Permit CITY OF TIGARD BUILDING PERMIT
I ! 44
COMMUNITY DEVELOPMENT Permit#: BUP2021-00299
TIGARD j a7 • Date Issued: 12/21/2021 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY, STE# 100
Project: Bridgetown Vet Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Install(2)illuminated wall signs A&C.05/27/22 Address correction.Reprint.
Contractor: RAMSAY SIGNS INC Owner: PACIFIC REALTY ASSOCIATES
9160 SE 74TH AVE ATTN: N PIVEN
PORTLAND, OR 97206 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/17/2021 $164.96
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 12/17/2021 $19.80
Dwelling Units: 0 Plan Review 12/07/2021 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 12/17/2021 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,500 Additional Plan Review 03/25/2022 $45.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $342.98
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.
( e' p,,Issued By:•
�(jr/� � s `C/"` Permittee Signature: Spp Tp)ILST
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.
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Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received Permit No.: r
Date/B : 5 r l �� lA ;A I -CV-'a
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
C Phone: 503-718-2439 Fax: 503-598-1960 Date/B : Related Permit:
T I G A R D Inspection Line: 503-639-4175 Date Ready/By: Juris: WI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
r.
.`_._ -"1,, TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ditio Itch . replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY O STRUCTION 1 work indicated on this application.
ri Valuation: $
I-and 2-family dwelling Cmm oercial/indu_ te r.
I El
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other:
r Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 r 7 11 f W Jii iio I4- f�' New dwelling area: square feet
)
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.#: (DO / t D Project name: f/.1/`.( N V4/ Covered porch area: square feet
1 Cross street/directions to job site: �1
J Jw s��NQ(� rr 1 Deck area: square feet
4/4, i COIA,04f ...IV Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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.t OAF,WORK l work indicated on this application.
/1i.s,J' 2, I''V�tkpAI(/l( "' ( pp/ AT (, Valuation: $
400gc's ( po,.) r /5
3$O IV jSW
5 Existing building area: square feet
New building area: square feet
XPROPERTY OWNER 0 TENANT Number of stories:
Name: ItfifiC At Aa *iv (,,9# J Type of construction:
Address: (,Q/(.O Occupancy groups:
i
City/State/ZIP: At//t kin _ Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ,Q " fn,'' J fG,e.4r (Please refer to fee schedule)
r— Structural plan review fee(or deposit):
Contact name: C H 411 IGO VatAddress: 7` I p f t rt-4 j 4frt FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: A ottnft$tI, A. f iZOO
/�
Phone:( ) 41 (- 7Jf_ 7407 Fax: :( ) nv f/f• gg8 Amount received:
E-mail: /Atte,%fT e "4d f f fs/^►I, (per PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 1°4141( li �f!��A� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) ri9 err/ tin' Fax:( ) P7. Ili, (12%
�� State surcharge of permit fee): $21.60
CCB Lie.: 17422 —
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:
l KA/f J1-414. Date: (',it Z I * Fee methodology set by Tri-County Building Industry
Service Board.
I:A Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25°A)).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PemritApp.doc Rev.03/05/2019
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting informal'. .
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMEN '
III Transmittal Letter
T i c,A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.24. • • www.tigard-or.gov
TO: Building department /DATE RECEIVED:
DEPT: BUILDING DIVISION E I Y ED
FROM: Ramsay Signs-Chris Slovick MAR 1 7 2022
COMPANY: Ramsay Signs-Chris Slovick ,.:11 Y OF 1 IGARD
IE-
PHONE: 971-334-3033/503-777-4555 BUILDING DIVISION By. "
EMAIL: permits@ramsaysigns.com
RE: 15350 SW Sequoia Pkwy., Portland, •- 97224 BUP2021-00299
(Site Address) (Permit Number)
Bridgetown Vet clinic-2S112DA0 400
(Project name or subdivision n. and lot number)
ATTACHED ARE THE FOLLOW' G ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of pl. s. emailed PDF Revisions: SIGN A new install location
Cross section(s)and •etails. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations Engineer's calculations.
emailed PDF's Other(explain):S GN A updated location including approved sign/planning approval&docs
REMARKS: Please contact hris Slovick permits@ramsaysigns.com 971-334-3033 with any questions.
FOR OFFICE USE ONLY
Routed to Permit ' nician: Date: a_ a.y - 2.,, Initials: -4
Fees Due. !A 'es ❑ No Fee Description: Amount Due:
O ,lcHr' rw ; e.� s
/ $ y ' 7//
$
$
$
Special
Instructions:
Reprint Permit(per P : ❑ Yes / N ❑ Done
Applicant Notified: ate: j / _ Z2 Initials: I
CITY OF TIGARD RECEIVEDSIGN PERMIT
1111 $ MAR 17 2022 Permit#: SGN2021-00077
COMMUNITY DEVELOPMENT Date Issued: 11/16/2021
13125 SW Hall Blvd.,Tigard OR 97223 503.718.24A I 1 OF 1 ft ARL) Parcel: 2S112DA01400
iUILDING DIVISION Jurisdiction: Tigard
Name of Business: Bridgetown Vet
Business Address: 15350 SW SEQUOIA PKWY 100
Applicant/Agent: Slovick, Chris
Work Description: New 2'11.5"x 24'8"(72.82 sq. ft.) illuminated wall sign on west face
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 2.96'x 24.66'
Total Sign Area: 72.82
Wall Area: 4328.25
Wall Face(Direction): North
Sign Height: 16 ft.
Projection From Wall: 7 in.
Illumination: Internal
Materials: Aluminum, acrylic, paint
Electrical Permit Required: Yes
Building Permit Required: Yes
Total Permit Fee: $246.00
Conditions:
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. A permanent sign must be placed within 90
days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign
shall expire 10 days from validity date.
Attfavil
Approved By:
see application
Permittee Signature:
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
,_,gig` RD
_ Sign Permit Application
19
SIGN LOCATION
15350 SW SEQUOIA PKWYSuite#: REQUIRED SUBMITTAL
Address: ELEMENTS
City/state: Portland,OR Zip_ 97224 ® 2 copies of elevations on 8'/2'x 11"
Tenant or business: Bridgetown Vet or 11"x 17"pages(Wall sign
elevations must include dimensions
*Please see attached Land Lord Approval of sign and wall face and show the
Property owner name: location of sign on the wall.
Address: Freestanding sign elevations must
City/state: Zip: be drawn to scale.)
Phone: Email: Uti 2 copies of site/plot plan,drawn
to scale,on 81/2"x 11"or 11"x 17"
Ramsay Signs pages(not required for wall signs)
Sign contractor:
9160 SE 74th Ave RI List or diagram of all existing sign
Address: dimensions and square footage
City/state: Portland, OR Zip: 97206 51 Application Fee
Phone: 503-777-4555 Email: permits@ramsaysigns.com
63422 NOTES:
CCB License#: Expiration date:
Chris Slovick •• Freestanding signs over 6 ft.in height
Contact person: and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA(Complete all items in this section) If any element of a wall sign weighs
TYPE (Check all that apply) 70 lbs.or more,plans must be prepared
NIby a structural engineer.
New sign
❑ Freestanding ❑ Electrical • Building permits require 2 sets of
0 Alteration to ❑ Freeway 1 Wall construction drawings and,if sign is
existing sign freestanding,2 copies of site/plot plan
❑ Roof III Other and 2 sets of engineering must be
Sign#: SIGN A submitted with building permit
application.
Sign dimensions: 2' 11 1 =8" = 72.82sq.ft. sign area
New sign: 72.82 sq.ft.+ Existing sign area 72'82 sq.ft.=_Total FOR STAFF USE ONLY
Total sign area: 72.82 sq.ft. /4,328'iilding face sq.ft. = .017 %of bldt face Case No.: SGN2021-00077
Height to top of sign: 16' ft.Projection from wall: 7" in. Related Case No.(s):
Materials: Aluminum,Acrylic,Paint Fee:
Application accepted:
Is the sign under 20 lbs.? 0 Yes ISO No By: SPV Date: 11/16/2021
(Building Permit required if over 20 lbs)
Direction wall faces (circle one): N 1S E W NE NW SE SW Application determined complete:
By: SPV Date: 11/16/2021
Will the sign have illumination? ® Yes 0 No
If yes,what type: ❑ Internal ❑ External I'\Community Development\Land Use Applications\02 Forms and
Templates\land Use Applications Rev 12/14/2017
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
When the owner and the applicant arc different people,the applicant must be the purchaser of record or a lessee in possession with written
authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of this
form or submit a written authorization with this application.
THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner
or authorized agent of the owner,and that plans submitted are in compliance with the City of Tigard.
SIGNATURES of each owner of the subject property required.
CA 3-'4v Chris Slovick 11.15.21
Applicant's signature Print name Date
*Please see attached Land Lord Approval 11.15.21
Owner's signature Print name Date
Owner's signature Print name llatc
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2
h
CITY OF TIGARD BUILDING PERMIT
G
i< COMMUNITY DEVELOPMENT Permit#: BUP2021-00299
Date Issued: 12/21/2021
T I G A R.t1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 100
Project: Bridgetown Vet Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Install(2)illuminated wall signs A&C
Contractor: RAMSAY SIGNS INC Owner: PACIFIC REALTY ASSOCIATES
9160 SE 74TH AVE ATTN: N PIVEN
PORTLAND, OR 97206 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
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 $164.96
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 12/17/2021 $19.80
Dwelling Units: 0 Plan Review 12/07/2021 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50 (up to 12/17/2021 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $297.98
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-{,1,y Va4A, De,We-ge- Permittee Signature: °i t,Ap-p. cau(-Lcii-.
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 Applicatio ECEIVEDGO
Commercial NOV 2 9 2021 FOR OFFICE I.s1.:OyI.1
City of Tigard CITY OF TIG A pL) Received I L 7 2021 Permit No. F2O2 0OZ
/irl Date/By:
IIII -" 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
' Related Permit:
Phone: 503-718-2439 Fax: 503-598- DING DIVISION Date/By: f a.-),3
T I R D wwInspection Line: 503-639-4175 Date Ready/By: ITT-1/.7_ la See Page 2 for
Internet: w.tigard-or.gov Notified/Me t. ! 1 l^ Supplemental Information
TYPE OF WORK REQL IRED DATA:1-AND 2-FAMILY DWELLING
®New construction 0 Demolition Permit fe s*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 ind cated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Pkwy. New dwelling area: square feet
City/State/ZIP: Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.#: 100 Project name: Bridgetown Vet Covered porch area: square feet
Cross street/directions to job site: SW Sequoia Pkwy&SW Redwood Ln Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: CPO 4M METZGER I Lot#: R2006637 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S 112DA00300/ W250700 Indicate the value(rounded to the nearest dollar)of all
equipmert,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install(2)illuminated wall Signs A&C Valuatior: 5500 $
Existirg building area: square feet
New building area: square feet
J PROPERTY OWNER 0 TENANT Number of stories:
Name: *Please see attached Land Lord Approval Type of construction: SIGNAGE
Address: Occupancy groups:
City/State/ZIP: Ex sting:
Phone:( ) Fax:( ) New:
J APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee schedule)
Business name: Ramsay Signs
Structural plan review fee(or deposit):
Contact name: Chris Slovick
FLS plan review fee(if applicable):
Address: 9160 SE 74th Ave,
Total fees due upon application:
City/State/ZIP: Portland,OR 97206
Phone:( ) 971-334-3033 Fax::( ) (503)961-7784 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permits@ramsaysigns.com
CONTRACTOR Commercial and residential prescriptive installation of
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 Pe mit fee(includes plan review $180.00
and administrative fees):
Phone:( ) (503)777-4555 Fax:( ) (503)961-7784
State surcharge(12%of permit fee): $21.60
CCB Lie.: 63422
�`. /�// ' // Total fee due upon application: $201.60
Authorized signature: / l., v5'�BGAGCItii 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: 11.15.21 * Fee me hodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)