Permit (5) CITY OF TIGARD BUILDING PERMIT
I . COMMUNITY DEVELOPMENT Permit#: BUP2019-00276
Date Issued: 10/15/2019
I(;A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102AD00100
Jurisdiction: Tigard
Site address: 12531 SW HALL BLVD
Project: Alstate Subdivision: TIGARD HIGHWAY TRACTS Lot: 19
Project Description: Installing(1)channel letter on raceway sign.
Contractor: HANNAH SIGN SYSTEMS INC Owner: WAGGIN'TAIL PROPERTIES, LLC
1660 SW BERTHA BLVD BY SUPERIOR SIGNS
PORTLAND, OR 97219 12529 SW HALL BLVD
TIGARD, OR 97223
PHONE: 503-946-8373 PHONE: 503-598-0839
FAX: 503-206-4900
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/15/2019 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 10/15/2019 $14.32
Dwelling Units: 0 Plan Review 10/02/2019 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/15/2019 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,600
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $213.71
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 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 t - rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 :. '090. You may obtain a .. of the rules or direct questions to OUNC by calling 503.232.1'87• 1.800.332.2344.
i
Issued By: -�� i Permittee Signature: —
f
,Call 503.639.4175 by 7: m.for the next available inspection da /
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 2 FOR OFFICE USE ONLY
f Received / �p A i��ii
�_/VZ
��Date/By: 10 ,I...of Tigard
" 13125 SW Hall Blvd.,Tigard,OR 97223
■IN Plan Review
% Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: )Q� �Q� )
T I GA R I Inspection Line: 503-639-4175 Date Ready/By: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov •ied/Metho • Q �,► /9 Supplemental Information
41 Ail Ir
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
l New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: 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: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12531 SW Hall Blvd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Allstate Covered porch area: square feet
Cross street/directions to job site: SW Hunziker St Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
(sS Valuation: $ Z(.0EJ—
/ „,��` ( / /��L o j S//5 Existing building area: square feet
/f+*� New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Brent Hislop Type of construction:
Address:12529 SW Hall Blvd Occupancy groups:
City/State/ZIP:Tiagrd, OR 97223 Existing:
Phone:(503 )598-0839 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Hannah Sign Systems (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Dave Lanphere
Address: 1660 SW Bertha Blvd FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
Portland, OR 97219 Amount received:
Phone:(503 )946-8373 Fax: :(503 )206-4900
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: davel@hannahsignsystems.com
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Hannah Sign Systems Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1660 SW Bertha Blvd Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97219 Permit fee(includes plan review $180.00
and administrative fees): _
Phone:( 503)946-8373 Fax:(503 )206-4900 State surcharge(12%of permit fee): $21.60
CCB Lic.: 203638 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:Dave Lanphere Date: /0//7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)