Permit (7) C ITY OF TIGARD BUILDING PERMIT
PERMIT # [ COMMUNITY DEVELOPMENT DATE ISSUED 1/17/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S115BA -02500
SITE ADDRESS: 16200 SW PACIFIC HWY SIGN ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: 001 JURISDICTION: TIG
PROJECT: TIGARD TOWN SQUARE
Project Description: (2) freestanding signs, one located at corner of SW Durham and SW 113th Ave and the other located
at the southern most entrance off SW Pacific Hwy.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: • sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 10 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS:,, IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 20,000.00
Owner: Contractor:
HARSCH INVESTMENT CORP TUBE ART DISPLAY
851 SW 6TH AVE SUITE 55 4243 A SE INTERNATIONAL WAY
PORTLAND, OR 97204 MILWAUKIE, OR 97222
Contact #: PRI 503 - 653 -1133
Phone: FAX 503 - 659 -9191
•
Reg #: LIC 70956 •
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 1/2/2008 $124.28
[BUILD] Permit Fee 1/17/2008 $191.20
[TAX] 12% State Surch 1/17/2008 $22.94
Total $338.42 •
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Orego • h. otification C- ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
oft -se rules or • -ct • •esti• • OUNC by calling 503.246.6699 or 1.800.332.2344. /
T 'li% 0 PP
Is ued By:, , � te_./ � ./ , Permittee Signature: „, P i�,
-
Call 503.639.4175 by 7:00 a.m. for an inspection that business da
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1• •
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Building Permit Appli ( -: i:, FOR OFFICE USE ONLY
City of Tigard 0 . �00" Received
a 13125 SW Hall Blvd., Tigard, OR 99 ® Date/B : Q Permit No.: >d- c d ab Plan Review
ft, 503.639.4171 Fax: 503 P$: 7 F 1 l ����iief11A Date/B : .�� I A �` Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 ' A1 R`a �7 \V Date Ready :y: ru ' 65 See Attached Checklist for
Internet: www.tigard - or.gov BU V f� Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction 0 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:' ( -OO .S W �4c ; C_ • New dwelling area: square feet
City /State/ZIP: '-'f a 0 ? " -' y Garage/carport area: square feet
I
Suite/bldg. /apt. no.: Project name: ?•u 7)‘.._Y-,-7 S -e Covered porch area: square feet
Cross street/directions to job site: s- W 17, i✓ - -rat p t S w ?....)'f - �w , Deck area: square feet
T-'l Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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 the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ ao,
.c t 1L«, e-"-t a -r ca. IQ. /`1. .., .4 .u4 ..1+ S 1 2 ‘,.5 -
J Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 1-10. rs G(,L L n v 1 ... t `B tp - Type of construction:
Address: .9s- S W 6.._ Ave. S t4 + 44 ,_ s-5 Occupancy groups:
City /State/ZIP: ?or 't l , OR q - 7-a0 1/ Existing:
Phone: ( ) Fax: ( ) New:
(fit APPLICANT ® CONTACT PERSON NOTICE
Business name: 174, 6 G 4 ,4 I s I All contractors and subcontractors are required to be
� 5
Contact name: (ar 3 d licensed with the Oregon Construction Contractors Board
e under ORS 701 and may be required to be licensed in the
Address: (1) A Sj „( 14) jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP: /1; 1,/“. / 0 4 1 apply:
Phone: (col) C C3 .. ( 3 ) 6 s --Q - /pi / 2C)
E- mail:, r a( Z d o2 4 - r1-t cr. V 22 , 1 /1 c —
CONTRACTOR
Business name: 1: 4 r i- ) ; p ! , 5 BUILDING PERMIT FEES"
Address: So�1,4+e (Please refer to fee schedule) p
City / State/ZlP: Structural plan review fee (or deposit): /, oho
sa w --
Phone: ( ) I Fax: ( ) Sa -K-t? FLS plan review fee (if applicable):
CCB lie.: 16---4 X Total fees due upon application:
Amount received: /aq- ,2-q `. Authorized signature: �� /,' —,- ■ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: . 1 P ( A d� , I Date: ( alt * Fee methodology set by Tri- County Building Industry
/� q/.. Service Board.
1:\ Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(II /02/COM/WEB)
CITY OF TIGARD a.
BUILDING DIVISION r., 0 PERMIT #: BUP2008-0000 I
13125 SW Hall Blvd., Tigard, OR 97223 ,,,,,,-- DATE ISSUED: 1/17/2008
Phone: (503) 639-4171 *1 _ 1 1.•yililib
Inspection Requests (24 Hrs.): (503) 639-4175 A I
— --.
INSPECTION WORKSHEET FOR DATE: 202008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 16200 SW PACIFIC HWY SIGN CLASS OF WORK:
SUBDIVISION: TIGARD TOME SQUARE LOT #: 001 TYPE OF USE:
PROJECT NAME: TIGARD TOWN SQUARE
DESCRIPTION: (2) freestanding signs, one located at corner of SW Durham and SW 113th Ave and the other located
at the southern most entrance off SW Pacific Hwy.
OWNER: HARSCH INVESTMENT CORP, PHONE #:
CONTRACTOR: TUBE ART DISPLAY PHONE #: 503-653-1133
Inspection Request Scheduled For: Date: 202000 Odli Pour Time: ide
Code # Inspection Description p v.) Confirm # Contact # Messa
1
205 (1) Footing c 064719-01 5034803-9305 It * otki
C norrections/Comme ts/Ins ructio : 1
0 cc -j OW63 W QJ2is 4
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1
A "PASS 0 PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS
0 FAIL El CALL FOR INSPECTION 1 ADDITIONAL FEES SSESSED
4) ( A)
Date:
Inspector: Phone #: (503) 718-
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