Permit (4) CITY OF TIGARD BUILDING PERMIT
IIII .4
I . COMMUNITY DEVELOPMENT Permit#: BUP2019-00270
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2019
T I t;A R C7 g Parcel: 2S113AB00101 I
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 200
Project: RMLS Subdivision: None Lot: None
Project Description: Replacing(1)mount non illuminated sign on existing brick monument.
Contractor: SECURITY SIGNS INC Owner: PACIFIC REALTY ASSOCIATES LP
2424 SE HOLGATE BLVD ATTN: N PIVEN
PORTLAND, OR 97202 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-546-7114
PHONE: 503-872-8049
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/02/2019 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 10/02/2019 $14.32
Dwelling Units: 0 Plan Review 09/19/2019 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/02/2019 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,615
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.21
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 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 tain a cop f the r or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 41
Permittee Signature:
Call 503.639.4176 by 7:00 a.m.for the next available inspection dte. .-441../ ' r.::...,
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 R 77r FOR OFFICE USE ONLY
Ev:!1
e 312ll BldTi d97223 SEP 19 2010 ew c l a /� Related Permit:
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Phone: 503-718-2439 Fax: 503-598-1960 Date/B : 1 —1�—
T1GAR13 Inspection Line: 503-639-4175 Date Ready/By: �� Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: L.
/ i.• Supplemental Information
' � OFWORK � 2 EAAND $A ILYWLL11NNO J1RD DTA2 DI,
'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: equipment,materials,labor,overhead,and the profit for the
0-',A.-z work indicated on this application.
CATEGORY>O) CartS'I L GTIOX
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB srrt,INFORMATION AND'LOCATION' Total number of floors:
Job site address: /(0!Q( 4) 72N0 rlvV New dwelling area: square feet
City/State/ZIP: TI 61A-7,4e2 o/. 49 7 2�, Garage/carport area: square feet
6uite dg./apt.#: 2()C) Project name: e 1_,S Covered porch area: square feet
Cross street/directions to job site: ()6 / Deck area: square feet
L.J,q Z. fE5 %�207 Other structure area: square feet
'/ 702A./40 - REQUIRED DATA:COMMERCIAL, E CLE iKL1ST-
Subdivision: 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
O indicated h l
/0/0/)Ai
���jjnn/� /VON
�RSCI{Ip�'Io�[Mpg'yypg�,/��., � '= workon this application. �
/ /0/) yrr I\xiv 1LLvf?4/,vArz 7 /4 A,/ Valuation: $2f(pIS
Oil/
cx6T7N 4 /"ieI yon/rnL r Existing building area: square feet
New building area: 6 9, 3 square feet
0
PROPERTY OWNER TENANT Number of stories:
Name: 11 Type of construction:
Address: //0/ / 72#a i2 ._c Occupancy groups:
City/State/ZIP: /012-77/97640 722471 Existing:
Phone:(�3 872 gOL1 I Fax:( ) New:
APPLICAI'iT CONVICT PERSON„
BUIGDI�IG.PERMIT rsiEs*
Business name: c. T 516 5 I s/Ai� view fref(or deposit) e}
Contact name:
C y�i'd 1 5���S Structural plan review fee(or deposit):
2 2y $J �4L6�47-t% 3L FLS plan review fee(if applicable):
Address:
City/State/ZIP: C'QrqA LO Og 972 2 Total fees due upon application:
,�7Amount received:
Phone:( G1/6 �C'�oc�.�� Fax::( C 2 30 !8(n pgO I, , --- -, , -113, .. --Elvi['FEF
E-mail: d?Lo cI'Y!(*S SL`s-(.0 [ 53/ M 5
1 b ...+++ Commercial and residential prescriptive installation of
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-----',..'4;#5-3'"'-'--.v r � _,, ,,,.... roof-top mounted Photovoltaic Solar Panel System.
Business name: ' // j r1./ 5I 4 r s 1A1 Submit two(2)sets of roof plan with connection details
i J and fire department access,along with the 2010 Oregon
Address: 2L/It/ pt1�=,�� �/7� Solar Installation Specialty Code checklist.
City/State/ZIP: elD -�-� cit‘? ei-iz1, Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 5125 5-y& 71D2 Fax:( 3 2 D /0t 2( State surcharge(12%of permit fee): $21.60
CCB Lie.: 1z-2-00,
Total fee due upon application: $201.60
Authorized signature: .--/ This permit application expires if a permit is not obtained
v / within 180 days after it has been accepted as complete.
Print name: C {�Q( c- .-S Date: �/l g/!g * Fee methodology set by Tri-County Building Industry
!l Service Board.
I:\Building\Permits\BUP_COM_PemtitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)