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Permit q CITY OF TIGARD BUILDING PERMIT �F1 COMMUNITY DEVELOPMENT Permit#: BUP2021-00295 Date Issued: 12/30/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136CD00101 Jurisdiction: Tigard Site address: 11675 SW PACIFIC HWY Project: American Family Care Subdivision: None Lot: None Project Description: Install illuminated wall signs A, B,&C (SGN2021-00081, SGN2021-00082,SGN2021-00083) Contractor: RAMSAY SIGNS INC Owner: COLUMBIA STATE BANK 9160 SE 74TH AVE PO BOX 2156 MS 3300 PORTLAND, OR 97206 TACOMA,WA 98401 PHONE: 503-777-4555 PHONE: FAX: 503-777-0220 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 12/21/2021 $180.17 Occupancy Grp: Occupancy Load: Demolition 12%State Surcharge-Building 12/21/2021 $21.62 Dwelling Units: 0 Plan Review 12/17/2021 $117.11 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 12/21/2021 $3.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $7,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $321.90 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.4j Vavt, De Wege, Permittee Signature: 0t ti 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. ,..f Building Permit Application 6 Commercial RECEIVED FOR OFFICE USE ONLY City of Tigard Received/9 ytj a,, i� Permit No.: p��2.9� NOV 171011 DateBy: t/` 6!/ " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a. Phone: 503-718-2439 Fax: 503-598-1 Date/By: Related Permit: fY OF TIGARU �`:" "°�� T I GARD Inspection Line: 503-639-4175 Date Ready/By: / 7 ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION ufied Met /2/ .C/ Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING © Nev4 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 D Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling ®Commercial/industrial ElAccessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11675 SW Pacific Hwy. New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name: American family care Covered porch area: square feet Cross street/directions to job site: 99W Pacific Hwy W&SW Pfaffle St Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: CPO 4M METZGER Lot#: W263620 Permit fees*are based on the value of the work performed. Tax map/parcel#: 1 S 136CD00101 /R1268675 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(3)illuminated wall signs A,B&C Valuation: 7000 $ c, iJ 2021-ODD t , set t4 2ort- 00O$3 Existing building area: square feet SC—,P)aoz I- 000 82. 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 FLS plan review fee(if applicable): Address: 9160 SE 74th Ave, City/State/ZIP: Portland,OR 97206 Total fees due upon application: Amount received: Phone:( ) 971-334-3033 Fax::( ) (503)961-7784 E-mail: permits@ramsaysigns.com ramsaysigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic 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:( ) 971-334-3033 Fax:( ) (503)961-7784 State surcharge(12%of permit fee): $21.60 CCB Lie.: 63422 ` //// Total fee due upon application: $201.60 Authorized signature: /�� c5'L'BG / 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: 11.17.21 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BIIP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)