Permit 111 BU " y CITY OF TIGARD
ILDING PERMIT
Fl COMMUNITY DEVELOPMENT Permit #: BUP2012 -00267
Date Issued: 01/10/2013
T IG ARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 25112AC00100
Jurisdiction: Tigard
Site address: 14529 SW 72ND AVE
Project: Save on Tires Subdivision: BONITA INDUSTRIAL PARK Lot: 5
Project Description: New 3'x12' illuminated wall sign on east - facing wall
Contractor: INTEGRITY SIGNS OREGON Owner: DONNELLY, THOMAS J
PO BOX 88 PO BOX 83192
HUBBARD, OR 97032 PORTLAND, OR 97283
PHONE. 503 - 981 -3743 PHONE:
FAX
Specifics: FEES
' Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 01/09/2013 $63 44
Class of Work: ALT Type of Const:
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 01/09/2013 $7.61
Dwelling Units: 0 Plan Review 01/09/2013 $41 24
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 01/09/2013 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $800 Misc Administration Fee 01/09/2013 $1 50
Floor Areas:
Total Area 0
Accessory Struct 0
Basement 0
Carport: 0
Covered Porch 0
Deck: 0
Garage 0
Mezzanine 0
Total $116 29
Required: Required Items and Reports (Conditions)
Fire Sprinkler. Parapet
Fire Alarm Protected Corridors.
Smoke Detectors' Manual Pull Stations
Accessible Parking: 0
This ssued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
done in actor g 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 res you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952- 001 -0010 through OAR 9 -•.1 -0090 Y• may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: L-- ` / Permittee Signature: �. / /
Call 503.639.4175 by 7:00 a.m. for the next available inspection te.
This permit card shall be kept in a conspicuous place on the job site until corn lotion of the project.
Approved plans are required on the job site at the time of each inspection. .
gilding Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
CI of Ti acct Received mn , / 1
`J g Date B . l 19 I Permtt No.: I/ �I i
a 13125 SW Hall Blvd., Tigt{ (ER 17922012 Plan Review --11 ' C . Phone: 503.718.2439 Fax: 503.598.1960 Date/B • `1-�ta (Z- Other Permit: p tS�ia 04 �i -0
T I G A R D Inspection Line: 503 p FTIGAItD Date Read iy: ,,, f Lurie See Page 2 for
Internet: www.ttgard-o . LDINGDMSION Notified/Method: i I> Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
' `l Indicate the value (rounded to the nearest dollar) of all
❑ Addition / alteration/replacement Other: 31 �v equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling p_Commercial/industrial
Valuation: $
❑ 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: izts 8 ( A 1 ykd a to o New dwelling area: square feet
City/State /ZIP: — i i6a Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: `1u N11\a4, Covered porch area square feet
Cross street/directions to job site: ( - '\A pA Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value ( roended to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
' / 1 ' l to ( l l b S 15V-) Valuation: $ 4(�
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I �-'I'ENANT Number of stones:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP:
Existing:
Phone: ( ) Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES"
Business ) (Please refer to fee schedule
usiness name:
` � � S nil t "�
Contact name. ` l�y�� Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Address:
City/State /ZIP: Total fees due upon application: E77
Phone: (61)7a) 9 RI _ 31.43 I Fax: : ( qga sI S3 Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System
Business name: ; , • ` �� Submit two (2) sets of . • f plan with connec ' • , • Rails
-- �`- and fire department access, .. • _ ' • . e 2010 Oregon
Address:
p 0 , Solar Installation Special a cklist.
City /State /ZIP: ( � (,17 C) Permit fee ' • • ' . es plan rev $180.00
l 1 . d administrative fees): _ _
Phone: ( 3) qx I 3 Fax: ( ) qg - t S3 • ,. - surcharge (12% of permit fee): ■$21.60
CCB lie.: 1 '-! 4 iS Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
(S_ within 180 days after it has been accepted as complete.
Date: ` / * Fee methodology set by Tri -County Building Industry
Print name:
L/ OA O // �! S 12 /1 T //� Service Board.
I :\Building\Permits\BUP- -COM PermitApp.doc 02/24 /2011 440- 4613T(11 /02/COM/WEB)
Shirley Treat
From: Jaylene < jaylene @integritysignsoregon.com >.
Sent: Wednesday, January 02, 2013 11:01 AM
To: Shirley Treat
Subject: fee's due on Save On Tires building & elect permits
Hi Shirley;
Happy New Year!
•
I have a message that you called saying the fee's are ready to pay on the Save On Tires building and electrical permits •
$192.27.
I have a credit card form, so if you can let me know the permit numbers, I'll fax this over.
Thanks!
Jaylene Paulus
1 R - Nl .2:•:.s
Phone: 503 :981.3743
Fax: 503 - 982 -8153
2830 Industrial Ave / P.O. Box 88
Hubbard, OR 97032
Jaylene Pintegritysignsoregon.com
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Unfiled Notes Page 1
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S/F CABINET
ON METAL SIDING
PLYWOOD SHEATHING
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ALUMINUM CABINET
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WITH TOGGLES
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SIGN WEIGHT: I 1 1 1 - 0 «' •
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(513) 724 -7100 - Fax: (513) 724 -6437 Site or Store No.:
SITE
SITE PLAN Field
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Indicate below: Street Names (major Cross Streets), Location of the Building (show entrances and parking)
Mark Locations of Exist'g or Proposed Signage, Property Lines & Setback Dimensions from the Property Lines
and Provide Compass, if appropriate.
Please note Traffic Patterns; heavy, light, dead -end, alleys, interstate hwys, etc.
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