Permit (2) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit#: BUP2019-00344
Date Issued: 12/30/2019
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136DC03200
Jurisdiction: Tigard
Site address: 11740 SW 72ND AVE
Project: 72nd Avenue Apartments Subdivision: 72ND AVE APARTMENTS Lot: 8
Project Description: Installing (1)non illuminated blade sign.
Contractor: HANNAH SIGN SYSTEMS INC Owner: 72ND AVENUE PROPERTY LLC
1660 SW BERTHA BLVD BY CASSINELLI, RICHARD
PORTLAND, OR 97219 11720 SW 72ND AVE
TIGARD, OR 97223
PHONE: 503-946-8373 PHONE: 503-545-5217
FAX: 503-206-4900
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/30/2019 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 12/30/2019 $14.32
Dwelling Units: Plan Review 12/19/2019 $77.56
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 12/30/2019 $10.00
Bedrooms: Bathrooms: 11x17)
Value: $2,100
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $221.21
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 al 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 503.232.1 87 or 1.800.332.2344.
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Issued By:`Gs% ® s� ittee Signature:
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Ca 1503.639.4175 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
Commercial FOR OF FI( 1: 1-SE OA I.A
City of Tigard ,.a DateB IA l I. 79 2a'J,—C6N/ -
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ^' .0 I((' ' _-r '• `U/-��
S Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Ill 1
• I.1 t A It 1) Inspection Line: 503-639-4175 Date Ready/By: /' /�/ Is. ® See Page 2 for
Internet: www.tigard-or.gov Notified/Me od:f e ( I Supplemental Information
TYPE OF WORK REQ IRED 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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commerciallindustrial
O Accessory 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:11740 SW 72nd Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:72nd Ave Apartments Covered porch area: square feet
Cross street/directions to job site: Dartmouth 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
NGYV /u viv, ecr`h5C- ,f/�✓ Valuation: S Z/DO
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:72nd Ave Apartments LLC Type of construction:
Address:1131 SW Jefferson Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) __ New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Hannah Sign Systems
Structural plan review fee(or deposit):
Contact name:Dave Lanphere
FLS plan review fee(if applicable):
Address: 1660 SW Bertha Blvd
Total fees due upon application:
City/State/ZIP:portland OR 97219
Amount received:
Phone:(503 )946-8373 Fax::(503 )206-4900
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: davel@hannahsignsystems.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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 SpeciaUy 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 Lan er Date: ///(vfi 4, * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)