Permit CITY OF TIGARD BUILDING PERMIT
_
a COMMUNITY DEVELOPMENT Permit#: BUP2018-00191
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2018
TI ''�!`Dg Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY X
Project: Aywa! Subdivision: None Lot: None
Project Description: New 81 sq.ft.wall sign.
Contractor: BEAVERTON SIGNS Owner: PACIFIC CROSSROADS PROPERTIES IN
3899 SW HALL BLVD BY WYSE INVESTMENT SERVICES CO
BEAVERTON, OR 97005 810 SE BELMONT ST#100
PORTLAND, OR 97214
PHONE: 503-672-9037 PHONE:
FAX: 503-574-4741
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 08/02/2018 $134.54
Demolition
Occupancy Grp: B Occupancy Load: 0
12%State Surcharge-Building 08/02/2018 $16.14
Dwelling Units: 0 Plan Review 06/25/2018 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/02/2018 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $239.63
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Bolts in Concrete
2 Licensed Fabricated Steel
Fire Alarm: Protected Corridors: 3 Structural Welding
Smoke Detectors: Manual Pull Stations: 4 Verify slab is 6"thick per plans
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code s and -II other ap.' -•le law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issu-n I-, or i- work is spended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati-n •-nter. Th• - 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 5 .2 2 987• .00.332.2344.
I
Issued By: - - ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection at:
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 • T lJ [OR OFFl( L I ‘g' yI v
IN Ci of Ti and "-"- Received
. 14
-'�,� PermitNo.: �¢
13125'SW Hall Blvd.,Tigard,OR 97223 Date/BY. �fri� w'Q��j.
g Plan Review + Other Permit: C`
Phone: 503.718.2439 Fax: 503.598.196p,, 52 DateJBY ='� �J, 1 (50/70 0-at,Al2.
TIG A K ll Inspection Line: 503.639.4175 J U Date Ready/By: 9 �r Ant H See Page 2 for
Internet: www.tigard-or.gov Notified/M od: t!� i :6, 1 Supplemental Information
CITY OF TIGAR
TYPE EWING DIVISION 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 0 Other: k)Ivy S(.(.GAJ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling A Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 `'70S 5 Pit-I'0('WEA'e) New dwelling area: square feet
City/State/ZIP: 'fl i,4-eJ, 0 As di '7 'Z,2.3 Garage/carport area: square feet
Suite/bldg./apt.no.: >(' Project name: /7\Lo}- i Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
CI 4 01 I"7 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.
N)E 51"-4('-) Valuation: $ 1/ tit.....0
Existing building area: square feet
New building area: square feet
1 PROPERTY OWNER 0 TENANT Number of stories:
Name: (..,....NS e Rt { e7'`j' { Type of construction:
Address: St 0 cE, bel rti o p1 Occupancy groups:
City/State/ZIP: i'Dx 6(Z -72_iii Existing:
Phone:(503) 8a'1-11 Ry Fax:( ) New:
I APPLICANT E' CONTACT PERSON BUILDING PERMIT FEES*
Business name: 6�'!fU�c4 fl!3 j (Pleasereferw(eesch ted
Structural plan review fee(or deposit):
Contact name: en o&-- t., 141 f7
Address: FLS plan review fee(if applicable):
3eg5 ,,, ter, bIuo
City/State/ZIP: ex„trot /'1 of q Total fees due upon application:
Phone:( 3)4,572- 9a3 7 cFaax::( ) Amount received:
E-mail: Al j Ki- fie 46/14-1X7i7 /6,04r,e ore PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: BeAvExfiij05'/40 / 1/0/m ,pezip/i LLe. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: a 999 Qo ti$ /� d1/0 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: ,calk n,y, �(I1: 065. $180.00
and administrative fees):
Phone:(50?) 6.7 2- ,0-#7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 7 7 Total fee due upon application: $201.60
Authorized signature: f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: /V/e/eft/e/ fejJj qh Date 6- 1F * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)