Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00141
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06!28/2017
T t � R•L� Parcel: 2S110DB00702
Jurisdiction: Tigard
Site address: 15410 SW PACIFIC HWY
Project: Jiffy Lube Subdivision: WILLOW-BROOK-FARM Lot: 2
Project Description: Installation of(2)wall signs and(1)awning sign.
Contractor: MEYER SIGN CO OF OREGON Owner: ROIC OREGON LLC
15205 SW 74TH AVE ATTN: SCHOEBEL, RICHARD
TIGARD, OR 97224 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
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, 06/28/2017 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 06/28/2017 $45.35
Dwelling Units: 0 Plan Review 06/28/2017 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/28/2017 $10.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $678.89
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 Notificati• Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain-• ••. • •- ules or direct questions to OUNC by calling :13.2 2.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
Bui_ldin Permit Application
Commercial
City of Tigard
RECEIVED
FOR orFrcAilirmriF USEOvl.1
13]25 SW Hall Blvd.,Tigard,OR 97223 Received 7
Date/B Permit No.: V1
Phone: 503.718.2439 Fax: 503.598) 1 7 2 017 Plan Rev'c ��I7
I 1t l) Inspection Line: 503.639.4175 Date/B „, e,
Notified/Method:Remiethod: �� •
ir Other Permit
Internet: www.tigard-or.gov j��`q) ► .
cI I L OFnndx:-R ® SeePage2for
-r✓ ® Supplemental Information
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r
LING
❑New construction ' o RED DATA.i.AND 2-FAMILY D
0 Demolition k performs
Permit fees*are based on the value of the work performed.
Addition/alteration/replacement 0 Indicate the value(rounded to the nearest dollar)of all
Other:
CATEGORY equipment,materials,labor,overhead,and the profit for the
CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling
V Commercial/industrial Valuation: $
❑Accessory building
0 Multi-family Number of bedrooms:
0 Master builder
0 Other: Number of bathrooms:
JOB SITE INFOR d TION AND LOCATION
Job site address: rQ ji-e/ Total number of floors:
r ' " e' New dwelling area:
����, n� �® square feet
City/State/ZIP:
/(� 977� Garage/carport area:
Suite/bldg./apt.no.: square feet
Project name: /��[` a3 6-
Cross street/directions to job site: Covered porch area: square feet
Deck area: square feet
Other structure area:
square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Tax map/prcel no.: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK
/1 VffALi_ 2._ '� work indicated on this at plication.
/�'�'�- c�i6 .S it ,Iva/ii, r.JlYy /. Valuation: $ 1 006.6c)
r -_
Existing building area:
square feet
74 P'OPERTY OWNER New building area:
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiii
square feet
0 TENANT Number of stories:
Address: Type of construction:
L.
City/State/ZIP: Iii r" k A '6161 61 Occupancy groups:
Phone:( ) Existing:
1111.13111111111111111111 IIIIIASIMIIIIIIIIIIIIIIIIIIIIIIIII
APPLICANT ! CONTACT PERSON
Business name: ItUtLDING PERMIT FEES*
�� /,a� : 0 d A6G0,�J Please r-erto eeschedule
Contact name: /704) //V ' ,,,c, Structural plan review fee(or deposit):
Address: 15v „7
j" - 1111111111111
FLS plan review fee(if applicable): IIIIIIIIII
City/State/ZIP: j 6/111,0Ott- /�}�
Total fees due upon application:
t)��
E-mail: /‘,.„..4,-5l� Amount received:
Phone:(77/ ) 5
�����'� l• t '�'^111111111111
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
Business name: / eit ��� ��^ roof-top mounted PhotoVoltaic Solar Panel System.
d/t/�"i's 4.1 Submit two(2)sets of roof plan with connection details
Address: j p 7 fro 47 and fire department access,along with the 2010 Oregon
City/State/ZIP: i b A �l Je Solar Installation S ecialt Code checklist.
��
Permit fee(includes plan review
Phone:( 1/ ) z5l -` q''�1
/
�� and administrative fees): $180.00
CCB lic.: 1 State surcharge(12%of permit fee):
dir�/ $21.60
201.60
Authorized signature: ‘��a Total fee due upon application:
gained
Allr���.� This permit application expires if a permit is not obtained
Print name: ' within 180 days after it has been accepted as complete.
Date: _ �® * Fee methodology set by Tri-County Building Industry
oard.
I:ABuilding\PermitskBUP-COM PermitApp.doc 02/24/2011 44Service B0-4613T(71/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15410 SW PACIFIC HWY, TIGARD, OR, 97224 September 13, 2017 at
9:11 :00 AM
Record Type: Record ID:
Commercial - Building BUP2017-00141
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor