Permit CITY OF TIGARD BUILDING PERMIT
£ a 0f
COMMUNITY DEVELOPMENT Permit#: BUP2017-00111
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2017
Tt t7.L Parcel: 1S136DB00201
Jurisdiction: Tigard
Site address: 11571 SW PACIFIC HVVY
Project: T-Mobile Subdivision: None Lot: None
Project Description: One(1)new 16.75-square-foot wall sign on east-facing wall.Weight is 48 lbs..
Contractor: HANNAH SIGN SYSTEMS INC Owner: FRED MEYER STORES INC
1660 SW BERTHA BLVD STORE#375
PORTLAND, OR 97219 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/31/2017 $119.33
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 05/31/2017 $14.32
Dwelling Units: Plan Review 05/31/2017 $77.56
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 05/31/2017 $2.00
Bedrooms: Bathrooms: 11x17)
Value: $2,200
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $213.21
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 503.232.1 7 or 1.800.332.2344 -'
Issued By: — Per ittee Signature:
Ca 504175 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 RECEIVED FOR OFFICE 1'sE ON IA
City Oi Tigard AI�,���A'y Receivedy 5 8 �7 fr Permit No.. �•[(� 7�`//
Ill ' 13125 SW Hall Blvd.,Tigard,ORM 3 8 2 0�7 Plan Revie• `
M. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: r ' .: 7 Other Permit: C7_LL'2zJ �p
T 1 G A R t) Inspection Line: 503.639.417CITY OF TIGARD Date Ready/By. Jurls: to See Page 2 for //
Internet: www.tigard-or.gn.-. Notified/Method:
UILDING DIVISION >�J/7 Supplemental Information
s� / /DiiDi%/%iia` � ///�Z / �i im`v" /�/�//�/ j', '''c0 0 A4%iii `'/i'ii %-'
Ct New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
E Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
/� , � !////,a/a//coo0 0,,v % work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
do , ; , r,',,,',,,,,,,A;/04(4,, Total number of floors:
�r ,4'/ �,� ; � ��� / � � �/��/��%/i//%f���%%/�//
Job site address: //S'7/ Sr„I RgG4.PG ii,v✓ New dwelling area: square feet
City/State/ZIP: r/64?b C2 4i7u3 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: r 47017,1.E Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: 1 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 the profit for the
/te jeAt j / �.... work indicated on this application.
/ Z.-.3.44....c..- .06^1 oN R.4c-&t:it-7l Valuation: $ Z2-c0
Existing building area: square feet
New building area: square feet
i / '°,4""'r 9,''''0 / oAo 'O/%'/• Number of stories:
Name: T /np$it Type of construction:
Address: ii .3-7/ fp-) Pi'-,r � /1-1,-"1 Occupancy groups:
City/State/ZIP: 17&Rd.,) D.Z 972-Z4 Existing:
Phone:( ) Fax:( )
r ///%%%% rp// �7.
New:
iGr "r,°.'0"7/ �� A %� / ':> ,, �r�. %i% i r v%iii/
' %%/O//// � r�/i//%ems///////// �///�/////i" 4 a¢/ 3 ��G� o� ��i
Business name: Hannah Sign Systems, Inc. '"' °'' '
Contact name: David P Lanphere Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 1660 SW Bertha Blvd.
Total fees due upon application:
City/State/ZIP: Portland, OR 97219
Phone:( 503)946 8373 I Fax::(503 )206 4900 Amount received:
/� ,,; / � /iO 7, ,� , ,o
E-mail: davel hannahsi ns stems.com ` °'",, , '
@ 9 Y i//%/ce" % as/// ` /
„y, , Commercial and residential prescriptive installation of
/%/s%/ ' O///i %�/i roof-top mounted Photo Voltaic Solar Panel System.
Business name: Hannah Sign Systems, Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1660 SW Bertha Blvd. Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97219 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(503 )946 8373 Fax:(503 )206 4900 State surcharge(12%of permit fee): $21.60
CCB lic.: 203638
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: David P Lanphere Date: 1---..e '--7 * 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)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11571 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00111
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor