Permit (41) n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016 00082
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2016
Parcel: 1 S136CC00100
Jurisdiction: Tigard
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: None Lot: None
Project Description: Installing(1)internally-illuminated wall sign and(1)electronic message sign.
Contractor: SECURITY SIGNS INC Owner: WESTSIDE CHRISTIAN HIGH SCHOOL I
2424 SE HOLGATE BLVD BY DAVIS, DANIEL A, PRESIDENT
PORTLAND, OR 97202 8200 SW PFAFFLE ST
TIGARD, OR 97223
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: VB Permit Fee-Additions,Alterations, 03/31/2016 $210.59
Demolition
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Building 03/31/2016 $25.27
Dwelling Units: 0 Plan Review 03/31/2016 $136.88
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/31/2016 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $8,420
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $375.24
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090.1- You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r/)J /h J 11 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat .
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard GEk\IE® Received
f Permit No.: i I�.
74 ' 13125 SW Hall Blvd.,Tigard,OR _7_ Plan '-,e a �� y ,
Phone: 503.718.2439 Fax: 503.598.1966 AR 21 20$ Date/B A q''Im?� �j Other Permit: /��� . ,
T 1 G A R D Inspection Line: 503.639.4175 NI Date Re.:y y: 55 See Page 2 for
Internet: www.tigard-or.govirigAD Notified/Method: P /, tMI Supplemental Information
CI-TNIOF QI�ISION 1jA/4/ C tib :
New construction El 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 0 Other: equipment,materials,labor,overhead,and the profit for the
��� M C�iTdoif� .Cb STRUCTION _. work indicated on this application.
# dt ,i ,,
ri
0 1-and 2-family dwelling CommerciaUindustrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
t' OB SITE 3'IO1V AND`LOCATION
Total number of floors:
Job site address: (3zia9 f fil-M-C 57" New dwelling area: square feet
Pj� �
City/State/ZIP: (fo tyy 617223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: rsl,0C 4 e_60 f Covered porch area: square feet
Cross street/directions to job site: 11-5 Deck area: square feet
Other structure area: square feet
REQS RFDTATA CO'11liIERCIAL USE CHECKLIST ,'
--x.�sxxx
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
D Off} P WORK work indicated on this application.
e�<1,.a:,. -�--,;�yye��r�.� �x... : *•FssK&*�.,.tst",IfY;.f�,�YY.,S .w"�� r,. - w-3a. wa. y�
���//6 (li I ���iL �1��( Ll/ 1 //1lr1 o Valuation: $ fJ� .
5it1 pi A iC/.l&?�5/,o --- N-1---/z4 Jl� j L/5 4 Existing building area: square feet
�c�t�O-P2-& /e-- inS 04-76/00V(�J7 New building area: square feet
IiniZ,,4-'4,4S4 ,;.--;',ii.,,,, PROS OW1 iER' ': , . 4,X„ N SVT s Number of stories:
Name: ti�i--SDC &47/2"-/577,49/V )./-- Type of construction:
Address: 02ACO $ PFA-fFG6 6[ Occupancy groups:
City/State/ZIP: P0247.J1V,0 '724 0 Existing:
Phone:( ) Fax:( )
New:
�7-0 q-4,81 P lCANT x ;y ysr ® CONTACT PERSON .., BUILDING PERMIT FEES*
Business name:SECURITY SIGNS,INC Please`referWfe sehedukj
Structural plan review fee(or deposit):
Contact name:CYNDI KRACKE
Address:2424 SE HOLGATE BLVD FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND,OR 97202
Phone:(503)546-7102 Fax: :(503)230-1861 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES[
E-mail:permits@securitysigns.com Com• mercial and residential prescriptive installation of
, : 1'„ ; ,, F ' CONTRACTOR 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
Aa -e----.'
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
G4'- within 180 days after it has been accepted as complete.
/
Print name:CYNDI KRAC E Date: 00l`��` * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
January 17, 2017 at 12:22:14
PM
Record ID:
BUP2016-00082
Inspector:
Chip Barnett
Contractor