Permit CITY OF TIGARD BUILDING PERMIT
3 ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00257
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2015
Parcel: 1S 136AD04000
Jurisdiction: Tigard
Site address: 11531 SW PACIFIC HWY
Project: Norris&Stevens Subdivision: VILLA RIDGE Lot: 7
Project Description: Installation of(1)wall sign.
Contractor: FASTSIGNS Owner: PACIFIC TERRACE COMMERCIAL LLC
11525 SW PACIFIC HWY BY SMITH, EDITA M
TIGARD, OR 97223 833 NW 170TH DR
BEAVERTON, OR 97006
PHONE: 503-244-8813 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 08/25/2015 $164.96
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/25/2015 $19.80
Dwelling Units: 0 Plan Review 08/25/2015 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/25/2015 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,782 Misc Administration Fee 09/02/2015 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $297.98
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.
IMP
Issued By: -= mittee Signature: _
.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 1J FOR OFFICE USE ONLY
City of Tigard
Date/By: 1 f/9 /5 Permit No. `)��} ti—�ry
II 13125 SW Hall Blvd.,Tigard,OR 97223 2015 Plan Review r'V), `�l/(jC7 /
Irri
Phone: 503.718.2439 Fax: 503.598.1960 Qu�7 2 Date/By: 1 �� ���Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 �� Date ReadyBy: _ tuns ® See Page 2 for
Internet: www.tigard-or.gov +`v l)t ���� Non led/Method: • 37 I5`60 �� Supplemental Information
IL, VS1, .
TYPE OF W QED 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
❑Addit ion/alteration/replacement E utherCT1 ,�A/5 p equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONST UCTitHN work indicated on this application.
-
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family tuber of bedrooms:
❑Master builder tther: Numb- i f bathrooms:
JOB SITE INFORMATION AND LOCATION Total number. oors:
Job site address: 1 1 53 j t5'tu Aa'�/c, Hui/ New dwelling area: square feet
City/State/ZIP: QIeQ/ 6 97 3 Garage/carport area square feet
Suite/bldg./apt.no.: t� Project name: Nder t•.f . cyte.i/CAz Covered po • area: s... e feet
Cross street/directions to job site: '7/ .S•C al/Pniu e Dec .tea: square fee
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: $ `�''78,E °°
��S ft2/fat/D,r/ O I i�,gf11' CA,X
0 xisting building area: square feet
� Ne • ilding area: square f•
t ,�rROPERTY OWNER/MoN e_,yP� ❑ TENANT Number of :.es:
Name: worn'•j ( .i'i ve�r 5 Type of construction:
Address: 9/ JLl) %tr/sOAj Jf 4,,,te oQ Occupancy grou.•.
City/State/ZIP: 7, ,vd/ QR 97a� /
6:41/1 /o Ex' '
II,,��JJ�� �ry / g�
Phone:f/6 3) 5-- ey7r Fax:(spa) 22 - /3( New:
❑ APPLICANT j latONTACT PERSON BUILDING PERMIT FEES*
r (Please refer to fee schedule)
Business name: / Q l k A/.S
Structural plan review fee(or deposit):
Contact name: `5 h e,f/ k/%
//S025- VcSW �QC/c 'G ,L/ iy FLS plan review fee(if applicable):
Address:
City/State/ZIP: Grd O r' 9 Total fees due upon application: Cy�la 1-qd
Amount received: TTTT // 6Q
Phone:ESb31 V-2/3/3 Fax::( ) _
E-mail: / �j� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�6 c` �y` was is/��S Commercial and residential prescriptive installation of
CONTRACTOR v roof-top mounted PhotoVoltaic Solar Panel System.
Business name: -FU S/-5/2,4 N S - 7• 21/21/ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: //t5-02 c ") PJI CtC /AV/ Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: 7 ',/aA,/ O i' 9702.23 $180.00
and administrative fees):
Phone:r!� p Fax: )‘:;?5/.9/
u�� O ��3 7s3 State surcharge(12%of permit fee): $21.60
CCB lie.: /o d7 C,. Q 1,-c Total fee due upon application: $201.60
Authorized signature: 4, ' z t _•. This permit application expires if a permit is not obtained
/ / �-�- within 180 days after it has been accepted as complete.
Print name: 'STh,er iy Wit(s' Date:8/.2y/de/5' * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)