Permit (100) CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2016 00025
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2016
Parcel: 1S134AA01900
Jurisdiction: Tigard
Site address: 10115 NIMBUS AVE 500
Project: Express Employment Professionals Wall Sign Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: Installing(1)single element wall sign that weighs 115 pounds on north-facing wall.
Contractor: SECURITY SIGNS INC Owner: ROBINSON, CONSTANCE A
2424 SE HOLGATE BLVD BY KILLIAN PACIFIC LLC
PORTLAND, OR 97202 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 01/26/2016 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 01/26/2016 $16.14
Dwelling Units: 0 Plan Review 01/26/2016 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/26/2016 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,190
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $239.63
Required: Required Items and Reports(Conditions)
Fire Sprinkler Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. AT , •': 4 -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0$ -0010 through OA',952-00 -$090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234444..
Is ued By: / 4 / Permittee Signature: x
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 FOR OFFI('F USE ONLY
Cit of Tigard Received
City g 1 ) Date/By: ? 1(0 Permit No.:eti/�7A`(s �
111.��� y: (> I.��/
. 13125 SW Hall Blvd.,Tigard,OR 9727,V " c Plan Review L� ` !^f (0
Phone: 503.718.2439 Fax: 503. 1 0� Date/By: Other Permit.J�7J�/
T I G A K D Inspection Line: 503.639.4175 t-\ Date Rea. l///��, lurk: ® See Page 2 for
Internet: www.tigard-or.gov SAN 2 6 2 Notified/Methoi:d/7/16 4�" ]�r, I Supplemental Information
Ix .. _T E OF , c NI 1 T: 1 Va2- WRI I NG,
New construction ,SI +.-1.48 on 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
ire work indicated on this application.
CATEGORY OF CONSTRUCTION
0 1-and 2-family dwelling littommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
• 1 jOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10 IIs so N,m61,5 Eve New dwelling area: square feet
City/State/ZIP: ft ottbe.0 jA —!?22S Garage/carport area: square feet
Suite/bldg./apt.no.: 9 06 Project name: V( `, „/�(of_�s 1$rn�40 yrn aV r- Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
I;e-'''''i ti►'i' epi vi I RCIAf-i CHEG .:IST
Subdivision: 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
,' terlipTIONOORKtf work indicated on this application.
1, r4GC— 1 1�J iim-LL �1 Valuation: $ 3, 190 ,
A1ar_ �� r� I i�. / �Q,ge E b►.i ri d-. /� Existing building area: square feet
w\ (j5
(.e✓1/ fitoJ�'f) �rArr" �4I l� SSQIZUC r New building area: s e feet
; PROiI?ERTY A0 ER ,r . �? 4 Number of stories:
.. ...�! .,Www"` 9�3u > ."..r . .... .; ..,v. ?.moi"
Name: / 1(p,.5 6:29volzYmkAir Type of construction:
Address: /U`t JC- $&7 4/i � h Occupancy groups:
'Y,, `
City/State/ZIP: 174#/210 dX. / , 72Z Existing:
Phone:( ) Fax:( ) New:
„ rr 8; 0 APPLICA1VT V ® CONTACT iERSON .,f I t Ifi�DING t FEES*ao � i'547":;,1' "
Business name:SECURITY SIGNS,INC
,i i�r` i P ~e er; ee ehrJrile vL-4:1-' ,,,Ay,'..
Structural plan review fee(or deposit):
Contact name:CYNDI KRACKE
FLS plan review fee(if applicable):
Address:2424 SE HOLGATE BLVD
Total fees due upon application: 13'7. (p
City/State/ZIP:PORTLAND,OR 97202 ,
Phone:(503)546-7102 Fax: :(503)230-1861 Amount received:
ice,`_ a.�� � �
E-mail:peermits@securitysigns corn x i Q s'� -I hj C�,q71 5 C�.I Al 1 ® $ ' ,, G „-
_df ✓ Commercial and residential prescriptive installation of
1:-'.;1:,-0 � aCONTRACTOR ry
, - at- r: r v,. = _ �. ter,-_ roof-top mounted Photovoltaic Solar Panel System.
Business name:SECURITY SIGNS,INC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2424 SE HOLGATE BLVD Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND,OR 97202 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)546-7102 Fax:(503)230-1861 State surcharge(12%of permit fee): $21.60
CCB lic.:122809 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:CYNDI KRACKE Date: Ql// i * Fee methodology set by Tri-County Building Industry
ff Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ,S--/•?-.10 f