Permit IN CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00150
Date Issued: 6/21/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DB02400
Jurisdiction: Tigard
Site address: 11640 SW PACIFIC HWY
Project: Electric Lettuce Subdivision: None Lot: None
Project Description: Relocate the existing pylon sign balk 6 feet towards the building.
Contractor: MEYER SIGN CO OF OREGON Owner: PACIFIC REALTY ASSOCIATES LP
15205 SW 74TH AVE ATTN ACCOUNTING
TIGARD, OR 97224 15350 SW SEQUOIA PKWY STE 300
PORTLAND, OR 97224
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IV Permit Fee-Additions,Alterations, 06/16/2022 $195.38
Occupancy Grp: U OccupancyLoad: 0 Demolition
P y 12%State Surcharge-Building 06/16/2022 $23.45
Dwelling Units: 0 Plan Review 06/07/2022 $127.00
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/16/2022 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $8,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $348.83
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
1 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 - opy• -- rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: `,
irn
Call 03.639.4175 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 the project.
Approved plans are required on the job site at the time of each inspecti .
Building Permit Application
Commercial RECEIVED FOR OFFICE ISE ONLY
Cityof Tigard
DateiBed /?71 �j 1� �
III � 13125 SW Hall Blvd.,Tigard,OR 97223 „ Date/By: � � �/������
g Him f ZO22 Plan Review "/� Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 JU Date/By: 6- 1 y^arx TI
T1 G AR17 Inspection Line: 503-639-4175 CITYDate Ready/By: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov OF (IG� IJ Noti Method / Supplemental Information
31)1I DING DIVISION
TYPE OF WORK REQUI DATA:1-AND 2-FAMILY DWELLING
❑ ew constructionIgli
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling VCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFO TION AND LOCATION Total number of floors:
Job site address: /1 itIA i-.0, RM 6/rI C. H� New dwelling area: square feet
City/State/ZIP: 1—iGAO, Qt.. 9 7;z
Garage/carport area: square feet
Suite/bldg./apt.#: Project name: C,h"�°tte.... ttrruCf Covered porch area: square feet
Cross street/directions to job site: 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#: 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.
*ix
1414 7 k j(._ riiji. /Qu.t j jel bi..Y gAC/� Valuation: $ 5o0O o 6
4 / "�0 )41-0 s ---de- gd i Lt.1/J c. Existing building area: square feet
New building area: square feet
❑ PRO RTY OWNER ❑ TENANT Number of stories:
Name: /' fl.4c, C., C -J6i,bO/,4
y J te. , L. / Type of construction:
Address: Jf3 0 ) 0 R4 eJ Ai d/E job Occupancy groups:
City/State/ZIP: D Lf(L„4-AJ/J, d k- 172 2 1 Existing:
Phone:(5i) ) rl/ , 7?L1 7 Fax:( )
/ New:
APPLICANT I! CONTACT PERSON BUILDING PERMIT FEES*
Business name: M,E/ i 6/J eh. L'I/6,41 (Please refer to fee deposit)
schedule)
�/ i Structural plan review fee(or deposit):
Contact name: �
/ate /n £rr
Address: /fin�"'- 5.10. IV' ' - FLS plan review fee(if applicable):
r jj AhPj ph- 9 7l Z Total fees due upon application:
City/State/ZIP: ` /
Phone:(41i) tin L5 ZS Fax: :( ) Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
f,C 0-� -5 -e 1144--k it-,�r b,.i do. C,o n.�
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 4f eig,c l b,J 6^ / 9, /1eJ Submit two(2)sets of roof plan with connection details
,/� and fire department access,along with the 2010 Oregon
Address: /51-4f J. 7 T/^ F Solar Installation Specialty Code checklist.
City/State/ZIP: --rim v�{} - o c $1 L y� Permit fee(includes plan review $180.00
and administrative fees):
Phone:(91 j ) ill/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: bib Total fee due upon application: $201.60
6 r
Authorized signature: _, e This permit application expires if a permit is not obtained
Aim
4 • within 180 days after it has been accepted as complete.
Print name: { 5y e. Aiiii Date: x h * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)