Permit CITY OF TIGARD BUILDING PERMIT
1,1 = COMMUNITY DEVELOPMENT Permit#: BUP2021-00064
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/29/2021
T I(;A I?T7 g Parcel: 2S110DB00704
Jurisdiction: Tigard
Site address: 15444 SW PACIFIC HWY
Project: Washington Federal Bank Signs Subdivision: 1995-046 PARTITION PLAT Lot: PT 1,W
Project Description: (4)wall signs 60 lbs each.All same size and dimensions
Contractor: INTEGRITY SIGNS OREGON Owner: WASHINGTON FEDERAL SAVINGS
PO BOX 88 ACCOUNTING DEPT BR 118
HUBBARD, OR 97032 425 PIKE ST
SEATTLE,WA 98101
PHONE: 503-981-3743 PHONE:
FAX: 503-982-8153
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 03/25/2021 $149.75
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 03/25/2021 $17.97
Dwelling Units: 0 Plan Review 03/18/2021 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/25/2021 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,800
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $267.06
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 it 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: \�\ ,a \(1Je ,�•J,f Permittee Signature: � � ` i c 1�".
1 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 6'- 3 iz zl
Commercial RECEIVED furl ilrrit 1, t51: Oyl_l
Received S`Zt NV zpP2UZ\-000(ok
111 City of Tigard q Date/By: 3 \ Fermi No.:
u 13125 S W Hall Blvd.,Tigard,OR 97223 ilAR 1 2 2021 Ptan Rcvicw
r Phone: 503-718-2439 Fax: 503-598-1960 Date/By: aa"0.) Related Permit:
TtG"RU Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: leis: ® See Page 2tor
Internet: www.tigard-or,gov Notified/Method: 1e', Supplemental laformation
3UILDING DIVISION -''11
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
fr New construe tior 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addifion/alterationheplacement [✓Other: erj((vNs equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Conmferciallindustrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND ALLOCATION Total number of floors:
Job site address: J54ryy 5vj pfic i pi L C7 W 4 New dwelling area: square feet
City/State/ZIP: 6, 1 lZ„ / n ci 7 Z r Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Witistfigeiregj T�-rpeT L tot Covered porch area: square feet
Cross street/directions to job site: a Deck area: square fcct
19 per C , �jipf t- '[ is ,_?W P-Otf LT piLv1/4 9. 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 indi ated`oy,�nit�hys application, �}�LA 7�
�nWtr ,t Si'c — 6i �y(�be.1�t J Z �(,.}1 •
Valuation 1-zzVh-+ $ T�l.- 1 bu V
y vSSr 'f _ r / 7 u.- �]tTMC )/J Iz F Existing building area: square feet
New buildin area: square feet
p►I r-LelLkiCIJ I I 1 v► t-1,.3fi 0 (DC) VA• g l q
❑ PROPERTY O ER ❑ TENANT Number of stories:
Name: U)!454.I uto-t-013 Q(4QVaQ (0.ydp Type of construction: 1-1 .. S1(0&&
.1-ot
Address: s t�-(2 _ T.0i Occupancy groups:
City/State/ZIP: Wf 1 S I D I Existing:
Phone:( 4 -q 315 Fax:( )
� `` New:
APPLICANT (Jyc:ONTACr PERSON BUILDING PERMIT FEES*
Business name: 7p" �g,i SI eANS p� ,,n review(Pleas refer deposiit):
r""•r��^ Structural plan fee(or deposit):
Contact name: `)it Lnl
Address: cz c JS n . ^ FLS plan review fcc(if applicable):
City/State/ZIP: <�y�) GI'7305 V J Total fees due upon application:
Amount received:
q
Phone:(.03) /a1 -37,...
Fax: :( )
E-mail [ --C- Elo8-t ,<I(on$Q2 '„ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/` 4C� Commercial and residential prescriptive installation of
CONTRACT roof-top mounted PhotoVoltaic Solar Panel System.
Business name: T tbL,jz J„ �l�.AjS ( t1 Submit two(2)sets of roof plan with connection details
`-�' " and fire department access,along with the 2010 Oregon
ddress: may- , -- Solar Installation Specially Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 1 1 Li S Total fee due upon application: $201.60
Authorized signature: /J1/ This permit application expires if a permit is not obtained
�! ff/" within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Print name: (� / vtitfz I Date: I Service Board.