Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00269
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2022
Parcel: 2S 102AD01200
Jurisdiction: Tigard
Site address: 8848 SW COMMERCIAL ST
Project: Accurate Auto Subdivision: None Lot: None
Project Description: (1)illuminated wall sign.
Contractor: GARRETT SIGN CO INC Owner: DIBB, THERESA R REVOCABLE LIVING TRUST
811 HARNEY ST 14940 SW CHARDONNAY AVE
VANCOUVER, WA 98660 TIGARD, OR 97224
PHONE: 360-693-9081 PHONE:
FAX: 360-693-5948
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/30/2022 $149.75
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/30/2022 $17.97
Dwelling Units: 0 Plan Review 10/27/2022 $97.34
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 11/30/2022 $2.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $267.06
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
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 a copy of the rules or direct questions to OUNC by calling 503-2232.1,987 or 1.800.332.2344.
Issued By: 2 Cam-�ermittee Signature: ( / ;4,4
alC T503.639.4175 by 7:00 a.m.for the next available inspection date. I
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.
Building Permit Application
Commercial RECEIVED roiz OFFICE uSE ONLI'
liiiCity of Tigard Received (/r
T p i^ Date/By: 1d/a 7/ (�- Permit No.: , ��
13125 SW Hall Blvd.,Tigard,OR 97223 C I A Plan Review L
Phone: 503-718-2439 Fax: 503-598-1960 1 J_3 Related Permit:
Date/By:
T t G A R I) Inspection Line: 503-639-4175 GITY OF TIGAB Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov 1 G Supplemental Information
1.m..niNn r islo Notified Method: / +��"
Ftn^,01.- . .)i Ili 9 f
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
[(New construction ❑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.
Valuation: $
0 1-and 2-family dwelling ®'Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 3 L41 , SW Ccf ,v ..CGi(A\ 5 i, New dwelling area: square feet
City/State/ZIP: ,0"(4..kt V 2 '1 7 Z a 3 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: A - .,.`e,A..}L Ao4ci 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: 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 application.
Ct\ i Valuation: $ �a CX,e% 00
1 -1IUr)tou. 4G \/cA. o.\\ Si,3Y\
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: 12(C.Y14,,((/4. Kc(S ,/ Type of construction:
Address: %" `i�S 5in/ CUMr`^c_cC icA.\ ► Occupancy groups:
City/State/ZIP: -! cA(A , c,ca.. CV 7 2,2-*3 Existing:
Phone:CA,0) CI 0 k -2 Z O_. Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: G4A4 C-L4.4- >n t10r„l p6,n i
Structural plan review fee(or deposit): 3
Contact name: 1;(sA L L y\-4-\
t FLS plan review fee(if applicable):
Address: c } ` NBC c ( S. Total fees due upon application:
City/State/ZIP:
\/ NA.(U U U C W/s, Amount received:
Phone:() (Del•5-ei ` Fax: :( )
E-mail: U PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
S `z J yjeAci 1 s Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: - Submit two(2)sets of roof plan with connection details
�i)C�tC f G ��` `�7 Cps 1 11'!�1C t� and fire department access,along with the 2010 Oregon
Address: 4'I ;--16/.f yt C-1 S-k— Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: o(1.nGCaa/ e{ l W and administrative fees): $180.00
Phone:(x 6®) _c=40 fis \ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 6,Coii 2C' 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.
/� * Fee methodology set by Tri-County Building Industry
H
[Print name: L4-. r, ��t(�rir7U�i Date:1 G I2 7/ 2 2--
Service Board.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
!Pi ° Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Pemnts\BUP_COM_PemvtApp.doc Rev.03/05/2019
APPLICANTS
NOTE: Person specified as`Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
•When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written
authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of this
form or submit a written authorization with this application.
THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approvaL
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner
or authorized agent of the owner,and that plans submitted are in compliance with the City of Tigard.
SIGNATURES f each owner of the subject property required.
Epp' ant's signature
Print name Date
ttrilict bdolo /0/1i/12,
Owner s signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-"18-2421 • Page 2 of 2