Permit (192) CITY OF TIGARD BUILDING PERMIT
f� ' COMMUNITY DEVELOPMENT
Permit#: BUP2016-00331
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/07/2016
T l c.;�r Dg Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY E
Project: Baskin Robbins Subdivision: None Lot: None
Project Description: Installation of(2)new wall signs.
Contractor: MEYER SIGN CO OF OREGON Owner: PACIFIC CROSSROADS PROPERTIES IN
15205 SW 74TH AVE BY WYSE INVESTMENT SERVICES CO
TIGARD, OR 97224 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 12/07/2016 $119.33
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 12/07/2016 $14.32
Dwelling Units: Plan Review 12/07/2016 $77.56
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 12/07/2016 $2.00
Bedrooms: Bathrooms: 11x17)
Value: $2,500
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $213.21
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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
952-001-0. - . OAR 952-001-8090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 . .1987 or 11.T88000.332.2344.(n_
Issu=d By: 1 �", / / Permittee Si nature: V `�
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 f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard '1Fn
Received /�
III ii fk— Date/B 6 L i �� PermitN°'48_ P�//A03
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review '�G ev
Phone: 503.718.2439 Fax: 503. .162 8 2016 �� r NA Other Permit:: 40 4 «g
Date/B
1 1 t,A R D Inspection Line: 503.639.4175 Date Ready/:`•:, Juris: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: / 7�6p Supplemental Information
err y OF TIGARD
g
zit. : lv ` r`s; z. gt 'e" .u,l . a� ,€ k 1 #. ' (u
❑New 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 thep rofit for the
: v 1 ,�Phk work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
IIIMaster builder ❑Other: Number of bathrooms:
,ti : ' 1 t l p; t s e t; : i Total number of floors:
Job site address:11705 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Baskin Robbins Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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 therofit for the
� t _ A 1 work indicated on this al ilication. P
Install 2 Internally Illuminated wall signs on a raceway on tenants East and Valuation: $ 506
South elevations. Existing building area: square feet
New building area: square feet
ice __ t�„ �,„ . `„, r t t Number of stories:
Name:Pacific Crossroadfs Properties Type of construction:
Address:810 SE Belmont St.#100 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax ( )
New:
a
Business name:Meyer Sign Co.of Oregon •-
Structural plan review fee(or deposit):
Contact name:Tony McCormick
Address:15205 SW 74th Ave.
FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(971)232-5021 I Fax::( ) Amount received
Email:permits@meyersignco.com t � � �
;;a ! , Commercial and residential rescrr tive ins . 'on of
L5v>n i'{rt. `..> '! s r+ �5 °a. ;,t. A ” P P
� �� .,`_ roof-top mounted Photovoltaic Solar P. el System.
Business name:Meyer Sign Co.of Oregon Submit two(2 -ts of roof plan wit, connection details
m and fire departmen .ccess,alon, ith the 2010 Oregon
Address:15205 SW 74 Ave. Solar Installation S e 'alts C de checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(inclu� Ian review $180.00
and admAIL tive fees):
Phone:(971)232-5021 Fax:( )
%of plan $21.60
CCB lie.:64014
/ /�/J Total fey.due upon app kation: $201.60
Authorized signature: L.L..7 C' t1/.� This permit application expires if a permit is not obtained
C '^� within 180 days after it has been accepted as complete.
Print name:Tony McCormick Date:11/21/16 ' Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
11705 SW PACIFIC HWY E, 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 P2016-00331
Inspector:
Chip Barnett
Contractor