Permit (176) CITY OF TIGARD BUILDING PERMIT
111 • COMMUNITY DEVELOPMENT Permit#: BUP2018-00234
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2018
T I ct I=.r, 13125 Parcel: 2S103DD00850
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 30
Project: Boost Mobile Subdivision: None Lot: None
Project Description: Installing(1)16 sq.ft.internally illuminated wall sign on tenant's south elevation.
Contractor: MEYER SIGN CO OF OREGON Owner: D W SIVERS CO
15205 SW 74TH AVE 4730 SW MACADAM AVE#101
TIGARD, OR 97224 PORTLAND, OR 97239
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 08/22/2018 $149.75
Demolition
Occupancy Grp: B Occupancy Load: 25 12%State Surcharge-Building 08/22/2018 $17.97
Dwelling Units: 0 Plan Review 08/22/2018 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/22/2018 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $266.06
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.- "end 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 •ance,./or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi ion 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 calli..503.232 987 or 1.800.332.2344.
66.1
Issued By: _` ermi ee Signature: -Now
Call 603.639.4175 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 completi• of the project.
Approved plans are required on the job site at the time of each inspe ion.
Building Permit Application
Commercial j j q
City of Tigard , ;ry ,, d if 7�9. .r ate/By::: �flhu/�p �. �
Permit No.: /314 �;y 1 j
III
13125 SW Hall Blvd.,Tigard,OR 97223 ' 1 �.i�°T
I
Plan Review Other Permit: ( n' /�j 2,b�--
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 8—a9) 364/gdi a -o�.�k
Inspection Line: 503.639.4175 y 1 f; 2018 Date Ready/By: �-+�7 tuwis� ® See Page 2 for
1 I �R n p i' U ' N.ified/Method: U iJ [� p Suppl@mental Information
Internet: www.tigard-or.gov
TYPE•OF W1'O°p" ' . . .. m' REQQ ). D DATA: AN 2 l AI1MII Y DWELLING 77
O New construction
❑ �tI on � 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: equipment,materials,labor,overhead,and the profit for the
,
CATEGORY'
ARY OE CONSTRUCTIOwork indicated on this application.
❑ 1 and 2-family �. �.
Valuation: $
y dwelling Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND.LOCATION Total number of floors:
Job site address: /...3i/5. 5 lit] /246i(/a. �itd y _ 0-30 New dwelling area: square feet
1 City/State/ZIP: �o 4112.0I
12 (f ft_ 1d,.)-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: OQS/ / 7I 9/C..L� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUJ11RED 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 e fe• work indicated on this application.
it
r jI J J5_r't- I. ��T I �f1+ ✓iJ 66-777-C-50 ,.,Le Go j Valuation: I��C 0
W 1 111 /1- 73A-ockiL p, r-c_ c A ,(,�J'� Existing building area: square feet
c,3l- iJfl j 0 -rt /'�,�,7 ei L New building area: square feet
} A OPER O/ R t ��jj AN Number of stories:
Name: 6 II(101-6 ' l' , Ave, Type of construction:
Address: 7 j (itf /� C� � /I nOccupancy groups:
City/State/ZIP: e/(�'"(A4,,ti4r & 97) 9 Existing:
Phone:( ) Fax ( ) New
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
.+ .. ,` u � � °(pleasereperta�isc�'id�k,�
Business name: �/�f Ft �
/� (�0, i d�6C
,t Structural plan review fee(or deposit):
Contact name: Q,O i 47/�6/t-J //
FLS plan review fee(if applicable):
Address: l 5 uS j.� Y'A I
,� Total fees due upon application:
City/State/ZIP: 1 /7/111.1 e/ 7d d LI
Amount received:
Phone:(' 11 ) 2_31_ _ a02/ Fax: :( ) .
E-mail: 2t,tJU--L 7`S ( /(U, C*6/G of C(). Chu, PHOTOVOLTAIC SOL 0.R PANEL' SYSTEM +Z EES*;
I Commercial
CO CTOR ,, . roof-top mounted PhotoVoltaic Solar Panel System.
Business name: /I1 h"/�.r L t J 6r1. r/ e/ (11J Submit two(2)sets of roof plan with connection details
l .T and fire department access,along with the 2010 Oregon
Address: /, Z/I S.60 7 e_ Solar Installation Specialty Code checklist.
City/State/ZIP: j,�' yl, / 0/� 7 7.70.1 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(971 ) 2_)2_- Slid- Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 1,9.01,/
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: ///t)n o y 6 / / &/c/l1 i e'k--- Date: / 21 /(5 * 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)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13815 SW PACIFIC HWY 30, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2018-00234
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor