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Ilii CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT BUILDING
BUP2021-00318
Date Issued: 1/6/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1266C01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD
Project: Driveway Finance Subdivision: None Lot: None
Project Description: A new 150 sq.ft.raceway mounted sign.
Contractor: E S&A SIGN &AWNING Owner: LITHIA REAL ESTATE INC
89975 PRAIRIE RD ATTN DEBOER, MARK
EUGENE, OR 97402 150 N BARTLETT ST
MEDFORD, OR 97501
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee-Additions,Alterations, 01/06/2022 $819.81
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 01/06/2022 $98.38
Dwelling Units: 0 Plan Review 12/23/2021 $532.88
Stories: 0 Height: 0 ft
Info Process/Archiving-Sm$0.50(up to 01/06/2022 $27.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $61,552
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,478.07
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
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: ?Da-C -n�c, Permittee Signature: 611
D ) cili C t._'l 61-1-0
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.
L
. Bui).1ing Permit Applicatio'RECEI\V/ED $
Commercial �1 1 FOR OFFICE USE ONLY
City of Tigard DEC 21 2621 Re Received
/a , �= Permit No.0UI)Z02/G0318
111 .1 13125 SW Hall Blvd.,Tigard,OR 9722 bTY OF 1 IGAHLJ DaPlan Review ,}.
s ' Phone: 503-718-2439 Fax: 503-598-1 Date/By: 1— G-- I I� Related Permit:
T I G A R D Inspection Line: 503-639-4175 BUILDING DIVISION Date Ready/By: PI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 1l(�l /-/ ►-' Supplemental Information
tt)2~?:^.rao,tit-itI/ V':Po ��1%}\t .
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 [cJ Other: Sign equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwellingValuation: $
®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: 9020 SW Washington Square Road New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Driveway Finance Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
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#: TAXLOT 1S126BC01506 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 new sign on building Valuation: $ 61,552.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Driveway Finance Type of construction:
Address: 9020 SW Washington Square Road Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
a APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ES&A Sign and Awning (Please refer to fee schedule)
Structural plan review fee(or deposit): 2 es
Contact name: Valerie Vallentyne FLS plan review fee(if applicable):
Address: 89975 Prairie Road
City/State/ZIP: Eugene,OR 97402 Total fees due upon application:
Phone:(541 ) 868-2398 Fax: :( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: vvallentyne@esasigns.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ES&A Sign and Awning Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 89975 Prairie Road Solar Installation Specialty Code checklist.
City/State/ZIP: Eugene,OR 97402 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 541 )868-1752 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 163470 Total fee due upon application: $201.60
Authorized signature: yriz, PL..,L This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: "fa Y i+Z /Date: 1� �D/a I * Fee methodology set by Tri-County Building Industry
v Service Board. —`"R
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) 4415.-," 11