Permit (10) ga5,e . co/uizcza
CITY OF TIGARD bkl 3 BUILDING PERMIT
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'' COMMUNITY DEVELOPMENT Permit#: BUP2022-00219
Date Issued: 10/24/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BB01300
Jurisdiction: Tigard
Site address: 11958 SW GARDEN PL
Project: Zoom Care Subdivision: CROW PARK 217 Lot: 1
Project Description: (1)new wall sign. Illuminated channel set letters.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: BKM PARK BC 252 LLC
4243-A SE INTERNATIONAL WAY BY SLK GLOBAL SOLUTIONS AMERICA
MILWAUKIE, OR 97222 2727 LBJ FREEWAY STE 806
DALLAS,TX 75234
PHONE: 503-653-1133 PHONE:
FAX: 503-659-9191
Specifics: FEES
Description Date Amount
Type of Use: COM 12%State Surcharge-Building 09/12/2022 $23.45
Class of Work: NEW Type of Const: VB Plan Review 09/06/2022 $127.00
Occupancy Grp: U Occupancy Load: 0
Dwelling Units: 0 Permit Fee-Additions,Alterations, 09/12/2022 $195.38
Stories: 0 Height: 0 ft Demolition
Info Process/Archiving-Sm$0.50(up to 09/12/2022 $2.00
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 $347.83
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
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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: [1_,0
as-s-2_____
C3tr503.639.4175 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 of the project.
Approved plans are required on the job site at the time of each inspection.
Building- Permit Application
Commercial4 .,. ► 270063
REC`E�I FOR OFFICE USE ONLY
City of Tigard SEP 6 2022 Received / �_
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Date/BY: 1�(p/ Parmit No.: I �,I�
°PIi 13125 SW Hall Blvd.,Tigard,OR 97223 PL1n Revie 8 /
Phone: 503-718-2439 Fax: 503-598-1960 CITY OF TIGARD
Hate%ey. Related Permit
Til;,1lttt Inspection Line: 503-639-4175 BUILDING DIVISIO'`D eReady:/nv: kris: ra See Page 2 far •
Internet: www,tigard-o r.gov otifieNtvM hod: /2. /7 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-A'D 2-FAMILY DWELLING
IBI 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-autd 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11958 SW Garden Place New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:Zoom Care Covered porch area: square feet
Cross street/directions to job site: SW Garden Place and Pacific Hwy W Deck area: square feet
Other structure area: square feet
REQUIRED DATA;COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Rj27g327 Permit fees"'are based on the value of the work performed.
Tax map/parcel#: 2S1 D1 BB01300 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 One(1)set of illuminated channel letters on a backer panel hush on wall. Valuation: $8,000
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 121 TENANT Number of stories:
Name: Zoom Care Type of construction:
Address: 1455 NW Irving St#600 Occupancy groups:
City/State/ZIP: Portland,OR 97209 Existing:
Phone:( I Fax:I ) New:
(l APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: Tube Art Group
Structural plan review fee(or deposit): i jt 7. -
Contact name: Deborah Tolke
FLS plan review fee(if applicable):
Address: 4243-A SE International Way Total fees due upon application:
City/State/ZIP: Milwaukie, OR 97222
Phone:( 503)653-1133 x1217 Fax: :( 503) 659-9191 Amount received:
P.-mail: dtolke@tubeart.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CON•FI2AC'fOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Tube Art Group Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4243-A SE International Way Solar Installation Specialty Code checklist.
City/State/ZIP: Milwaukie, OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)653-1133 x1217 Fax:( 503 )659-9191 State surcharge(12%of permit fee): $21.60
CCB Lic.: 70956 Total fee due upon application: $201.60
Authorized signature: D6.619 �da„,. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Deborah Tolke Date: 9/1/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I
1:1Building1 Permits 1BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)