Permit (105) CITY OF TIGARD BUILDING PERMIT
11111 s ' COMMUNITY DEVELOPMENT Permit#: BUP2018-00299
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2018
T t c',�R 1) 9 Parcel: 2S102CB00200
Jurisdiction: Tigard
Site address: 13115 SW PACIFIC HWY
Project: Specialty Retail Subdivision: None Lot: None
Project Description: (1)new 20 ft.high freestanding pole sign.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: TIGARD PACIFIC RE LLC
4243-A SE INTERNATIONAL WAY C/O LEADERSHIP CIRCLE LLC
MILWAUKIE, OR 97222 1521 OXBOW DR STE 210
MONTROSE, CO 81401
PHONE: 503-653-1133 PHONE:
FAX: 503-659-9191
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/30/2018 $301.85
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/30/2018 $36.22
Dwelling Units: Plan Review 10/30/2018 $196.20
Stories: Height: ft Misc Administration Fee 10/30/2018 $4.75
Bedrooms: Bathrooms: Info Process/Archiving-Sm$0.50(up to 10/30/2018 $1.50
Value: $14,153 11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $540.52
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 -• .. - - .py of the rules or direct questions to OUNC by calling 503.232.1987 or 14800.332.2344.
Issued By: -------- e
---fa Signature: 4j/t/f/((j1
fc ....71.1..... s.,_____
JAR_ _./
Call 57:00 a.m.for the next available inspection date.This permit card shall be kept in a conspicuous place on the job site until completion ofroject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RE "C 3` a Received igy FOR OFFICE USE ONLY
City of Tigard Date/3 . le 11 M I _�t i
II • 13125 SW Hall Blvd.,Tigard,OR 972?,3 Plan Review lil/
2 Phone: 503-718-2439 Fax: 503-598-1960 2 9 2018
p /g , ! ��
Inspection Line: 503-639-1175 ®See Page 2 for ,
TIGAP.D g
Internet: www.tigard or gov
CITY 0I- i l t, Ni-1 .) i7 ii` Supplewental Information
BUILDING DIVISION 0sr-",*"..,t.'-' 7 n
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Er 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 the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑1-and 2-family dwelling lammerciaVindustrial
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
13/45- JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i 5 cr16 C C, k VI New dwelling area: square feet
City/State/ZIP: -1 i[1(y , 0 tR, 01 7 ZZ 3 Garage/carport area: square feet
Suite/bldg apt.#: J Project name: j cyru,rtk e1 mrt r5 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
/014.4103C e- I1C i'4,14s5i f j/,_ Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ W 63-00
frPR ntf; z9 .. i-Irx u_" ="'icet�
7Oea: square feet
—,,
J New b �rea: (CI .19 square feet
D44OPERTY OWNER 0 TENANT Number of stories: 1
Name:‘31/4)a jra1 '‘(D1erS t11C• Type of construction: OKect b
Address: 191„1'2- w (2,,GM,act pl�Wy Occupancy groups: J
City/State/ZIP: i,Q1;t ujOoC1 Co 022-`e t Emoting:
Phone: 1 a.0 390::36'q I Fax:( ) New:
IIYAPPLICANT EKONTACT PERSON BUILDING PERMIT FEES*
Business name: )Or<s S1 Corn n V refer(ortdeposit):le)
miner-1600
O r n,y i"' 1 Structural plan review fee deposit):
Contact name: tel'rj on
FLS plan review fee(if applicable):
Address:0 Oa i`
City/State/ZIP:- rl t,a mph 1 6. IC)Oa 1 Total fees due upon application:
`1 Amount received:
Phone:(�15) En 4 0 02 Fax::( )
E-mail: f PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�(�rd On C� b>r S�r h R t' Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:"11k Submit two(2)sets of roof plan with connection details
t' and fire department access,along with the 2010 Oregon
Address:4243 A SE tni-ernc 1bf1cii 1 111 Solar Installation Specialty Code checklist.
City/State/ZIP:ink 14)�I t1 n Ct ? as ' Permit fee(includes plan review $180.00
�- and administrative fees):
Phone:O7)) 053 1133 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:,Q�5p Total fee due upon application: $201.60 1
Authorized sign ( „)\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:l'aetor or 0 n Date: I(� c I t C * Fee methodology set by TriCounty Building Industry
Service Board.
I:\Building\Permits\BUP COM PetmitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)