Permit CITY OF TIGARD BUILDING PERMIT
1,11
COMMUNITY DEVELOPMENT Permit#: BUP2021-00057
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/24/2021
T I G A R I7 9 Parcel: 2S112DA01000
Jurisdiction: Tigard
Site address: 6610 SW CARDINAL LN
Project: Umpqua Bank Subdivision: 1995-098 PARTITION PLAT Lot: 1
Project Description: New ATM surround sign attached to the building.
Contractor: TS CONSULTING Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 885 ATTN: N PIVEN
TUALATIN, OR 97062 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-806-2501 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/19/2021 $225.80
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 03/19/2021 $27.10
Dwelling Units: 0 Plan Review 03/19/2021 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/19/2021 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $402.67
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: \—T-i Q� ` , Permittee Signature: on c cplt
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 f iP/0 �/ -!1=
Commercial r EC E V L rOR OFFICP:uSE()NIA
Received / Permit No.:
City of Tigard FEBqq9 Date/By: 3�3 d0 OrLf1�o 1�jXJtS"7
" 13125 SW Hall Blvd.,Tigard,OR 97223 ,.. `I 2�L 1 Plan Review '
C . Phone: 503-718-2439 Fax: 503-598-1960 Date/By: , 1 Related Permit
TIGARD ww Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: brie El See Page 2 for
a Internet. w .ti gard-or.gov :L_IG DIVISION ,ed/Method: /,17� ill , Supplemental Information
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TYPE OF WORK fi . . I halt t a.�,ll le ea
❑ 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 E Other equipment,materials,labor,overhead,and the profit for the
...CATEGORY OF CONSTRUCTION work indicated on this application.
... Valuation: $
E 1-and 2-family dwelling VCommercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�fr y- i r x.ra a .` ll S= 6Y .0 {5 kLCa-I—
� - ��SZ�� .)� A7F£3 �t # A�31i16'a�� Total number of floors:
Job site address: 6610 SW Cardinal Lane New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: ATM-Gttr-Feti444Sigr Install Covered porch area: square feet
Cross street/directions to job site: Loft 1 i,&rct 4;4A ? Deck area: square feet
Located off of Sequoia Parkway between Bonita Road and other structure area square met
Upper Boones Ferry Rd. RLQUIRED DATA:COMMERCIAL-USE:CHECKLIST.(}'.
Subdivision: 1 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 IL 2S 1 12 DAO1000 _ equipment,materials,labor,overhead,and the profit for the
I .' 1, e ,, i a work indicated on this application.
A minor tenant improvement to add an ATM Valuation: $10,000
surround/sign on the exterior of the building. Existing building area: No change square feet
New building area:No change square feet
i >lo.• > ` a i rq,ld Number of stories: 3
Name: Um3qua Bank Type of construction: V-B
Address: 1631 NW Thurman Street, Suite 200 Occupancy groups:
City/State/ZIP:Portland, OR 97209 Existing: Group B
Phone:( ) Fax:( ) __ New: Group B
❑.APPLICANT [CONTACT PERSON ». BUILDING PERMIT FEES*r..
1 ..- (Please refer to fee schedule)
Business name:Otak, Inc
--- Strucwral plan review fee(or deposit):
Contact name: Michelle Keizer
- PLS plan review fee(if applicable):
Address: 700 Washington Street, Suite 300
Total fees due upon application:
City/State/ZIP: Vancouver, WA 98660
Amount received:
Phone: (971)294-2187 Fax: :( )
- - PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES",.
E-mail:michelle.keizer@otak.com
- _ — Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVultaic Solar Panel System.
Submittwo(2)sets of roof plan with connection details
Business name: TS Construction Management
and fire department access,along with the 2010 Oregon
Address:PO Box 885 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
ri Tualatin, OR 97062 and administrative fees):
Phone:(503)517-8701 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 162007 /l L 571.L2_ Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: Michelle Keize•. 7 fin ",a°°- within 180 days after it has been accepted as complete.
Print name: Michelle Keizer Date:2/23/2021 * Fee methodology set byTri-County Building Industry
Service Board.
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