Permit y q CITY OF TIGARD BUILDING PERMIT
11 COMMUNITY DEVELOPMENT Permit#: BUP2014-00150
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2014
Parcel: 2S101AC00800
Jurisdiction: TIGARD
Site address: 7148 SW GONZAGA ST
Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14
Project Description: Installing(2)2 ft.by 12.5 ft.sets of non-illuminated flat cut out letters on awnings.
Contractor: VANCOUVER SIGN COMPANY INC Owner: ROGERS, ROY R
2600 NE ANDRESEN RD#50 13690 SW TWELVE OAKS CT
VANCOUVER,WA 98661 TIGARD,OR 97224
PHONE: 360-693-4773 PHONE:
FAX: 360-693-2747
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee-Additions,Alterations, 07/15/2014 $119.33
Demolition
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Building 07/15/2014 $14.32
Dwelling Units: 0 Plan Review 07/15/2014 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/15/2014 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,300
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- AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 or 1.800.332.23• .
Issue By: `� Adr Permittee Signature: /
IIII
.4.-Call 503.639.4175 by 7:00 a.m.for the next available Inspection•ate.
This permit card shall be kept in a conspicuous place on the job site until co Option of the project.
Approved plans are required on the job site at the time of each spection.
Building Permit Application � �1ID FOR OFFICE USE ONLY
City of Tigard 1` /B
,....4„, Permit No.:jr4 /.._• `" .00
i ' 13125 SW Hall Blvd.,Tigard,OR 97 3 Plan Review-►
DateB imici yr other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 b' 114 •
Inspection Line: 503.639.4175 , Date Ready :y: 63 See Attached Checklist for
1IGARI) �+ '-1
Internet: www.tigard-or.gov ���', Notified/Method: 71 i ,'r Supplemental Information
�,�TllO _ V 0 ("MIN
TYPE OF W I DVkl REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction • D-molition 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 111.1111M1 work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial
Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7148 SW Gonzaga Street New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:The Adrienne Covered porch area: square feet
Cross street/directions to job site: 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 =MI= work indicated on this application.
g Q 17- x l 3 5 . .. Valuation: $2300
2 set of FCO letters on awnings
a a - X 14_5 . Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:The Adrienne Type of construction:
Address:7148 SW Gonzaga Street Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing:
Phone:( ) Fax:( ) New:
LI APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:Vancouver Sign Co All contractors and subcontractors are required to be
Contact name:Reid Storm licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2600 NE Andresen Rd#50 jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)6934773 Fax::(360)6932747
E-mail:reids @vansignco.com
CONTRACTOR
Business name: Vancouver Sign Co BUILDING PERMIT FEES*
Address:2600 NE Andresen Rd#50 (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:Vancouver WA 98661
FLS plan review fee(if applicable):
Phone:(360)6934773 Fax:(360)6932747 `[ � �/
CCB lic.:63951
Total fees due upon application: /�
Amount received:
Authorized signature:
gij
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Reid Storm l Daie: * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permtts\BUP-PermitApp.doc 03/21/06 440-4613T(l1/02/COM/WEB)
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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
7148 SW GONZAGA ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00150
Chip Barnett
Violation Summary:
Inspector Contractor