Permit (61) CITY OF TIGARD BUILDING PERMIT
a12M . COMMUNITY DEVELOPMENT Permit#: BUP2017-00052
T f AR L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2017
Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11525 SW PACIFIC HWY
Project: Emerald Outdoor Subdivision: VILLA RIDGE Lot: 7
Project Description: (2)internally illuminated wall signs.
Contractor: SALEM SIGN CO INC Owner: MCLELLAN ESTATE CO
1825 FRONT ST NE 707 OLD COUNTRY RD
SALEM, OR 97303 BELMONT, CA 94002
PHONE: 503-371-6362 PHONE:
FAX: 503-371-0901
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/15/2017 $195.38
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/15/2017 $23.45
Dwelling Units: Plan Review 03/01/2017 $127.00
Stories: Height: ft Misc Administration Fee 03/15/2017 $5.00
Bedrooms: Bathrooms: Info Process/Archiving-Sm$0.50(up to 03/15/2017 $1.00
Value: $8,000 11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
----
Mezzanine:
Total $351.83
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 a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: "2,4„07_10/„..._ Permittee Signature: —E;'
09-‘ 1 1 1
a 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 of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application F,� : :4` ,
Q) 1 Olt O1 FI(1. 1 SI.0\1.I
MAR 1 '011
City Tigard Received
Date/B / -/7 Permit No.: ^2roe 17---x
1111 w 13125 SWW Hall Blvd.,Tigard,OR 97223 0, 't k 1)f, 1 I ti....,`.', F i plan Rev i. Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 _ :to/B : Sof _t , , - r"#_,..7.1 I G A R D Inspection Line: 503.639.4175 i t u , _ate Ready : Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: %S 1 f7 /37 , . ? Supplemental Information
i
[ 7::7:4 5 :a««m. ' ram °1t"' -'"-, -. 'Y ' i` #^„�r '' ,y s: --.,'-',. .1'11.1::,
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
VI Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
7, + : -.. k -, .'„"Pi_ work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling P Commercial/industrial -
❑Accessory building I=1 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
" '--,--` , • ', Total number of floors:
Job site addres-c ,..,06— .s. pA4 pzG llistir
New dwelling area: square feet
City/State/ZIP: �l, .d OQ. 9722,3 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: D4/.7..zweet Covered porch area: square feet
Cross street/directions to job site: ff __ Deck area: square feet
Ar ( `t i rrn. c -/eit-i 1'10s3G Other structure area: square feet
7
Subdivision: 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
-- s , < _ work indicated on this application.
/,R/S77r!'a. S//t/4i&' Mee- /#1//2520t/011-1-4/ Valuation: $ y( L.)
1 G LU/t-i1�.�-7L� 'a. io_�c, Existing building area: square feet
New building area: square feet
•.,... .,� � s. � � � - Number of stories:
Sir",..-f:
Name: e__fie, li)( CA—Ad C.)- --).--/r. Type of construction:
Address: 1\ j- S l✓&c 1 Occupancy groups:
'N City/State/ZIP: -k'x C ,,Q----+ ( ( (2_ q--).3D Existing:
+s'
Phone:6141) 5 I 7,--; -3 Fax:( ) New:
s'tttftittiiti..,%..b,....r m... ....1G..t.a lwsiw a..1a +ii,* iY,tui, m.-F.>- �„,r . -w.rvba ��C „k EY �" l7 i
Business name: 3A t. '\ S\�N C 0, %TA C.
Structural plan review fee(or deposit):
Contact name: IS ac 11 1 Le Si-, '�-C..— FLS plan review fee(if applicable):
Address: c a Or— cal 01 —
� i"' Total fees due upon application: /42-7.City/State/ZIP: ca4'QJJ `��,eSP1
(SOS) Amount received:
Phone:(S(5 ) 3-71-lD 2 Fax::(603 ) 37�-Ocl ,, �. . ,. !
E-mail: Ca 1 0 S f t ' t .
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, " , � � „� roof-top mounted PhotoVoltaic Solar Panel System.
Business name: . 1-1,.t✓"1M � (L '�iL-
Submit depao rt)ment
afcoofplon with the 2010 detailsen
and fire department access,along with the 2010 Oregon
Address: i 1Gij z.c . .,0,..„,„4.-r si 1,e, Solar Installation Specialty Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:
1.evVI DR 6113o ( and administrative fees):
Phone:(163) 37/. 63i Z Fax:(St)43) 37/ . D5O/ State surcharge(12%of permit fee): $21.60
CCB lic.: 65:21'7 ', 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: Date: * Fee methodology set by Tri-County Building Industry
Eq�� l P �-Y� )��/�� Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)