Permit (48) �r CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00016
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2016
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14315 SW PACIFIC HWY
Project: Bowsers Bath Sign Permit Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: Replace existing sign 25.67 sq.ft.for Bowsers Bath.
Contractor: OWNER Owner: BULL MOUNTAIN INVESTMENTS LLC
ATrN JERRY KOLVE
14389 SW PACIFIC HWY
TIGARD, OR 97224
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of work: OTR Type of Const: Permit Fee-Additions,Alterations, 01/13/2016 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 01/13/2016 $14.32
Dwelling Units: 0 Plan Review 01/13/2016 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/13/2016 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,100
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.21
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: Permittee Signature:
Cali 5 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
Received1�3 Permit No.:
City of Tigard JNVAN Date/B / /(g l
13125 SW Hall Blvd.,Tigard,OR 97,� Plan Revie
Phone: 503.718.2439 Fax: 503.598 �, Date/B Other Permit:
Inspection Line: 503.639.4175 Date R y : Juris: ® See Page 2 for
Internet: www.tigard-or.gov 216 Notified/Method: / (a Supplemental Information
U r ll w,r
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
E]New construction ❑ Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
[lKddition/alteration/replacement equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTR5,CTION work indicated on this application.
❑ I-and 2-family dwelling ommercial/industrial
Valuation: $
❑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: 3�5 �'� l CI`I New dwelling area: square feet
City/State/ZIP: �? c� �t _ ;7Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: �„/S G js � � Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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.
Sr Valuation: $
i
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: �j e_r-��nC CL / Type of construction:
Address: 73 �V,/ ��� Occupancy groups:
City/State/ZIP: Cyst' t�� y?� Existing:
Phone:(ro ) Fax:(S-Q) (�� f��� New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
A/ o to fee scAredrr(e
Business name: !,✓��/ � L L<�.
Contact name:
Structural plan review fee(or deposit):
� f �� ��
Address: I /l FLS plan review fee(if applicable):
Total fees due upon application: a a
City/State/ZIP: alT �^ t
Phone:(5J ) fofFax::(s✓�) Amount received-
E-mail:__ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:
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: Date: ✓ * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB)
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
14315 SW PACIFIC HWY, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00016
Chip Barnett
Violation Summary:
Inspector Contractor