Permit W CITY OF TIGARD BUILDING PERMIT
°F'1 $ COMMUNITY DEVELOPMENT Permit#: BUP2014-00209
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014
Parcel: 1 S135BA00102
Jurisdiction: Tigard
Site address: 10108 SW WASHINGTON SQUARE RD
Project: World Market Subdivision: OAKBURG Lot: 9
Project Description: One illuminated wall sign above main entrance.
Contractor: VANCOUVER SIGN COMPANY INC Owner: PPR SQUARE TOO LLC
2600 NE ANDRESEN RD#50 PO BOX 847
VANCOUVER,WA 98661 CARLSBAD,CA 92018
PHONE: 360-693-4773 PHONE:
FAX: 360-693-2747
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 09/25/2014 $210.59
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/25/2014 $25.27
Dwelling Units: 0 Plan Review 09/25/2014 $136.88
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/25/2014 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $8,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $375.24
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.
Issued By
C ) O Permittee Signature:
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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard
Mill ,\/> Received f Permit No.:
Y r�
13125 SW Hall Blvd.,Tigard,0 II +. Plan R . 4
Phone: 503.639.4171 Fax: 50 I 4`l�\ Plan Review e: 4 r, ( (, K. Other Permit:
TIGARD Inspection Line: 503.639.4175 SO? Date Ready '� � ` Q !uric: VI See Attached Checklist for
Notified/Method: r /to /N +k-N� Supplemental Information
Internet: www.tigard-or.gov � 0 pp
TYPE O REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ 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 't
ariliallik CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ 1-and 2-family dwelling Valuation:
y g ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms: `�
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: ti
Job site address: /0/08 5 W l t)a,sh I n Q.t on Se New dwelling area: square feet OG
City/State/ZIP: I ,tt a 1'r�. Q C 7 Z�1'Z 3 C� Garage/carport area: square feet
Suite/bldg./apt.no.: J Project name: 1. 3 O r I el, M lit,f k 64 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.: /5/ 35- R A (1)0102- R I N I 006 equipment,materials,labor,overhead,and the profit for the
Wr DESCRIPTION OF WORK 4111. work indicated on this application.
one. igl'urvl;nal-e6L wct,ll Sia,Y? an 50uth
Valuation: $ 8, Soo
P. P.V�A r 1 D!7 Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 12 TENANT Number of stories:
Name: LiJo r i t, M a r k e.4 Type of construction:
Address: it.)i 0$ b L- tA30...41,1;ipttnit set, Occupancy groups:
City/State/ZIP: I5W.ci, OR el ZL . Existing:
Phone:( ) Fax:( ) New:
❑ 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
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 I Fax:(360)6932747
CCB lic.:63951
Total fees due upon application:
/Z...../ � Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Reid Storm Date: 0/1-/ * Fee methodology set by Tri-County Building Industry
Service Board.
L•03uilding5Permits\BUP-PermitApp.doc 03/21/06 440-4613T(II/02JCOM/WEB)
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