Permit n CITY OF TIGARD BUILDING PERMIT
1111 11. COMMUNITY DEVELOPMENT Permit#: BUP2014-00215
T l G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/22/2014
Parcel: 1 S 135BA00102
Jurisdiction: Tigard
Site address: 10218 SW WASHINGTON SQUARE RD
Project: DXL Men's Apparel Subdivision: OAKBURG Lot: 9
Project Description: Installation of(2)LED illluminated channel letterset on front elevation facing parking lot and rear elevation facing
Greenburg Rd.
Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: PPR SQUARE TOO LLC
1625 WASHINGTON ST PO BOX 847
OREGON CITY, OR 97045 CARLSBAD, CA 92018
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: Permit Fee-Additions,Alterations, 09/22/2014 $119.33
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 09/22/2014 $14.32
Dwelling Units: 0 Plan Review 09/22/2014 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/22/2014 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,480
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
952-001-0010 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: rl - Signature:
C. •I .639.4175 by 7:00 a.m.for the next available inspe
This permit card shall be kept in a conspicuous place on the job site until q4 of the project—
Approved plans are required on the job site at the time of each inspection.
Building Permit Application N�
Commercial
City of Tigard Received
y Permit No.: -�_
• 13125 SW Hall Blvd.,Tigard,OR 9 ��EL) Plan Retie `! /� l� !S
.N = Phone: 503.639.4171 Fax: 503.5 CE Date/13y: ` , gis„__ Other Permit: 1 �! 57
Inspection Line: 503.639.4175 Date Ready/By: luris: lid See Page 2 for
TIGARD p g g SEP 11 2014 7/Z2/ _;� Supplemental www.ti and-or. oV Notifie ethod: .� Su lemental Informafion
��__��((�� icy/4409
TYPE OF V€WO'B1bP1l7U 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commerciallindustrial
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:10218 SW Washington Square New dwelling area: square feet
City/State/ZIP:Tigard,Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:COl Project name:DXL MENS APPAREL Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
NEAREST CROSS STREET IS SW GREENBURG RD 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.
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 work indicated on this application.
INSTALLATION OF(2)LED ILLUMINATED CHANNEL LETTERSET ON FRONT Valuation: $$2,480.00
ELEVATION FACING PARKING LOT AND REAR ELEVATION FACING Existing building area: square feet
SW GREENBURG RD New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:DXL MENS APPAREL Type of construction:
Address:10218 SW WASHINGTON SQUARE #C01 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 SIGNS LLCQ BUILDING PERMIT FEES*
Address:1625 WASHINGTON ST (Please refer to fee schedule)
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
within 180 days after it has been accepted as complete.
Print name:STEVEN RUDNICK Date:09-11-14' * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
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
10218 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00215
Chip Barnett
Violation Summary:
Inspector Contractor