Permit . _ •,
y CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT Permit #: BUP2013 -00014
- T [GARD- 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/16/2013
Parcel: 2S 103DD00800
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 90
Project: H & R Block Subdivision: MELROSE Lot: 7 -8
Project Description: Installation of (1) wall sign.
Contractor: E S & A SIGN & AWNING Owner: D W SIVERS CO
89975 PRAIRIE RD 4730 SW MACADAM AVE #101
EUGENE, OR 97402 PORTLAND, OR 97239
PHONE: 541 - 485 -5546 PHONE:
FAX: 541 - 485 -5813
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 01/15/2013 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 01/15/2013 $14.32
Dwelling Units: 0 Plan Review 01/15/2013 $77.56
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 01/16/2013 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,397
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $214.21
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. 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 -00 rough 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued a Y�1 Permittee Signature: `, �i / •
/ r
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 RECEIVED Received FOR OFFICE USE ONLY
City of Tigard Date/By: / / a"/ / 1 Permit No.: . ; �/,�oao /
° 13125 SW Hall Blvd., Tigard,OR 97223JAN 1 4 2013 Plan Review � , s, ' � ! � c^ �,
Z Phone: 503.718.2439 Fax: 503.598.1960 Date /By: lS vv I �IIO ''3 Other Permit: or(oJpAD/ j' u12:10'
TI G A R D Inspection Line: 503.639 CITY OF TIGARD Date Ready /By: tuns 9 See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
❑ Addition/alteration /replacement Other:5I4 equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: v
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: .
Job site address: (38 (5 S Q ,6., .� � New dwelling area: square feet
City /State /ZIP: 1 - 1 6 2() 1 p a.._ 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: CIO Project name: (441, 8( Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 2.5q1--
Le;Th5 Existing building area square feet
New building area: square feet
]g PROPERTY OWNER %TENANT Number of stories:
Name: D slv e cm j ' Type of construction:
Address: '0 O 5 , 0 µ 44rf)k „ k it ItDI Occupancy groups:
City /State /ZIP: 1479A- 1 oc 112.'? 9 Existing:
Phone: ( 5) 2,15 vet Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
CJ� 51 Please refer to fee schedule
Business name: G
17�I Ih co �O St ruc t ura l p review fee (or deposit):
Contact name: C..Ht`°'l Reratee_ eL
FLS plan review fee (if applicable):
Address:
0g ell 1S'PIR -r go?
City /State /ZIP: E' -ie Q7402 Total fees due upon application:
00‘.._ Amount received:
Phone: ( Tx c I) ft ,a, p� O -- Z -3 $3 Fax:: (7r' I) +65%5813
/ (� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail:
` e . ` bwe4 1 @ e SQSf 9 nS. �m Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: eso- !(o,,4 A),10 Aw I u:3 (I) • Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: vi 4't 5' pK/sm 124 E f2, . Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP: e�,(,/peme O ei'l .#oZ $180.00
r and administrative fees):
Phone: ( ) 86,$ _ 238-3 Fax: ( I),4426_581 State surcharge (12% of permit fee): $21.60
CCB lic.: 1(03410
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: � Fjo i jklP � ^ 1 Date: * Fee methodology set by Tri- County Building Industry
�t'�' , Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)
I
CITY OF TIGARD SIGN PERMIT
s Permit #: SGN2013 -00002
COMMUNITY DEVELOPMENT Date Issued: 01/07/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S103DD00800
(� Jurisdiction: Tigard
V
Name of Business: H & R Block
Business Address: 13815 SW PACIFIC HWY 90
Applicant/Agent: Fletcher- Powell, Cheri
Work Description: Wall sign (22.27 square feet).
Permanent: Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 2' x 11.5'
Total Sign Area: 22.27
Wall Area: 330.6
Wall Face (Direction): Southeast •
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials: Alum /Acrylic
Electrical Permit Required: Yes
Building Permit Required:
Total Permit Fee: $171.00
Conditions:
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. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
Permittee Signature: , o z c z cs:. �"' (b) v c..JI )