Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2014-00217
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/01/2014
Parcel: 2S 103 DD00800
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY
Project: Gaarde Plaza Subdivision: MELROSE Lot: 7-8
Project Description: Relocate existing freestanding sign
Contractor: SECURITY SIGNS INC Owner: D W SIVERS CO
2424 SE HOLGATE BLVD 4730 SW MACADAM AVE#101
PORTLAND, OR 97202 PORTLAND, OR 97239
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 09/30/2014 $70.22
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/30/2014 $8.43
Dwelling Units: 0 Plan Review 09/30/2014 $45.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/30/2014 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,000 Misc Administration Fee 09/30/2014 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $131.79
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. 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: Perm ittee Signature:
3.639.4175 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
Commercial RECEIVED FOR OFFICE USE ONLY
City Received ®� d �'
1111 - Clt of Tigard DateB :_ / Permit No.: 71.2.2,,
13125 SW Hall Blvd.,Tigard,OR 97223 cc Plan Review ►H
Phone: 503.718.2439 Fax: 503.598.1960 E P 1 5 2014 DateB :AgS i►r�� = other Permit:
TIGARD Inspection Line: 503.639.4175 Date Remy: al, kris: PI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: t%' ! I- 1J' Supplemental Information
TYPE 0 3 ►It�G DIVISION <-m fe d QUIRED 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
IIIIIIIIIIIICATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1325 1 s Q4.3 i��G RE A) > t New dwelling area: square feet
City/State/ZIP: V V y•"" `�{ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: G0ahiQ K,, n /`YL��/1,7�t/t 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 j. work indicated on this application.
Valuation:r7q c..14 Q $ 1)b oe-
k Ck�n 9�l!`^ Existing building area: square feet
`l �� Vr , New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Security Signs (Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name:Melissa Hayden
FLS plan review fee(if applicable):
Address:2424 SE Holgate Blvd
City/State/ZIP:Portland OR 97202
Total fees due upon application:
Phone:(503)546.7114 Fax: :(503)230.1861 Amount received:
E-mail:Melissa@SecuritySigns.com OTOVOLTAIC SOLAR PANEL SYSTEM FEES*
-lir, Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Security Signs Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:122809 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Melissa Hayden Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 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
13815 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00217
Chip Barnett
Violation Summary:
Inspector Contractor