Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2022-00058
Date Issued: 4/12/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CB00100
Jurisdiction: Tigard
Site address: 12850 SW GRANT AVE
Project: Broadway Rose Theater Subdivision: NORTH TIGARDVILLE ADDITION Lot: 43
Project Description: A new 86 sq.ft.wall panel sign.
Contractor: E S&A SIGN&AWNING Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
89975 PRAIRIE RD 6960 SW SANDBURG ST
EUGENE, OR 97402 TIGARD, OR 97223
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/07/2022 $423.53
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 04/07/2022 $50.82
Dwelling Units: 0 Plan Review 03/08/2022 $275.29
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/07/2022 $17.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $23,000 Misc Administration Fee 04/12/2022 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $772.11
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: Gl /
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
fv 2
Commercial RECEIVE , FOR OFFICE USE ONLY
d
- City of Tigard Date/ReceiveBy:�08,?fJfJjZ -i Permit NotuP2022" /0�� 8
e 13125 SW Hall Blvd.,Tigard,OR 97223 FEB 1 0 2022 P1anRevie>_ 1.
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: .0. �_ Related Permit:
TIGARll Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready:y: j ® See Page2for
- Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:1 y�kier 1 tG' Supplemental information
C]l--MCI I fi`fffJl` lit.14,..,<_
TYPE OF WORK l REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction ❑Demolition Permit fees*are based on the value of the work performed.
Wall detail Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement [ 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 ❑Multi-family Number of bedrooms:
❑Master builder aOther: Exterior design detail Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12850 SW Grant New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Covered porch area: square feet
Cross street/directions to job site: SW Main, Right of SW Walnut, Left on Grant 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#: 2S102C600100 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.
Valuation: $ 23,000.00
Install wall detail &
Install new sign 2 2.� �1 14 1.005
✓1 v`n Existing building area: square feet
7 J New building area: square feet
❑ PROPER Y OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:
New:
III 1-21 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ES&A Sign and Awning (Please refer M
ValerieVllent Structural plan review fee(or deposit): re 'Z7
a ne
Contact name: Y
Address: 89975 Prairie Road FLS plan review fee(if applicable):
City/State/ZIP: Eugene, OR 97402 Total fees due upon application:
Phone:(541 )868-2398 Fax::( ) ':.,a.' Amount received:
E-mail: vvallentyne@esasigns.com PHOTOVOLTAIC SOLAR PANEESYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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
541 868-2398 and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: 163470 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
Print name: Vr , (, „� ,,� Date: 24 7'Z * Fee methodology set by Tri-County Building Industry
liV� Service Board.
I:\Building\Permits\BUP COM PermitApp.doc Rev.04/21/2 14 440-4613T(11/02/COM/WEB) ' it qi.-;
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
TIGARD
Building Permit #: B(JP2022- 58
Site Address: 1?j0 (1. C(A) Gntivf / Suite/Bl' .#:
Project Name: r ,(A1&LJ Qdc& 1 4 -4 b
(Name of comrnerci usiness occupying the space. If vacant,enter Spec, ace)
Planning Review
Proposal: KJ((4} Wei(f S yui
l Verify site address/suite# exists and active//J in permit system.
❑ River Terrace Neighborhood: ❑ Yes No No (�
xi Land Use Case #: V &k) 20 22— C 6' '
A Plans Match Approved Land Use:
g Site Plan ❑ Landscape Plan 0 Other:
0 Urban Forestry Plan Elevation Plan
- Arm a1 He1 1
..D Cetke tier Met; ❑ 4a4ier to __ ---. : E—Prierrtrrernv ante
g$} Business License:
Exists: tittr Yes ❑ No,applicant was p .vided a business license application
LI - 1•ic -a ii- . .. - --:- A \ -...- .
Required: ❑ Yes,applicant was notified ,❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes: Air �tbY s{ 6 o{ll Ly i itef i`lo-0 l L e is
Approved by Planning: I ' el /11:4iA# Date: 3/ Ted Z'Z—
Revisions (after Building Submitta only) Reviewer f Date
Revision 1: ❑ Approved • Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Su,mittal
Original Submittal Date: 1o/20.22-
Site Plans: # 2-
Building Plans: # -
Building Permit#: IH'Enter building permit#above.
Workflow Routi g: C✓T Planning [ .-Engineering 11--Permit Coordinator a- Building
Workflow Si ,-off: ([ - Sign-off for Planning(include notes from planning review)
Route App- anon Documents: [Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Note. /J
B 'emit Technician: �/Jy Date: P.3/Q'��1.Z
I:Building\Fonns\B1dgPemutRvw_COM_WithLandUse_l11 119.docx
Engineering Review
O Slope at building pad:
❑ PFI Permit#:
O Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: Yes 0 No
Assess Water Quantity Fee in-lieu: ❑ Yes D. No
LIDA Facility on lot: 0 Yes ' ❑ No Add Fee: 0 Yes 0 No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not'Approved `
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
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 ❑ N/A
LIDA Fee: 0 Yes 0 N/A
0 OK to Issue Permit
Approved by Permit Coordinator: Date:
1:113uilding1Fomm1BldgpetmitRvw COM_WithLandUse 111819.docx