Permit I' CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2022-00142
Date Issued: 7/7/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126CC00200
Jurisdiction: Tigard
Site address: 10065 SW CASCADE AVE
Project: Tesla Subdivision: None Lot: None
Project Description: Installing new wall sign(logo only.)
Contractor: RAMSAY SIGNS INC Owner: 10065 SWC LLC
9160 SE 74TH AVE BY ALSTON & BIRD LLP
PORTLAND, OR 97206 BANK OF AMERICA PLAZA
101 SOUTH TRYON ST STE 4000
CHARLOTTE, NC 28280
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT 7 12%State Surcharge-Building 07/07/2022 $14.32
ype of Const: VB Plan Review 05/26/2022 $50.52
Occupancy Grp: U Occupancy Load: 0
Dwelling Units: 0 Info Process/Archiving-Sm$0.50(up to 07/07/2022 $1.50
Stories: 0 Height: 0 ft 11x17)
Permit Fee-Additions,Alterations, 07/07/2022 $119.33
Bedrooms: 0 Bathrooms: 0 Demolition
Value: $2,500 Plan Review 07/07/2022 $27.04
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.71
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
I
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 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 Notifica' Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtai a cu he rules or direct questions to OUNC by calling 503 .1987 or 1.800.332. 44.
i
Issued By: Permittee Signature:
al .639.4175 by 7:00 a.m.for the next av table inspection date.
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.
RECEIVED
Building Permit Application MAY 2 602
Commercial I (1FI1( l I sl.(1vl v
CITY OF TIGARD
Cityof Tigard Received
BUILDING DIVISION l ; Permit No.: t,
Deceive 5/p l ,yt� aG.2a —OBI f a�
lig a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review/�'
I Phone: 503-718-2439 Fax: 503-598-1960 DateBy: 9 • ' Related Permit:
I 1 C;A R D Inspection Line: 503-639-4175 Date Ready/7 Juris: ®See Page 2 for
Internet: www.tigard-or.gov Notifred/Meth �'.' Supplemental Information
if, /
TYPE OF WORK ' QUIRE I 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10065 SW Cascade Blvd New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Tesla,tigard Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Cascade Ave&SW Scholls Ferry Rd(Hwy 210)&Hwy 217 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: CPO 4M METZGER I Lot#: W398504 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S 126CC00200/R1232197 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(1)illuminated wall sign-S201 Valuation: $ 2500
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction: SIGNAGE
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
[$APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Ramsay Signs (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Christopher Slovick
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 Photo Voltaic 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): 5v `'0�$180.00
Phone:( ) 971-334-3033 Fax:( ) 503)961-7784
State surcharge(12%of permit fee): $21.60
CCB Lic.: 63422
����- Ii /J / Total fee due upon application: $201.60
Authorized signature: C�v G This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Chris Slovick Date: 5.24.22 * 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)