Permit (35) CITY OF TIGARDIII BUILDING PERMIT
8 ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00298
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2016
T t ''' g Parcel: 1 S 135 BC00700
Jurisdiction: Tigard
Site address: 10795 SW CASCADE AVE
Project: Arcadia Sign Permit Subdivision: None Lot: None
Project Description: (1)19 sq.ft. Illuminated wall sign on east elevation.
Contractor: SECURITY SIGNS INC Owner: CASCADE FUTSAL LLC
2424 SE HOLGATE BLVD 5010 NE OREGON ST
PORTLAND, OR 97202 PORTLAND, OR 97213
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 10/19/2016 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/19/2016 $14.32
Dwelling Units: 0 Plan Review 10/19/2016 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/19/2016 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,320
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.71
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. 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 503.232.1987 or 1.800.332.2344.
/'
Issued By: ry Permittee Signature:
%24%)
3.639.4175 by 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 , FOR OFFICE USE ONLY
„ City of Tigard Date/Be� ' I ' Permit No.: f,' g f a:,
, 13125 SW Hall Blvd.,Tigard,OR 97223 / )
�} Plan Rem-.. ��
® Phone: 503.718.2439 Fax: 503.598.1960y tl� Other Permit: -04,0
Ins ection Line: 503.639.4175 ))), : 4 Date/R � ����
T I GAR D p Date Rea Ei See Page 2 for
Internet: www.tigard-or.gov q r Notified/Method. 1 '
�� ' 3i 'i i F° Supplemental Information
3 atl�i� G �1;
mn'h ,- t � � ii .;�q, o :12L1,,',_ - ;..,' .:4,:,1,,,,41'' !, Tl B Y6�' , 1 i®fiB °t s ` a `
C 1 ew 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
work indicated on this a lication.
PP
0 1-and 2-family dwelling L' Commercial/industrial
Valuation: $
0 Accessory building El Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
r 111d" ` 11 ,`� * " ji`t t71( it:i---,' 'vi` Total number of floors:c .- - 4bio t
Job site address: /0795 S4) /4j l' New dwelling area: square feet
City/State/ZIP: 77( L�, es/'[ ' 722-3 Garage/carport Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 04.70/41— Covered porch area: square feet
Cross street/directions tooCjob
�'site: Q�� 2 26 ,Q� Deck area: square feet
$) 6461 Jam'/i�f!� M✓ Other structure area: square feet
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
�1 + �� i� equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
it/59LL / iLLiif/A t 4— $76il Valuation: $ 2 52e2r�
bnl T- C% -Tlakl 7�f .5AYS Existing building area: square feet
/172e/179/4- /,' 5,d2 Far, New building area: square feet
r 1'a,2 t dem, 111111 g1'(- ,, -V�Ildd ioi r = ,- - & 4` �a�t (I 4 ithd Number of stories:
Name: e7'45
C��,--_ F//6:r/9- .Z-C— Type of construction:
Address: 6)/0 1 liC-- N 5 7-' Occupancy groups:
,O
City/State/ZIP: 7 7 LJJg1V/J /7) 7Z-L3 Existing:
Phone:( ) Fax
New:
. - , ---T, s a; i.., tb8mOI Y=` „ `.. iii
' tt ik ,J i: r , 6 - - . x iii _','..1,4,V.,' ta � J , g: '--- ,Business name:SECURITY SIGNS,INC
Structural plan review fee(or deposit):
Contact name:CYNDI STOCKS
FLS plan review fee(if applicable):
Address:2424 SE HOLGATE BLVD
Total fees due upon application:
City/State/ZIP:PORTLAND,OR 97202
Phone:(503)546-7102 Fax::(503)230-1861 Amount received:
E-mail:permits@securitysigns.com PSI �i "�t '-'a 144-7:--;,,4,--'
d - ;Na:
m, y _° # a� _ _ Commercial and residential prescriptive installation of
k 4� _NF1. i A,wi ----,'A''.-1:1:i1� �'1 `,- 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
and administrative fees): $180.00
Phone:(503)546-7102 Fax:(503)230-1861 State surcharge(12%of permit fee): $21.60
CCB lic.:122809
Total fee due upon application: $201.60
Authorized signature: S� This permit application expires if a permit is not obtained
��� within 180 days after it has been accepted as complete.
Print name:CYNDI STO KS Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)