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Permit
CITY OF TIGARD BUILDING PERMIT i s C OMMUNITY DEVELOPMENT P ermit #: BUP2012 -00183 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/27/2012 Parcel: 25101 DA00104 Jurisdiction: TIGARD Site address: 13333 SW 68TH PKWY Project: Clear Channel Subdivision: VARNS ACRES Lot: 9 Project Description: Install (2) wall signs Contractor: RAMSAY SIGNS INC Owner: TRIANGLE POINTE LLC 9160 SE 74TH AVE 901 NE GLISAN ST, #100 PORTLAND, OR 97206 PORTLAND, OR 97232 PHONE: 503 - 777 -4555 PHONE FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB Permit Fee - Additions, Alterations, 12/27/2012 $301.85 Demolition Occupancy Grp: B Occupancy Load: 12% State Surcharge - Building 12/27/2012 $36.22 Dwelling Units: 0 Plan Review 09/26/2012 $196.20 Stories: 0 Height: 0 ft Building Misc Fund (copies /prints) 12/27/2012 $8.50 Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Sm $0.50 (up to 12/27/2012 $2.50 Value: $14,600 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $545.27 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. A . -0_ regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0 -0010 through 0 952 -0 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issu d By: OtA/vot Permittee Signature: 1 Call 503.639.4175 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 RE CEiVE, FOR OFFICE LSF ON L\ City of Tigard Received 4r/o� /- /( permitNo.: /a -QQ��3 711 Date /B K l • 13125 h n SW Hall .2 39 Tigard, OR 97223 S E P 2 6 2012 Plan Review - "ao. � a a . - r Perm Phone: 503.718.2439 Fax: 503.598.1960 Date /B TI G A R D Inspection Line: 503.639.4175 CM{ I 04: 116ARD Date Ready /By: / ® See Page 2 for Internet: www.tigard - or.gov r t 1S1 z t lk 1e fgtt' eV! Notified/Method: /0 t G '' /?i '' rt Supplemental Information VA/ 0, EX-ay ,4 fig VA iT TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMI D 54 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 t/ CATEGORY OF CONSTRUCTION work indicated on this application. , ❑ 1- and 2- family dwelling NO Commercial /industrial Valuation: $ Number of bedrooms: ❑ Accessory building ❑ Multi - family 1 ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: ( A Job site address: 1 3''6 1 W . 1 _ g`r1' 2 lax ��,�%1 New dwelling area: square feet e6 City/State /ZIP: ri J • ©R � si 4i 2Z3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: C,►,.E A G1at1/41"0 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet yy�� Other structure area: square feet l� REQUIRED DATA: COMMERCIAL - USE CHECKLIST . Subdivision: Lot no.: Permit fees* are based on the value of the work performed. .. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the 1 DESCRIPTION OF WORK work indicated on this application. Valuation: $ t nmlai l.. 2. 1.20.1.1., Sy3 s 1 y • Cam Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee (or deposit): Contact name: FLS plan review fee (if applicable): Address: Total fees due upon application: City/State /ZIP: �' a'D Phone: ( ) Fax:: ( ) Amount received: E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted Photo Voltaic Solar Panel System. Business name: RA Submit two (2) sets of roof plan with connection details say.) and fire department access, along with the 2010 Oregon Address: C; ( O c 4 TH I Q V� . Solar Installation Specialty Code checklist. Permit fee (includes plan review City/State /ZIP: tyny flab © g, shot and administrative fees): $180.00 Phone: (503) W .. i . • I � s Fax: ( ) State surcharge (12% of permit fee): $21.60 CCB lic.: 4 2.2_ Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 7E Ra%) 4 „,3 Date: CI f 2012, * Fee methodology set by Tri-County Building Industry Service Board. I: \Buildmg\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) U _ ' Building Division Development Code Provision Review T I G A R D Commercial Projects with Approved Land Use Building Permit No.: 3UP20/ -_ 00/3 Land Use Casefile No.: SG/✓.2a /a -Oa /SJ' t SG,t/ ZQ/o?" O0 /S9 Routed Plans: Submittal Date: 9/24 Submittal Date: Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the • /. ide that are approved. Planning Review (contact r G ✓. rit ■' at 503 -718- 2 ( or 4' @tigard- or.gov) `a — r and Use Approval 11 ; ' ' 44 ,iSs ' G /'J ❑ Building Plans Match Approved Plan: Yes ❑ No ❑ ❑ Maximum Building Height ❑ Conditions Met Notes: Original Plan: Approved 40r Not Approved ❑ Date: / 1)-1 / — t 1 -- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ❑ Actual Slo ❑ PFI Permit # ❑ Conditions Met Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review ontact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) ❑ Street Trees ❑ Protected T ees Notes: Origi ' al Plan: Approved ❑ Not Approved ❑ Date: R- , ision 1: Approved ❑ Not Approved ❑ Date: ' evision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Planning Okay to Issue Permit ry ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Per Notes: Original Plan: Date Sent to Applicant: Revision 1: Tate Sent to Applicant Revision 2: r ,. Date Sent to Applicant O to Issue Permit: Yes ❑ No ❑ ate Routed to Building: Page 2 of 2