Permit IIq CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2015-00130
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2015
Parcel: 1 S 134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 100
Project: The Filling Station Pet Supplies Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: (1)wall sign on the north-facing wall of the building. Mount only.
Contractor: SECURITY SIGNS INC Owner: ROBINSON,CONSTANCE A
2424 SE HOLGATE BLVD BY KILLIAN PACIFIC LLC
PORTLAND, OR 97202 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 05/08/2015 $119.33
ype of Const: Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/08/2015 $14.32
Dwelling Units: 0 Plan Review 05/08/2015 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/08/2015 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,000 Misc Administration Fee 05/08/2015 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $219.21
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
952-001-0010 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: /`�— ' _ r `1`` Permittee Signature: ,i /Lim.-
03.639.4175 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 I OR OFFICE FSI: ()NI.\
City of Tigard RECEIVE w'eceived Permit No.: # ,e.• .
y 0
lig
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review AM
Phone: 503.718.2439 Fax: 503.598.1960 MAY 2015 DateB : Other Permi ' M�a
� is ►' �
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAR I otified/Method: Ammo. Supplemental Information
BUILDIPI: DIVISION *Fenn∎1�,e1 /'�-f,'&S. +> t:_
TYPE OF WORK REQUIRED DATA:1-glCID 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 Valuation: $
Commercial/industrial
❑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: I0 i t c ,} N1 ryki i) pru , New dwelling area: square feet
r ��r2
City/State/ZIP: - � 0, l £ 7223 Garage/carport area: square feet
Suite/bldg./apt.no.: 1,00 Project name: F i(�L ING STPT I ce1. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
11 II,1 &1 z_Il >7__ c5 6 j;4f L� F z4 r� Other structure area: square feet
T St',..) N 11M 13✓S At,F eet er l\ 0 6 kC I Not 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: 4 3 000 $ —�
( 1) A L l- SIGN , V t-vt.O0/Q D N LY r
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: N■141,1i6IiS C�Nt 2.- Z1c..., Lt-C- Type of construction:
> 616,1 r
mzi)�-r- Z L'i
Address: .2o 1 6e C ?cvi A. uR)�y/ l c 7[ le y o Occu p an cy groups:
City/State/ZIP: V &tyz. / ii)# I I Existing:
Phone:( &O) 64_9. 3 y Fax:( ) New
(/APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Security Signs (Pleasenferro fee schedule)
Structural plan review fee(or deposit):
Contact name:Melissa Hayden
FLS plan review fee(if applicable):
Address:2424 SE Holgate Blvd
City/State/ZIP:Portland OR 97202
Total fees due upon application:
Phone:(503)546.7114 Fax::(503)230.1861
Amount received:
E-mail: p r',ii i+-5 's t�cttz{Slgr t S-ho r) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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: tJ .yl� Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
and administrative fees): $180.00
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:122809
Total fee due upon application: $201.60
Authorized signatur44. -- 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: Qtf'�3r iS * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10115 SW NIMBUS AVE 100, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00130
Chip Barnett
Violation Summary:
Inspector Contractor