Permit 4
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CITY OF TIGARD
BUILDING PERMIT
* . COMMUNITY DEVELOPMENT Permit#: BUP2022-00159
T I CAR 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/7/2022
Parcel: 2S115BA02500
Jurisdiction: Tigard
i Site address: 16200 SW PACIFIC HWY Y2
Project: Mattress World Northwest Subdivision: 2004-015 PARTITION PLAT Lot: 1
r Project Description: Installing new 6.8 x 16.23(110 sq ft)electronic wall sign.
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1 Contractor: FASTSIGNS Owner: SN PROPERTIES PARTNERSHIP
10309C SE 82ND AVE 1121 SW SALMON ST
CLACKAMAS,OR 97086 PORTLAND, OR 97205
PHONE: 503-77-2300 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VS Permit Fee-Additions,Alterations, 07/07/2022 $225.80
`j Occupancy Grp: U Occupancy Load: 0 Demolition
Dwelling Units: 0
12%State Surcharge-Building 07/07/2022 $27.10
j Plan Review 06/13/2022 $146.77
Stories: 0 Height: 0 ft
Info Process/Archiving-Sm$0.50(up to 07/07/2022 $1.50
r Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000
Floor Areas:
/, Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $401.17
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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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 OA 952-001-0090. You ay o ain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3
Issued By: n i I( Permittee Signature:
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Call 03.639.4175 by 7:00 a.m.for the next available inspectio
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR 0►HCh USE. ONLY
City of Tigard Received // .2&)--.2- /r i///�� /f/�
-" 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 3 2022 DateBy: (1 Plan Review
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DatDate/By: V al ,. Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960
T1GARD Inspection Line: 503-639-4175 CITY OF TIGARL DateR yBy: Inns: iii See Page zfor
Internet www.tigat l-or.gov Not' eth _ G Supplemental Information
1 TYPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING
I0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
I 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 ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
3 Job site address:16200 SW Pacific Hwy New dwelling area: square feet
3 City/State/ZIP:Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.#:Y2 Project name:Mattress World Northwest Sign Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Faces 99W Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: 2S115BA02500 Permit fees*are based on the value of the work performed.
1 Tax map/parcel#:R2125775
- 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.
New 6.8' x 16.23' (110 sq. ft.) electronic wall sign for Mattress World Valuation: $10,000
Existing building area: square feet
i New building area: square feet
0 PROPERTY OWNER ® 'TENANT Number of stories:
Name:Mattress World Northwest- Sean Hathaway Type of construction:
Address:8861 SE Jannsen Rd Occupancygroups:
s:P
1City/State/ZIP:
CLACKAMAS, OR 97015 Existing:
1Phone:( )503-594-0550 Fax:( ) New:
f ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
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Business name:Fastsigns - Clackamas
tPteasereferto(eesche�htte)
Structural plan review fee(or deposit):
Contact name:Mike Williamson
Address:10309 C SE 82nd Ave FLS plan review fee(if applicable):
3 City/State/ZIP:Happy Valley,OR 97086 Total fees due upon application:
Phone:( )503-777-2300 Fax::( ) Amount received:
E-mail 154 @fastsigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Fastsigns -Clackamas Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:10309 C SE 82nd Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Happy Valley,OR 97086 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( )503-777-2300 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.:222487 ,' ` `, I2-2 Total fee due upon application: $201.60
Authorized signature:i ge4 6(14, ma0.r, This permit application expires If a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Mike Williamson Date:6/8/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BtJP_COM_Perm itApp.doo Rev.04/21/2014 440-4613T(I1/02/CO141/WEB)