Permit (86) CITY OF TIGARD BUILDING PERMIT
71s Permit#: BUPI2019-00017
■ COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2019
Tri;A It.C> g Parcel: 2S112DD00800
Jurisdiction: Tigard
Site address: 15670 SW UPPER BOONES FERRY RD
Project: Chevron Extra Mile Subdivision: None Lot: None
Project Description: New 15 sq.ft.40 lb.internally lit wall sign.
Contractor: MEYER SIGN CO OF OREGON Owner: ABS HOLDING LLC
15205 SW 74TH AVE 15670 SW UPPER BOONES FERRY RD
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/28/2019 $134.54
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 01/28/2019 $16.14
Dwelling Units: 0 Plan Review 01/28/2019 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 01/28/2019 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $244.13
Required: I 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 iss - e, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi .ion enter. 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 calli.. 503.232.1987 or 1.800.332.2344.
l J
(I p'
Issued By: iliF7'- , / Permittee Signature: 6 r-
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 complex•n 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
Ci of Tigard Received
� (��.. (� Permit No.:
INp 131�SW Hall Blvd.,Tigard,OR 9Q72� ��V ,� Date/By: 7/611/
��d � {�-- �Lx/��Gjet--�t11
7
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 8 Date/By: I~ 3 Q ) 9 � Other Permit:
T 1 G A K D Inspection Line: 503.639.4175 JAN 2 Z019 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov N.ified/Method:, /7 /�/;j I Supplemental Information
CITY OF FRRMHU ,
TYPE G ®b Y SION REQ D DATA:1-AND 2-FAMILY DWELLING
❑ w construction Permit fees*are based on the value of the work performed.
❑Demolition
Indicate the value(rounded to the nearest dollar)of all
KAEr Addition/alteration/replacement
111 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling [Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: )5'6 7(J i3 ill/ /)OQ/J t i6y /LJNew dwelling area: square feet
City/State/ZIP: J/t,E DSid i"601 DIL- 97/j5 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: e//'1> A) r/44 /17/LE Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 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/YORK work indicated on this application. /�
/A/..),(7)44..., / 111J f tf A-/f /l /x.10�7� f4 Valuation: $ 3500. d V
e,/TA/r£-r o/J 13 Lil 1..0"ft'6 3 fibFw_Ult-n1J au Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT . , Number of stories:
Name: 4- iOtA1,36 S U.,e Type of construction:
Address: I 561° i.(A.). 1',DA EL) /3 6°ti c5 (r I' Jt Occupancy groups:
City/State/ZIP: '/- D J td&6 0 6i 9 7e,3 5 / Existing:
Phone:( ) `� Fax:( )
New:
li APPLICANT a - A ACONTACT PERSON BUILDING PERMIT FEES*
Business name: t,� , 61J ,. _O V)LF66 J.-, (Please refer tdfee schedule)
Contact name: 613,4! �,n n n� ) Structural plan review fee(or deposit):
Address: j,......„,....--52'i3- illi
3'. lu• Aife FLS plan review fee(if applicable):
ds= Total fees due upon application:
City/State/ZIP: t 16it/I`^J u/l, 17;_0,141Phone:(q71 ) • 2... • 5b). ( ) Amount received:
Fax::
0 S e N �(b� luy PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: U. ,
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: /71 6 L t /61.i & N 11 A-ne iJ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 5p5 7( 6• SolarInstallation Specialty Code checklist.
City/State/ZIP: fid.{) U/L. q 1 a,.}-(/- Permit fee(includes plan review
and administrative fees): $180.00
Phone:(171 ) Z - Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: d` Total fee due upon application: $201.60
Authorized signature: ( -11')6 ', (I This permit application expires if a permit is not obtained
((((//// within 180 days after it has been accepted as complete.
Print name: fj�)/ ,1/4_,.../4..?;e "....../hi . Date: /// / * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUI'-(O\1PermitApp.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:
15670 SW UPPER BOONES FERRY RD, LAKE
OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Building BUP2019-00017
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor