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CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00274
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/6/2021
Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY X
Project: Jersey Mike's Subs Subdivision: None Lot: None
Project Description: Installation of(1)New 5'X 16'(80 square feet)internally illuminated wall sign.
Contractor: GARRETT SIGN CO INC Owner: PACIFIC CROSSROADS PROPERTIES INC
811 HARNEY ST BY WYSE INVESTMENT SERVICES CO
VANCOUVER, WA 98660 810 SE BELMONT ST#100
PORTLAND, OR 97214
PHONE: 360-693-9081 PHONE:
FAX: 360-693-5948
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/24/2021 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
12/o State Surcharge-Building 11/24/2021 $17.97
Dwelling Units: 0 Plan Review 11/16/2021 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 11/24/2021 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,000
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 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-U j Vao. De,Wege, Permittee Signature: Qw Ap-p-Lizo4io-w
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.
Bnildin ; Permit Applicatif;4ECEIVED Iii!O .
Commercial 8 FO)It O1-FtC!.t 51:(riL'
NOV2Q2 i inu« � ,„i Pennir UPZOZI-vd 27
City of Tigard /!//S10L - �'
ii
c 13125 SW Hall Blvd..Tigard,OR 9720ITY OF TIGAkL.) p�Review Other Permit,
Phone: 503.718.2439 Fax: 503.5 PisttJB'+' 111 t�y' o�t�'
Inspection Line: 503.639.4175 boil DING DIVISION .Due Ready/By: ®See Page 2 for
1 I G A V.11
Internet: www.tigard-or.gov MI Notifiedcthod r I 115t Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
®New construction I ❑Demolition Permit fees*are based on the value of the work performed.
_ ____ . Indicate the value(rounded to the nearest dollar)of all
I El ddition/alterationlreplacement ❑Other: equipment,materials,labor,overhead,and the profit for the
( work indicated on this application.
11 CATEGORY OF CONSTRUCTiOV `
,•- Valuation: S
❑I-and 2-family dwelling ®Commercial/industrial .__.., a,.,....
- 1 Number of bedrooms:
❑Accessory building ❑Multi-family _..._ ...:.. .,_._......_
❑Master builder ❑Other: Number of bathrooms:
JOB SiTE INFORMATION AND LOCATION Total number of floors:
Job site address:11705 SW Pacific Hwy, New dwelling area square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.:X Project name:Jersey'Mike's Subs Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
--
Other structure at ea: square feet
a REQUIRED DATA:COMMERCIAL-USE CHECKLISTSubdivision. I Lot no.: , ! Permit fees'are based on the value of the work performed_
�.- c indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: Vquipment,materials.labor,overhead,and the profit for the
DESCRIPTION OF WORK ork indicated on this.replication.
Installation of(1)new S'-0"x 16'A"single faced illuminated; U sign. Vhf►wxhitt S 5,000.00
QcCN irse1 ,ti T : IVS Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:Jersey Mike's Subs Type of construction:
Address:11705 SW Pacific Hwy. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax'( ) New:
121 APPLICANT 0 CONTACT PERSON BUILDING PERMiTFEESt
Pksse'Slaw Kerr
Business name:Garrett Sign Company
., Structural plan review fee(or deposit):
Contact name:Joe Taylor --
..,... .__.. FLS plan review fee(if applicable):
Address:811 Harney Street - _.
-w. Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660
-- - Amount received:
Phone:(360)693.9081 Fax :(360)693.5948 4
-- -—' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permitting arrelMga.rnm
. �.- -----�- - • �°- Commercial and residential prescriptive installation of
CONTRACTOR roof-topmounted Photo Voltaic Solar Panel System.
Business name:Garrett Sign Company Submit two(2)sets of roof plan with connection details
_.,- and fire department access,along with the 2010 Oregon
Address:811 Harney Street Solar Installation S; cirrltr,Code checklist.
Permit fee(includes plan review
CitylStatei7.iP:Vancouver,WA 98660 and administrative fees!: ' $180.00
Phone:(360)693.9081 I Fax:(360)6933940 State surcharge(12%of permit fee): $21.60
CCB lie.:66826 _ ! Total fee due upon application: , S201.60
Authorized signatu#
This permit application expires ifs permit is not obtainedwithin 180 days after it has been accepted as complete.
' Fee methodology set by Tri-County Building Industry
Print name: ,S4 S ( A•^-! too,t- Date: t o 'r *3 / a E Service Board.
