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Permit
.f F. ' `• BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2005 -01002 T :t1ii. D 1 i EVELO BMENT - 639 -4171 DATE ISSUED: 10/3/2005 PARCEL: 1S135BC-00100 SITE ADDRESS: 10775 SW GREENBURG RD ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Replace existing freestanding sign with smaller freestanding sign, utilizing existing footings. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION - CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : • HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,500.00 Owner: " Contractor: CONOCO PHILLIPS COMPANY CASCADE SIGNS & NEON 600 N DAIRY ASHFORD KINNEE SIGNS INC HOUSTON, TX 77079 PO BOX 7268 Phone: 206- 706 -2340 SALEM, OR 97303 Phone: 503 - 378 -0012 FEES Reg #: LIC 64416 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/3/2005 $62.50 [TAX] 8% State Surchari 10/3/2005 $5.00 [BUPPLN] PM Rv 10/3/2005 $40.63 Total $108.13 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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 -246 • • • or 1- 800 - 332 -2344. / . Issued By: ( ,r_ . Permittee Signature: Q/1/ / / /n Call 503 - 639 -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 FOR OFFICE USE ONLY City of Tigard Dat OA - Arm Permit No.: : ! „ _e /t0_2 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �% c,: "k i 'Jlf` • Date/By. Other Permit: Inspection Line: 503.639.4175 1 _ - , Date Ready/By: Ea See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Iffli Supplemental Information TYPE OF WORK • REQUIRED DATA: I - 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. ❑ 1- and 2- family dwelling C1 m Comercial /industrial Valuation: $ • El Accessory building ID Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION ,�rr ,,�� Total number of floors: Job site address: 1 071 S 5 VJ 6 t eOfl � /%J .. R.0/ New dwelling area: square feet City /State /ZIP: ` GATZD CV... Garage /carport area: square feet i Suite/bldg. /apt. no.: Project name: �p(, 4 ;�4 A ' Covered porch area: square feet Cross street /directions to job site: ' Deck area: square feet e (�� ^^ ww II 4 (1 �C._. Q e IALQ. 0 g d Other structure area: square feet Ca 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, labor, overhead, and the profit for the ,'ADEE,SCRIPTION OF `WORK' t • . • ,.,,._ .� �- work indicated on this application. c a , n (a WSA;14 1 cot)/ Ul Valuation: $ 6500 yI 0.‘,1,-D y Q , c , S� 45 p , •v I 4 J 1 _ d 1 l L Existing building area: square feet r � New building area: square feet PROPERT WNER I 0 ,TENANT Number of stories: Name: C a m co4 - A- . . ` p4 Type of construction: Address: 6 � "^ � t3ii A k f ord Occupancy groups: City /State /ZIP: J ' • '^ Existing: 4 Phone: ( ) ?0 is 3.34 0 Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: . • All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be 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: ( ) I Fax:: ( ) E -mail: CONTRACTOR• Business name: ea l ,... , Irkl BUILDING PERMIT` FEES* ' • D . Address: b - - �� % '"'"'' C 44.4, ciR 1 730 Please refer to fee schedule. City/State/ZIP: /State /ZIP: Phone: 5O 3 fl _DO yam, Fax 603 3 cL- -10q Fees due upon application CCB lic.: (40144./ (40144./ Amount received Date received: Authorized signature: `p This permit application expires if a permit is not obtained � � ` J � within 180 days after it has been accepted as complete. rV Print name: A 1� 1 N Date: id f 3 1)S * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP -TI- PermitApp.doc 12/03 440- 46I3T(11 /02/COM/WEB) • • • Building Division Plan Submittal Requirement Matrix Re q -- Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal ° #'of Plans (Includes new, - additions;' and, alterations:) ,. .Required °at Submittal Demoli •.n Permit 2 (site plan r- i uired s r owing location and square footage of all ouil• ngs to be demolished) Site Work '2 (must include location o 'all accessible parking) • Plumbing • ite utilities) 2 Buildin 1* • " Fire t rotection System• 3 Me •I anical • 2 . Plu II bing (building fixtures) 2 Elect ical 2 Plan review is depend ; flit upon submittal of a completed application and plans. After plan review appr i val, the Plans Examiner will contact the applicant to request • additional sets of plans fs distribution purposes (for contractor, City of Tigard, Washington County, and ualatin Valley Fire & Rescue) . * For over - the - counte commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection stems require that•plans bear the original seal of an Oregon licensed fire sup I ession engineer, or NICET level "3" technicians. •• i:\ Building \Permits\BUP- T1- PennitApp.doc 12/03 440-4613T(I I /02/COM/WEB) u ? -F TIGARD BUIL ING DIVISION PERMIT #: �zC -61CoZ 13125 .5W Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 + 11 Inspection Requests (24 Hrs.): (503) 639 -4175 °` INSPECTION WORKSHEET FOR DATE: (( / / - TIME: PAGE: SITE ADDRESS: (C5175 tx3 c EG J &% - t CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: (b 8'l.)©C6) TJ DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 2`f 7 �(( �, 022505 0 I • Corrections /Comments / Instructions: vale _ • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED Inspector: 40 Date: OF Phone #: (503) 718 -