Permit (61) '--
CITY OF TIGARD BUILDING PERMIT
11. COMMUNITY DEVELOPMENT Permit#: BUP2018 00024
T[GAR o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14465 SW PACIFIC HWY
Project: 8 Hr Denture Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: (1)new 13 sq.ft.wall sign on north-facing wall.
Contractor: OWNER Owner: BULL MOUNTAIN INVESTMENTS LLC
BULL MOUNTAIN INVESTMENTS ATTN JERRY KOLVE
14389 SW PACIFIC HWY 14389 SW PACIFIC HWY
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/08/2018 $97.34
Occupancy Grp: B Occupancy Load: 49 Demolition
12/o State Surcharge-Building 03/08/2018 $11.68
Dwelling Units: 0 Plan Review 02/15/2018
Stories: 0 Height: 0 ft $63.27
Info Process/Archiving-Sm$0.50(up to 03/08/2018 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $174.29
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 co. - - u es o •'rect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /J
-- �� �� Permittee Signature: ---..
C: �f• 175 by 7:00 a.m.for the next available inspection date.
This permit card shal 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.
J
Buiing Permit Application
Commercial
I OR Or► R pyrilsuE l �►: oN►.l
City of Tigard R. ., 1- ,,
1111 13125 SW Hall Blvd.,Tigard,OR 97223 AEt
a. •= +7L Permit No.: dl. is R.
Phone: 503.718.2439 Fax: 503.598.1960 ' f view - AS
^'
C 1 G: R n Inspection Line: 503.639.4175 Date/B : — v `� Other Permit: �; +V 1
FEBe ReadyBy: ® See Psge 2 for
Internet: www.tigard-or.govID . tifed/Method:
CITY �y yy A� Supplementallnformation
TYPE OF WORK CIj OF TIGARD REQUIRED DATA:l-AND 2-FAMILY DWELLING
0 New construction 0 DZIALDING DI / SIO1 - Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement ���: �``',, Indicate the value(rounded to the nearest dollar)of all
.;p'N, equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION ✓✓✓✓✓✓ work indicated on this application.
❑1-and 2-familydwelling —�-C Valuation: $ �J
ommerciaUindustrial gO0❑Accessory building ❑Multi-familyNumber of bedrooms:
❑Master builder
0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /1/1/4a C �� 14' '[?L /� iv New dwelling area: square feet
J "'."yJ/ f7 9
City/State/ZIP: 11,„11/
--7;,..71e., Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: if-Air, Covered porch area:
square feet
_Cross street/directions to job site: n /car, e /y� Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: //� _/�� _�v�v J Indicate the value(rounded to the nearest dollar)of all
! , V equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
j'/(� �e(A!! ��n Valuation: $
JExisting building area: square feet
New building area: square feet
. PROPERTY OWNER I 0 TENANT Number of stories:
Name: gla
1M/1 L� 5 i A . Type of construction:
Address: /i"� /� / l�(��-
A./.315,1 514.£ 1 JL Occupancy groups:
CityfState/ZIP: �` 9 Q
p
/ C� � ! ng:
� Existing:
Phone:,l+.1' td Fax:(J a) & �Sa / / _
�{ New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: . ), _� (Please refer telexsckeduks}
Contact name: /J1.41., )� ,�s/�' Structural plan review fee(or deposit):
Address: iy ��.4L FLS plan review fee(if applicable):
City/State/ZIP: ?" �YJ, vi-t/
�� /� '�"5/ Total fees due upon application: ..�
�1 I Fax:: ) 6 .r�"�l�
Phone: �I) 6.Z,a � Amount received:
E-mail: /� "174..„-vi C ee t/�) '` ,/ _O*�� PHOTOVOLTAIC SOLAR'PANEL SYSTEM FEES*
(./ 6NTRACTOR („�'/J�I�F! Commercial and residential prescriptive installation of
T �y'�� - ,�/ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:�/! /���T ,,Zi J7' f/G( Submit two(2)sets of roof plan with connection details
Address: /f� GG / L /1;,_ / '� and fire department access,along with the 2010 Oregon
O .L,t! TI 'Vf•� Solar Installation Specialty Code checklist.
City/State/ZIP: --27r 77_4/ Permit fee(includes plan review
Phone:.•) b 20 eiI Fax: (9 •-s—,// and administrative fees): $180.00
CCB lic.: State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
(9 At (ki' within 180 days after it has been accepted as complete.
I Print name: 40 ,o i , I Date: _,..5-.T)J * Fee methodology set by Tri-County Building Industry
�� d Service Board.
1:1BuildingTermttslBUP-COM PermitApp.doc 02/24/2011
PP• 440-46131(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14465 SW PACIFIC HWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00024
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor