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Permit (40) CITY OF TIGARD BUILDING PERMIT liiCOMMUNITY DEVELOPMENT Permit#: BUP2016-00258 T L GA p,r), 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016 Parcel: 2S112DD00300 Jurisdiction: Tigard Site address: 15900 SW 72ND AVE Project: 76 Gas Station Subdivision: None Lot: None Project Description: Replacing(1)existing freestanding sign that is taller than 6 feet. Contractor: RAMSAY SIGNS INC Owner: PACIFIC REALTY ASSOCIATES LP 9160 SE 74TH AVE BY APRO LLC PORTLAND, OR 97206 17311 S MAIN ST GARDENA,CA 90248 PHONE: 503-777-4555 PHONE: FAX: 503-777-0220 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR T Permit Fee-Additions,Alterations, 09/19/2016 $164.96 ype of Const: Demolition Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/19/2016 $19.80 Dwelling Units: 0 Plan Review 09/19/2016 $107.22 Stories: 0 Height: 0 ft Misc Administration Fee 09/19/2016 $4.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 09/19/2016 $3.50 Value: $6,000 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $299.48 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: 7/ f.'' Permittee Signature: ,.,{ � 1 wP J l (f ) 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 RECEIVE is Commercial M 0 9 i 6 FOR 011.1(1. 1 sl: ONI.1 Received /6 ciJ�^'y City of Tigard Received / Permit No.: � IN . 13125 SW Hall Blvd.,Tigard,OR 9722CITY 0 r' GARD Plan Review, >e Phone: 503.718.2439 Fax 503.59 L® , O+ o ' ioN Date/B : ;°' IP -_ �� Other Permit: i � ( f I G A R D Inspection Line: 503.639.4175 Date R :'.-"'"• Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method:I/7/9P 4- 49k kl,-- Supplemental Information ZdkrAl +.I MEDHATA:1-AND 2-FAMILY DWELLING TYPE OF WORK 7 0 New construction 0 Demolition Permit :•s*are based on the value of the work performed. Indicate th.value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement is Other: `.i: 4 equipment, ,aterials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTIO work indicat:s on this application. o 1-and 2-family dwelling 0 Commer,, al/ind> i AJEIVED Valuation: $ /_ ❑Accessory building ❑Multi-f so ly AUG 2 4 2016 Num aro -f bedrooms: �l ❑Master builder 0 Other: N , ,• of bathrooms: JOB SITE INFORMATION AND L,- A��td'lL[[tt� d�R Total number of floors: p1Nt� [�11/I� t • Job site address 5 Cl co ,Sco -la tet 4.1.7c New dwelling area: square feet City/State/ZIP: ---t(447f) , co, on 2-2_3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /9A o iijp5 66 716 s} ?,"..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: I 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. 1-2-61144Djt--. t ( ,51C-;1•1 7 -triValuation: $ il- Ni, (f es 1 s A M E &11--Le. ` Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone:( ) Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: j'J `:A. 9 1(U I,t.$ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1�r"e,-7,, dt 16 L , '7 i-(44" f V Solar Installation Specialty Code checklist. City/State/ZIP: V©p_T" p V v` C D Permit fee(includes plan review $180.00 and administrative fees): Phone:(5 03 ) 376-001 9.--- Fax:(3315;) 777—02:2_0 State surcharge(12%of permit fee): $21.60 CCB lic.: 0 314 , , _ 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: -5-4_Y t i\i/q _6 Date: 5.-L.(-,/� * Fee methodology set by Tri-County Building Industry �tJ Service Board. I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)