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Permit (81) CITY OF TIGARD BUILDING PERMIT III Permit#: BUP2019-00024 �I COMMUNITY DEVELOPMENT Date Issued: 02/07/2019 T[1.-;;ti IF.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9339 SW WASHINGTON SQUARE RD T11 Project: Amerisleep Subdivision: None Lot: None Project Description: Installing new exterior channel letter set. Total combined weight 33 pounds. Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: PPR WASHINGTON SQUARE LLC 1400 S TOWNSHIP RD PO BOX 847 CANBY,OR 97013 CARLSBAD, CA 92018 PHONE: 503-263-3600 PHONE: FAX: 503-263-4617 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee-Additions,Alterations, 02/07/2019 $180.17 Class of Work: ALT Type of Const: VB Demolition Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 02/07/2019 $21.62 Dwelling Units: Plan Review 01/31/2019 $117.11 Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 02/07/2019 $2.00 Bedrooms: Bathrooms: 11x17) Value: $6,010 Building Misc Fund(copies/prints) 02/07/2019 $2.00 Floor Areas: Total Area: Accessory Struct: Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $322.90 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Si / / Signature Issued By: 4,"°.... I/ Call 503.639.4175 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 completion of the project. Approved plans are required on the job site at the time of each inspection. I Building Permit Applicatiq 11 11 ',_j _ I Fy _ FOR OFFICE USES ONLY IL City of Tigard JAN�� G 2 L0 DateBy / 3/ ( Pe ''tA5/ 2O 7(e2 Gr 111 2 '� 13125 SW Hall Blvd.,Tigard,OR 97 3 Plan Review Phone: 503.639.4171 Fax: 503.598960 ` -� DateBy: �„— - , a`/� ��a �3�on f E :'� i i'J;ai p' T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: furls H See Page 2 ar Internet: www.tigard-ocgov Notified/Method:�. �� 4� Supplemental Information r V New construction ❑Demolitionrmthe value of the work performed InPedicateitfees*the valareuebased(roundedon .to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the 1 , work indicated on this application. — ❑ 1-and 2-family dwelling �I Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Total number of floors: Job site address: 9� t � �► 5C1��.� New dwelling area: square feet City/State/ZIP:. \ QLN(d t op-, q,-2...-2...-6 Garage/carport area: square feet Suite/bldg./apt.no.:11 Project name: +\YY 5ko eD"�(7 Covered porch area: square feet Cross street/directions to job site: �j" t-4.. %l-MNN ?�" Deck area: square feet � � �,� l �,\(1� �\ Other structure area: square feet Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: o Indicate the value(rounded to the nearest dollar) f all equipment,materials,labor,overhead,and the profit for the 1 a_ ice` - work indicated on this application. Irc� \k �rtp ,w 1 (�- �J( �C Ci �rQ.t Valuation: $�p t� 1��Se Y�\� Existing building area: square feet W"\--___Sr ` `� � _ J .� - ( s New building area: square feet • Number of stories: � �p� ) Type of construction:5i�� Name: 4�f S Address: 9"3361 ""�.... ,, 1'0f' S 9 p ce- Q A Occupancy groups: City/State/ZIP: T Q Ct *PK912'23 Existing: Phone:( ) Fax:( ) New: '--2p1 } Business name:R'.- X �-^y E\,( -r'\C, '3.��,g�_C All contractors and subcontractors are requiredyto be Board Contact name: �-"'_ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ©QW��,`. � jurisdiction in which work is being performed.If the City/State/ZIP: O ` \ 9701 ''-7 0( applicant is exempt from licensing,the following reasons apply: Phone:450-0.-4211V-`3o Fax::( ) E-mail: . ‘..).\CQ. •/ rir �k C ' 1(._. .!!‘,..7 _S lS• �n � --ll � ' Business name:t --C-f�1(-..� c S'�nl L S ic�in� c�„L I t� Address: t-De [ OL rxj\1‘Q .. Structural plan review fee(or deposit): City/State/ZIP: Q,Q.Nb L ©(?‘ O11 D k, Phone:6D2,) ,c ?>i Fax:( ) FLS plan review fee(if applicable): CCB lic.: j$�0 5�� Total fees due upon application: Amount' ceived: Authorized signature: expires be se a acceptedermit is as complete.notobtaind Print name: Sf e le'l ��C144* Date: 1/30/ 1 p This* Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9339 SW WASHINGTON SQUARE RD T11 , TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2019-00024 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor