Permit (56) CITY OF TIGARD BUILDING PERMIT
2. '' COMMUNITY DEVELOPMENT
Permit#: BUP2016 00279
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2016
T f tia;k tt. Parcel: 1 S135CB00600
Jurisdiction: Tigard
Site address: 11530 SW TIEDEMAN AVE
Project: Harris WorkSystems Sign Permit Subdivision: None Lot: None
Project Description: (2)illuminated wall signs.
Contractor: SECURITY SIGNS INC Owner: MCCALL PROPERTIES LLC
2424 SE HOLGATE BLVD BY NED MCCALL
PORTLAND, OR 97202 5480 NW FRONT AVE
PORTLAND, OR 97210
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 10/27/2016 $149.75
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/27/2016 $17.97
Dwelling Units: 0 Plan Review 10/27/2016 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/27/2016 $2.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,290
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. Youcopy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: "77._,.. ...._ Permittee Signature:
, .0.-- _
71'-f 4.97 ''
Call 503.639.4175 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
ComCommercial j� FOR OFFICE USE ONLY
�,
- City of Tigard !� Received
Ac: Permit No.: I
13125 SW Hall Blvd.,Tigard,OR 97223 `/ �h •1'� » �� T r�'r
Phone: 503.7182439 Fax 503.598.1960 - ' ti i lim
TIGARD Inspection Line: 503.639.4175 utc555th Date Re - . ® See Page 2 for
PAN
Internet: www.tigard-or.gov N.tified/Method: / � „` Supplemental Information
2a 1 `
TYPE OF WORKREQUIRED:DATA 1 AND 2FAMILY DWELLING
[ 'New construction ❑Demolition :'�'Vi 0 IllPermit fees*are based on the value of the work performed.
zG%%V1i Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: �� equipment,materials,labor,overhead,and the profit for the
work indicated on this a lication.
CATEGORY OE CONSTRUCTION PP
El1-and 2-family dwelling E Commercialindustrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION` Total number of floors:
Job site address: 115-56 .7-/�! .0,97V ,9-/}&" New dwelling area: square feet
City/State/ZIP: Q 723 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: A/ /S toda2 s Covered porch area: square feet
Cross street/directions to job site: 6.-Y5 -7Z-.79'2' ...S Deck area: square feet
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 theprofit
DESCRIPTION OF WORK= work indicatedon this application. .RGl tr
pr t fgxthe
1A4572 1-L. ...(2) /I Lv / g'6 mi 4J/Qti__ Valuation tel/
04 AiS -32._ SQ !`L /3 /(/gr2, '.4' Existing building area: ' square feet
Gv r L ! !CVj New building area: square feet
PROPERTY OWNER TENANT Number of stories:
Name: S /) 2 51/ 7-&—,91.3Type of construction:
Address: I 15 30 Q/,) �ZJt?�// )9/1E,- Occupancy groups:
City/State/ZIP: / Caw --7 .
T`y � QG �� Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON. FEES*
�. BUILDING PERMIT
Business name:SECURITY SIGNS,INC (Please refer to fee so7iedale)`
Structural plan review fee(or deposit):
Contact name:CYNDI KRACKE
Address:2424 SE HOLGATE BLVD FLS plan review fee(if applicable):
City/State/ZIP:PORTLAND,OR 97202 Total fees due upon application:
Phone:(503)546-7102 Fax::(503)230-1861 Amount received:
E-mail:permits@securitysigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 $180.00
and administrative fees):
Phone:(503)546-7102 Fax:(503)230-1861 State surcharge(12%of permit fee): $21.60
CCB lic.:122809
4Total fee due upon application: $201.60
Authorized signature: 5'-
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:CYNDI IiiilgVeKE �7z) Date: �/661`� * Fee methodology set by Tri-County Building Industry
Service Board.
IABuildingTermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
11530 SW TIEDEMAN AVE, TIGARD, OR, 97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
B U P2016-00279
Inspector:
Chip Barnett
Contractor