Permit litCITY OF TIGARD BUILDING PERMIT
'' COMMUNITY DEVELOPMENT Permit#: BUP2022-00158
Date Issued: 6/23/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 90
Project: Tan Republic Subdivision: None Lot: None
Project Description: Install new 551b wall sign for Tan Republic on south elevation.
Contractor: SALEM SIGN CO INC Owner: ROIC OREGON LLC
1825 FRONT ST NE BY PROPERTY TAX RESOURCES LLC
SALEM, OR 97303 PO BOX 130339
CARLSBAD, CA 92013
PHONE: 503-371-6362 PHONE:
FAX: 503-371-0901
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/15/2022 $134.54
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 06/15/2022 $16.14
Dwelling Units: 0 Plan Review 06/13/2022 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/15/2022 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $239.13
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
r
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of O'. Specialty Codas . • all othe ap.'cable law All ork
will be done in accordance with approved plans. This permit will expire if work is not started within 180• of iAsuan•e, < 'f w.rk s su•pen•-d f• more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notific- ion J.-nte. Those r e - : set f.rth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a py c lan Lies or direct questions to OUNC by calling 503.-322987•'1.800.332. '44.
Issued By: Permittee Signature: �. / I iA
Call 503.639.4175 by 7:00 a.m.for the next available inspection d.0.
This permit card shall be kept in a conspicuous place on the job site until com01' 'on of the t oject.
Approved plans are required on the job site at the time of each in4f ec •n.
1 I
Building Permit Application R ECEIVEr.
Commercial JUN 6 2022 FOR OFFICE:USE ONLY
City of Tigard Received �I
/ f l�VIZ tp.- permit No.: F2 Z••�,
74 r
's 13125 SW Hall Blvd.,Tigard,OR 97223 ',dil' 0 Ilalc4llL Date/By:Plan Review
Related Permit-.
= Phone: 503-718-2439 Fax: 503-598-1 �/ Date/By:
��LQ��� �V�"��"� DateRead Ready/By: Juns: 63 See Page 2for
T I G A RI) Inspection Line: 503-639 4175 y Y L Supplemental Information
r Internet: www.tigard-or.gov Notified/Meths•. `-�'
TYPE OF WORK REQUIRED DATA: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 t Other: S''Cv\ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling .74 Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATIONINFORMATION AND LOCATION Total number of floors:
Job site address: 13s,10 S1� p „, ,Iv,,,,rr New dwelling area: square feet
City/State/ZiP: M o.ril r
1 Garage;carport area: square feet
Suite/bldg,/apt.#: 01 d Project name: T atp,k.,,j c Covered porch area: square feet
Cross street/directions to job site:
i((�� a Deck area: square feet
i 8tpr SW Pa-l•iTG 1 - S\4 iA4k1 .s Ant... . Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
PnN{ 1 Valuation: $ S�
�y S 'L F LQ,h�"\� S5. C� Existing building area: square feet
�7 New building area: square feet
❑ PROPERTY OWNER ATENANT Number of stories:
Name: Type of construction:
Address: 0 coo 51,4 p0,..',ft 3 .- ,..,t7 1 9 4 Occupancy groups:
City/State/ZIP: •r W..d 1 i'{� Existing:
Phone:( ) 11 -ZIA 0 Fax:( ) New:
jiZ APPLICANT A CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: S '- c•'S'^ �11:' • — Structural plan review fee(or deposit):
Contact name: {a-,y1A9. _-__ ___ __.__ FLS plan review fee(if applicable):
Address: ��' ��+ ,,l Total fees due upon application:
City/State/ZiP: S IA„". ia\ 30 )
Amount received:
Phone:(565 )3'j 1 - (93 0.,. Fax: :( )
r}j, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ME-mail: (.D Scate.w,c, A •r6r ^.•s Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: SLII l.M,,. t •
Submit two(2)sets of roof plan with connection details
h r and fire department access,along with the 2010 Oregon
Address: 2S cE N Solar Installation Specialty Code checklist.
____. -- Permit fee(includes plan review $180A0
City/State/ZIP: (!� and administrative fees):
Phone:(5j ) /I l„by i_..- ' Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: (i SZq-7 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: kq,```"`"'``�l1111��tttt� Date: q`//b.: * Fee methodology set by Tri-County Building industry
trot Service Board.
L\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB)