Permit (258) CITY OF TIGARD BUILDING PERMIT
'' m COMMUNITY DEVELOPMENT Permit #: BUP2013 00035
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/10/2013
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY A
Project: Anytime Fitness Subdivision: 1994 -028 PARTITION PLAT Lot: 2
Project Description: Installation of (1) wall sign.
Contractor: MEYER SIGN CO OF OREGON Owner: SN PROPERTIES PARTNERSHIP
15205 SW 74TH AVE 1121 SW SALMON ST
TIGARD, OR 97224 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: IIIB Misc Administration Fee 05/30/2013 $0.50
Occupancy Grp: A-3 Occupancy Load: Permit Fee - Additions, Alterations, 05/30/2013 $97.34
Demolition
Dwelling Units: 0 12% State Surcharge - Building 05/30/2013 $11.68
Stories: 1 Height: 0 ft Plan Review 05/30/2013 $63.27
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 05/30/2013 $1.00
Value: $1,750 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $173.79
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 Co•es 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 is- •an' -, or if ork is suspended for more the 180
days. ATT • . • egon law requires you to follow the rules adopted by the Oregon Utility Notifi ' on • enter. Those rules are set forth in OAR
952 -00 •010 through OA' '52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin r 03.23'198 • • r 1,800.33 .2344. //'�
Iss ed By: Ai/ Permittee Signature: 774 l�
Call 503.638.4175 by 7:00 a.m. for the next available Inspe • n date.
This permit card shall be kept In a conspicuous place on the Job site until completion of : project.
Approved plans are required on the job site at the time of each inspection.
•
Building Permit Application % 0 `, b t. (-
Commercial ` � e FOR OFFICE USE ONLY
City Cl of Tigard �I \/ r® g ���!!! 6� Date /B Received � / Permit No.: AM , , /
Ihi
• 13125 SW Hall Blvd., Tigard, Plan Review ' ,, '
Phone: 503.718.2439 Fax: 503.5 6 Date/By: r ! Z —, Other Permit: •
l 1 c A It D Inspection Line: 503.639.4175 I 1 3 2013 Date Ready /By: A tun ® s: See Page 2 for
Internet: www.tigard or.gov Notified /Method: ills / t 3 Supplemental Information
CITY OFTIGARD `Iiiiit W
TYPBUILDIKODIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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 the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling ® Commercial /industrial
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16200 SWPacific Highway, Ste A New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Anytime Fitness Covered porch area: square feet
Cross street/directions to job site: SW Pacific Highway and Durham Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Install building sign on storefront wall Valuation: $$1,750.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Greg Gold Type of construction:
Address: 12181 Margo Ave. Occupancy groups:
City /State /ZIP: Hastings, MN 55033 Existing:
Phone: (651)438 -5000 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Meyer Sign Co (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: Lyn Davis
FLS plan review fee (if applicable):
Address: 15205 SW 74 Ave
City /State /ZIP: Tigard, OR 97224 Total fees due upon application:
Phone: (503) 620 -8200 Fax: : (503) 620 -7074 Amount received: --e—'
E -mail: lyn@meyersignco.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commerci.1 and residential prescriptive installation of
CONTRACTOR roof -top mo •ted PhotoVoltaic Solar Pa. System.
Business name: Meyer Sign Co Submit two (2) is of roof plan with •.nnection details
and fire departme access, along • the 2010 Oregon
Address: 15205 SW 74th Solar Installation Sp• halo) Cod- checklist.
City /State /ZIP: Tigard, OR 97224 Permit fee (inclu• - p . review $180.00
and admini : •ve fees):
Phone: (503) 620 -8200 / Fax: (503) 620 -7074 State surcharge (12° . of perm' -e): $21.60
CCB lic.: 64014 y
Total fee ..e upon application: $201.60
Authorized signature: This permit a • I lication expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Lyn Davis Date: 1/30/13 • Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /02 /COM/WEB)