Permit 111 CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2015-00203
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2015
Parcel: 2S104BB07900
Jurisdiction: Tigard
Site address: 14350 SW BARROWS RD 2
Project: Mathnasium Subdivision: RUSSELL'S SCHOLLS FERRY Lot: A
Project Description: Installation of(1)wall sign,approx.651bs.
Contractor: SECURITY SIGNS INC Owner: SPIRIT SPE HG 2015-1 LLC
2424 SE HOLGATE BLVD BY HAGGEN OPCO SOUTH LLC
PORTLAND, OR 97202 2211 RIMLAND DR, STE 300
BELLINGHAM,WA 98226
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: CMS
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 07/28/2015 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 07/28/2015 $14.32
Dwelling Units: 0 Plan Review 07/28/2015 $77.56
Stories: 0 Height: 0 It Info Process/Archiving-Sm$0.50(up to 07/28/2015 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,990
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.71
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 thr 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 B C.,160e Permittee Signature:
+71-4;6)
Call 503.639.4175 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 FOR OFFICE USE ONLY
City Tigard RECEIVED Received , _I Clt of Ti aCd Date/By: �S/ �Cj YJ Permit No.: 4u /J)/5— 06
13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieOD- oV
Phone: 503.718.2439 Fax: 503.598 0 DateBy: t ) )( 5( — Other Permit: /s--pif 77
JIJL 8 2015 ,Y
T I G A R D Inspection Line: 503.639.4175 Date Ready/By. grit: Supplemental See Page 2 for
Internet: www.tigard-or.gov Noti ed/Method: �/�¢X Supplemental Information
�R��CJ�
CITY OF TIrARD — -P�t4 t use ,
TYI 4 R''�'b DiVi ON REQUIRED DATA-AND 2-FAMILY DWELLING
geNew 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.
El 1-and 2-family dwelling lar Commercial/industrial Valuation: $
El 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: /L13;0 64) b 6.15 ".12 New dwelling area: square feet
City/State/ZIP: •774/1-7/2.40 ICI'i 9 7 2213 Garage/carport area: square feet
Suite/bldgJapt.no.: 2 Project name: ( Ap41111 Covered porch area: square feet
Cross street/directions to job site: i / e-T' Deck area: square feet
601)-n-1- �!}/�F /22 ) -!y 7 L. ,.��LIJ)n/weir- :S/ Other structure area: square feet
OA/ C[ J7— , /.0&---
`L &� 1397?'V✓h/,5 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 work indicated on this application.
1 ) WJU -L '5- /`JS Valuation: $ I,99 O.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER A'TENANT Number of stories:
Name: 199f-7N, ll1/7) Type of construction:
Address: 171 r5/4 ) /50).M00/4).5 Occupancy groups:
City/State/ZIP:776/4740 12-2-3 Existing:
Phone:(Z 92&,. 62-2f3q Fax:( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:SECURITY SIGNS,INC
Structural plan review fee(or deposit):
Contact name:CYNDI KRACKE
FLS plan review fee(if applicable):
Address:2424 SE HOLGATE BLVD _
Total fees due upon application:
City/State/ZIP:PORTLAND,OR 97202
Phone:(503)546-7102 Fax: :(503)230-1861 Amount received: '
E-mail:permits@securitysigns.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:SECURITY SIGNS,INC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2424 SE HOLGATE BLVD Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND,OR 97202 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(503)546-7102 Fax:(503)230-1861 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:CYNDI K CKE Date: 40/7 7//6— * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/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
14350 SW BARROWS RD 2, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00203
Chip Barnett
Violation Summary:
Inspector Contractor