Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00017
JIG A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/10/2022
Parcel: 1 S 136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY D
Project: Great Clips Subdivision: None
Lot: None
Project Description: Install(1)illuminated wall sign"Great Clips"
Contractor: RAMSAY SIGNS INC Owner: PACIFIC CROSSROADS PROPERTIES INC
9160 SE 74TH AVE BY WYSE INVESTMENT SERVICES CO
PORTLAND, OR 97206 810 SE BELMONT ST#100
PORTLAND, OR 97214
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, 02/09/2022 $119.33
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 02/09/2022 $14.32
Dwelling Units: 0
Plan Review 01/27/2022 $77.56
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/09/2022 $2.00
11x17)
Value: $2,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $213.21
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.
oC /�M
Issued By: Q 0 ny�t t t (eDa t/ p , g Permittee Signature:
S�nJ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. C 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.
RECEIVED
Building Permit Application BAN 1 4 2022
Commercial FOR OFFICE USE ONLY ry ��f
CITY OF TIGARD Recei ed a/ 24,12M Permit No." 10lUG2 000
- City of Tigard %ILDING Date/B /
• 13125 SW Hall Blvd.,Tigard,OR 9 DIVISION Plan Rev ew_ I ,�
Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 Date B
Inspection Line: 503-639-4175 Date Ready/By. //J It s See Page 2 for
TIGARD P ,otified/M-.-..d: !I 1` Supplemental Information
Internet: www.tigard-or.gov /,/J,%0r . �,Ar
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑Demolition Permit fees*are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of all
❑X Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
['Accessory building ❑Multi-family
❑Master builder
❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11705 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Suite D Project name: GREAT CLIPS 1-TIGARD Covered porch area: square feet
Cross street/directions to job site: SW 78th Ave&SW Pfaffle St Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: CPO 4M METZGER Lot#: 1 S]36CDOOIOC Indic to the value(rounded to the nearest dollar)of allit fees*are based on the value of the work ned.
Tax map/parcel#: W263618/R284114 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 2,500.00
Install(1)Illuminated wall sign"Great Clips"
Existing building area: square feet
New building area: square feet
n 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 p WO Structural plan review fee(or deposit):
Contact name: Chris Slovick FLS plan review fee(if applicable):
Address: 9160 SE 74th Ave
Total fees due upon application:
City/State/ZIP: Portland,OR 97206 Amount received:
Phone:( )
971-334-3033 Fax::( ) 503-961-7784
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: perm its@ram says igns.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
RamsaySubmit two(2)sets of roof plan with connection details
Business name: Signs and fire department access,along with the 2010 Oregon
Address: 9160 SE 74th Ave Solar Installation Specialty Code checklist.
Portland,OR 97206 Permit fee(includes plan review $180.00
City/State/ZIP: and administrative fees):
Phone:( ) 971-334-3033 Fax:( ) 503-961-7784 State surcharge(12%of permit fee): $21.60
CCB Lic.: 63422 Total fee due upon application: $201.60
5'e . / This permit application expires if a permit is not obtained
Authorized signature: eB(�GC'.f� within 180 days atter it has been accepted as complete.
Chris Slovick Date: 1.14.22 * Fee methodology set by Tri-County Building Industry
Print name: Service Board.
1:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)