Permit IN CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00315
T I(;A It n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/5/2022
Parcel: 1 S136CD00101
Jurisdiction: Tigard
Site address: 11675 SW PACIFIC HWY
Project: American Family Care Subdivision: None Lot: None
Project Description: Install(2)identical illuminated freestanding monument signs
Contractor: RAMSAY SIGNS INC Owner: COLUMBIA STATE BANK
9160 SE 74TH AVE PO BOX 2156 MS 3300
PORTLAND, OR 97206 TACOMA, WA 98401
PHONE: 503-7774555 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, 01/03/2022 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 01/03/2022 $17.97
Dwelling Units: 0 Plan Review 12/22/2021 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/03/2022 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $266.56
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.
yl,
Issued By: bc.1 Permittee Signature: trtv /, �) 1 Cat W1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.""tV� J
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 ECEIVED 'l
Commercial FOR OFFI!'IC CSI:O\I.l
City of Tigard DEC 1 4 2021 Date/B a I ,221fJzI �A 'Permit No.;BC`i°ZOZ/ Q�3/5
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-19Ab1 Y OF TIGARD ,aJ
Related Permit:
DateBy:Ins ction Line: 503-639-4175 � f� n [� /� Date Read lu<is ® see Pa e 2 for
i1C ARD Internet: wwwtigard-or.gov �JILI�NG DIVISION fiedethod: ITerSupplemental Information
TYPE OF WORK TG 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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑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 S136CD00101 /R 1268675 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)identical illuminated freestanding monument signs 1 &2 Valuation: 4500 $
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
n APPLICANT IN CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: Ramsay Signs Structural plan review fee(or deposit): 7.34'
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:
Phone:( ) 971-334-3033 Fax::( ) (503)961-7784 Amount received:
E-mail: permits@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 $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: C/14, �'�G , This permit application expires if a permit is not obtained
h�w� within 180 days after it has been accepted as complete.
Print name: Chris Slovick Date: 12.14.21 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I l/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%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 0
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 0
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:
0
(a) Parking $
(b) An accessible entrance: $ 0
(c) An accessible route to the altered area: $ 0
(d) At least one accessible restroom for each sex or a single unisex 0
restroom: $
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains:and, $ 0
(g) When possible,additional accessible elements such as storage and 0
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $ 0
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
I/ _ ° Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name 0 site address 0 suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans,details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
I:\Building\Pere its\BUP_COM_PemritApp.doc Rev.03/05/2019
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
it
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
ISCity of Tigard
11 COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: BUP2o21-00315
Site Address: 6( 6 6 S ik1 FcCo C Hwy Suite/Bldg#:
Project Name: WC 0 ,, ' ui- (a,v--e
(Name of commercial ,4 siness occupying the space. If vacant,enter Spec Space.)
Planning Review __� 1r
Proposal: Qj t UV i v�.LC� - ree S f-cifruetki4 Slgf4S
Existing Business Activity: G Owv14-Ca.e-e.
Proposed Business Activity:
1 Verify site address/suite# exists and active in permit system.
❑ River Terrace N ighborhood: IIYes n No
C, Zoning: L.,e G
Permitted Use: [}r)Yes ❑ No ❑ Spec Space
lib Confirm no land use required.
[? Business License:
Exists: 1Yes ❑ No,applicant was provided a``business
-�license application�
Notes: ( A 2d2( -OO q0,, Si A) 7Or I I Z I
Approved by Planning: 4JJ4/l Vi/a/littekfi Date: 12 7,60
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /2//4/202-J
Site Plans: # 2
Building Plans: # Z
Building Permit#: 11--Enter building permit#above.
Workflow Routing: LEI"Planning ❑ Permit Coordinator [IBuilding
Workflow Sign-off: [B'Sign-off for Planning(include notes from planning review)
Route Application Documents: [W Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: '
By Permit Technician: - 7,ice' Date: W22/202/
l:\Building\Forms\B1dgPermitRvw_COM NoLandUse_l 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant: •
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx