Permit(
CITY OF TIGARD BUILDING PERMIT
"1 ; • COMMUNITY DEVELOPMENT Permit#: BUP2021-00302
Date Issued: 12/21/2021
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CB03101
Jurisdiction: Tigard
Site address: 12950 SW PACIFIC HWY
Project: Hudson Plaza Subdivision: FREWING'S ORCHARD TRACTS Lot: 21
Project Description: Install(1)illuminated freestanding monument sign,Sign B.
Contractor: RAMSAY SIGNS INC Owner: SPRING GOLD LLC
9160 SE 74TH AVE 850 NW 122ND AVE
PORTLAND, OR 97206 PORTLAND, OR 97230
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/17/2021 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
12/o State Surcharge-Building 12/17/2021 $17.97
Dwelling Units: 0 Plan Review 12/07/2021 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50 up to 12/17/2021 $6.00
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 $271.06
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 Notif'cation 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: Fair{f y Va v. Dv,Wv ye Permittee Signature: Qw A
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 E,- tat zi 2,1
Commercial RECEIVED FOR OFFICE USE ONLY
Received/ of ��'� 8U pZvZi�302-
E City of Tigard DEC 0 2 2021 Date/By: 262/ or Permit No
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I Phone: 503-718-2439 Fax: 503-598-19 Date/13 : _ ' Related Permit:
i 1�'A R D Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: " Ari Juris: ® See Page 2 for
' . Internet: www.tigard-or.gov BUILDING DIVISIO: Notified/Me-.d-, '/ A. Supplemental Information
TYPE OF WORK REQUIRED DATA:l-AND 2-FAMILY DWELLING
❑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.
CI1-and 2-family dwelling ®Commercial/industrial Valuation $
❑Accessory building CI Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12950 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Hudson Plaza- Sign B Covered porch area: square feet
Cross street/directions to job site: Pacific Hwy 99W&SW Walnut PI Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 2S102CB03101 I Lot#: W257467 Permit fees*are based on the value of the work performed.
Tax map/parcel#: R466025 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 application.
Install(1)illuminated freestanding monument sign Valuation $ 5000
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Spring Gold,LLC./George R.Miller Type of construction: signage
Address: 135 SW 97th Ave. Occupancy groups:
City/State/ZIP: Portland,Or 97225 Existing:
Phone:( ) )503 348-5065 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Ramsay Signs Q
Chris Slovick Structural plan review fee(or deposit): l 7 3Zf
Contact name: `
Address:
9160 SE 74th Ave, FLS plan review fee(if applicable):
City/State/ZIP: Portland,OR 97206 Total fees due upon application:
971 334-3033 Fax:: 503 961-7784 Amount received:
Phone:( ) ) ( ) )
E-mail: permits@ramsaysigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Ramsay Signs Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 9160 SE 74th Ave, Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97206 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) 503-777-4555 Fax:( ) )503 961-7784 0
State surcharge(12%of permit fee): $21.60
CCB Lic.: 63422 Total fee due upon application: $201.60
Authorized signature: C �'ed1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Chris Slovick Date: 11.1.21 * 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)