Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015 00328
Date Issued: 11/24/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
tl Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 120
Project: Great Clips Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Installation of new rear wall sign for Great Clips.
Contractor: E S&A SIGN&AWNING Owner: WAL-MART REAL ESTATE BUSINESS TR
89975 PRAIRIE RD BY PROPERTY TAX DEPT STORE 5935-00
EUGENE, OR 97402 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/24/2015 $63.44
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 11/24/2015 $7.61
Dwelling Units: 0 Plan Review 11/24/2015 $41.24
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 11/24/2015 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $787
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $113.79
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: '
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
Commercial f-dl. St FOR OFFICE USE ONLY
IIull`t'
Ciof Tigard `-'Li. 'ecei,edl PermitNo.: LJ 6 cO3
City Datedly: ,12 /7 /�
13125;S W Hall Blvd.. NOV•Tigard,OR 97223 Plan Review ` /
��0 $ ® 2015 �` , lI 1i Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Dato/t3y.
TIGARD Inspection Line: 503.639.4175 Cy1y 1 T ����� Date Read ions: ® See Page 2 for
Internet: www.tigard-or.gov °-u Y G� Notified/Method: Supplemental Information
DING DJVh�D�
,.,,�. „ >r;''.`':a . is r .".(� • WE
� � •fYl L�OF"WORK Vis;�;`�REQLtIRED�UATA�: 1;-,AND 2=FANlILY;D LLING�
• ..... �, _> _ , � .� ,. . >" � v*'�;r';'x<> ," 4,'<:x:'' ' �r::`�'«t,"`s�;Ys ;a��,..,�.t�.",_ -;� � .". ,:... s .�, .., ,,....�� t'
<§C,,.New construction ❑Demolition Permit fees*are based on the value of the work performed. QA
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ' -
, - -;6-,, • ," , ' "�� AT CO"- " RI s`' ;` work indicated on this application.
',-5•C":; EGORY OF:.. NST UPTIOIV`4':0-"".,w,i'' :.;. :
0 I-and2-family dwelling Commercial/industrial Valuation: $ Ct
l
—
Number of bedrooms: `
0 Accessory building Multi-family _ _.O
0 Master builder 0 Other: Num bathrooms: •
04
• •JOB,`SITE,INFORMATION,AND LOCATION: : .._.v;::,` Total number of tloo/11111.-
lob site address: 7600 O D2fC2 t' C 1 �0 New dwelling arc•. square feet
t` _ Garage/carpo• area: square
City/Stale/711 : G I Z _ '
Suite/bldg./apt.no.. (PO Project name:f (�i'e-k-- CVS Covered ,arch area: square feet
Cross street/directions to job site: 69 - e — �- _ Dec- rea: square feet
3) \--rn A�\ •-k9_,Q_____ . J� Other structure area: square feet
;-REQUIRED`DAI`A: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
'Fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIP•1'ION:OF-WORK",• . :. work indicated on this application.
•
Valuation: $
e sveLJ(; 4. . Q 5e-A- Or/c, j� �s. 1-$'
t `� �.�, �_ Existing building area: square feet
ewh(. s tri a)1• _Ioc — —
f in.'Ar j n . new f0C44;•e� New building area: square feet
PR P.RTY'OWNER .'% ;i`' Number of stories:
';r❑:'.. � ,;,:V, <.3,'.i,. `'❑:TFNANT''., ;^� n>
Name: Type of construction:
Address: - Occupancy groups:
City/Sta•r . Existing:
Phone:( ) Fax:( ) New:
, ,PPLICANT:: ❑r CONTACT.PERSON; `:,' .:,` '. BUIL DING,PERMIT.FEES*
,'-Y (Please refer-to fee sckedule)-"
Business name: ' • .5 ,� •n -f { t I
✓ _ Structural plan review lee(or deposit):
Contact name: a A — —
— (1� , - Stecc!ct_ I'L.S plan review fee(if applicable):
8%'t�Address: G (lPrZ .. --
City/State/ZIP: Total Zees due upon application:
�; D(Z q---9-L.-/6
($4( )`- 23 s-S :(� (( ) q �5 __ca.)3 Amount received: �^
Phone: Fax: �
E-mail: (�,� ` ,+< -PHOTOYQITAICSOLARPANEL,SYSTE*FEE .
-a'-- c" - e2 esa-? 6. ,....•,.,,,.- . , ,<<"yr,,� „_ Commercial and residential prescriptive installation of
. CONrI'RAC R ?•'.'i.' . „ •=,, Y. roof=top mounted PhotoVoltaic Solar Panel Sys em.
Business name: V jG "j1I Y1 u Submit two(2)s's of roof plan with conn 's details
�� and fire department a, s,along w• • ie 2010 Oregon
Address: ti6i 1S 'f' J r - Solar Installation Specialty b • checklist.
City/State/ZIP: -- e - _ • 02– Permit fee(inc s plan r 'ew $180.00
a . dministrative fees .
Phone:(7 Li.O k/ t 6''$ Fax:(5�l� ) l� �(` -S '1 State surd •ge(12%of permit fee): $21.60
tl W
CCB lie.: ,,
/ Total tee 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: e - ,�"5 4-e. /� Date: I 2�– * Pec methodology set by Tri-County Building Industry
�� '" � l I Service Board.
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