Permit 111
n CITY OF TIGARD BUILDING PERMIT
7 ' ' • COMMUNITY DEVELOPMENT Permit#: BUP2016-00087
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/05/2016
Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12198 SW SCHOLLS FERRY RD
Project: Baja Fresh Replace Signs Subdivision: None Lot: None
Project Description: Replace signs on the Baja Fresh,Sign A
Contractor: RAMSAY SIGNS INC Owner: ATLAS GREENWAY LLC
9160 SE 74TH AVE 333 NW NINTH AVE, STE 1009
PORTLAND, OR 97206 PORTLAND, OR 97209
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/05/2016 $90.56
Demolition
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Building 04/05/2016 $10.87
Dwelling Units: 0 Plan Review 04/05/2016 $58.86
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/05/2016 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,595
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $161.29
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 = ter. 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 32. 987 or 1.800.332.2344.
Issued By: 11111111111b •• mittee Signature:
—414e-&13.639.4175 by 7:00 a.m.for the next available inspec'•n date.
This permit card shall be kept in a conspicuous place on the job site unti ct' pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial �j D
City of Tigard RECEIVED EIVED Date/Bea a3 & a Permit No..4�/i _ o,
11 " 13125 SW Hall Blvd.,Tigard,OR 972?,3, Plan Reviev7i,
Phone: 503.718.2439 Fax: 503.598.1 R 2 3 2016C��,- —�Other Permit:
Date/B :
Inspection Line: 503.639.4175 Date Ready/B Juri+. ® See Page 2 for
1 I Ci A R D
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ci‘r iii,� Supplemental Information
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D DATA
s 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
dition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
t r 1"-; , ,,,.,; work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling % Commercial/industrial
❑Accessory building CI Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
i; y 4 ' if,, ii tyy,"$ # d At 6 fi �zbr= w Total number of floors:
Job site address: Y (ial/ J p"p A� New dwelling area: square feet
y
City/State/ZIP: /f ( �Qy%J�/,, 0A (7 2 L Garage/carport area: square feet
l v�
Suite/bldg./apt.no.: Project name: ij �, �f Covered porch area: square feet
Cross street/directions to job site: J2/ D` 7
/1 / Deck area: square feet
Other structure area: square feet
„RE9IAWID DATA;COMMERCIAL-USE CHECKLIST
Subdivision: 1 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
�x
equipment,materials,labor,overhead,and the profit for the
7
t� ��
"$' ic �� �� u,�,.tea 3p , ,r,,a� tr � i , ,' .,.:,,,,.--3,-,- work indicated on this application.
i Valuation: $ 1
//�I1'l// /` t� ,�-�f f l�///Glia 5-1
/I lit /���/ /� �L,L{`� t( A�� fit,fl
// Existing building area: square feet
( //UI / i( 1J , / New building area: square feet
is t ;.. i "s ' , , 0 Number of stories:
Name: /71-74/4/ /gr-(7"j7 (,da L L (' Type of construction:
Address: . 33 /Vgj ?M ja / 1 01 0 Occupancy groups:
City/State/ZIP: Q 1 f1 0 h� 0 4 y 7 2 07 Existing:
Phone: " ] ) (I 71 s S -N3 Fax:( ) New:
te :
v ,, .0- ,°" . t" 4 &¢ 44 r 1'`4, � , :'�a3. " BUI m pieRMIT FEES*
(Heave refer to fee schedule)
Business name: Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) I Fax: :( ) Amount receive4—
E-mail: PHOTOVOLTAIC SOLAR PANEL SYS FEES*
V' i � 40 Commercial and residential prescriptive installation of
;ti,l�, - - ,,�„ z �.<_ .� "a� a3„ � „ _ = y _ „ *r=. .r.� roof-top mounted Photovoltaic Solar Panel System.
Business name: (-Qin!, / ,,I Submit two(2)sets of roof plan with connection details
:�¢{�� CC// and tire department access,along with the 2010 Oregon
Address: ?/ /i () die �z I e Solar Installation Specialty Code checklist.
City/State/ZIP: 9 Z� Permit fee(includes plan review $180.00
(/Yt an (,/'t op and administrative fees):
Phone ) 2✓J 9 f-f- Fax,03 )772 d l 0 State surcharge(12%of permit fee): $21.60
CCB tic.: /ji3(L?Z 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. 1 I n// f�J// Date3(2�/ i i/J * Fee methodology set by Tri-County Building Industry
6/` �' V y' Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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
12198 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00087
Jeff Grove
Violation Summary:
Inspector Contractor