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CITY OF TIGARD BUILDING PERMIT
•. COMMUNITY DEVELOPMENT Permit#: BUP2021 00296
Date Issued: 12/21/2021
T i G A.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9393 SW WASHINGTON SQUARE RD S07
Project: Cotton On Group Subdivision: None Lot: None
Project Description: Install(2)illuminated blade signs
Contractor: RAMSAY SIGNS INC Owner: PPR ASHINGTON SQUARE LLC
9160 SE 74TH AVE BY M'CERICH RET
PORTLAND, OR 97206 PO BIX 4085
SAN A MONICA, CA 90411
PHONE: 503-777-4555 PHO E:
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 D omolition
12/o State Surcharge-Building 12/17/2021 $17.97
Dwelling Units: 0
Info Process/Archiving-Sm$0.50 up to 12/17/2021 $7.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0 Plan Review 12/17/2021 $97.34
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 $272.06
Required: Required Item-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 d-ys 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 Notifi -tion 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 50c.232.1987 or 1.800.332.2344
Issued By: Hotly Va.w De,Wege, Permittee Signature: D A t,C G�fl 0
f
Call 503.639.4175 by 7:00 a.m.for the next available inspection d.te.
This permit card shall be kept in a conspicuous place on the job site until compl=tion of the project.
Approved plans are required on the job site at the time of each insp=ction.
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Building Permit Application RECEIVED 15- tg l" ''9 tz 1
Commercial (� FOR OFFICE USE ONLY
Cl of Ti and
Plan NOV 1 9 2071 Received 9 yr`
g Date/By: �2/OL � vl Permit No. P2 (-Q0z9
11 w 13125 SW Hall Blvd.,Tigard,OR 97223 Review
e Phone: 503-718-2439 Fax: 503-598-1966ITY OF TIGARU Date/By: Jt1 J L/-A) --Jil Related Permit:
T 1 G A x D Inspection Line: 503-639-4175 BUILDING DIVISION Date Ready/By. / Iuris: 10 See Page 2 for
Internet: www.tigard-or.gov ified Method a `/t�/I ��' Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
a 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 ElCommercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9393 SW Washington Sq Rd. New dwelling area: square feet
City/State/ZIP: Tigard"OR 977 3 Garage/carport area: square feet
Suite/bldg./apt.#: Space S07 Project name: Cotton On Covered porch area: square feet
i
Cross street/directions to job site: 9393 SW Washington Sq Rd.Space S07 Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: CPO 4M METZGER Lot#: W398482 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S 1260000300/R2201064 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(2)illuminated Blade signs for"Cotton On"Wash sq mall S07 Valuation: 5000 $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: *Please see attached Land Lord Approval Type of construction: Signage
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ] CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Ramsay Signs Structural plan review fee(or deposit):
Contact name: Chris Slovick
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 (503)961-7784 Amount received:
Phone:( ) Fax::( )
E-mail: permits c@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 1 $180.00
and administrative fees):
Phone:( ) (503)777-4555 Fax:( ) (503)961-7784
State surcharge(12%of permit fee): $21.60
CCB Lic.: 63422 Total fee due upon application: $201.60
i
Authorized signature: / .h-� ,56. This permit application expires if a permit is not obtained ,.`
l within 180 days after it has been accepted as complete.
Print name: Chris Slovick Date: 11.19.21 * 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) ii
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