Permit x' „. BUILDING PERMIT
,pi c a . COMMUNITY DEVELOPMENT Permit #: BUP2010 00115
T (GAR I Date Issued: 06/15/2010
D . 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102BD00100
.Jurisdiction: Tigard
Site address: 12645 SW PACIFIC HWY
Subdivision: Lot: 0
Project: St. Anthony School
Project Description: (1) freestanding sign, 12' in height.
Owner: FEES
ROMAN CATHOLIC ARCHBISHOP OF Description Date Amount
PORTLAND IN OREGON, 2838 E BURNSIDE Permit Fee - Additions, Alterations, 06/08/2010 $317.06
PORTLAND, OR 97214 Demolition
PHONE: 12% State Surcharge - Building 06/08/2010 $38.05
Plan Review 06/08/2010 $206.09
Contractor:
MEYER SIGN CO OF OREGON
15205 SW 74TH AVE
TIGARD, OR 97224
PHONE: 503 - 620 -8200
FAX: 503- 620 -7074
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 12 ft
Bedrooms: 0 Bathrooms: 0
Value: $15,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $561.20
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 fo• • '. ■ s R
952- 001 -0010 through R 952 - 001 -0100. You may obtain a or direct questions to OUNC by calling 503.246.6699 • : r • 44.
Issued By Permitt Signature: �tl ge -M4111111011
x =9.4175 by 7:00 a.m. for an inspection that business day.
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 -..-- o
Commercial " FOR 011 id USl ( »I
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V ED
:- City of Tigard I r EC Receked (� : M PernM No.: , / .4360/i5 Date /Dv: ,„ D
13125 SW Hall Blvd.. Tigard. OR 97223 Plan Revictt ° 1 ,, t
� ' i Phone: 503.639.4171 Fax: 50 �14(>S 2� Date11 � 6 OtherPerniit:
•T 1 C AR D Inspection Line: 503.639.4175 1U Date Ready /By: El See Page 2 for
Internet: www.tioard- or.eov CI Notified /Method: Supplemental Inf
P�/ OF TIG
TYPE OF W'Oi 1 ISION REQUIRED 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: Sign equipment. materials, labor. overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- fanmilydwelling Valuation: $
® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /z_1„, ../5 Piz' New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite /bldg. /apt. no.: Project name: St. Anthony Church & Scho Covered porch area: square feet
Cross street/directions to job site: cross st. - Pacific Hwy. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 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. Tabor. overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install (1) freestanding sign with electronic reader board Valuation: $$15,500.00
Existing huilding area: square feet
New huilding area: square feet
® PROPERTY OWNER ® TENANT Number of stories:
Name: St. Anthony Church & School Type of construction:
Address: (Same as above) Occupancy groups:
City /State /ZIP: Existing:
Phone: (503)855 - 3211 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: (Same as Contractor) All contractors and subcontractors are required to he
Contact name: Steve Murphy licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to he licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing. the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: Meyer Sign Co. of Oregon, Inc. BUILDING PERMIT FEES*
Address: 15205 SW 74' Ave. (Please refer tofee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: Tigard, OR 97224
FLS plan review fee (if applicable):
Phone: (503) 620 - 8200 Fax: (503) 620 - 7074 Total fees due upon application: dA06 . O p
CCB tic.: 64014
?11,11 11
C--.: ^ ' 7 II Amount received: # 5 /0 I . 9`4) Authorized signature: ; r - --,..--- - -.;.____ I_ t
_ i��.� `� This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
Print name: Steve Murphy _ 'Date: 6 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)