C\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COMIWEB)
Electrical Permit Applica >ECEIVE® 11/I(01 I l( I. 1 'NI O\I-1
City of Tigard Received
NOV 8 2021 ____: Permit it
it
>-'a 13125 SW Hall Blvd.,Tigard,OR 97223L9 Plan Review --�
d Phone: 503.718.2439 Fax: 503.59 . Related Permit#;
'1 OF TIGARCD Ready
_
Inspection Line: 503.639.4175 Ready DateBy � - -��- mds -1 ® See Page 2 for
7lc"AIII) Internet: www.tigard-or.gov BUILDING DIVISION Notified Method Supplemental Information
TYPE OF WORK _ PLAN REVIEW
~®New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans writems checked)
0 Service or feeder 400 amps or more 0 Building over three stones
❑Demolition El Other:
where the available Fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ElCommercial/industrial ElAccessory building less to ground,orexceeds I4,000 ❑Commercial-use agneuhurat
amps for all other installations buildings
0 Multi-family ❑Master builder 0 Other: 0 Fire pump 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 11705 SW Pacific N ❑Addrttoo of new motor load of system.
Hwy. 100tIP or more ❑
City'/State/ZIP:Tigard,OR 97223 ❑Six or more residential ands occupancy,
Recreational vehicle parks
❑Healthcare facilities ❑
Suite/hldg./apt.#:X Project name:Jersey Mike's Subs 0 Hazardous locations 0 Supply voltage for more than
0 Service or feeder 600 amps or more 600 volts nominal
Cross street/directions to job site: FEE SCHEDULE
neacrip .n I Qty. I Each I Total I ,
New esidential single-or multi-family dwelling unit.
Subdivision: Lot#: In, odes attached garage.
,000 sq ft or less 168.54 4
Tax map/parcel#: Ea add'I 500 sq ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.It) 75.00 2
Installation of(1)new 51-0"x 16-0+,single faced illuminated wall sign. Limited crier_ ____ gy,multi-family 75.00 2
residential(with above sq ft.)
El PROPERTY ® TENANT Renewable Energy ❑ See Page 2
PROPERTY OWNER Services or feeders installation,alteration,and/or relocation
Name:Jersey Mike's Subs 200 amps or less 100.70 2
Address:11705 SW Pacific Hwy. 201 amps to 400 amps 133 56 2
401 amps to 600 amps 200 34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552 26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property at 1 own which is not 200 amps or less 5936 1
intended for sale,lease,rent.or exchange,according to ORS 4' ,449,670,and 701. 201 amps to 400 amps 125 08 2
Owner signature: Date:______________ 401 amps to 599 amps 168 54 2
® APPLICANT CONTACT PERSON Branch circuits-new,alteration,or extension,Qer panel
A Fee for branch circuits with
Business name:Garrett Sign Company above service or feeder fee, 142 2
— — each branch circuit
Contact name:Joe Taylor B.Fee for branch circuits without
sAddress:811 HarneyStreet brancherve it feederitfee,first 56 18 2
circuit _
City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7-42 2
_Miscellaneous(service or feeder not included)
Phone:(360)693.9081 Fax: :(360)693.5948 Each manufactured or modular 67 84 2
-- dwelling,service and/or feeder
Email:permitting@garrettsign.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Garrett Sign Company Sign or outline lighting I 67.84 I 2
Address:811 Harney Street — Signal circuit(s)or limited-energy panel,alteration, Page 2 2
nel,alteration,or extension
City/State/ZIP:Vancouver,WA 98660 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(360)693.9081 Fax:(360)693.5948 Investigation(1 hr min) 90 00/hr
Email:permitting@garrettsign.com Industrial plant(I hr min) 78 18/hr
-- -*-
--___ Inspections for which no fee is 90_00/hr
CCB Lie.: 66826 Electrical Lie.: 37-21 CLS Suprv.Lie.: 792S1G specifically listed(V:hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requiret Subtotal:
Print name: Robby Hettlin l Date: 0 Plan Review Required(25%of permit fee):
// State surcharge(12%ofpermit fee):
Authorized signature: 1, _ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: J OS i�.,1 I,o A-- 1 Date: ( 1' /i 3 /2. ( 1 days after it has been accepted as complete.
111 ---_.--- ------_----JJJJ " Number of inspections allowed per permit
I.\BuitdingSPermits\ELC_PermitApp_ELR_ERE doc Rev 06/t7/2015 440-6i15T(l I/05/COM/WEB