Permit CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT BUILDING
BUP2022-00096
Date Issued: 5/5/2022
T f i.;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S136DB00201
Jurisdiction: Tigard
Site address: 11579 SW PACIFIC HWY
Project: Music&Arts Subdivision: None Lot: None
Project Description: Remove and replace existing wall sign with new illuminated channel letter on a racetrack
Contractor: INTEGRITY SIGNS OREGON Owner: FRED MEYER STORES INC
PO BOX 88 STORE#375
HUBBARD, OR 97032 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 503-981-3743 PHONE:
FAX: 503-982-8153
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/03/2022 $97.34
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 05/03/2022 $11.68
Dwelling Units: 0 Plan Review 04/18/2022 $63.27
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/03/2022 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $1,760
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $173.79
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. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �S ...1.445‘ Permittee Signature: Ce-- ( i%,/p/(�CL/1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. i
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.
W
Building Permit Application
Commercial RECENED FOR OFFICE USE ONLY
111111 " 1�3��25 SW Haty of ll B•1�vd�Tigard,OR 97223 (+1� •
Date/By: 7 J# -- - Permit No.Bup2022,.�em96
2 Phone: 503-718-2439 Fax: 503-598-1960MAR 31 2.,��. Date/By:
Plan vie
•
p�� `�'! Related Permit:
II6_\R t) Inspection Line: 503-639-4175OF Date Ready/By: ih,ris: (a See Page 2 for
Internet: www.tigard-or.gov UILD NG DIMS .1 /��`'`�Z et : l g
BUILDING Div� i{� + 'fled/Method: SupplementalInformation
TYPE OF WORK v QUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 D olition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ino6ther: S;600\1 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Iommercial/industrial Valuation: $
❑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: I t s1 GI SW pety !1C.., "14,`- „ , New dwelling area: square feet
City/State/ZIP:1�.n-�D Cs— ell--23 ^'`�It Garage/carport area: square feet
Suite/bldg./apt.#: l)Project name: M ISS%L 4 A'Q-TS Covered porch area: square feet
Cross street/directions to job site: �i1 C. ii, ` „ w Deck area: square feet
fS ) -I2 fie . I`�`' Other structure area: square feet
1
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
613(o L�A OU 2.01 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.
moo it •I.. Pept-I is z Cxwri h)co 1JL_ Valuation: $ I—1 6)0 •,/�
;'� Existing building area: square feet
Li' ce New building area: ,,e square feet
ROPERTY OWNER TENANT Number of stories:
t_i Name: r� T�ham. Type of construction: ��
Address: • 13ox 9-29 r -% Occupancy groups:
City/State/ IP:5 642... c1 72 .,42. Existing:
Phone:(cti3 ?3,t, )cif) Fax:( )
�., � New:
APPLICANT Ly/CONTACT PERSON BUILDING PERMIT FEES*
-Business name: . .�N_ (Please refer to fee schedule)
_ E � 6 O p(Z2 J / Structural plan review fee(or deposit):
Contact name: J g.R', th "y 9_,
FLS plan review fee(if applicable):
Address: f p• Rb$-City/State/ / iV(t�1Q,4-Q 1�, . q_?C 3 . Total fees due upon application:
k Phone:(G�-i D -/^12—G�r�-�/ s- Fax::( ) Amount received:
E-mail: d�r(!/� [ft ! PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
u'rrliti`rr � Commercial and residential prescriptive installation of
CONTRACT roof-top mounted Photo Voltaic Solar Panel System.
Business name: Nr fl , sr,_- t r l Submit two(2)sets of roof plan with connection details
Address: �`-` W V and fire department access,along with the 2010 Oregon
• $ciC _ Solar Installation Specialty Code checklist.
City/State/ IP: -l�632 Permit fee(includes plan review $180.00
and administrative fees):
Phone:t) qrQ J,S 2"7 Li 3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: / G�UVV,�'�J Total fee due upon application: $$21.60
( Authorized si ii atur_ee: v v Thispermit application expires I# _ pp pyres if a permit is not obtained
within 180 days after it has been accepted as complete.
} Print name / , Date: .'3 1)22 * Fee methodology set by Tri-County Building Industry
i Service Board.
I:\Building\Pe its\BUP_COM_PermitApp.doc Rev.04/21/2014 4404613T(11/02/COM/WEB)
City of Tigard
III41 COMMUNITY DEVELOPMENT DEPARTMENT
T I c R v Building Permit Review — Commercial - With Land Use
Building Permit #: -N0)2022-00096
Site Address: I I, l -! Skid ?0C A\C14W7 Suite/Bldg#:
Project Name: 1 r\OS j C .I- k±S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: U (' S t"c"
Verify site address/suite# exists and active in permit system. .
ii
❑ River Terrace Neighborhood: ❑ Yes
1 WI Land Use Case#: 5 G 0 Z OZZ.— 00 01
k(Plan!,,Match Approved Land Use:
Site Plan CI Landscape Plan ❑ Other:
CI Urban Forestry Plan Elevation Plan
Building Height: N IA Maximum Height Actual Height
Conditions Met: N ' ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License: N/A
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Public Facilities Improvement (PFI) Permit: N /A
Required: ❑ Yes, applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
IA
( Approved by Planning: , ,{/b a Li 6�,,, ,` Date: y!t,,tZ OZZ
1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 3/f/2022_
Site Plans:Building Plans: # 2
2
Ij
Building Permit#: L'Enter building permit#above.
Workflow Routing: [5'-Planning ❑ Engineering ❑ Permit Coordinator KY-Building
Workflow Sign-off: E71 Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and tru etails,if applicable,etc.
Notes:
By Permit Technician: Date: /cY(.20.22-
1
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Engineering Review
❑ Slope at .uilding pad:
El PFI Permit 1.
❑ Conditions "Met"pri• to issuance of building permit
❑ Easements (encroachment .er engineering conditions of approval and plat (not typical on SD' P)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: \ es ❑ No
LIDA Facility on lot: ❑ Yes ❑ No - dd Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building .mittal only) Reviewer Date
Revision 1: ❑ proved ❑ Not Approved
Revisio ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,N 6 Released: Date:
Notes:
Revisions (after Building Submittal • • )
Revision Notice 1: Date Sent to ..licant:
Revision Notice 2: Date Sent to App i ant:
Revision Notice 3: Date Sent to Applicant
❑ SDC Fees Entered: Wash Co Tr. • rev Tax: • Yes ❑ N/A
Tigar. 'raps SDC: ■ es ❑ N/A
'arks SDC: ❑ Yes ❑ N/A
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Iss ermit
Appr• ed by Permit Coordinator: Date:
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