Board. a`'
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
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