Permit CITY OF TIGARD BUILDING PERMIT
•111(1,'''''l
COMMUNITY DEVELOPMENT Permit#: BUP2015-00304
} s Date Issued: 11/24/2015
T 'iARI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112AD01100
Jurisdiction: TIGARD
Site address: 6650 SW BONITA RD
Project: Sleep Train Subdivision: 2000-020 PARTITION PLAT Lot: 1
Project Description: Installing(2)wall signs.
Contractor: RAMSAY SIGNS INC Owner: PACA PROPERTIES LLC
9160 SE 74TH AVE 6600 SW BONITA RD
PORTLAND, OR 97206 TIGARD, OR 97224
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee-Additions,Alterations, 10/27/2015 $134.54
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 10/27/2015 $16.14
Dwelling Units: 0 Plan Review 10/27/2015 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/27/2015 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,476
Floor Areas:
Total Area: 0
Accessory Struct. 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck 0
Garage: 0
Mezzanine: 0
Total $241.13
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
952-001-0 04hr. .h OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503-42.1987 or 1.800.332.2344.
Iss ed By: � •�, i Permittee Signature: - /
Call 503.639.4175 by 7:00 a.m.for the next available inspeon 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 RV FOR OFFICE USE ONLY
City of Tigard ReceivG Date/By:ed
- �\J •�-7 f 5 Permit No.: �`, n I�0
q 13125 SW Hall Blvd.,Tigard,OR 97223 2"� 2 11,- [l ''"
Plan Review'•--
C.I 'I (J_ ` Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 n Date/By: i ` rJ
TIGARD Inspection Line: 503.639.4175 �q�� ! Date Ready/By: orris 10 See Page 2 for
Internet: www.tigard-or.gov Cit' O� lil �� ptifted/Method: (1 Wi15— ,, '" Supplemental Information
AN
TYPE OF WO010; 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.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑ Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder CIOther: Number of bathrooms:
JOB)SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Lc(S5 CP SLAl P'i--c\ rbNew dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 5wev Trak n 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
1 1 DESCRIPTION OFO� WORK �y,�' work indicated on this application. i ,,
MC\CM 1 ' C11 1 S vIn$ ti 5'rep I I U in Valuation: $ 3.L-1-1 U. 0 0
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:See Attached Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ramsay Signs Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: OM tal YocmaS
FLS plan review fee(if applicable):
Address:9160 SE 74th Ave
City/State/ZIP:Portland,OR 97206 Total fees due upon application:
Phone:(503)777-4555 Fax: :(503)777-0220 Amount received:
E-mail. Li L;S 1 VI K 0 Y6�MS a9 S icl/J5.Gori • PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
I Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Ramsay Signs Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9160 SE 74th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97206 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)777-4555 Fax:(503)777-0220 State surcharge(12%of permit fee): $21.60
CCB lie.:63422 Total fee due upon application: $201.60
Authorized signature: U1.44142G6___----------- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4\e SS.� Snflas Date: F b id 3/1 5 * Fee methodology set by Tri-County Building Industry
J Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)