Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00153
Date Issued: 6/16/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 B600401
Jurisdiction: Tigard
Site address: 11880 SW PACIFIC HWY
Project: Roger Kehdi Mitsubishi Subdivision: TIGARD ROAD GARDENS Lot: 5
Project Description: Replacing(4)wall signs.
Contractor: HANNAH SIGN SYSTEMS INC Owner: RSKASSENAV LLC
1660 SW BERTHA BLVD 11880 SW PACIFIC HWY
PORTLAND, OR 97219 TIGARD, OR 97223
PHONE: 503-946-8373 PHONE:
FAX: 503-206-4900
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/15/2022 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
P yp y 12%State Surcharge-Building 06/15/2022 $17.97
Dwelling Units: 0 Plan Review 06/08/2022 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/15/2022 $37.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $302.06
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 les or direct questions to OUNC by calling 503.232.19V or 1.800.332.2344. .....
Issued By: Permittee Signature:
. 39.4175 by 7:00 a.m.for the next available inspe#on date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required en the job site at the time of each inspection.
Building Permit Application
Commercial rs Fr E NE FOR OFFICE IISE ONLY
City of Tigard Received q� 7
• 13125 SW Hall Blvd.,Tigard,OR 97223 �� 2022 PlanRev Review ���� /✓ i l�c��Z������
■ 6 1 y. -�'� Related Permit:
Phone: 503-718-2439 Fax: 503-598-1��Q Date/By:
Inspection Line: 503-639-4175 LL I }' F' 1l GA �! Date Ready/By: 1u�.s. H See Page 2 for
1 ic,vco g
Internet: wwwrigard-or.goV DIVISION, 1:Sed/Method' /SI Supplemental Information
TYPE OF WORK QUIRE 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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling I21 Commercial/industrial Valuation: $
AccessorybuildingNumber of bedrooms:
❑ ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11880 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Roger Kehdi Mitsubishi Covered porch area: square feet
Cross street/directions to job site: SW Garden Place Deck area: square feet
Other structure area: square feel
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#:25101 BB00401 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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: $ grt0
4/ /egt,t4,-ri - L.) _ S tom. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:Roger Kehdi Type of construction:
Address:11880 SW Pacific Hwy Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Hannah Sign Systems Inc
Structural plan review fee(or deposit):
Contact name: Dave Lanphere
Address:1660 SW Bertha Blvd FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Portland, OR 97219
Phone:(503 )946-8373 Fax::(503)206-4900 Amount received:
E-mail:davel@hannahsignsystems.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Hannah Sign Systems Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1660 SW Bertha Blvd Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97219 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503 )946-8373 Fax:(503)206-4900
State surcharge(12%of permit fee): $21.60
CCB Lie.: 203638
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:JQV..E- (49.11.(p/ ter:: Date: 71172_Z * 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)
,, e(ia' 'Gta[Er_ fix oq 9 5/41 11 &f4?5