Permit CITY OF TIGARD BUILDING PERMIT
3111 g COMMUNITY DEVELOPMENT Permit#: BUP2013-00212
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 Date Issued: 09/17/2013
Parcel: 1 S 126BC01500
Jurisdiction: Tigard
Site address: 9000 SW WASHINGTON SQUARE RD
Project: Embassy Suites Subdivision::CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Installation of(1)awning sign over entrance to restaurant
Contractor: PIKE AWNING CO Owner: NESBITT PORTLAND PROPERTY LLC
7300 SW LANDMARK LN BY WINDSOR CAPITAL GROUP
PORTLAND, OR 97224 ATTN DELOITTE-S LEHMAN
2235 FARADAY AVE STE 0
CARLSBAD, CA 92008
PHONE: 503-624-5600 PHONE:
FAX: 503-968-5440
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 09/17/2013 $149 75
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/17/2013 $17.97
Dwelling Units: 0 Plan Review 08/21/2013 $97 34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0 50(up to 09/17/2013 $11 00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $276.06
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 • : . - -eon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-01 -0010 through OAR•'2-001-1090 You may obtain a copy of the rules or direct questions to OUNC by calling 50 1987 or 1 800 332 2344
Is•ued By: /Al Permittee Signature: /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.
il v I
D lli
- ldin Permit A licatio CEIVE
' Commercial . FOR OFFICF;USE-,City of Tigard AUG 21 2013 ONLY-
Received
Date/13 : .°02/ A•' Permit 14°.4. - / --/O�f
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • �/ir OD it
2 Phone: 503.718.2439 Fax: 503.5981 OF TIGL�D Y • ( b ( �'�P
Inspection Line: 503.639.4175 Date Ready/By Jam: 0 See Page 2 for TIC A F D g g BUILDING DIVISION Notified/Method- x/ 17 /3 1(Supplemental Information
Internet: www.ti and-or. ov
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(rounded to the nearest dollar)of all
pi Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION- work indicated on this application.
❑ 1-and 2-family dwelling 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: goo() 4,60 IA)Rs t^'44.0>v Sq 044_ dwelling area: square feet
-E 2d•
City/State/ZIP: 7 l p9 e' q 72 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: E,v,4,i !U/-/FS 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(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
` �� AVIV i/�l6l CO E/— GN 04n/t!'� Valuation: S S (�
z
Existing building area: square feet
New building area: square feet
•
I! PROPERTY OWNER 124 TENANT Number of stories:
Name: EM h a 3 S Lv o 4E-5 ii0._).G L Type of construction:
Address: 01000 5uj w Abk t r 1 60041—E rat, Occupancy groups:
City/State/ZIP: 2
I I�A- l DR• q 72.2 Existing:
Phone:(503) 12_0,,014i Fax:( ) New:
[APPLICANT ❑.CONTACT PERSON BUILDING PERMIT.FEES*
Business name: Please refer to fee sd edale)
pi KEl.c iM Co C _ Structural plan review fee(or deposit):
Contact name: Z „.,,,,_
Address: FI.S plan review fee(if applicable):
7300 5 LA L4".1E
City/State/ZIP: Total fees due upon application:
p�sr-/-/Ort.rd, oki. 97274
Phone:(5 o0
03 ) ea 5 0 I Fax::(563) ‘k.01 - 6-4/410 Amount received: 9 ,
E-mail: 0/4.14& p:ICFA w�f;,v PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
Corr Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVottaic Solar Panel System.
Business name: Pi gE �WN;N,C. Co Submit two(2)sets of roof plan with connection details
`�f and fire department access,along with the 2010 Oregon
Address: 7300 64.0 d ylAti-ie Lil-ev E Solar Installation Specially Code checklist.
City/State/ZIP: por44,i9.,,,Id. DR, l 7224 fee(includes plan review $180.00
and administrative fees):
Phone:($e43 ) (02/_SZ,po Fax:(503) 46 ee-s-ite/b State surcharge(12%of permit fee): $21.60
CCB tic.: 3 2 36„c f/l �/� 115.--
Total fee due-upon application: $201.60
Authorized signature: ,C / This permit application expires if a permit is not obtained
///lll%%% within 180 days after it has been accepted as complete.
Print name: ,Q,4-A1 6r, I Date: S/2.1 /13 • Fee methodology set by Tri-County Building Industry
Service Board.
NIa Building Division
°- Development Code Provision Review
T I GA RD Commercial Projects - No Associated Land Use Case
Building Permit No: 3 u P cao l 3- 00.: / 2- XI Expedited Review
Project Name: 9000 €Ls3 LOi ti►J&fb
Site Address: 6M 66-56-v A.,/Te S — /9 Lam&/Oa, P 'r` tTute/Bldg #:
�- ` Plans Routed: l /15 1 !,,Original Plan Submittal Date: ?/°9/ Routed By:(/�� /
1" Revision Submittal Date: Routed By:
4 2°d Revision Submittal Date: Routed By:
ci 4-.
.? To the Applicant:
%o`. ➢ If the proposed use is not permitted within the zone,please contact the Building Division to cancel
M
the permit application. Building Permit Technicians (503) 718-2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
bo Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact CA tet( I n ed at (503) 718-21'437 or C.l&e-i. i` @tigard-or.gov)
Proposal: Rtpla.ce ..nen 1- op --Ex; a wr•;'LS • Le 4-krf e-vt aw/ni/Lai
X ( LL h n v r b t $-e c,' clew, 0 41,4-'— d e trC.l d/oM L•1 4-J, ()u b/,y___. S�c.edy- a
CL;✓ . `a ■c 1' -4 -e , kid s ; 4 ri pe r.,', f 4- I'S re?,ti,6-Ld.
Z
Zoning Ikt l,(.C-
Permitted Use Yes ❑ No ❑ KV A
Land Use Required: Yes ❑ No 0
Notes:
Approved ❑ Not Approved ! C ' ' ' . ' -6 -. • _ • 1' - - II . -
ate Routed to Building:
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1:\CURPLN\Masters\Development Code Provision RevievJkDCPR COM_NoLandUse.doc Rev.01/16/13