Permit CITY OF TIGARD BUILDING PERMIT
:• i COMMUNITY DEVELOPMENT Permit#: BUP2015-00006
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2015
Parcel: 1 S136DCO2504
Jurisdiction: TIGARD
Site address: 7295 SW DARTMOUTH ST
Project: Western Bikeworks Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Installation of(1)wall sign.
Contractor: SECURITY SIGNS INC Owner: AMERICAN INDUSTRIES INC
2424 SE HOLGATE BLVD 1750 NW FRONT AVE STE#106
PORTLAND, OR 97202 PORTLAND, OR 97209
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-COM-New Construction 01/26/2015 $91.44
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 01/26/2015 $10.97
Plan Review 01/26/2015 $59.44
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 01/26/2015 $2.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Misc Administration Fee 01/26/2015 $5.00
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $169.35
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: 117' , 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 RECEIVED FOR OFFICE USE ONLY
Received MN,
City of Tigard �N 15 2015 Date/By: ( /S , ) Permit No. ie)�i)?ols-1 �p
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Revie
Eri
I �`� . Other Permit:
Phone: 503.7182439 Fax: 503.598.1 Date/By: ` L-fo '
TIGARD Inspection Line: 503.639.4175 Date Rea. :y: luris, ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: �4/lla / Supplemental Information
BUILDING DNISION �/� fs�
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
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
El 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: --4..2 at5 � j r-v th.141 5.V. New dwelling area: square feet
City/State/ZIP: T l ero(1 6Q T4.22.3 Garage/carport area: square feet
Suite/bldg./apt.no.: v Project name:IA Q,S n'\ &..t. J 0 rk5 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 2 I 060
d vU A( 7 1 ,�� Existing building area: square feet
*Mount Only* ` New building area: square feet
❑ PROPERTY OWNER lia TENANT Number of stories:
Name: Vj Nis- .Cr\ '. ;, W ftS Type of construction:
Address: -`L tt S v a ri- m vtA44 S4. Occupancy groups:
City/State/ZIP: c,,, t 0 .... 1223 Existing:
Phone:( ) Fax:( ) New:
ri APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name:Security Signs (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Melissa Hayden
FLS plan review fee(if applicable):
Address:2424 SE Holgate Blvd
Total fees due upon application:
City/State/ZIP:Portland OR 97202 {%t/
Phone:(503)546.7114 Fax::(503)230.1861 Amount received:
E-mail:Melissa @SecuritySigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commerci and residential prescriptive installation of
CONTRACTOR roof-top mou d PhotoVoltaic Solar Panel Syste..
Business name:Security Signs Submit two(2) s of roof plan with conne details
and fire t cess,along wit 2010 Oregon
Address: n.,`j 2 t 'CA%� I Solar Installa tion
Spec Cod• ecklist.
City/State/ZIP: 1 I R /v, Permit fee(include~-..n review
br"I`a t v7262- and a. istra - fees): $180.00
Phone:(50Z) 51,1(p-'}tILt Fax:(5C8) '230 - I ctqc,i Stat- • • ge(12%of permit .- : $21.60
CCB lic.: 122809 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:Melissa Hayden Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)