Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00213
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/22/2021
Parcel: 2S102DA00701
Jurisdiction: Tigard
site address: 13405 SW HALL BLVD
Project: NW Christian Church Subdivision: None Lot: None
Project Description: Install digital freestanding internally illuminated sign with message center.
Contractor: MEYER SIGN CO OF OREGON Owner: NEWBERG CHRISTIAN CHURCH
15205 SW 74TH AVE 2315 VILLA RD
TIGARD,OR 97224 NEWBERG,OR 97132
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: Permit Fee-Additions,Alterations, 09/22/2021 $619.25
Occupancy Grp: Occupancy Load: Demolition
12%State Surcharge-Building 09/22/2021 $74.31
Dwelling Units: 0 Plan Review 09/16/2021 $402.51
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/22/2021 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $40,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,097.07
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: Ho♦ley Vaw De,Wegl Permittee Signature: Om,A tap,.ii'.aA.avt,
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 taB-8 j2(0 2
Commercial E C E IV E D FOR OFFICE USE ONLY
Cl of Tigard AU 6q Received ' 7 i �/ �f
`J g AUG �' C�� Date/By: ' 1.—/ del Permit No.72 nq,� or-IS
14 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 y rJU{ G(�Z(—b.)
Plan Review 9 ����(
C Phone: 503-718-2439 Fax: 503-598-1964 1-Y OF TIGARD Date/Bj441.V Related Permit:
Inspection Line: 503-639-4175 Date Ready/B T iuris ® See Page 2 for
1 I 6 A
Rl) iUI LDING DIVISION / g
Internet: w'wwrigard-or.gov No' ed/Method: IL' / �� Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ly Commercial/industrial Valuation: $
❑Accessory building ❑ Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /3�0 ,v r ij INFORMATION/
j j 3/el) New dwelling area: square feet
City/State/ZIP: 7h` � I U 2 f 7a,25 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: /�/ . el/1i.d S7//44 (7/1.1/14/ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECI ST.
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK // work indicated on this applicatio .
,y�sr4-0 7)/r /pi A/1 y //6 th u i iJA- Valuation: $ k, 1100. o C)
rift-ex) �G-0 ex)/ A4 frffh-Gam/ etis rek Existing building area: square feet
New building area: square feet
PROPERTY OWNER [113/TENANT Number of stories:
Name: �I3 E,G C idj`ST(/q-cl L /1.1/4 6.1 Type of construction:
Address: 5l$ Ai. Vi llA 4 Occupancy
p y groups:
City/State/ZIP: gE4.)/3 eiLL., t ak_ %7/.3 2. - /S7 4, Existing:
Phone:( ) Fax:( ) New:
[ APPILICANT (IA,
❑ CONTACT PERSON BUILDING PERMIT FEES*
A/ d 4f/ 6 . 1 y[I / ,I` . ri n l�,/,//J �{ r f (Please refer to fee schedule)
Business name: /��lvl F-1 W V J /V E(y�/ rT (,/7Vt-e/q
Contact name: � J r oe�,J�� T Structural plan review fee(or deposit): �Q.2..., S7
Address: f 3 S J /r r'�t Ofs1/1� FLS plan review fee(if applicable):
T
e 0- C�j /7 yj Total fees due upon application:
✓City/State/ZIP: / r� /
Amount received:
Phone:(gad) /��f/'o() 7�?� Fax::( )
E-mail: /A/.6 S r e /71 y a 1 . CPHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
� I� / roof-top mounted PhotoVoltaic Solar Panel System.
/
Business name: /l F/L c� /6 a / e Af t<6(J Submit two(2)sets of roof plan with connection details
' 1 and fire department access,along with the 2010 Oregon
Address: 1 J I J' S ki -7 4." .(2. Solar Installation Specialty Code checklist.
City/State/ZIP: l 16/1/-1,/) a 97 a 14 Permit fee(includes plan review $180.00
( and administrative fees):
Phone:( lb h 2_4� Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: Gt //� //� e(//`/�� Total fee due upon application: $201.60
Authorized signature: i 7� ' , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
•
Print name: it(.(1 t/ f (�,1L. Date: 8 / Z, * Fee methodology set by Tri-County Building Industry
/ �1�� Service Board.
I:1BuildinglPennits\BUP_COM_Pernr pp.doc Rev.04/21/2014 0-4613 (I1/02/COM/WEB)
City of Tigard
Ill COMMUNITY DEVELOPMENT DEPARTMENT
■ •
T►c a R D Building Permit Review — Commercial - With Land Use
Building Permit #: (Sia Zp ii. 0 0 2/3
Site Address: 1 3kA D3 SW Vkfa, t3jQ. Suite/Bldg#:
Project Name: NOQ:t1tI c ftwr 1 AN CHURC*
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: fj't{lb'CIllO t cs * pie etvwx '
erift'site address/suite# exists and active in permit syste .
Vver Terrace Neighborhood: El No
nd Use Case#: G�'2021 ...ell-CMS-9
Plan latch Approved Land Use:72/ a
Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan
i
ding Height: Maximum Height ( Actual Height 1.�
Conditions Met: ❑ Prior to Submittal E Prior to Permit Issuance
NPl Business License:
sts: 0 Yes ❑ No,applicant was provided a business license application
let Public Facilities Improvement (PFl) Permit:
Required: 0 Yes,applicant was notified �No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: /11— Date: 9//({(2(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: eS7`7 /2—/
Site Plans: # 3
Building Plans: # S
Building Permit#: L1 -Enter building permit# above.
Workflow Routing: planning O''Engineering Permit Coordinator wilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,/..„65.
6:0Date: 9/. y�Z/
L\Buildingorms\B1dgPennitRvw COM WithLandUse 111819.docx
En ineering Review
Igi'Slope at building pad: ID
G��PFI Permit#: h/-
C /Conditions "Met"prior to issuance of building permit MP.,
NVEasements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
IV/Water Quality/Quantity Facility: h(i
Assess Water Quality Fee in-lieu: ❑ Yes 2/No
Assess Water Quantity Fee in-lieu: ❑ Yes LrJ No
LIDA Facility on lot: ❑ Yes Nr"No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: " 1 Date: 4/26'J2SZJ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
NA-Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes (f V N/A
Tigard Trans SDC: 0 Yes N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: °,(2t (2,192.-1
I:\Building\Forms\BldgPennitRvw_COM_W ithLandUse_1118I 9.docx