Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00154
Date Issued: 05/28/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY X
Project: Donut Day Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: Wall sign(65 lbs.)
Contractor: SIGNCRAFT SIGNS LLC Owner: PACIFIC CROSSROADS PROPERTIES IN
8900 SW BURNHAM, E109 BY WYSE INVESTMENT SERVICES CO
TIGARD, OR 97223 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 503-639-4910 PHONE.
FAX: 503-639-4999
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/28/2015 $53.27
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/28/2015 $6.39
Dwelling Units: 0 Plan Review 05/28/2015 $34.63
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/28/2015 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $500
Floor Areas:
Total Area 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $94.79
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: 1, Permittee Signature: ��c•�A�
��I ~~~---[[[ 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 RECEb
Commercial FOR OFFICE USE ONLY
MAY 28 2015
City of Tigard • Received: .5 /S <44r4 Permit Noezt .ce/s-�/S9
• 13125 SW Hall Blvd.,Tigard,OR 97223j •ff p�Review
' . Phone: 503.718.2439 Fax: 503.598.191301�1 �r 1 �l K l Dates : Other Fermi -6N 0�/�s -qI�(,�
TIGARD Inspection Line: 503.639.4175 BUILDING D�{�'�SIn) DateReadyBy: SeePase2for
Internet: www.tigard-or.gov " Notified/Method. r Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacement 0 - •dicate the value(rounded to the nearest dollar)of all
P eq.-•ment,materials,labor,overhead,and the p •' for the
CATEGORY OF CONSTRUCTION work' dicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation. $
❑Accessory building ❑Multi-family Number of OMs:
❑Master builder ❑Other: Number of :. :
lI /7 d 5 JOB SITE INFORMATION AND LOCATION Total number of fl.. •
Job site address: Lt.....,t9 S ec C.1fi, Ns,)y C)1-7.- ( New dwelling area• square feet
City/State/ZIP: —1-i„ar q-1 2t. 1 Garage/carpo -a: square feet
Suite/bldg./apt.no.: Project name: boo u- OGL y Covered • h area: S. : . feet
Cross street/directions to job site: Qq c Dec square :.
F. er 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. 'I''
Valuation: $rY1cl.nv. r e C i i it 1 . //14 vy,r✓te Las
5- Existing building area: square feet
New building area: square feet
IZI PROPERTY OWNER ❑ TENANT Number of stories:
Name: At,ri, cfb ,s 1c'e ! eff,p In(._ :GJb 14)Y Se- .trope••-.r { SP/u Type of construction:
Address: i SL) Tciyi r Si-e S 100 c° Occupancy groups:
City/State/ZIP: Pam( r /O(l_ q 7 &5 Existing:
Phone:X03 ) Li. p u by Fax:(5)3 ) a -)-• b 7 New:
129 APPLICANT m CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: pocu Structural plan review fee(or deposit):
Contact name: •rk,v.AL
- FLS plan review fee(if applicable):
Address:
ttio(0 51») Pa<_,{_,a, Nw k-a_
City/State/ZIP: Total fees due upon application:
ty �I sox b�(i— °� Amount received:
Phone:(5o3 )St)2- 7,12*o Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:SignCraft 51 �1 ,.._t_4_, Submit two(2)sets of roof plan with connection details
5, and fire department access,along with the 2010 Oregon
Address:8900 SW Burnham Rd,Ste E109/PO Box 23636 Solar Installation Specialty Code checklist.
City/State/ZIP:97223 Permit fee(includes plan review
and administrative fees):
Phone:(503)639-4910 Fax:(503)620-9568
_ State surcharge(12%of permit fee): /Jv s�!�
CCB lic.:155420 7
y Total fee due upon application:
Authorized signature: °yaf.afJw This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: b Date: ja4�l� * 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)
• , r ,o RE I : IvEn C i -
CITY OF TIG I / / ; ,, `\, ( UrT �\�� I i // B [i I i 1��� f ` ?- -- [ 4�
By: /IA ') , Date: -5'=aG-rS _ �— _—
1
Iitb elpn le Intended O be na.aen In 1. 6
6000' nce with the moo reminds or edicle i r:r.,•r r
e 1 6000l the Hatonal nano,.Cab and'nr I �--x ( raceway
other epphpMe bet codes Isis includes
./,� M.P.gwndara end Oc a �_ 8 Power soppy
t 1 " C conduit
? "�r r, ' w_1.-7.10, . —l E primary electrical source
r. 1A. - s," ,, - i . F allminum return
` ' s — — - r 1 - p "TAWS i G face retainer(trim cap or alum,
. . 'G _ tie, le TAWS f . —a H acrylic face
t supply Mrs
J LEO unit
_ �. I K weep trots ( per element)
` wee s
_ ,1 + ii_
l� ! _ _ __ _. Sign Sq Ft 20 n.'� sign Ibs
r ft „2.7 -- g g (aS
,,:F
i
-•_� , , " ' rye Manufacture&Install ONE(1)set of illuminated channel letters a.
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`0 .tlf r
Channel Letters:
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; :1 Backs and Returns Aluminum 040.
i1 t 't'‘ Returns 4"Deep-White
Faces (.177")White Acryllic
with oracal 8500 series light blue 053 overlay
Trimcap 1"black Jewelite 81
Illumination White LEDS
Raceway 7"x7"d
Aluminum construction painted to match fascia
OFFICE COPY Installation- 3/8"x3"lag screw
anchors into studs Oft centers