Permit (31) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit#: BUP2016-00303
Date Issued: 10/27/2016
17 GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 190
Project: Verizon Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: (2)wall signs.
Contractor: E S&A SIGN&AWNING Owner: WAL-MART REAL ESTATE BUSINESS TR
89975 PRAIRIE RD BY PROPERTY TAX DEPT STORE 5935-00
EUGENE, OR 97402 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 10/27/2016 $225.80
Class of Work: OTR Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 10/27/2016 $27.10
Dwelling Units: 0 Plan Review 10/27/2016 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/27/2016 $5.00
Bedrooms: 0 Bathrooms: 0 11x17) 10/27/2016 $50.00
Value: $9,050 Address Fee
Misc Administration Fee 10/27/2016 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $459.67
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: „„e/LPermittee Signature: cy r
Ca 15 . 39.4175 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
INACommercial y FOR OFFICE USE ONLY
Y�. Ci of Ti ard Received // ,prq/^�'��y /- /y��.yy�4. gg ItVACV-A
�G Date/By.
�J� /1Q 1.-. ar/.-- Permit No:ea e„/O 6(�l .0,061
iE 13125 SW Hall Blvd.,Tigard,OR 97223 U Plan Review �' t /, Y
Phone: 503.718.2439 Fax: 503.598.1�` tet► '9* •her Permit: /�,q
U V� Date/By: V" 1C/1�J(4" 5(9 e90/�v�Xsi[ti
ti yt F� Inspection Line: 503.639.4175 gg``�'� t Date Read/By: `' orris: ®See Page 2 for
Internet: www.ti ard-or. ov Of Notified/Itethod: J • / 6l
g g r.4 C I / Supplemental Information
T a t' . � Ay %a: 6`
F TYPE O. i .t. D AT'A:I Aivii 2 FA ILY I1WE�O"
IgNew construction ■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 ❑Other: equipment,materials,labor,overhead,and the profit for the
40CATEGORY OT°e NSU #N work indicated on this application.
0 1-and 2-family dwelling f Commercial/industrial Valuation: $
0 Accessory building E1Multi-familyNumbe f bedrooms:
k 0 Master builder 0 OtherNumber of b' hrooms:
{ 4a JO ITE O04A4ION AND LOCATION Total number o oors:
Job site address r 1 i„lti,.}/jl S-1-< U( k New dwelling area: square feet
City/State/ZIP:"1�r�� / ZC7���^' 1 Garage/carport area: square feet
Suite/bldg./apt.no.: G Project name: u/-i g" Covered porch square feet
Cross street/directions to job site: N -- -Fe 4 h.c. j/�a' �J- Deck ar . square feet
"` Other structure area: square feet
/-'
ka Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
(r\ Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
I
DESCRIPTION OF woux work indicated on this application.
T�s ,I 1, 7 �ct,� S(:9 s Valuation: $C/`�S
4 cY
tsr
Existing building area: square feet
oy b�;
New building area: square feet
�" , ROP RT' O NE ,. ,... Q=TENANT' Number of stories:
Name. V Type of construction:
Address: 7- C) V)4(} 0-Ljfk 3.` SV,r\. IG Occupancy groups:
City/State/ZIP \ ( og- Existing:
Phone ( ) Fax ( )
New:
..3',`'..;.), f ' PLICA N *CONTAcT PERSON- ' DOMINO PERMIT FEES* "..
(Please refer to.fee sched le)
Business name: ..e.,„S rc A ' 9Pjt f- Il 1 (/�'1I
v Structural plan review fee(or deposit):
(.1 Contact name:��e /kris-1-e — _
�C FLS plan review fee(if applicable):
Address: /Gt-4- re,l 1� 14.))
—
^ Total fees due upon application:
City/State/ZIP: v ec1-C VZ- 4i--4.OZ
Phone:(fit tt) � 7 � Fax ( )
Amount received:
'k-ea FHOTIJY(?LTAT S LAIC P r L"SYS1 E19IE *
E-mail: �cS �'`l S'f�rLS
CO.ITRACT4OR 11
Commercial and residential prescriptive installation of
'; roof-top mounted Photovoltaic Solar Panel System.
Business name: -i--, St, /1 4 /i t\�/ Submit two(2)sets of roof plan with connection details
� and fire department access,along with the 2010 Oregon
Address: gq TS t'I ["e/ Solar Installation Specialty Code checklist.
City/State/ZIP:'w 6.rL o a q q o' Permit fee(includes plan review $180.00
��A S and administrative fees): _
Phone:(5t-I4 ) A Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: /! 3 Lt Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
n C ( within 180 days after it has been accepted as complete.
Print name: l,ti ��J}-f( . Date: l l J'l _--1 4 * Fee methodology set by Tri-County Building Industry
`� �G\\ Service Board.
I:\Building\Permits\BUP- PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7700 SW DARTMOUTH ST 190, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2016-00303
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor