Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00521
DEVELOPMENT SERVICES DATE ISSUED: 12/23/2004
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12825 SW PACIFIC HWY PARCEL: 2S102BD 01200
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND ZONING: C -G
BLOCK: LOT: 008 JURISDICTION: TIG
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: U2 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: $ 8,000.00
Remarks: Remove existing freestanding sign and replace with smaller freestanding sign.
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
Reg #: MET 6
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUPPLN] Pln Rv 11/1/2004 $78.07 Foot/Found lnsp
[BUILD] Permit Fee 12/23/2004 $120.10 Structural welding final rep
Final l Inspection
[TAX] 8% State Surchari 12/23/2004 $9.61
Total $207.78
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 -6699 or 1- 800 - 332 -2344.
Issued By: ��d
Permittee
Signature: 07 / • 0iei -- /C_—)
Call 639 -4175 by 7 p.m. for an inspection the next business day
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inkling Permit �licati'mn �L�>o�i�ol�i� �4 <<<
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City of Tigard 20A Received /y: i O ` J�LAM Pemut No : gune_� C . 2/
.. Date/By: l/ y r/ � / Off/ �iih7
13125 S W Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 T1 GP* � J� D / 2. - 17 -6 "? / I Other Permit.
Inspection Line: 503.639.4175 CliN OF ■ ,7, 1 , :i, Date Ready/By: l i/� �1 !� la See Attached Checklist for • Internet: www.ci.tigard.or.us BUILDING DI'v tv, - No' r.I e od:F' ff. ' / I& Supplemental Information
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- �'��'�`:•:: ` ��k- ��zk- �>��,.. t R.. ..��: � _ ° -�: ;r �iJIRED DATA ,I- AND2- FAMItiY�DWEI;IJING�
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Permit fees* are based on the value of the work performed.
❑ New construction ❑ Demolition
�
q Indicate the value (rounded to the nearest dollar) of all
yisl ''
„r �
Addition/alteration / replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- -'a'S �Ar.'- �'rs-1,'1A' e %kW' =- 'c_R-'.'`""'fi''n': _t:d. :, . nw '' :Naf.... - ••r -.Flu.
'"" v' ”" C - : ONSTRU " "' " work indicated on this application.
cb: „#. -: ;:e `zz,)4.4.,' ...CATEGORY- OF'' CTION” ! , ' -- -- P -
4 - �'a'J >,. . = �'�r.. _. •co-._ ••.,:H.•2r. .. .., _,.» §,'�•:r�`ri: *•
`. Valuation: $
❑ 1- and 2- family dwelling Igl Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑Other Number of bathrooms:
*I0 B SITE INFORMATION AND LOCATION Total number of floors:
Job site address: a$�� v V V pjl r l ' .�1- h - _ — New dwelling area: square feet
City/State /ZIP: �l U 0. C 2L, � "^' Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ` D( i S Ey� C7 Y 0 -' _ Covered porch area; square feet
Cross street/directions to job site: �` 0'.17A.. " Deck area: square feet
C V �` Ct �WL VU-C -r &(, Cl4 (c, f -- Other structure area: square feet
V d1 „ .REQUIRED'DATAi•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
' u A. - DESCRIPTION W work indicated on this application.
OF, WORK;
t ' , V aluation: $ 0 0 0
Vie ?1�ci S �Nl t'p - �r�e�s�tA �,oQ t;�, ,,^ 1
i Existin building area: square feet
L" "d mss`- V� 24,0 r 5 i ks2/t K (1� __
Existing g q
1( \- (2 ^A ) - bo �,N nn New building area: square feet
❑ PROPERTY * ER '� ' ❑ TENANT
Name: &, f Number of stori &,,,,„1.::;e0 m l.1- t
� C on P >Pr f�Y
Type of construction:
Address: • t - � t i NY )i 2t Occupancy groups:
City/State/ZIP: �-d J - 1" 77 0 V ? Existing:
Phone: (4) ?6Cp _ a -Asti Fax: ( )
;.. New:
.APPLICANT: CONTACT •PERSON. ` .:, _;;. -
' ,.. x :NOTICE
Business name: q'• k1�' (T� All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
�� ������ under ORS 701 and may be required to be licensed in the
Address: Po tV g pe rformed. f{� -- t g jurisdiction in which work is being perfoed. Ifthe
- City /State /ZIP: V applicant is exempt from licensing, the following reasons CS t ery2, a ly:
Phone: (S03 3 - 0 0 ) Fax: : (503)3 ( X I N
E -mail: -OA f U I j. f -✓`
) � 0 CAS Cad •c. — s i 5 hs , Cow, �,5 , .�vt
i
,.f . , ,.ts: ;r ° . : CONTRACTOR • , ;yr,
• Business name: ,J c t�I LL... ..
Address: "t' v . R .BUILD.... FEES* - , s.
c_ City/State/ZIP:
) tLAA Please refer to fee schedule
Phone: ( ) S 0 Fax: ( ) i t Fees due upon application ,- C
CCB lie.: C '7 4 i l0 Amount received
a c Date received:
Authorized signature: VL., C�� J This permit application expires if a permit is not obtained
1 ' ( J j N within 180 days after it has been accepted as complete.
Print name: 1� EE Date: f Q 11..A ` l 04 • Fee methodology set by Tri -County Building Industry
Service: Finard
CITY, OF TIGARD
Iq BUILDING DIVISION PERMIT #: R.92= ea —OE
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /4im''uypUlm�G�All�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: ( /24/06 TIME: PAGE:
SITE ADDRESS: I z G S L+ c ) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Dr/ Ft
Corrections /Comments/ Instructions:
LEI'
1r
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITI NAL FEES ASSESSED
Inspector: Date: \ Dv Phone #: (503) 718-
CITY OF TIGARD R, , :.
BUILDING DIVISION PERMIT #: BUP2004 -00621
131125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/23/2004
Phone: (503) 639 -4171 *illi'-
l ' Inspection Requests (24 Hrs.): (503) 639 -4175 `11.
INSPECTION WORKSHEET FOR DATE1 3/31/2005 TIME: 7 :05AM PAGE: 56
SITE ADDRESS: 12825 SW PACIFIC HWY ' CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 008 TYPE OF USE:
PROJECT NAME: 76
DESCRIPTION: Remove existing freestanding sign and replace with smaller freestanding sign.
OWNER: CONOCO PHILLIPS COMPANY, PHONE #: 206. 706 -2340
CONTRACTOR: CASCADE SIGNS & NEON PHONE #: 503~378 -0012
Inspection Request Scheduled For: Date: 3/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message 9:0 0 4 P`
405 Excavation 003356 -01 503 -910 -0555 Y
Corrections /Comments/ Instructions:
/` 4 -S (),
7c OCt- vc- +dam o K
I
PASS ❑ PARTIAL APPROVAL ❑ CANCEL [1] NO ACCESS
FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: t7,4 / Date:03 -1 ' 0 b Phone #: (503) 718-
1