Permit y
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00114
� DEVELOPMENT SERVICES DATE ISSUED: 4/14/99
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 1 S136AD -04301
SITE ADDRESS: 11475 SW PACIFIC HWY
SUBDIVISION: VILLA RIDGE ZONING: C -G
BLOCK: LOT: 002 • JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: 68 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
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TYPE OF CONST: 2N : sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 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:
Remarks: Construction & installation of a monument sign, 7.5' in height.
Owner: Contractor:
LOEHNER, VERN LUMINITE /SIGNCRAFT INC
11475 SW PACIFIC HWY 9033 SW BURNHAM RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 639 -4910
Reg #: LIC 116449 •
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
FIRE DRA 4/6/99 $17.80 99- 313945 Final Inspection
PLCK DRA 4/6/99 $28.93 99- 313945
PRMT DLH 4/14/99 $44.50 99- 314508
5PCT DLH 4/14/99 $2.23 99- 314508
Total $93.46
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Perm it e e 1
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Signature: `ke % ' I i / ���
Issued By: i lit _ . 1_
Call 639 -4175 by 7 p.m. for an inspection the next business day
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CITY OF TrIGARD Commercial Building PP Permit A plicat• n Rec'd ` - .. n , i P'
j
1'3125 SW HALL BLVD. New Construction and Additions C./ D Recd � . •
O l/
TIGARD OR '97223 P'�
ate to P.E. y' '
,1
, Date to DST • -` - q •
(503) 639 -4171 Permit # ` +f ' -
Print or Type Related SWR # rr - iir;:, - ''
Incomplete or illegible applications will not be accepted Called S/ - /7 -
Name of Development/Project cy pp-lcE,et' See
Job TlW1e QU`T Pc) _ Existing Building fp New Building ❑
Address Street Address Suite
1105SW, JF_MaN Building
Bldg # • Cit - y //Staate Zip Data
it
G 97 2-2-' Existing Use of Building or Property:
Name
Property Y l` V6)240 i o j (' —
Owner Mailing Address Suite Proposed Use of Building or Property:
City/State Zip Phone
Q ? 3 6 40 452-2 No. Of Stories; ly
Occupant Name A ^ Sq. Ft. Of Project:
Name `l` Occupancy Class(es) _
Contractor 1 --0 A) Pr, I p c> M
Prior to permit Mailing Address Suite Type(s) of Construction
issuance, a copy Q O 4S w, Bt1 n _ ,
of all lice �(1/
are required if City /State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. . 1 6+7 A i� 'V ` V T/ • ` , 22:5 b apt "�lC t Yes ❑ No ❑
database Americans with Disabilities Act (ADA)
Oregon Const. Cont. oard Lic.# Exp. Date
Mot-14,0k g , _ Valuation X 25% = $ Participation
Complete Accessibility Form
Name Project $
Architect Valuation �0� e a
Mailing Address Suite
Plans Required: See Matrix for number of sets to submit
City /State Zip Phone on back
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
•f Owner /' .en Date
City/State Zip Phone �j 11 w/ 3 ^
• Pe o ame Phone
indicate type of work: New4 Addition 0 Demolition 0 `' � (-(g 1 0
Accessory Structure 0 Foundation Only 0 Alteration 0 //
Repair 0 Other 0 FOR OFFICE USE ONLY (< 7 )9 -- 7 '
Description of work: Map/11# Land Use:
• 1 N�j -GL. 64-00 ND SIG-l∎-) Notes:
Parks: Estimated # of Employees
TIF:
If the above figure is not supplied at the time of application, the city will - ///
calculate the fee based upon the number of parking spaces.
vt P c_ N) a g , 9 ,
Note: Site Work Permit Application must precede or accompany Building qC1 � Permit Application ( 7 , l' I:COMNEW.DOC (DST) 5/98
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,
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
»::. >. > <f 4e 4 tre;r rs i epen tte t up on §itbratttaC at Bt T f ptar s ANO OUMF E "E 3.:: >::: > :::
.: »:ph atia :: : or ".` ili < :: ::<; :: l c >:: tion ;: :: u :: � >' tr : ' < < < ` »`
.::.: p . an � la � t��i . : �€�br� tia � = .. ( h� a It�a€��a� use,: rrta�rt thy:.;: .::.;:.:...;:� :.::<.;:
s::g:: >:<:: >:: ` to >re: f the & pervtsrr eiectrtrarc before pla revrl r will b e con u f ed..
