Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00073
Date Issued: 4/6/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1 12DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 100
Project: Bridgetown Vet Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Install(1)illuminated wall signs G
Contractor: RAMSAY SIGNS INC Owner: PACIFIC REALTY ASSOCIATES
9160 SE 74TH AVE ATTN: N PIVEN
PORTLAND, OR 97206 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/31/2022 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 03/31/2022 $14 32
Dwelling Units: 0 Plan Review 03/24/2022 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/31/2022 $0.50
Bedrooms: 0 Bathrooms: 0 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 $211.71
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 is ance, 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 nter. Those rules are set forth in OAR
952-001-0010 through
/O/AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 87 or 1 .332.2344.
Issued By: �/Wqi/y,� 't Permittee Signature:
Y / Call 503.639.4175 by 7:00 a.m.for the next available inspectio e.
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 e
Commercial FOR OFFICE USE ONLY
Cl of Tigard RECEIVED Received qq�� �]]ryry��.�� �y� �j/}�� �y� �/
g y Date/By:0 4 2VLL ,VNW Pennil No. ��� U)0 (3
II t: • 13125 SW Hall Blvd.,Tigard,OR 97223 AR i ro/ ?0'�°l Plan Revie
Phone: 503-718-2439 Fax: 503-598-19607 Date/By: ....
2 Related Pemd '
Inspection Line: 503-639-4175 Date Ready/By: / / / BI See Page 2 for
TIGARDto Internet: www.tigard-or.gov CITY OF TIGARD tiied/Method: ,� ,/�/ f�� Supplemental Information
'l II WING DIVISION „/ i
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling IiI Commercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Pkwy. New dwelling area: square feet
City/State/ZIP: Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.#: 100 Project name: Bridgetown Vet Covered porch area: square feet
Cross street/directions to job site: SW Sequoia Pkwy&SW Redwood Ln Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: CPO 4M METZGER I Lot#: R2006637 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S112DA00300/ W250700 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(I)illuminated wall Signs G Valuation: 2500 $
Existing building area: square feet
New building area: square feet
1 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:
Q APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Ramsay Signs
Contact name: Chris Slovick Structural plan review fee(or deposit): 7756,
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
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
and administrative fees):
Phone:( ) (503)777-4555 Fax:( ) (503)961-7784
State surcharge(12%of permit fee):
CCB Lie.: 63422
Total fee due upon application:
Authorized signature: c:E.`"`�;: t'� This permit application expires if a permit is not obtained
l� within 180 days after it has been accepted as complete.
Print name: Chris Slovick Date: 03.17.22 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)