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CITY OF TIGARD BUILDING PERMIT
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COMMUNITY DEVELOPMENT Permit#: BUP2021-00301
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/23/2021
Parcel: 2S102BD01900
Jurisdiction: Tigard
Site address: 12910 SW PACIFIC HWY
Project: Hudson Plaza Subdivision: FREWING ORCHARD TRACTS Lot: D
Project Description: Install(1)illuminated freestanding pole sign,sign A.
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 $180.17
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 12/17/2021 $21.62
Dwelling Units: 0 Plan Review 12/07/2021 $117.11
Stories: 0 Height: 0 ft
Info Process/Archiving-Sm$0.50(up to 12/17/2021 $6.00
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 $324.90
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: Permittee Signature: Sy'
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._ 12I 2 j 2.1
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard DEC 0 2 2021 Date/By:Received 'Z/�r Z�/ �", Permit No-r P2.02a'003oi
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieNtb
f{ Phone: 503-718-2439 Fax: 503-598-19 Date/By Related Permit:
Inspection Line: 503-639-4175 T1'OF TIGARD Date Ready/B — I Sa J�� gr ® See Page 2 for
"`'"` " www.tigard-or.gov BUILDING DIVISION,s2�e�� � • ��
Internet: www.ti and-or. ov otified/Met Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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
it
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
ti
Job site address: 12910 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 A Covered porch area: square feet
I
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: 2S102BD01900 Lot#: W257450. Permit fees*are based on the value of the work performed.
Tax map/parcel#: R2169562 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.
1
Install(1)illuminated freestanding POLE sign Valuation: $ 7000
Existing building area: square feet
i New building area: square feet
2 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Spring Gold,LLC./George R.Miller Type of construction: signage
I Address: 135 SW 97th Ave.
Occupancy groups:
i 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
i Chris Slovick Structural plan review fee(or deposit): u7r/
) Contact name:
') Address: 9160 SE 74th Ave, FLS plan review fee(if applicable):
i
City/State/ZIP:
Portland,OR 97206 Total fees due upon application:
Phone:( ) )971 334-3033 Fax::( ) )503 961-7784 Amount received:
1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
d E-mail: permits@ramsaysigns.com
ri 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
I Address: 9160 SE 74th Ave,
Solar Installation Specialty Code checklist.
r, City/State/ZIP: Portland,OR 97206 Permit 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
/J % Total fee due upon application: $201.60
Authorized signature: ejt r5We This permit application expires if a permit is not obtained
1���� within 180 days after it has been accepted as complete.
ii' 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(I 1/02/COM/WEB)
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