Permit (2) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00289
Date Issued: 10/28/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#100
Project: The Partners Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Install(2)illuminated wall signs.
Contractor: SECURITY SIGNS INC Owner: PNWP LLC#2
2424 SE HOLGATE BLVD PNWP LLC
PORTLAND, OR 97202 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 10/28/2019 $347.48
Class of Work: ALT Type of Const: Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 10/28/2019 $41.70
Dwelling Units: Plan Review 10/16/2019 $225.86
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 10/28/2019 $9.00
Bedrooms: Bathrooms: 11x17)
Value: $17,188
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $624.04
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 ay obtain a-'.py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / /Vi Permittee Signature:
i��
Call 503.539.4175 by 7:00 a.m.for the next available inspection d t6 e.
4' 2
This permit card shall be kept in a conspicuous place on the job site until completion of the project. >1---.......,
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial C FOR OFFICE USE ONLY
City of Tigard El
INSWHallBlvdTigard,OR 97223 0CT 162019
- Phone: 503-718-2439 Fax: 503-598-1960 Date/By: /o .21 - i '. tpp ''C'c'/
TIGARD Inspection Line: 503-639-4175 CiTY OF t IGARD Date Ready/By:i' /� kris: BI See Page 2 for
Internet: www.tigard-or.gov 1•?( la€ �tafr r- „ !aN! °tified/Meth : 44,..: ( /' Supplemental Information
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gfat, .. a i,"rw'�c a M TYPE QF Wo i l' k ii'(#I -9 S,A it l 21t-A .ii pl'4'E. I,7I `s t
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[ New construction 0 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
i �y ,x / f, work indicated on this application.
1-a s�aCommercial/industrial
��,n. ..
and 2-family dwelling gValuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
: OB Ste;U ORNIA 1ON AND'L{ICATIO Total number of floors:
Job site address: r !gJ0 ,id ,7 AWE— New dwelling area: square feet
City/State/ZIP: VAR—a.° PR q22_23 p�� /� Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Fis 6,e_oj/ Covered porch area: square feet
Cross street/directions to job site: � Deck area: square feet
:W)) 6tte /t._' Pr/t;- a / /-/AITO/ "
Other structure area: square feet
REQUIREDIDA'11c Mit ERCIAL-IJJE,CTRECKLIST'
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 15 13(000053c° Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Grp DI✓SIL ,,, OF wORK ll. . _ ... 4.4 work indicated on this application. / Q
//I 6179 G l� (2) `L L //rn/N�( Glc/ ' /1-)ht L Valuation: $ 17, 6 6 ,
5t�!AA Existing building area: square feet
7L New building area: square feet
PROPER'Y OWNER ❑'TENAN f" Number of stories:
Name: //1/4)f G'/ 2NW f Z//a Type of construction:
Address: 00 t%li`) /0S-4-k-.- tek!e Occupancy groups:
City/State/ZIP: eove1zAt Dg /7053 Existing:
Phone:( ) Fax:( ) New:
` APCACONTACT 1PR ON
PI,,I19T �.� � � '. IFILDIN FEE5#'
Business name: %)R1 5/6� /��, fPleasere(or deescheda7a�, .
Structural plan review fee(or deposit):
q
Contact name: C�Y,v/� 5� s
2'4214 5E JL�TE 0 l FLS plan review fee(if applicable):
Address: (.�,
City/State/ZIP: PoreMO j,g 7 2_ Total fees due upon application:
'
�,g., t%,/ / Amount received
Phone:( �1 4� 7 Fax::(5b5 2 3Q 10(G
E-mail: 41-e',/r74 14 5 €- Se. e l-i 5 r311.S.
1 mY+ 0of l l s m ,'
t �, m J Commercial and residential prescriptive installation of
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, �� .. ... .2 . 4DI.rliata„"fir MdtZ._O,aA roof-top mounted Photovoltaic Solar Panel System.
Business name: e11/e/ y Si 4 AP S hl) Submit two(2)sets of roof plan with connection details
./ and fire department access,along with the 2010 Oregon
Address: 2 y. LI j' JL5- 9a/40 Solar Installation Specialty Code checklist.
City/State/ZIP: 79o/ � ci .?-720-__ Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 50.5 5e-/E2 7/O2 Fax:( X3 2,30 /0&( State surcharge(12%of permit fee): $21.60
CCB Lic.: 12_ ,
0141
Total fee due upon application: $201.60
Authorized signature: de) � This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name: CY 0( C. -S Date/00- /0 /9 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)