Permit e �� CITY OF TIGARD BUILDING PERMIT
'r1 g COMMUNITY DEVELOPMENT Permit#: BUP2015-00229
T 1(iARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2015
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12196 SW SCHOLLS FERRY RD
Project: Mod Pizza Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Installation of(2)wall signs.
Contractor: RAMSAY SIGNS INC Owner: ATLAS GREENWAY LLC
9160 SE 74TH AVE 333 NW NINTH AVE, STE 1009
PORTLAND, OR 97206 PORTLAND, OR 97209
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/06/2015 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/06/2015 $16.14
Dwelling Units: 0 Plan Review 08/06/2015 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/06/2015 $7.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,672
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $245.63
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
952-001-00 roughb�R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 or 1.800.332.2344.
Issued y: r Permittee Signature: / ,, rmivad______
Call 503.639.4175 by 7:00 a.m.for the next available inspecti•n •.te.
This permit card shall be kept in a conspicuous place on the job site until co 'lotion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildin Permit A licatio
Commercial CEIVEP FOR OFFICE USE ONLY
City of Tigard 1 Received �'6 r� PorlO/SDO 9'
1 �� 9 2015 �' 7 4I Permit
• 13125 SW Hall Blvd.,Tigard,OR dIlY� 2 Plan Review ' ,
MI
Phone: 503.718.2439 Fax: 503.598.1960 �, E� Other Permit:
T IGARD Inspection Line: 503.639.4175 CITY OF 11tAKD Date Ready/B . Jam: 13 See Page 2 for
Internet: www.tigard-or.gov 11 01� Notified/Method: Supplemental Information
RillLDIN OjVIS1
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 ik
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ �y.
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: a®
Job site address: tom]`A( 11 9� ' '.„'`S New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet -Q
Suite/bldg./apt.no.: I Project name:MQA p 1`j7 (\ Covered porch area: square feet o
Cross street/directions to job site:fe:e+ -t-b per{` �l
rvl C k Deck area: square feet
11 �ti++ 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.
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. r�
IVI 1 ID) V v"t I 1 c l 9 hS Valuation: $?J 1(-D-1 9. 00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:See Attached Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Ramsay Signs Inc. tP a*hr�f�schedule)
Structural plan review fee(or deposit):
Contact name:Garrett Gibson
FLS plan review fee(if applicable):
Address:9160 SE 74th Ave
Total fees due upon application:
City/State/ZIP:Portland,OR 97206
.._,F: —
Phone:(503)777-4555 Fax::(503)777-0220 Amount received:
X.--E-mail:GarrettG@RamsaySigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Ramsay Signs Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9160 SE 74th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97206 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)777-4555 Fax:(503)777-0220 State surcharge(12%of permit fee): $21.60
CCB lic.:63422
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:Jess i yzsyytas, Date:1 a 3 `9 * Fee methodology set by Tri-County Building industry
Service Board.
I:1Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(I 1/02/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
12196 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00229
Chip Barnett
Violation Summary:
Inspector Contractor