.lifter:: C€ brei.:.;;:..:.,.:: ..:..<,...'....:: <:::::::::"::` :::;.<:: ;;:.<,:.;:;::::. >.: >. .... . , . > >,
.� iit'" ....:.... c.a .: _ ra: ..: latas. rOe0 : RIc Pt <:tC ::a :. t±r n r'e. est >
: a set dr digtrfb t�. ur Go ... for of #r oFt 1Ci
.:::::::::.::.;. :... Ooua , T ail • r la Ie :: r.
e,&.: os e.:.;:. : :;:.;:.; ; :. .:::: .::::: . .: : .:: .:: . .;: . :. . .::: . .; . :. >:.:;. ::
:.:.;: Pelietie 003: 144::.:.;:.;:.;;::.;:;. >:..;: POs .:.::.:::.:::.::.::.:: KEY:
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
NOTES:
I:\dsts \forms\matrxcom.doc 10/30/98
j2 9 9'9 - c 2 //
� , CITY OF TIGARD SIGN PERMIT
1 `��. i; DEVELOPMENT SERVICES PERMIT #: SGN1999 -00025
. , 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/99
EXPIRATION DATE:
BUSINESS NAME: TIME OUT PUB PARCEL: 1S136AD -0430
SIGN LOCATION: 11475 SW PACIFIC HWY
APPLICANT /AGENT: TIME OUT PUB ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 7.5' X 9'
TOTAL SIGN AREA: 68 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of monument sign, approximately 67.5 square feet. Placement of sign
must be outside of the visual clearance area.
MATERIALS: METAL & POLY
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annmval data
i
APPROVED BY: cI � � ∎)
PERMITTEE SIGNATURE: 'r ' 41,
DAT : 4/13/99
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6 /30 /99 Activities for Case #: BUP1999 -00114
2:35:04 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 3/24/99 DEB RECD No Hold DRA 4/6/99
BUPC008 Permit created 4/6/99 DEB DONE No Hold DRA 4/6/99
BUPC012 Plans routed to Plans Examiner 4/6/99 DEB DONE No Hold DRA 4/6/99
BUPCO24 Plans Approved by CPE 4/6/99 RDP DONE No Hold RDP 4/6/99
BUPCO22 Plans Approved /Routed to DSTs 4/6/99 RDP DONE No Hold RDP 4/6/99
BUPC705 Foot/Found lnsp 4/6/99 4/6/99 4/15/99 RC PASS No Hold .AKJ 4/15/99
BUPC802 Final Inspection 4/6/99 4/6/99 5/6/99 RC PASS No Hold AKJ 5/6/99
BUPCO29 DST Post Review Completed 4/13/99 GEO No Hold GEO 4/13/99
BUPC090 (F) Ready to issue 4/13/99 GEO DONE No Hold GEO 4/13/99
BUPA085 (F) Issue building permit 4/14/99 DLH DONE No Hold DLH 4/14/99 •
BUPC960 Case Finaled 5/6/99 AKJ DONE No Hold AKJ 5/6/99
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP J999--001 I 4 fi
/!
Date Requested 5 t0 " ` AM PM BLD
Location I I L 7 S c CI, Suite MEC ga
Contact Person Ph PLM
Contractor �1 Ph SWR
)3WLVIF l''wner fl) ' l Q, Otkl- li ( ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
4 4) PART FAIL
P - ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
RT FAIL
NICAL �)
Post & Beam
Rough In `
Gas Line
Smo Dampers
PASS ART FAIL
E RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk � -
Other Date Inspector , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.