Permit CITY OF TIGARD BUILDING PERMIT
41 Ilt COMMUNITY DEVELOPMENT Permit#: BUP2022-00043
Date Issued: 3/3/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 126CC00200
Jurisdiction: Tigard
Site address: 10065 SW CASCADE AVE
Project: Tesla Subdivision: None Lot: None
Project Description: Install(3)illuminated signs,(2)wall and(1)monument.
Contractor: RAMSAY SIGNS INC Owner: 10065 SWC LLC
9160 SE 74TH AVE BY ALSTON & BIRD LLP
PORTLAND, OR 97206 BANK OF AMERICA PLAZA
101 SOUTH TRYON ST STE 4000
CHARLOTTE, NC 28280
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, 03/02/2022 $180.17
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 03/02/2022 $21.62
Dwelling Units: 0 Plan Review 02/10/2022 $117.11
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/02/2022 $4.00
Bedrooms: 0 Bathrooms: 0 11 x 17)
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 $322.90
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: Edgardo-Mc 4.cvwdo- Permittee Signature: yew
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
Commercial RECEIVE
City of Tigard RecDat tyv:ilyl `O 2 Permit No.:�P2Q,. 1 3
FEB 0 8 2022 d
Plan Re ie
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
: ■ ^ � Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: —a�" 2,.l
1-t t. RD Inspection Line: 503-639-4175 Date Ready/By: / Jur'• ® See Page 2 for
Internet: www.tigard-or.gov CITY OF
BUILDING DIVISION Not' Method: Supplemental Information
TYPE OF WORK REQUIRED DA A: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.
0 1-and 2-family dwelling INCommercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10065 SW Cascade.BEsd.'We New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Tesla,tigard Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Cascade Ave&SW Scholls Ferry Rd(Hwy 210)&Hwy 217 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
i Subdivision: CPO 4M METZGER Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install(3)illuminated signs-(2)wall&(1)monument Valuation: $ 7000
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction: SIGNAGE
Address: Occupancy groups:
City/State/ZIP: Existing
:
Phone:( ) Fax:( ) New:
13 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Ramsay Signs
Structural plan review fee(or deposit): �77//
Contact name: Christopher 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 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 Lic.: 63422
�� ' //ff Total fee due upon application: $201.60
v
Authorized signature: �� U 3G�0 o 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: 2.2.22 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
1114
Tlcalrn Building Permit Review — Commercial - No Land Use
e
Building Permit #: 130(>2022_0x WE
Site Address: 0 5 (,J ca,d--e ^' r cc Suite/Bldg#:
Project Name: T s t c� S v S C U cv-e J She)
(Name of commercial lisiness pfccupying the space. If vacanf,enters ec Space.)
P P P )
Planning Review C �{
Proposal: % (11� 0A(Val vl5 so f 1 . 1 (AA/ nek-(90
APP O tIVA u-i17 SG kii 2o2Z - cep C 5 9-Cw i S 6 N to2z..— 'moo
Existing Business Activity: s j)er 5p0 C'.e—
Proposed Business Activity: 11
V Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes g7 No
/FA Zoning: ivtiVC
l Permitted Use: ❑ Yes ❑ No p Spec Space
pConfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant was provided a business license application
Notes: a, .nova) it 51 'J J , i
/tutor ,"40-(A 4,- rut/ 05-G
Approved by Planning: 4O4 Date: Z/rY ?�2 Z. ,
r/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: d0401/ZGZZ
Site Plans: #
Building Plans: #
Building Permit#: Ili"-Enter building permit#above.
Workflow Routing: ��,, �Planning ❑ Permit Coordinator C-Building
Workflow Sign-off: l.�Stgn-off for Planning(include notes from planning review)
Route Application Documents: Luilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: -' 4/1 Date: /%ZPZfZ
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.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\B1dgPermitRvw_COM NoLandUse_111819.docx
570 L AVENUE RECEIVED
BEND E RSON BUFFAFALOO,,NY NY 14202 FEB 0
DEVELOPMENT 716.886.0211.P 716.886.2269,F 8 2 0 22
CITY OF TIGARD
BUILDING DIVISION
January 11,2022
Principle
2035 Lakeside Centre Dr.,Suite 250
Knoxville,TN 37922
Attn:Nicole Korman
RE: Exterior Storefront Signage
Tesla
10065 SW Cascade Boulevard
Tigard,OR 97223
Property#5226/101 Lease#74652 A/B#167742
Nicole:
Landlord hereby authorizes PRINCIPLE and/or their local subcontractor to install exterior signage per the attached approval dated
January 7,2022,at the above referenced location provided that you adhere to all local town codes.
All necessary permits will be obtained by TESLA and/or their sign company;provided that in the event any conditions or obligations
are imposed upon the undersigned the authorization herein granted shall be void unless the undersigned expressly consents to each
condition and/or obligation.
Signs will be maintained and operated by TESLA.
If you should have any questions,please feel free to contact the undersigned.
Sincerely,
t-IvR.LtAi
Valerie Fragale
Design Coordinator
cc: Leasing(via email),Property Mgmt.(via email),Sign File(hardcopy),Lease File
RETAIL::OFFICE :: INDUSTRIAL:: HOTEL :: RESIDENTIAL www.benderson.com