Permit (240) CITY OF TIGARD BUILDING PERMIT
,71
COMMUNITY DEVELOPMENT Permit#: BUP2016-00340
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2016
Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY Z
Project: Papa Murphy's Pizza Subdivision: None Lot: None
Project Description: Installation of(2)wall signs.
Contractor: SECURITY SIGNS INC Owner: PACIFIC CROSSROADS PROPERTIES IN
2424 SE HOLGATE BLVD BY WYSE INVESTMENT SERVICES CO
PORTLAND, OR 97202 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
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, 12/28/2016 $195.38
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 12/28/2016 $23.45
Dwelling Units: Phased Plan Review 12/28/2016 $19.54
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 12/28/2016 $2.50
Bedrooms: Bathrooms: 11x17)
Value: $7,995 Misc Administration Fee 12/28/2016 $5.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $245.87
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 B G1
Y: A Permittee Signature: C�--�
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
���k-� . . , ' `. Iommunity Development Department
Building.Division
1 / OFFICE USE ONLY
r /.- / , 12725 SW Millikan Way/PO Box 4755
(� �}1 Beaverton, OR 97076 Date Received: a Permit No.:
� , r' 1y one: (503)526-2493 Fax: (503)526-2550 Date Issued•, By: cW;i0,7olb-ce/,'t/v /A s-
o a el j61(x ral Information(503)526-2222 V/TDD
� �} BeavertonOregon.gov Payment Type:
B
�� G °` 0.°((�4YPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees'are based on the value of the work performed.
0 New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all equipment,
Addition/alterati /replaceme 0 Other: materials,labor,overhead,and the profit for the work indicated on
this application.
CATEGORY OF CONSTRUCTION Valuation
0 1-and 2-family dwelling Commercial/industrial Number.of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder 0 Other:
Total number of floors:
JOB SITE INFORMATION AND LOCATION
170 s 54) Pt i� y New dwelling area: square feet
Job site address:
�7�
Garage/carport area: square feet
City/State/ZIP: ?`J6i9 � —d/�722-3
ldg./apt.no.: "z„ Project name: D �- �,pCovered porch area: square feet
Deck area: square feet
Cross street/directions to job site:
Other structure area: square feet
Sa REQUIRED DATA:COMMERCIAL-USE CHECKLIST
qSubdivision: Lot no.: Permit fees'are based on the value of the work performed.
'n Indicate the value(rounded to the nearest dollar)of all equipment,
` Tax map/parcel no.: materials,labor,overhead,and the profit for the work indicated on
DESCRIPTION OF WORK this application.
Valuation 4 7, 995 `f
IN 5 t't t_ C2.-) Wl1-G L 5'16 S
Existing building area: square feet
New building area: square feet
Number of stories:
0 PROPERTY OWNER TENANT Type of construction:
Name: - /Yl:/g 1°' l 15 PL (�j��) Occupancy groups:
Address: //7&S $Z) Mei tee_- �'/!N y z- Existing:
City/State/ZIP: '7'l New:
Phone: Fax:
NOTICE
E-mail:
All contractors and subcontractors are required to be licensed with
0 APPLICANT ❑ CONTACT PERSON the Oregon Construction Contractors Board under ORS 701 and
may be required to be licensed in the jurisdiction in which work is
Business name: SECURITY SIGNS, INC
Contact name: CYNDI STOCKS being performed.If the applicant is exempt from licensing,the
following reasons apply:
Address: 2424 SE HOLGATE BLVD
City/State/zIP: PORTLAND, OR 97202
Phone:(503)546-7102 Fax:(503)230-1861
2 E-mail: permits@securitysigns.com
CONTRACTOR BUILDING PERMIT FEES*
.ic.zi
Business name: SECURITY SIGNS, INC Please refer to fee schedule
ddress: 2424 SE HOLGATE BLVD Fees due upon application
3' 2tY/State/ZlP: PORTLAND, OR 97202 Amount received
.....3,4,..6
Phone:(503)546-7102 Fax:(503)230-1861 Date received:
CCB lig.: 122809
This permit application expires if a permit is not obtained
Authorized
,/e.:77.,404..) ��� within 180 days after it has been accepted as complete
signature:
Print name: Date: * Fee methodology set by Tri-County Building
Industry Service Board
CYNDI STOCKS /7/0,2-7 .� Form B70-1001 REV 2/14