Permit CITY OF TIGARD BUILDING PERMIT
i ' COMMUNITY DEVELOPMENT Permit#: BUP2020-00117
T t G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2020
Parcel: 2S110DB01300
Jurisdiction: Tigard
Site address: 15294 SW ROYALTY PKWY
Project: Tigard Animal Hospital Subdivision: 1996-010 PARTITION PLAT Lot: 2
Project Description: Install(1)21.28 sq ft wall sign.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: TIGARD INVESTMENT PROPERTIES LLC
4243-A SE INTERNATIONAL WAY 11086 SE OAK ST
MILWAUKIE, OR 97222 MILWAUKIE, OR 97222
PHONE: 503-653-1133 PHONE:
FAX: 503-659-9191
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/15/2020 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 05/15/2020 $16.14
Dwelling Units: Plan Review 05/15/2020 $87.45
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 05/15/2020 $1.00
Bedrooms: Bathrooms: 11 x 17)
Value: $3,200
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $239.13
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.
Issued By: �'/��`��/a/f� Permittee Signature: C:`2
Call 503.639.417 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 RECEIVED FOR OFFICE USE ONLY
��j
City of Tigard Received Date/By. s I � `VC d Permit Ne al:A 2A.ix,17
,114 • 13125 SW Hall Blvd.,Tigard,OR 9722�PR 22 2020 Plan Review ?v
' a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: - S.- j Other Permit
TIGARD Inspection Line: 503.639.4175 CITY OF ii(3ARD Date Ready/By: `los 13 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notifi ethod:' 2f, 1 Supplemental Information
S CO
TYPE OF WORK QU D DATA:1-AND 2-FAMILY DWELLING
®New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
D 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15294 SW Rowalty Pkwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Animal Hospital Covered porch area: square feet
Cross street/directions to job site:SW Naeve St Deck area: square feet
Other 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.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK t work indicated on this application.
MEG& Install One(I)21.28sq.ft Sign Valuation: $3,200
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:Animal Hospital Type of construction:
Address: 15294 SW Rowalty Pkwy Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON . BUILDING PERMIT FEES*
Business name:Tube Art Group (Please refer to fee schertxtI
Structural plan review fee(or deposit):
Contact name:Haley Arnell
Address: FLS plan review fee(if applicable):
4243-A SE International Way
Total fees due upon application:
City/State/ZIP:Milwaukie Or 97222
Amount received:
Phone:(503)748.9053 Fax::(503)659.9191
E-mail:harnell@tubeart.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Tube Art Group Submit two(2)sets of roof plan with connection details
---- and fire department access,along with the 2010 Oregon
Address:4243-A SE International Way Solar Installation Specialty Code checklist.
City/State/ZIP:Milwaukie OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)748.9053 Fax:(503.)659.9191 State surcharge(12%of permit fee): $21.60
CCB lie.:70956 Total fee due upon application: $201.60
Authorized signature: _61_440.4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Haley Arnell Date:4/2/2020 * Fee methodology set by Tri-County Building Industry
— Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB)