Permit (240) CITY OF TIGARD BUILDING PERMIT
III
8 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00256
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2012
T I c; k z� 9 Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY G2
Project: Foot Solutions Subdivision: 1994 -028 PARTITION PLAT Lot: 2
Project Description: Installation of of (1) wall sign.
Contractor: SIGNCRAFT ELECTRICAL LLC Owner: SN PROPERTIES PARTNERSHIP
8900 SW BURNHAM 1121 SW SALMON ST
TIGARD, OR 97223 PORTLAND, OR 97205
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: VB Permit Fee - Additions, Alterations, 12/17/2012 $77.00
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 12/17/2012 $9.24
Dwelling Units: 0 Plan Review 12/17/2012 $50.05
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/17/2012 $0.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $136.79
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
da . ATT 91. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 2- 001 -0010 through R 952 -001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
les By: /� Permittee Signature: /O
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.
"l uildin2 Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard DDat : / ®� e # 0,4 e /2 00x5
Permit No.:
. 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review
'' I Phone: 503.718.2439 Fax: 503.598. Date/By: 01,1 (7 " her Permit: �o?��a -.�
i Inspection Line: 503.639.4175 ' OF TIGARD Date Ready/By: luris ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
In 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling Rf Commercial/industrial Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND A AND LOCATION Total number of floors:
O S
Job site address: /10 . 42 Pl, J, !_ MJ ( ./ New dwelling area: square feet
City /State /ZIP: T % 4 rr ` 10 e. o T3 / t Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: �� .a ‘ o n s Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
tJ 61SC4 ri.A.i e.a. Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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
DESCRIPTION OF WORK work indicated on this application.
r
r Valuation: S 1(9 Q O
R, • .t ., i. I. R A. ' • .c. /. - 4" l
Npo (p 'a 14 -4 / i rt C l rc. . '4 Existing building area square feet
( New building area: square feet
IV PROPERTY OWNER I 0 TENANT Number of stories:
Name: , • it‘ • a 0. i ■ 4111.0..i f`, s • Type of construction:
Address: 0, / S e., j S» /M 0 , 1 , - v A 4.- _ "' r7 Occupancy groups:
City /State /ZIP: Po i �.1,_ . „i 0 e 9 {7S 7 Existing:
V W..+l g:
Phone: cn 3 - ci G.� Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer lo fee schedule)
Business name: - 47;sC3CA� �S Structural plan review fee (or deposit):
Contact name: K V C.A O
Address: FLS plan review fee (if applicable):
16 IC 1 S. �:4� c, i e_. 4 tt a� 5 t.. Ptk e_ 1
City /State /ZIP: �► �, �� �-I�3 Total fees due upon application: 1 /
�� —1 Amount received: q /36 . r
Phone: 5Q A ( Lt _ e 0 I Fax: : ( )
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top «« ounted Photo Voltaic Solar Panel Sys .
Business name: Sc ^ (x �+� E .1 — L A L i 'i . r4 �� ��. Submit two ) sets of roof plan with co ion details
and fire dep. • - nt access, along . I e 2010 Oregon
Address: 6460 %, l# "t _ E if Solar Installation .ecialty C. • - checklist.
- "X"\ �� � Cj) 3 Permit fee (in • =. plan review
S180.00
City/State/ZIP: '-
2 and . • in alive fees):
Phone: ( .vj,3 6,39..„ L j O Fax: (,c0.3) 6 _.q,6,0 State sure ge (12 %ofpe •'t fee): $21.60
CCB lic.:
/ Al otal fee due upon appicatt • a : $201.60
Authorized signature: / This permit application expires if a a it is not obtained 3•SC4 111 -6 within 180 days after it has been accepted as complete.
*
Print name: tf �� Date: 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)
Building Division
Accessibility: Barrier Removal Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
•
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section; priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
'r. following order:
(a) Parking $
•
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) , Accessible telephones: $
(0 Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
1: \ Building \Permits \BUP -COM PemiitApp.doc 03/03/2011
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