Permit CITY OF TIGARD BUILDING PERMIT
:.. COMMUNITY DEVELOPMENT Permit#: BUP2016-00119
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2016
Parcel: 2S102CB03200
Jurisdiction: Tigard
Site address: 9975 SW FREWING ST 210
Project: Accident Care Subdivision: FREWING'S ORCHARD TRACTS Lot: 21
Project Description: Installation of(1)45 square foot sign on west-facing wall. Single element 20 lbs.or greater.
Contractor: VISION SIGNS LLC Owner: MASSIH LLC
16127 NE THOMPSON ST BY PIERROUZ YASAVOLIAN
PORTLAND, OR 97230 8 BECKET ST
LAKE OSWEGO, OR 97035
PHONE: 503-442-1195 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/03/2016 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 05/03/2016 $14.32
Dwelling Units: 0 Plan Review 05/03/2016 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/03/2016 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,700
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 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: , Permittee Signature:
ll -fit/`^ 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.
Buildin Permit A li ►tE vE
Commercial, �+ FOR OFFICE: USE ONLY
Received '/
City of Tigard �, Date/By: 7 y �� Permit No: 't/�j x( 19
Milv 13125 SW Hall Blvd.,Tigard,01{�9� 23 4 2��6
0
g Plan Rtview, - Other Permit:�(�� �p-cX Q
Phone: 503.718.2439 Fax: 503.598.1960 �} y Date/By:/ _�� o�/ �l
T I CARD •
::tspection Line: 50?•.639.41 ,f�''01' TI(�.t I Date Re Juris: ® See Page 2 for
Internet: www.tigard-or.go ,; �.r.1,..1 IT,rl';Inli Notified/Method: (/a0 /t Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING i
New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑A.d:tion/a:teration/repiacement E Other: equipment,materials,labor,overhead,and the profit for the
1 CATEGORY OF CONSTRUCTION work indicated on this application.
i ❑ 1-and 2-family dwelling gl Commercial/industrial
Valuation: $ �1 7
❑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: 61 q7i. 9 W' YRf vt/in S'fr- New dwelling area: square feet
'
City/State/ZIP: / a R`L /Z Gi! � Garage/carport area: square feet
Suite/bldg./apt.no.: /0 Project name: /lc L idiom (t-/gam.. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
e1/ W / J tY diet , Std Other structure area: square feet
1 / 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/parcl no.:
equipment,materials,labor,overhead,and the profit for the i
DESCRIPTION OF WORK work indicated on this application.
tttt Valuation: $
,C 4)7049 es( (,7, ((i/ / Existing building area: square feet
New building area: square feet
I
ROPERTY OWNER ❑ TENANT Number of stories:
Name: ?&F F 0 u Z GI ac a V e I,a,-n, Type of construction:
Address: o X17, _c %-ge,,/ Occupancy groups:
City/State/ZIP: r W q
y �//�!��G �� ! ���d 3 Existing:
Phone:(7G;;_ ' 70
�J- 4 M0 Fax:( ) New:
r— 'F— �
❑ APPLICANT g(CONTACT PERSON BUILDING PERMIT FEES*
)
Business name: VI& _ 14/747/ iL (Please refer to fee schedut1
C Structural plan review fee(or deposit):
Contact name: tni (// - � -
�-' _ FLS plan review fee(if applicable):
Address: C ihin, S el r7,7 $o.
Total fees due upon application:
City/State/ZIP: eitti iii, Al 0 g 17 3e
/ Amount received: `-'®— I
Phone:(ci,? 4/4.2 _ /l/� Fax::( )
)
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: /L'011 V Sf/ lif r C e
Commercial and residential prescriptive installation of
CONTRAC R roof-top mounted Photo Voltaic Solar Panel System.
Business nam.:: k'i.C1 QnL g ,i LGL Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: jell 7 N f C��ce� ,i's" Solar Installation Specialty Code checklist.
City/State/ZIP: cgi/am `'t e '1723?T Permit fee(includes plan review $180.00
/� and administrative fees):
Phone:(SG}' '7,/`ICf S Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 17Coaq
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: WA �� Date: 3/� 7/��f * Fee methodology set by Tri-County Building Industry
4 Service Board.
I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613 T(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
9975 SW FREWING ST 210, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00119
Jeff Grove
Violation Summary:
Inspector Contractor