Permit (157) CITY OF TIGARD BUILDING PERMIT
14
2. COMMUNITY DEVELOPMENT Permit#: BUP2016-00315
Date Issued: 02/21/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#230
Project: NW Capitol Management Subdivision: VARNS ACRES Lot: 9
Project Description: (1)wall sign
Contractor: INTEGRITY SIGNS OREGON Owner: TRIANGLE POINTE TWO LLC
PO BOX 88 901 NE GLISAN ST, STE 100
HUBBARD, OR 97032 PORTLAND, OR 97232
PHONE: 503-981-3743 PHONE:
FAX: 503-982-8153
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 02/21/2017 $149.75
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 02/21/2017 $17.97
Dwelling Units: Plan Review 02/21/2017 $97.34
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 02/21/2017 $2.00
Bedrooms: Bathrooms: 11x17)
Value: $4,844
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $267.06
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
952-001-0010 through OAR 952-001-0090. You may obtain rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: / Permittee Signature: (..) efir....-2e"...„___----
,..,
. 1503.639.4175 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
Commercial >7 i.. ' ,. vi;
FOR OFFICE USE ONLY
iii . City of Tigard Received fAlifir
i '. 13125 SW Flail Blvd.,Tigard,OR 972 1 Date/By:a._f ' /e �•) Permit No.: 6.-003!5'
Plan RevreW.:---
Phone: 503.718.2439 Fax: 503.598.14'60' "1"
Date By: t(A��I)�7 Other Permit ��/
_
�DO/�Inspection Line: 503639.475 Juns 1 la See Page 2 forDate Ready ,;,/,,,
TIGARD � § ' r �a Internet: www ttgazd or.gov .- . , Notified/Method: /1 ito
Supplemental Information
afS1P.f'„y,l i 11 " ,t=` :,„,,`0. ,:7A` 9 ' g p ,.
i %� 11 t
f
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/re lacement Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement O. Other:51 L(d'�
�' r equipment,materials,labor,overhead,and the profit for the
r�a , ' W work indicated on this application.
0 1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
ye,•:
�` I f I 3 �: Total number of floors:
t��
Job site address: ”
3-3 3 3 SW a+/-, .� 1 New dwelling area: square feet
City/State/ZIP:
Garage/carport area: square feet
Suite/bldg./apt.no.: Q30 I Project name: �V' 1 IA) c .°1-JaA
-� yritip,.kCovered 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
P FPiP { //'
1 f.`� ,11,70 7, cif' ' rf f work indicated equipment, ton thiserials,lapplicationabor, ead,and the profit for the
h0
.yy►.5�Q.1 � S�� �1 tot-12,., Valuation: $ g y'1yO
(P Li_C Q,`rt v� ' e�,��l Existing building area: square feet
t � New building area: square feet
:4f'ff,{ff;:/ > ! a1 # f r0".7f rrl-.:P `f" `14 Ff 1 ,rr f rr' .,
,, • yf `,�f4 Number of stories:
Name:---i-n.6 ,
pc51ti _1l a u.._ Type of construction:
Address: q �i5, (p'(I'S,z..., 6D Occupancy groups:
City/State/ZIP;7� (. ._a , 0� Cl —2
a 3.a. Existing:
Phone:( 612) ,z9 .� g19Fax:
t�"/r ,g r,.f r'�
� a Fo w ,. New:
Business name: - �flr r, ,te, is i
CiContact name'....._ il 4Q....... o U Structural plan review fee(or deposit):
Address: I b v FLS plan review fee(if applicable):
City/State/ZIP: / q C)- I-1 z3 Total fees due upon application:
4
Phone:cs'b�l c[$I -337 3 I Fax::�_ Amount recei•ved ���/
E-mail: p F447,9 , 6r gy /7-'91,/A ? ! It a re d
1,T rt4s, v1 , cif •s#1 *s:9} iF v ` 1 r ytJ2B yeaj� � ' f
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JI mail ff fflk fjFr-%Nf'rfhv fs f✓'ffo J$??,:✓ Af "%4(1 l IN ,1`l . Jfi N/G.*^Y J�✓1 e/.t9'IJ. , lFu .��/,/r,,.. i
, ff�'� f ' �r��/;r� ,��yfi����t� v��fr ,��:�, t�f ���r�e'4 �tfr ��jx�jrrf�� Commercial and residential prescriptive installation of
es.• rA%+ G3/l; ,4A rC 1i,Z o„Ay,� f5,, .y.t rdr�le.:;:,,f, a `'r iyl ; f '/j gtm
.-f/ ,1 f�.,.err� � �e roof-top mounted Photo Voltaic Solar Panel System.
Business name:� �i Li 51,� C �tio �� Submit two( -ts of roof plan with connection •-
Address: 1Q D and fire departmen cess,along with ti i I Oregon
r Solar Installation Speci... Code -c list.
City/State/ZIP u AI a,1/4._ 1 6) q .7 o 3 Permit fee(include - iew
Phone:(g13) 9 g1. -s 1 4.43' I Fax:( 0) and.• mistrative fees . $180.00
CCB lic.: State su .rge(12%of permit fee): $21.60
qty 1
Total fee due upon application: $201.60
Authorized signature's This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name.
Date: io _ 4_ ' ‘ * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)