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Permit (52) CITY OF TIGARD BUILDING PERMIT iiiN 111-.:: COMMUNITY DEVELOPMENT Permit#: BUP2016 00182 Tr G e 4 ,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/28/2016 Parcel: 2S110AB00200 Jurisdiction: Tigard Site address: 14405 SW PACIFIC HWY Project: Ham Radio Outlet Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: (1)new 40 sq.ft.illuminated sign on east-facing wall. Contractor: OWNER Owner: BULL MOUNTAIN INVESTMENTS LLC ATTN 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, 05/31/2016 $134.54 Occupancy Grp: U Occupancy Load: Demolition 12%State Surcharge-Building 05/31/2016 $16.14 Dwelling Units: 0 Plan Review Stories: 0 Height: 0 ft 05/31/2016 $87.45 Info Process/Archiving-Sm$0.50(up to 05/31/2016 $3.50 Bedrooms: 0 Bathrooms: 0 11x17) Value: $3,275 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $241.63 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 a ordanc 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. ENTION: Orego aw r-• ires you to follow the rules adopted by the Oregon Utility Notifica'•n Center. Th se rules are set forth in OAR 952- 61-0010 through OAR 952-r: -009.. •u may obtain a copy of the rules or direct questions to OUNC by callin. 03•32.1987 or 1.8d0 332.23 Is ued By: Permittee Signature: t> Call 503.639.4175 by 7:00 a.m.for the next available inspec . 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 . iiiiimi Commercial �� Cityof Tigard ` Received 11 131SW Hall Blvd.,Tigard, �0�� P ate/By: 3jl7fv Permit No.:8 jJ�0/6,a)I ' C Phone: 503.718.2439 Fax: 5031698.`, ca-' an Re '^� Other Permit. vv { `A J � w` Date/By: i/ f+ 7 t O/W—o Inspection Line: 503.639.4175 �`P ,c,(;�P `O Date Ih/l /1 �(/© ® See Page 2 for TICGARD Ready/B Juris: Internet: www.tigard-or.gov OC. V,O® Notified/Method: Supplemental Information TYPE OF \`v REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction [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 CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling . Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /L f vas- 17 I-Lt Su3 L New dwelling area: square feet City/State/ZIP: n J a 6 L at-72_2J-1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:` F4i fY) a Qi ' a�-- Covered porch area: square feet Cross street/directions to job site: �►Jtl!l� ( net �, `�'l Deck area: square feet �J Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 D` fYl r'1tiESCRIPTION OF WORK work indicated on this application. 9 ) F i u.. � ,--,-, (}� Valuation: $ 3,� o J r Existing building area: square feet �� New building area: square feet E OPERTY OWNER 0 TENANT Number of stories: Name: �t�(k.l l na -t-0. 1-mips-A-v l ox . Type of construction: Address: 1 L{2j c1 pct c IL Occupancy groups: City/State/ZIP: ►i-yid( dV rt Gj7�� (�) Existing: Phone: k -6�s p) Fax:(J-g) GVLI-rig i i New: 0 APPLICANT Er-CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) Contact name: Structural plan review fee(or deposit): � 0 �1�l FLSplan review fee(if applicable): Address: ai Sl„, T`�t-rC1 2 t W� PP ): City/State/ZIP: -1-1-4a b--)4.___ ci/2 2 24 •J Total fees due upon application: Phone:( 518) 6/i3,9_ /09-)___S, Fax::(5) 10Ectl, TiAmount received E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR '; Commercial and prescriptive rnd ��� roof-top mounted Photo Voltaicresidential SolarPanel System.installation of Business name: D kv,./Le,,✓,S-e elora c0 K I IN" Submit two(2)sets of roof plan with connection details / i I i I'I" ' and fire department access,alongwith the 2010 Oregon Address: 1 t-��C6�/ Su F -C I�11- l.-tyVt6/ Solar Installation Specialty Code checklist. City/State/ZIP: ---ft o 1(., co Z 2-1-f U Permit fee(includes plan review $180.00 �j� and administrative fees): Phone:(�) 1_Zd " ('O o'/ Fax:(5�) (.PV 1-ST f CJ State surcharge(12%of permit fee): $21.60 CCB lic.: .' ` ' L 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:001 l Movrh�0.t r -1hV B ST hyl Qil� L C Date:3--_31_ t * Fee methodology set by TriCounty Building Industry iService Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) (23F' 13