Permit ii CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015 00084
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/06/2015
Parcel: 25101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: I Heart Radio Subdivision: VARNS ACRES Lot: 9
Project Description: Installation of(2)replacement wall signs.
Contractor: RAMSAY SIGNS INC Owner: TRIANGLE POINTE TWO LLC
9160 SE 74TH AVE 901 NE GLISAN ST, STE 100
PORTLAND, OR 97206 PORTLAND, OR 97232
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-COM-New Construction 04/06/2015 $102.20
ype of Const: 12%State Surcharge-Building 04/06/2015 $12.26
Occupancy Grp: U Occupancy Load:
Plan Review 04/06/2015 $66.43
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 04/06/2015 $5.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $2,764
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $185.89
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 Notific.'on 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 / s Permittee Signature: �R'O CU'
Ca 503.: '.4175 by 7:00 a.m.for the next available nape. ion date.
This permit card shall be kept in a conspicuous place on the job site completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECE1 IVEI P FOR OFFICE USE ONLY
Received _
- City of Tigard Date/By: �= Permit No.: C
■ 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Revie A ��J �L
Phone: 503.718.2439 Fax: 503.598(11 3 O 2 15 Date/B ; �5,�� Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/B : Ririe: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: '(�2,/y' 6, Supplemental Information
�it,lTY Ulu Ti(iA'�U
TYPE REQUIRED DATA:1-AND 2-FAMILY DWELLING
CO New construction ❑Demolition Permit fees*are based on the value of the work performed. 6.
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.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ,■
❑Accessory building ❑Multi-family Number of bedrooms: (I\
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13 63 S W ,oa+• PKwN 1 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
H.ear4- J),(\
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet N .
Other structure area: square feet r
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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. r 1
�►'1 C\\\ 0) re p�at VWQ1 - WCA11 win 5 Valuation: $ a 11 Qq . oo
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name:See Attached Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ramsay Signs Inc. (Please refer to fee seheda►-
J e_S5� L G K.OSVY1 QS Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:9160 SE 744 Ave
City/State/ZIP:Portland,OR 97206 Total fees due upon application:
Phone:(503)777-4555 1/ Fax::(503)777-0220
Amount received:
E-mail: U 2S S 1 (-q l`-(Q, `rorvica u Si q n s• co" I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
C! Commercial and residential prescriptive installation of
CONTRA OR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Ramsay Signs Inc Sub • 2)sets of roof plan with connection de
and fire dep:i 1 • access,along with the 20 ! eregon
Address:9160 SE 74th Ave Solar Installation Spe '• Code chec .
City/State/ZIP:Portland,OR 97206 Permit fee(includes * w $180.00
and administr: '•e - .
Phone:(503)777-4555 Fax:(503)777-0220 State surcharge(12°.of permit fee): $21.60
CCB Ric.:63422 Total fee rue upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
r within 180 days after it has been accepted as complete.
'
Print name:,mil `1 e S Ca VS YV\ Date:3/a 5/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13333 SW 68TH PKWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2015-00084
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor