Permit a CITY OF TIGARD BUILDING PERMIT
•11111 I , COMMUNITY DEVELOPMENT Permit#: BUP2015-00047
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2015
Parcel: 1S 136DCO2504
Jurisdiction: TIGARD
Site address: 7295 SW DARTMOUTH ST
Project: Western Bikeworks Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: (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-Additions,Alterations, 04/13/2015 $70.22
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/13/2015 $8.43
Dwelling Units: 0 Plan Review 04/13/2015 $45.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/13/2015 $3.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,000 Misc Administration Fee 04/13/2015 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $132.79
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:
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 FOR OFFICE USE ONLY
City of Tigard RECEIVED R , Pa��C---44.1° 7
ty g Date/By: //) �1 Permit No.:
• 1 3125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -••�
FEB 2 Other Permit:
Eril
Phone: 503.718.2439 Fax: 503.598.1960 5 2015 Received e eiv : a rf• it
TIGARD Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page for
Internet: www.tigard-or.gov CIN OF TIGARD Notified/Method: 1-1/7 5— Supplemental Information---- ---------------
BUILDING DIVISION C c-.0,,,1244 _1 ss,„ 4-.
TYPE OF RK REQUIRED DAT :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.
❑ 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: '4/15 S W "06„).-+wtQr4kk S-F-. New dwelling area: square feet
City/State/Z1P: Ti v,.rd 0 R ' 22 3 Garage/carport area: square feet
l �A
Suite/bldg./apt.no.: Project name: I�1QS+tr-n EiF-e- WorkS 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: 1 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: $ 11 G 0 0
01/11.— I* CC\\ S i�� Existing building area: square feet
*Mount Only* V 1 New building area: square feet
❑ PROPERTY OWNER X TENANT Number of stories:
Name: VJQ rr, E.lit_ forks Type of construction:
Address: 9/221s a 1,0 DA,-+mi, f-t ( . Occupancy groups:
tiC h
6--i-2.2.3 Existing:
Phone:( ) ( Fax:( ) New:
la-APPLICANT -CONTACT PERSON BUILDING PERMIT FEES*
(Please seer to fee schedule)
Business name:Security Signs
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
Amount received:
Phone:(503)546.7114 Fax::(503)230.1861
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:Melissa @SecuritySigns.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Security Signs Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 2M 2''1 SE I4o I 4A-� (tJ 0 . Solar Installation Specialty Code checklist.
r Permit fee(includes plan review
City/State/ZIP: �rjr.� l�y�( �� 2 $180.00
1 /_ and administrative fees):
Phone:(593 ) rj9(P --4 I 19 Fax:(503 ) 2'30 - I b l9 I State surcharge(12%of permit fee): $21.60
CCB lic.: 122809 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
elar 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 440-46 13T(l I/02/COM/W EB)