Permit CITY OF TIGARD BUILDING PERMIT
11. ' COMMUNITY DEVELOPMENT
Permit#: BUP2022-00241
_f_I(.:.A li f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2022
Parcel: 2S102BD02800
Jurisdiction: Tigard
Site address: 12995 SW PACIFIC HWY
Project: After 5 Subdivision: NORTH TIGARDVILLE ADDITION Lot: 36
Project Description: Installing(1)internally illuminated pylon sign. Monument sign currently at site will be replaced by pylon because
of road widening.
Contractor: MEYER SIGN CO OF OREGON Owner: AFTER FIVE LLC
15205 SW 74TH AVE 10330 SW TUALATIN RD
TIGARD, OR 97224 TUALATIN, OR 97062
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB Permit Fee-Additions,Alterations, 11/17/2022 $225.80
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/17/2022 $27.10
Dwelling Units: 0 Plan Review 10/17/2022
Stories: 0 Height: 0 ft $146.77
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 11/17/2022 $2.00
Value: $10,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
' Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $401.67
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 iss ance, or If work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No' cation Cghter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calli 503.232.1797 or 1.800 32.2344. /,
Issued By: 5._.5:) ermittee Signature: r�/�
' 503.639.4175 by 7:00 a.m.for the next available Insp on date.
This permit card shall be kept In a conspicuous place on the job site until completion f the project.
Approved plans are required on the Job site at the time of each Inspection.
1
Building Permit Application
Commercial RECEIVED FOR OFFICE USEONLY
City of Tigard 1,,, Received
a eeByd U s/ / TfYI OG l�
C-,4, 13125 SW Hall Blvd.,Tigard,OR 97223�{.� zut4 Plan Review I v��U�� /r
Phone: 503-718-2439 Fax: 503-598-1 Date/By: 1Cr 13,E Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov PLANNING/ENGINEERING Notified/Method: 1 I. La' r12 ► Supplemental Information
rinlRt- 1e 1-0+11 U (1711t5
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 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 0 Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /211 5 j j) /54 L'/fI e goy New dwelling area: square feet
City/State/ZIP: 1 6 6 F} / Ot 9 7z - Garage/carport area: square feet
Suite/bldg./apt.#: Project name: A' A_.- 5 `' - , Covered porch area: square feet
Cross
�street/directions to job site: D li 1941...i I L ��J i3 E'f✓�(a-) Deck area: square feet
✓'A VT t 5 C ao i /1 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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 applicationn.g ���
fif�J�# / /,Jf 1L1 4 1/- /// Auxi/o1 i�o Valuation: $ /f/ !/t/(/
/ L-d, c7 1 Q�. (,/�l li u-T fl lw d 4,R.4Ts.1 T(I A- Existing building area: / square feet
Ai--
/ �l/i/f/ tO- .t-/,ttr-0 ey 4/Bn1 gee--0- ��yy,j;pG.t1N6Newbuildingarea: square feet
a PROPERTY OWNER ❑ TENANT Number of stories:
Name: A rT t% , ac, Type of construction:
Address: (I / G S A.) rakt/►17xJ
Occupancy groups:
'
City/State/ZIP: {I A-Lpi1#.J, OL 7706 Z - /12.'I Existing:
Phone:( ) i Fax:( ) New:
le APPLICANT L7 CONTACT PERSON BUILDING PERMIT FEES*
Business name: /r� &if 'L 5i� �,/I. 47��-�104j (Please refer la fee schedule)
Structural plan review fee(or deposit):
Contact name: ,/ 1),J 4 in tenon iCc._
Address: 1 T (5.W. 711' !WE.
FLS plan review fee(if applicable):
� Total fees due upon application:
City/State/ZIP: 1/�`6 IYIt� 0 ¶7 Z
Phone:(°�7 I ) 7-7 f , 4) Fax: :( ) Amount received:
E-mail: (f t- --5 e yF��(/�J 40 �Ak PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/ CONTRACTOR Commercial and residential prescriptive installation of
rn I roof-top mounted PhotoVoltaic Solar Panel System.
Business name: l l( _ S/b LJ ep i/ Q y UO%1 Submit two(2)sets of roof plan with connection details
I r�, ///q,I and fire department access,along with the 2010 Oregon
Address: 1 S w Shy 14- ^ !rV 6 - Solar Installation Specialty Code checklist.
City/State/ZIP: - I + GIf 0 R.— ! i 2l- Permit fee(includes plan review $180.00
and administrative fees):
Phone:( i��) ly Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: Lb Total fee due upon application: $201.60
Authorized signature: M e This permitexpires 180 days after ite haspr beenif accepted
is asnot complete.obtained
Print name „/ in , U- Date: g v5 j7./ * Fee methodology set by Tri-County Building Industry
/// / Service Board.
I:\Building\Permits\BUP_COMPermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
111
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: r O r /7/1 6 69 tL CL NOV 10 2022
COMPANY: 1 5I b,/ L� � d 6o LITY OF TIGARD
q ,/� BUILDING DIVIS N
PHONE: / 7� ' Z47 - ` -' L5 By: 3 •i=
EMAIL: / 1A.A-1-5 e Q
/n'�`� '15lGcJ Go_CD Mtn
RE: IZg11 Jr -GJ. / /�Gf1 /4L Jq ez-te OA1
(Site Address) (Permit Number)
Al— jGL
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. / Engineer's c lculations.
Other(explain): —PO/it-6 kJ' �in/k/Il/d Je77'JC)
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit`�echnician: Date: ) J']— Z Initials:--A
Fees Due: ❑ Yes \❑No Fee Description: Amount Due:
5.Ff $ 3—
Special
Instructions:
Reprint Permit (per PE): I I Yes No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Fonns\TransmittalLetter-Revisions_073120.doc