Permit (19) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016 00272
T t r ASR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2016
Parcel: 2S 112DA00700
Jurisdiction: Tigard
Site address: 15353 SW SEQUOIA PKWY 100
Project: Inspired Results Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Installation of(1)non illuminated wall sign.
Contractor: SECURITY SIGNS INC Owner: PACIFjC REALTY ASSOCIATES LP
2424 SE HOLGATE BLVD ATTN: N PIVEN
PORTLAND, OR 97202 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-COM-New Construction 10/06/2016 $67.23
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/06/2016 $8.07
Dwelling Units: 0 Plan Review 10/06/2016 $43.70
Info Process/Archiving-Sm$0.50(up to 10/06/2016 $1.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $1,020
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $120.00
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 ma - opy o es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ege.,—,..s,. :.— ,,,---/''--/ Permittee Signature:
. 9.4175 by 7:00 a.m.for the next available inspection ate.
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 , r F—', FOR OFFICE USE ONLY
��a
Cityof Tigard '�� � �� Received alb,
g
Date/13 : [ Permit No.: �/b 7 L
13125 SW Hall Blvd.,Tigard,O 9732 c
2 16 Date : �t�
!Al Phone: 503.718.2439 Fax 503,.- 9.E.190" Date/13 :4111W110‘110 �N Other Permit:
TIGARD Inspection Line: 503.639.417,E ,_ Date Reay. : orris: ® See Page 2 for
Internet: www.tigard-or.govUl i t.);'-' `,. _�t Notified/Method ', a t y 4 Supplemental Information
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, ' y'PE F WORK �(
DAg ANT 3
G4 r _ O ' URDT1D2 .„, , .MT IN
ENew construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
,,, ,... tom'
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Rc:ommercialIindustrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOBSFE INFORMATION AND LOCATION Total number of floors:
Job site address: /6363411-6) �acb.9. jIf 4 )( New dwelling area: square feet
City/State/ZIP: (Sj 4-110 jj 9�72.2 ��-�/
Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:j/U,Sj` ,�i2E TS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RE UIREB DAtA etik IEROT kta E CHECKI IST
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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
DEScRTPTTQN AF, WORE ;: work indicated on this application.
N5179-4L- / /v / /Ge, 7rn/V/'6/ 1,0712---S Valuation: $ //00-0,
Pl-GL k /MS f/fie , -- Existing building area: square feet
2-3 5Q, T l- ON 97y�oki New building area: square feet
W” ❑PIIOPERTYOWNER'
- r, ,,,» ` TENANT, Number of stories:
Name: IN 5�/�V /e6---0(L1-5, //vC., Type of construction:
Address: /5363 6)/4 Pt, K Occupancy groups:
City/State/ZIP: 776/1-7419 "> 2/^1 !! Existing:
b
Phone:( ) Fax:( ) New:
xa7 V L® ApPL W' ® CONTACT PERSON
,_ , BUILDING PERMITFEES*
Business name:SECURITY SIGNS,INC -_ II'Iense njer fnee: eifule}'"-,,
Structural plan review fee(or deposit):
Contact name:CYND1 <j77, ' C$
FLS plan review fee(if applicable):
Address:2424 SE HOLGATE BLVD
City/State/ZIP:PORTLAND,OR 97202 Total fees due upon application:
Phone:(503)546-7102 Fax: :(503)230-1861 Amount received:
PHOTOV LTAICSOLAR FAIEL SYSTEM FEES*
E-mail:permits@ securitysigns.com ,. , . , ,., ,,, _,. ,,
CONTRACTOR Commercial and residential prescriptive installation of
..' w. -� ' ,ti- .' .,-.-� , ,z ,,4' roof-top mounted PhotoVoltaic 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 57-0C--Le--5 Date: Q.9�/ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15353 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
January 3, 2017 at 11:16:42
AM
Record ID:
B U P2016-00272
Inspector:
Chip Barnett
Contractor