Permit (30) CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: BUP2016-00288
Date Issued: 10/27/2016
T O R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2527/20/ 9100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Consumer Cellular Subdivision: WEST PORTLAND HEIGHTS Lot: A
Project Description: (1)56 sq.ft.illuminated wall sign on west elevation.
Contractor: SECURITY SIGNS INC Owner: SDC TIGARD CORPORATE CENTER INC
2424 SE HOLGATE BLVD ATTN:ANDREW HARPER
PORTLAND, OR 97202 101 CALIFORNIA ST, 26TH FLOOR
SAN FRANCISCO, CA 94111
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Specifics: Date Amount
Description
Type of Use: COM Permit Fee-Additions,Alterations, 10/27/2016 $149.75
Class of Work: OTR Type of Const: Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/27/2016 $17.97
Dwelling Units: 0 Plan Review 10/27/2016 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/27/2016 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,185
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $267.56
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:
Ca 503.639.4175 by 7:00 a.m.for the next available inspection dat4771.1)
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 ., A '
y FOR OFFICE USE ONLY
Cityof Tigard Received
N g Date/B {,1 Permit No.: 1 , Oho 1 iarrimui
, ,S ,
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 O C T6 Z O Date/B : ,� �� I�gall ether Permit: A ,_ i a- ) di
Ti GA R D Inspection Line: 503.639.4175 Date Rea " ® See Page 2 for
Internet: www.ti and-or. ov `c" 6:� S p - l !9 Notified/Method:
g g � ��� � L T:� a_= �_ +- ,,� [(i . /� Supplemental Information
Iii OF J jQUIREDDATA -AND MILt7 DWLLING
ry A. . t A
T New 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 2-Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB.SITE INFO11NTATION:AND LOCATION Total number of floors:
Job site address: 12 ii Li 7 ‘,..b.) 69 five- New dwelling area: square feet
City/State/ZIP: -fL.44- 9 i 722 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 6 , )9 [6?t--v/t< Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQIIiRED DATA e:'di YIERCIALJ JSE CBEC .IST
Subdivision: I 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
a DESCRIPTIOOF WORK work indicated on this application.
. ` i
—
P46P? . ' I It,v/n`� idil'� 5/4A! Valuation: $ 14 /es.`2
5 562 Ir '
l 1 a //L'7-i 56 c6 �z- Existing building area: square feet
—
Jla s °t evAi519T {3�CLItA72, `r 6 New building area: square feet
4. :Q PROPERTY OWER ._..g i TENANT.. e Number of stories:
Name: eviv �'`�- g e-6�[-,,C�_� Type of construction:
Address: /2' e�G j 7 1_� /9 � Occupancy groups:
City/State/ZIP: (/9 �/" !bG//- .9722,__ Existing:
Phone:( ) Fax:( ) New:
® APPLICANT DCONTACT PERSON BUICLDING PERMIT FEES*
Business name:SECURITY SIGNS,INC �.. .a , '(Please referib'fee acherlule)
Structural plan review fee(or deposit):
Contact name:CYNDI K .CNrE vr�( S
FLS plan review fee(if applicable):
Address:2424 SE HOLGATE BLVD
Total fees due upon application:
City/State/ZIP:PORTLAND,OR 97202
Phone:(503)546-7102 Fax: :(503)230-1861 Amount received:
E-mail:permits@securitysigns.com PHOTOVOLTAICSOLARPANEL,SYSTEMFEW
CONTRtriCTOR Commercial and residential prescriptive installation of
„qz, . _ , ��_ .. , . 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 5-77) (, Date: 049/24//k * 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:
12447 SW 69TH AVE, TIGARD, OR, 97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
B U P2016-00288
Inspector:
Jeff Grove
Contractor