Permit (13) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00282
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2016
f C ;tR&t•CD Parcel: 2S110AA00600
Jurisdiction: Tigard
Site address: 10650 SW MCDONALD ST
Project: Seven Eleven Free Standing Sign Subdivision: None Lot: None
Project Description: (1)internally illuminated pole sign.
Contractor: MEYER SIGN CO OF OREGON Owner: 7-ELEVEN INC
15205 SW 74TH AVE BY TEXLAND PROPERTIES CORP
TIGARD, OR 97224 TAX DEPT#16394
PO BOX 711
DALLAS, TX 75221
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 10/04/2016 $149.75
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/04/2016 $17.97
Dwelling Units: 0 Plan Review 10/26/2016 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/26/2016 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $267.56
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. You may obtain a copy of the rules or direct questions to OUNC by calling 32.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Gam'
Call 3.639.4175 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 , 1 i �Al FOR OFFICE USE ONLY
Cit of Tigard Received sn
y g Date/By: t, L/ /ti Permit No.: 0/4/0„.2a4,,,.—a
13125 SW Hall Blvd.,Tigard,OR 97223 LT 'Lulu
n iPlan Revi Ll
Phone: 503.7]8.2439 Fax: 503.598.1960 Date/By:��£ ��� 144,0 Other Permit: j6/1,470itp—ca Y i
i
T I G n K D Inspection Line: 503.639.4175 _ Date Read Jun ® See Page 2 for
Internet: www.tigard-or.gov ' ' / It r qaLI' Notified/Method:0.) �s�� Zi'o/ I Supplemental Information
TYPE sd t aA1.AID 2 4AIl .Y D?R LLUNG :
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
`. ...., CATEGORY- . CONSTRUCTICOi4i... work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
1=1Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 111Other: Number of bathrooms:
SOB 1.TL Mp 0 AMID I.00ATIoN Total number of floors:
Job site address:10650 SW McDonald New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:7-11 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
t cRIPTION QF' WORIi work indicated on this application.
Install 1 Internally Illuminated Pole sign Valuation: $$5,000.00
Existing building area: square feet
New building area: square feet
a PROP R''lz' O R - Q,MA/04Number of stories:
Name:7-11 Inc.CIO Texland Prop.Corp. Type of construction:
Address:PO Box 711 Occupancy groups:
City/State/ZIP:Dallas,TX 75221 Existing:
Phone:( ) Fax:( ) New:
... me AJ Pt CAN:' ,n CONT R 1 RMTt
ACT
Business name:Meyer Sign Co.of Oregon tefrttlet sksuts)
Structural plan review fee(or deposit):
Contact name:Tony McCormick
Address:15205 SW 74th Ave. FLS plan review fee(if applicable):
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:/ lop if /4
Amount received:
Phone:(971)232-5021 Fax: :( )
E-mail:permits@meyersignco.com "H4 *I ' ' ' "R A -ST F,,
'j CONi"RACTOR ,
Commercial and residential prescriptive installation of
_. .. ' roof-top mounted Photovoltaic Solar Panel System.
Business name:Meyer Sign Co.of Oregon Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15205 SW 74th Ave. Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(971)232-5021 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:64014
&itA47 ‘77/e(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:Tony McCormick Date: 10/4/16 * Fee methodology set by Tri-County Buildin Industry
— Service Board. .75
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L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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