Permit (109) CITY OF TIGARD BUILDING PERMIT
IIIae . COMMUNITY DEVELOPMENT Permit#: BUP2017 00274
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2017
T t j 9 Parcel: 2S102AB02401
Jurisdiction: Tigard
Site address: 12511 SW MAIN ST
Project: Kepler's Upholstery&Custom Furniture Subdivision:ELECTRIC ADDITION TO TIGARDVILLE Lot: 15
Project Description: Reinstallation of existing wall sign to exterior of building.
Contractor: SIGNCRAFT SIGNS LLC Owner: ANKELE, BRIAN
8900 SW BURNHAM, E109 3570 SW RIVER PKWY UNIT 1703
TIGARD, OR 97223 PORTLAND, OR 97239
PHONE: 503-639-4910 PHONE:
FAX: 503-639-4999
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 10/11/2017 $53.27
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/11/2017 $6.39
Dwelling Units: 0 Plan Review 10/11/2017 $34.63
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/11/2017 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $95.29
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: Permittee Signature: vs
Call 5,-9 .., 75 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 .
•
FOR 01:11( F ( til;OvL1
City of Tigard Received
I) fi
13125 SW Hall Blvd.,Tigard,OR 97223 Permit No.:/3/4/94;10/ ,
Phone: 503.7182439 Fax: 503.598.1960 0 CT 1 1 Z017 Plan Revie ' T
DateBy: �� �`����„ � � Other Permit:
l'r G A r:D Inspection Line: 503.639.4175 r� ('� ate Ready/By: //' J°ris: la See Page 2 for
Internet www.tigard-or.gov CITY OF 1 IGA otified/Method: 10 {L-/ `J 7 I Supplemental Information
as i. I 11 \ � it /.,
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®New 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 theP rofit for the
CIt F t° .. ►� work indicated on this application.
❑ 1-and 2-family dwelling CACommercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
. _. . JOB .IJ III TI 141 Total number of floors:
Job site address: id:5—i 1 S LJ ey)�,:v) S4 New dwelling area: square feet
City/State/ZIP: :-"11 S arc ra_
9-7 d�S Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: k„T Up (5+-� Covered porch area: square feet
Cross street/directions to job site: M a��
Deck area:
B v�n ha.,n square feet
Other structure area: square feet
# ` {,:::,..;) '5.� .. Sa tl is ? ,.,... KL
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no a S 1 b,„, Ft e,(01 L1 0 l Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
OF , work indicated on this application.
NanS Ii cl)hhSie .�iin.e_4 LEAS t.�,y tt S Z h Valuation: $ SOo
� -tb r Y'ferwv
i ��• - Existing building area: square feet
t S -
New building area: square feet
„" Number of stories:
Name: U q Cigl_ S On k ei e, Type of construction:
Address: Ns-LI1 S i mG t,n S Occupancy groups:
City/State/ZIP: T(S ark (i& g 1 a a3 Existing:
Phone:(SO3 ) t 3' -701 a Fax ( )
New:
,rte-., - . i t.r 4 a'g *-.t ss,r"`,.',...
Business name: \4e.p 1 erS Ul P bl o I s I-._ry
! Structural plan review fee(or deposit):
Contact name: Det /515,,,Cr , St ray)
Address: I' 5--1( 511 il(lAtrl S-1-- 5 FLS plan review fee(if applicable)
Structural
- Total fees due upon application: �' ~,
el
TtSGr� a �
o (� 13
Phone:(Sb3) xo3y_4 s t< Fax::( ) Amount received:
E-mail: it fa �,I s I
e 5 i rl c.ca+F-F .n b.
� fir., ar , ,.�.-,: .. _ _• ,
Commercial and residential prescriptive installation of
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� . �'� '�., _ x' ��,„; -,, � .0-s- , � �, �- >>.� ' . „��.� . ,-�� x � roof-top mounted Photovoltaic SolarPanel System.
Business name:SignCraft Signs LLC Submit two(2)sets of roof plan with connection details
Address: P� ,A(O 1 tand fire department access,along with the 2010 Oregon
X o Solar Installation Specialty Code checklist. _
City/State/ZIP:972. Permit fee(includes plan review
and administrative fees):
Phone:(503)639-4910 Fax:(503)620-9568 State surcharge arg (12%of permit fee):
CCB lic.:155420 '-f f /, Total fee due upon — —
pon application:
Authorized signature: 1 This permit application expires if a permit is not obtained
_i\jaL.... i within 180 days after it has been accepted as complete.
Print name:John S ft Date: I \trm. 1 * 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)