Permit CITY OF TIGARD BUILDING PERMIT
114
'' COMMUNITY DEVELOPMENT Permit#: BUP2015-00215
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2016
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14325 SW PACIFIC HWY
Project: Ericka's Salon Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: New 25 square foot wall sign.
Contractor: BULL MOUNTAIN INVESTMENTS LLC Owner: BULL MOUNTAIN INVESTMENTS LLC
14389 SW PACIFIC HWY ATTN JERRY KOLVE
TIGARD, OR 97224 14389 SW PACIFIC HWY
TIGARD, OR 97224
PHONE: 503-620-8087 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 07/20/2016 $119.33
Occupancy Grp: U Occupancy Load: Demolition
12%State Surcharge-Building 07/20/2016 $14.32
Dwelling Units: 0 Plan Review 07/20/2015
Stories: 0 Height: 0 ft $77.56
Info Process/Archiving-Sm$0.50(up to 07/20/2016 $3.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,451
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $214.71
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. ATT ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 010 throu• OAR 95 01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
lssu By: , i rg
1/_.... e.....11111041
Permittee Signature: U
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. NW
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
iavCommercial '
VAN tiV
FOR OFFICE I`SE O:NLI
City of Tigard Received _
11,1
13125 SW Hall Blvd.,Tigard,OR 97223
Date/By: / s-- Permit No.: 8/,0,�)I owl(J
Phone: 503-718-2439 Fax: 503-598-1960, 7��� Plan Revie ri• _ lin/
Date Ready/By:
r *I 7(221 )/D Related Permit: ee •e 2 l,r clic&
TI G A R D Inspection Line: 503-639-4175 .)Ul-' w Date ReInternet: www.ti and-or. ov �` y oJaf15 Supplemental See Pagefor
g g r Notified/Method: 7 / -�'
���� etv1 tC�Qh ,�(,^P..) � '��I Information
TYPE � i,n t 1i,i t lr2t 1T
OF W # ffr<vs,.. Jam'trk;C— =t,'i.cx,)
t REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction Dlition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
Addition/alteration/replacement Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this implication.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Y,j,2 s-- f
/ C i L 1441 New dwelling
elling area: squareuare feet
City/State/ZIP: _7ivP,c� �7LY2 - _ , Garage/carport area: square feet
Suite/bldg./apt.#:
I Project name: FI,.r� S 3 1(,)/N) Covered porch area
square feet
Cross street/directions to job site: e,„/„,„,h,,„...2. / /
n f (% Deck area: square feet
(L� /.1Lt,ry (11//0r-c Other structure area: square feet
t/ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Si //��� - D 2 0Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/2 Siz.,-// Gj_ /4 cr . n, Valuation: $ , , C/S-/i/
Existing building area square feet
New building area: square feet
0 PROPERTY OWNER I TENANT Number of stories:
Name: /�iA__ h
Type of construction:Address: SJ1G✓ Cm2' r/� Occupancy groups:
City/State/ZIP: " ,,/ Olt_ /�7c)_,2_
�'1Existing:
Phone:(S3) 9,5— — 1OS') Fax:( )
New:
utj t6 ❑ APPLICANT 0LC6NTACT PERSON, � BUILDING PERMIT FEES*
Business name: /,79d tk..4L Z ? r 1/%� 11 Li (Please refer to fee schedule)
`� /g
Contact name: c j( / A/o/�� Structural plan review fee(or deposit):
Address: / 3�q A c, / - FLS plan review fee(if applicable):
.' ,j7/(af'i�0//
Total fees due upon application: 7.
City/State/ZIP: --1"'4 d, '`7/,
Phone:(S3) / g-Q g/7 Fax::($? C//) iv-Lc-SI/ Amount received:
E-mail: G� _ `/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: ,074.1/t, y — Submit two(2)sets of roof plan with connection details
Address: and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
Phone:( ) Fax:( )
and administrative fees): $180.00
CCB Lic.:
State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: /� This permit application expires if a permit is not obtained
j ,, J <,9� , within 180 days after it has been accepted as complete.
Print name: C�kf�/!rv//� (622/Ei _ I Date: —�d J3--- I * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUPCOM_PermitApp.doc Rev.04/21/2014 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
14325 SW PACIFIC HWY, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00215
Chip Barnett
Violation Summary:
Inspector Contractor