Permit CITY OF TIGARD BUILDING PERMIT
Ill COMMUNITY DEVELOPMENT Permit#: BUP2014-00162
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2014
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Installation of(2)wall signs and(1)blade sign.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: BV CENTERCAL LLC
4243-A SE INTERNATIONAL WAY ATTN: FRED BRUNING
MILWAUKIE, OR 97222 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-653-1133 PHONE:
FAX: 503-659-9191
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations. 08/05/2014 $286.64
ype of Const: Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 08/05/2014 $34.40
Dwelling Units: 0 Plan Review 08/05/2014 $186.32
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/05/2014 $8.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $14,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $515.86
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 callin• 03.232.1987 or 1.800.332 2344.
Issued By: Permittee Signature: �� r 4
—
Call 75 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
Commercial RECEIVE') FOR OFFICE USE ONLY
City of Tigard Received
n DateBy: 7 ,-I /7 Permit No.:/6J) >/ -60 (i)
r 13125 SW Hall Blvd.,Tigard,OR 3 1 2014 Plan Review ,/ ,L�
1.1111 m Phone: 503.718.2439 Fax: 503. 60 Plan Re: C) / , other',emit:
TIGARD Inspection Line: 503.639.4175 FTIGARU DateReadyBy: Juris: ® See Page 2for
Internet: www.tigard-or.gov CITY 0 Al Notified/Method: ' /y ok�A Supplemental Information
WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
KNew 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 ❑ 1-and 2-family dwelling egiCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7331 SN spA 6 66 ro RI-- g_L , New dwelling area: square feet
City/State/ZIP: -r 16 im 0'- gill-4 4 Garage/carport area: square feet
Suite/bldg./apt.no.: 1-3 Project name: PI2'l di l Covered porch area: square feet
Cross street/directions to job site: 12-b• Deck area: square feet
Lo yr BOO a A Other structure area: square feet
S VJ R.1 D€E FO- 14 . REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: p?.-1 D G ep0 2-r V I1-- r1-6& Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2�j I 7j�GO ILO I 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.
Id S- isnA-- 91 W � S 1 6 N S .o.rD. Valuation: $ I� G�. '
1 B.i_ 6 L-s( ON � t y I s - fJ /_ Existing building area: square feet
I` /n� v f I� N �I New building area: square feet
Val IR PROPERTY OWNER ❑ TENANT Number of stories:
Name: ( r C Ai_ flail)0241 Type of construction:
Address: 1 L S S Ini 1 -i f■61(:) I&1 (�4 i Occupancy groups:
City/State/ZIP: ' -I 6 D I 0 6112-)-4 Existing:
Phone:(503) CI log - (el 9.0 Fax:( ) New:
ca APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: I U )6 �te.01) viewere(or to deposit): le)
DI 06 Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address: 1-7,...4?� -� S I N Iv k 1\0 Ki W� I
City/State/ZIP: 'vI I LW �l ' OF..- �I Z22 _ Total fees due upon application:
r t (� Amount received:
Phone:(503) J 53 - 113 Fax::(503 t /}S'7 - q I ( 1
E-mail: .,-Q I Ke, ® ()�j 4-,A bat{-+. con,, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
��``�� Commercial and residential prescriptive installation of
CONTRACTOR _ — roof-top moun -: 'hotoVoltaic Solar Panel System.
Business name: U (� Submit two(2)sets : roof plan with connectis• .etails
"' � " and fire department ac - s,along with th- .10 Oregon
Address: 41,4s-a S t I ki 1 I 0 0 KL l I Solar Installation Specia Code ch.. 1st.
City/State/ZIP: ' 1- I, , Obb IV V" Permit fee(includes iew
hit I t— 222- and adminis p a - fees): $180.00
Phone:( 03) 14,s 3 _1,9..,... Fax:503) 1499 ! —q 16 1 State surcharge(1 °.of permit -- : $21.60
CCB lic.: 1 O SI ^ / r Total f - due upon application: $201.60
Authorized signature: Qiiiploolk_ ./�a _ n This permit application expires if a permit is c obtained
I 111���"'��� within 180 days after it has been accepted as complete.
Print name: t)�/j2,nD - /f0 E Date: '�_ " - I ri * Fee methodology set by Tri-County Building Industry
"i-`'1-ri `` 1 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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