Permit CITY OF TIGARD BUILDING PERMIT
Si
g' COMMUNITY DEVELOPMENT Permit#: BUP2016 00071
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2016
Parcel: 1S134AA01900
Jurisdiction: TIGARD
Site address: 10115 SW NIMBUS AVE 200
Project: I Love Kickboxing Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: Installation of(1)wall sign of 39.25 sq.ft.
Contractor: MEYER SIGN CO OF OREGON Owner: ROBINSON, CONSTANCE A
15205 SW 74TH AVE BY KILLIAN PACIFIC LLC
TIGARD, OR 97224 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/30/2016 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/30/2016 $14.32
Dwelling Units: 0 Plan Review 03/30/2016 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/30/2016 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $213.71
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 Notificati• r enter. Those rules are set forth in OAR
952-001-0010 thro OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling .3.2 .1987 or 1.800.332.2344.
Issued B Permittee Signature: Ai 77C
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 •f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial rUlt Orrl(f:ISE O.1.,
IN Cit of Ti andgp Received �(pA APab/(o�Qp7/
Y g � Datc/By 1 Permit Ni.:
13125 SW Hall Blvd..Tigard,OR 972_ " I v r
Plan Review 2 6 /j�//� �s�,
■ c (�� Other Permit:
Phone: 503.718.2439 Fax: 503.5)8.19 0 Date/By:
I I t;:1!.I) Inspection Line: 503.639.4U5 �h,AR S 2016 Date Rea; a loris: I Ei See Page 2 for
Internet: www.tigard-or.gov /� Notified/Method: Z�/(o vim'- Supplemental Information
CITY Of: r 641-/L 'A..27/4,,
mi,l,,W' i) x . , '„;. '1:,'. a d c: is � 1.041:0 x k� 4 et 4 1' ✓ „„,,,,..,..,,,,,‘,„,,,:4.,,,
€G .. iil s '.
❑New construction ❑ Demolition Permit fees”are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
dAddition/alteration/replacement ❑Other: equipment.materials,labor.overhead.and the profit for the
i a work indicated on this application.
CH1-and 2 family dwelling
ommercial/industrial Valuation: $
IDAccessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
ATIOlti Total number of floors:
Job site address: /0//J` j.,ki. Ai/4A/3 0 S ('i_ - 5G1grg,r 7-.00 New dwelling area: square feet
City/State/ZIP: 176 LbM / 6L y7 a-a-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: f Lt'i1g /O ck8Q X i J 6 Covered porch area: square feet
Crossjstreet/directions to job site: Deck area: square feet
(�D 0i- 6/ it1/4I/,j Of if 44 �//oI_L5 -k-ic. Other structure area: square feet
N, , QUI I1VRQAL�:[7SE cl KC.IST
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.
Valuation: $ 26 00 , 00
4 ,sciva5- ,c j 4-1 eidro 7-604-40 A_Je -- Existing building area: square feet
11")44-t- L- il/tX70'3 New building area: square feet
9iiiif.iiileit. ' Q FHA `- Number of stories:
Name: /> .isntit,J C.F 1o i3($JSO Li Type of construction:
Address: 6-#06 /3A-e40 it.I A--/ ,Su/r6' 110 Occupancy groups:
City/State/ZIP: ✓kA)6,4)ji/ L/ tJA 9844. 0 Existing:
Phone:( ) Fax:( ) New:
,,1'CONTACT ARSON � O Fes*
��(Pt
J l bl�) X Co. (Pluxc refer o +e iakedule) .
Business name: I Q� Q lj�j U
/V6Cl.O �` Structural plan review tee(or deposit):
Contact name: -
FLS plan review fee(if applicable):
Address: ),tj US . .F4J • ?("Fh4 klik-, • .
Total fees due upon application:
City/State/ZIP: --r--L6,� (�/_ 1 i - -14
q t Amount received:
Phone:(5' ) ) bio - 52.00 Fax: :(coil /it ' l 0 7q
E-mail: P E/ vu r-5 4,4,0?60 i 0(.) C4 60 AA. ,PHOTOVOLTAIC SOLAR;PANEL SYSTEM FEES*
W � x ! t " C
ommercial
residential prescriptive
letof
a ttt pmountd PhtoVoltic SolrPanlSystem ry e
Business name: fil 6ti '16 0 c Q 6i o Ij Submit two(2)sets of roof plan with connection details
. and fire department access.along with the 2010 Oregon
Address: / 5Z.4$ 5 g. liP4414-,JF Solar Installation Specialty Code checklist.
City/State/ZIP: �!&M.. e k 17�i Permit fee(includes plan review
1 and administrative fees): $180.W
Phone:(51 3 ) 6/,p _ 6j 4,(f U t Fax:(103) 470 - 7074 State surcharge(I 2"/r of permit fee): $21.60
CCB lie.: tet-toy4- Total fee due upon application:t. $201.60
Authorized signature:/? ,, ,,peA,, This permit application expires if a permit is not obtained
I. Q/ 1 1 ,!3`C.ti.v�/ within 180 days after it has been accepted as complete.
�
Print name: - os y 4.A.6 ev kly / cit t Date: 3/Li//(.7 " Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUN-COM PerntiiApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
LIS Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION
RECEIVED
FROM: <41 1"� I�- I CAC' MAR 2 3 2016
CITY OF TIGARD
COMPANY: fA 4 fL Sl()L &) . �� L 6 j BUILDING DIVISION
PHONE: S03 - g 1,6 v By: 1;
(Site Address) '( ernut um er
L- K i c/-e) o x t
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. ✓ Engineer's calculations.
Other(explain):
REMARKS:
Routed to Permit Technici. , Date: IWAR EtttEra � ►�_ `l
Fees Due: • Yes Ii' o Fee Descri stion: Amounts e:
Special
Instructions:
Re•rint Permit •er PE : INIZEMINE ■ No ■ Done
A. •licantNotified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012