Permit (30) CITY OF TIGARD BUILDING PERMIT
1 • COMMUNITY DEVELOPMENT Permit#: BUP2019-00067
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2019
T(i A R 1) g Parcel: 2S113AD01700
Jurisdiction: Tigard
Site address: 16850 SW 72ND AVE
Project: Bridal Exclusives Subdivision: ROSEWOOD ACRE TRACTS Lot: 26-34,P
Project Description: (2)wall signs
Contractor: E S&A SIGN&AWNING Owner: BRIDGEPORT LAND LLC
89975 PRAIRIE RD 3939 NW ST HELENS RD
EUGENE, OR 97402 PORTLAND, OR 97210
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 03/28/2019 $453.95
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/28/2019 $54.47
Dwelling Units: Plan Review 03/21/2019 $295.07
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 03/28/2019 $3.00
Bedrooms: Bathrooms: 11x17)
Value: $24,150 Misc Administration Fee 03/28/2019 $5.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $811.49
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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 952-001-0090.00/0.You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: X %/ / Permittee Signature: a77V( -Gf/75 -/
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.
Building Permit Application R
Commercial RECEIVEI oft(II 1 1( 1 1 tiI.Ov1 1
City of Tigard MAR 1 8 2019 D`acta`ey°-2 , 1 /9 �i Permitij 7j c7t9 .7
13125 SW Hall Blvd.,Tigard.OR 97223 Plan Revi w
Phone: 503.718.2439 Fax: 503.598.19 ` y� + Date g: r Other Permit
Inspection Line: 503.639.4175 �I�i � r � Read%t ��d N )• loris: ®See Pae 2 for
t-�� nlU P /� n a y R �t B
Internet: www.tigard-or.gov ':3UILDING DIVISIu��rfiedMethod. ` Supplemental Information
i
'
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 [i►Other: 5;1 IN equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling Commercial/industrial Valuation: S
❑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: 11D q s o .S A 2A19 New dwelling area: square feet
City/State/ZIP: elj J elf
f`{ 0 R Garage/carport : square feet
Suite/bldg./apt.no.: Project name: 1) j C'.C.,1 t15 V Covered h area: square feet
Cross street/directions to job site: Dec rea: square feet
SOIi l�)rr.`>s;;t,tn/. Qt'(ier structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees'are based on the value of the work performed.
Tax map/parcel no.: I1 OC.)
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.
1'IQA/e_ 1 , �nS , (2.) TwJ ;?Valuation: S 4 150
L4fJrytf and
(„J A-LL.. S;(.0/V/ Existing building area: square feet
JS New building area: square feet
0 PROPERTY OWNER 'TENANT Number of stories:
Name: 6 r i.c 6A-CA V S: _` Type of construction:
Address: it, -.-',0 S (-J r1 ])..^ 11 Occupancy groups:
City/State/ZIP: ( i 4t:}.ff.4 ` 01/7 22,4 Existing:
Phone:( ) ( Fax:( ) New:
%APPLICANT p--CONTACT PERSON BUILDING PERMIT FEES*
I?!ease refer to fee schedak)
Business name: GS y Cot
� � �t r'S� -b' f Structural plan review fee(or deposit):
n�
Contact name: r
"t D�j S FLS plan review fee(if applicable):
Address: SCI i75 /"IA', r;A_
City/State/ZIP: G.1-59-"x 0 l r14 J Total fees due upon application: (2,15-..,,,7
Phone:(ee11t) (._6 .(_ (a 22_2 Fax::( `t) 4 its - i3 Amount received:
E-mail: rn t�f @ b Ik 2 tPHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
5 A S Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 6 s n- A S r C.re Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ';3ela))5- Pre. r Solar Installation Specialty Code checklist.
City/State/ZIP: c://C got t— CC)V b Z Permit fee(includes plan review
and administrative fees):
Phone:(SAO ti p 5e1.14 I Fax:( 540 Lt Vs- 5 Si 3 State surcharge(12%of permit fee):
CCB lie.: I to 3t.{
Total fee due upon application:
Authorized signature: c /� / This permit application expires if a permit is not obtained
il
l.� within IS0 days after k has been accepted as complete.
Print name: (�lCy /)NQ,f,�C Date: 131 pi i ei * Fee methodology set by Tri-County Building Industry
! Service Board.
I:1Building\Permits\BUP-COM PerntitApp.doc 02/24/2011 440-4613T(I I/../COM/WEB)
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03/15/2019
Good morning,
Please find the enclosed Application for: Bridal Exclusives
- 16850 SW 72nd Tigard, OR 97224
Included in this packet for your review:
- Sign Application and supporting documents.
- Wet Stamped Engineering
- Electrical Application
- Building Application
- Check#76022 $436.00 Sign Intake Fee
If there is anything you require, or have any questions, please feel free to email or
contact me at the number below.
Thank you again for your assistance,
Marcia Nering
Permit Specia/ist Medford Division
f
4445 Table Rock Rd
Central Point, OR 97502
T: 541.664.7416
F: 541.485.5813
C: 541.326.7098
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16850 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2019-00067
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor