Permit (127) CITY OF TIGARD BUILDING PERMIT
: I COMMUNITY DEVELOPMENT Permit#: BUP2018-00270
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2018
T f r. + t<.[� g Parcel: 2S113AB00700
Jurisdiction: Tigard
Site address: 16255 SW UPPER BOONES FERRY RD
Project: The Circuit Bouldering Gym Subdivision: CIRCUIT PARTITION Lot: 2
Project Description: (1)60 lbs.illuminated wall sign on SE elevation.
Contractor: SECURITY SIGNS INC Owner: COLEMAN BOULDERING LLC
2424 SE HOLGATE BLVD ATTN:ANDY COLEMAN
PORTLAND, OR 97202 16255 SW UPPER BOONES FERRY RD
TIGARD, OR 97224
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 10/09/2018 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 10/09/2018 $14.32
Dwelling Units: 0 Plan Review 10/01/2018 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/09/2018 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,345
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.71
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: �� �P'ermfttee Signature: 4')/I'd C7 '...".
____,"iei‘
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
Commercial FOR OFFICE USE ONLY
j eived
City of Tigard !d L ' , , �� Permit No.: Pio - '
a[eBy: / l 1 �!e!S 'f% [�+N- ~fie .
"" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �`
® ` Phone: 503.718.2439 Fax: 503.598.1960 SEP
(� (/ Other Permit j a
1it ��1 DateBY• �Q-z—) O `, A / !;<.- i, i.
T I GAR D Inspection Line: 503.639.4175 Date Ready/By: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov y ,Ii,tifi j ethod�l� 4 Supplemental Information
ITY
Aii. �i� 3 , (id ....... —,.tlLu(i 5i � 1 bpi _ak_ i $ (SIL � , (414"ics-_ pPe i ���1� ...�^�..�a,. .= ;�_ ..�.:,-
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
tz Addition/alterati i ❑Other: equipment,materials,labor,overhead,and the profit for the
'i = aii �r iq z �I work indicated on this application.
❑ 1-and 2-family dwelling %Commercial/industrial m Valuation: $
1=1Accessory building El Multi-family Number of bedrooms:
0 Master builder 1=1Other: Number of bathrooms:
'� ! _� ` Y i T�Q A� jallh t i Total number of floors:
Job site address: /(015-5-5L) g /V65 �.51/ .11( ge9 New dwelling area: square feet
City/State/ZIP: 7'l 4,4- 4-7�22../ Garage/carport area: square feet
Suite/bldg./apt.no.: N/A-- Project name:eJ n- 001),L.00/24N4Covered porch area: square feet
ACross street/directions to job site:Ai/C- � ym Deck area: square feet
cidd Ai/L 4 12L i�=
7 Ziui'l7{m /et/ Other structure area: square feet
f
Subdivision: [—Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: /�5 f/ �7�� Indicate the value(rounded to the nearest dollar)of all
'r equipment,materials,labor,overhead,and the profit for the
,p
4 'V r t' '} -� I work indicated on this application.
mf 1v6 l /LGIJ/Y! k GJP-E,L. S16/v Valuation: $ 21 �'1S aD
ON V ce- w,.4 7'/on i a &e7 lb S Existing building area: square feet
New building area: square feet
pI 'TY 0 �I� . a Number of stories:
Name: 6jR_crij eoL P1AI7 A.Vni Type of construction:
Address: /k2 c b) �/poer iN05___E I9fiY /ojccupancy groups:
City/State/ZIP: 7'j/�✓1_/.,✓I/ jiv 9-7Z�„%,1 ��"� Existing:
Phone:( ) `�/�aCJ Fax:( �)"
New:
1 d: ,4 APP1 k ( � I 'ii �� %m® I A li., 9 as ? sg M se^ 3 i .'S Il G 9 ! i .- (i.=
fPrer# feesc7e � A
Business name:SECURITY SIGNS,INC '
Structural plan review fee(or deposit):
Contact name:CYNDI STOCKS
Address:2424 SE HOLGATE BLVD FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND,OR 97202
Amount received:
Phone:(503)546-7102 Fax: :(503)230-1861
etre 7 � *
E-mail: ermits@secure st ns.com '9' ! t t oto
p ty 'g ui( . Nigr d� L� ,i
��� ) I �� ,u �� Commercial and residential prescriptive installation of
44i �;� =,, >9a,
�,, „o, � � �� � ���i � tg ,%,,,f �• ,;;h=•` roof-top mounted Photovoltaic Solar Panel System.
Business name:SECURITY SIGNS,INC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2424 SE HOLGATE BLVD Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND,OR 97202 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)546-7102 Fax:(503)230-1861
State surcharge(12%of permit fee): $21.60
CCB lic.:122809
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:CYNDI STOC Date: Df /9//47 * 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:
16255 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00270
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor