Permit CITY OF TIGARD BUILDING PERMIT
.1111 s.. COMMUNITY DEVELOPMENT Permit#: BUP2013 00215
TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2013
Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10164 SW WASHINGTON SQUARE RD
Project: Hannah Pet Society Subdivision: OAKBURG Lot: 9
Project Description: (1)3 ft by 13 ft.wall sign.
Contractor: INTEGRITY SIGNS OREGON Owner: PPR SQUARE TOO LLC
PO BOX 88 PO BOX 847
HUBBARD, OR 97032 CARLSBAD,CA 92018
PHONE: 503-981-3743 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-COM-New Construction 09/12/2013 $112.96
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/12/2013 $13.56
Dwelling Units: 0 Plan Review 09/12/2013 $73.42
Info Process/Archiving-Sm$0.50(up to 09/12/2013 $1.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $3,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $200.94
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
.<:_12$?z(lzt ...___.___ diti / �_./
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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 �� FOR OFFICE usr,ONLY
Received
14 City of Tigard Date/B : j, Aff Permit No.: 4 otd j
q 13125 SW Hall Blvd.,Tigard,OR 97? si ( Plan Review e R
Phone: 503.718.2439 Fax: 503.5' .'j.I CO 5�
Date/By: ' Iv ! 1 Other Permit.
T I GA RD Inspection Line: 503.639.4175 ('.� V� Date Ready/By: / lone: ® See Page 2 for
Internet: www.tigard-or.gov taw <10(0 �' `4.,'ethod:0 I di' 5� rre Supplemental Information
TYPE OF WO10,.Q` Qs / ' I (' D DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑ P, 1 on 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: 5 6A) equipment,materials,labor,overhead,and the profit for the
5 CATEGORY OF CONSTRUCTION work indicated on this application. q�
El I-and 2-family dwelling Commercial/industrial Valuation: $
El Accessory building ❑ Multi-family Number of bedrooms:
1
El builder ❑Other: Number of bathrooms: O
JOB SITE INFORMATION AND LOCATION Total number of floors:
Q.
Job site address: 10 ILIA Su It k• F a New dwelling area: square feet IN
-City/State/ZIP: t� Garage/carport area: square feet .
Suite/bldgiapt.-no.; - --- -Project name:- rt S Covered-porch-area: — ----square feet- -
Cross street/directions to job site: '
I j Deck area: square feet
6�Q„.. .,, , K, Other structure area: square feet
°�"w( 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(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 3 vac) —
{,, j, vrt..ti sI C) .O .,%." Zi Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:^,� ad,. p,-,a.., -P Type of construction:
Address:', l Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
1 APPLICANT- ,Q-CONTACT PERSON BUILDING PERMIT FEES*.
Business name: (Please refer to fee schedule)
�'V Slshs �'` � Structural plan review fee(or deposit):
Contact name: le _ IIJJ
FLS plan review fee(if applicable):
Address:
- Total fees due upon application:
City/State/ZIP:
Phone: a/ . 3,4a Fax: :(Ma 4 Pa $/S-3 Amount received:
:.JU3) c
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
— Commercial and residential prescriptive installatio of
CONTRACTOR roof-top .unted Photo Voltaic Solar Panel Syste
Business name: .,, d,� ' Submit two )sets of roof plan with connectio' .etails
`ig:12,A..._Sly-S 0,,, Q rL� and fire depar -gent access,along with t • •10 Oregon
Address: 0 • �j c GQ v Solar Installation. ecinity Code • c list.
City/State/ZIP,,,11` j D��u 1-2 0. Permit fee(in d- . an review $180.00
'F I C?a an._:..iiiTh;,.trative fees):
Phone:(513) Crli pi _3 / Fax:C '3' g$ a_ ' Stat :. charge(12%of pt. lit fee): $21.60
CCB lie.: 1T4 15-s" _, (of i7 Total fee due upon applica • : $201.60
Authorized si.nat- This peal-tit-application expires if ape -.'t is not obtained
a - within 180 days after it has been accepter as complete.
Print nay y,� `4 ,s, Date: �/2 /'3 * Fee methodology set by Tri-County Building I ustry
��1 ( Service Board.
1:\Building\Permits\BUP-COM PemtitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)