Permit (5) CITY F TIGARD O
c DEVELOPMENT SERVICES BUILDING PERMIT
4.11. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # ° DUP98 -0565
DATE ISSUED: 01/05/99
PARCEL: 1S136CD -01600
SITE ADDRESS...: 11674 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 0 sf, N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N .... 0 sf N: S: E: W:
OCCUPANCY GRP. :U2 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 4500
Remarks : Standard TV & Appliance modification to existing sign pole.
Owner: FEES
STANDARD TV type amount by date recpt
11674 SW PACIFIC HWY PRMT $ 50.50 JSD 12 /29/98 98- 311801
TIGARD OR 97223 5PCT $ 2.53 JSD 12/29/98
98- 311801
PLCK $ 32.83 JSD 12/29/98 98- 311801
Phone #: FIRE $ 20.20 JSD 12/29/98 98- 311801
Contractor:
RAMSAY SIGNS
9160 SE 74TH AVE
PORTLAND OR 97206
Phone #: 777 -4555 $ 106.0E TOTAL
Reg #..: 000634
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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
than 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- 00101987.
You many obtain a copy of these rules or direct.q st s to OUNC
by calling (503)246 -1987.
ob
Permittee Signature: Issued By`
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
_ • .i. ,
C OF TIGARD Commercial Building Permit Application Recd By
13125 SW HALL BLVD. New Construction and Additions Date Recd i 3C
' TIGARD, OR 97223 I�. Date to P.E. /7 S ��So�
Date to DST t lx'_
(503) 639 -4171 Permit zc O5 S
Print or Type Related SWR #
Incomplete or illegible applications will not be accepted Called 0i05 1 6-V 3 '
Name of Development/Project c i f bl .,`� r'
Job t7TN.c7 / .2
Existing Building New Building ❑
-Address Street Address Suite
//' 7f/ T4)., /Fc Building
Bldg # City /State - Zip f 72 .2 3 Data .
1-
- - //4 04 -- Existing Use of Building or Property:
Name ,n
Property .S ?.av1'A.t't) 7v 4AV A,CE Nile
Owner Mailing Address Suite _ P r6 p sed Use of Building or Property:
35:2 ..516. 8.?~ 4_,404evee"" S%,t�
City/State Zil f,a44 Phone No. O Stories:
gier•CAND, Glf 77? 3377 /
Occupant Name Sq. Ft. Of Project:
0 , ,[D Ali
Name Occupancy Class(es)
Contractor /2/6�j' itrA7 V __5-/f�
Prior to permit Mailing Address 7/ uite Type(s) of Construction
issuance, a copy 7 / � D — 7 AC
of all licenses / 7 �,
are required if City/State Zip77 o Phone Will this project have a Fire Suppression System?
expired in C.O.T. ' �� 7 77-71 Yes ❑ No ❑
database pip T,CAND / Americans with Disabilities Act (ADA)
Oregon Const. Cont. Board Lic.# Exp. Date
�3�� / Valuation X 25% = $ Participation
d / 99 Complete Accessibility Form
Name Project $
Architect Valuation ys00 QO
Mailing Address Suite
Plans Required: See Matrix for number of sets to submit
City/State Zip Phone on back
Engineer Name 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
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws.
Signatur of ner /A nt Date �l c- c
City/State Zip Phone /o� os / /
• Contact Perso ame Pho
Indicate type of work: New 0 Addition 0 Demolition 0 /?C4 ' �/N /7 777-3377
Accessory Structure 0 Foundation Only 0 Alteration 0
Repair 0 Other ' FOR OFFICE USE ONLY
Description of work: �E 0 f/g, /V44 f Land
:27v...7727.4.4 /N4 n/6"4.; S /4' % MapTFL#
' '
5( - 3K K tJl(o� . (lit.i q __
- �.ie /A/ ,ivT� L' o/✓CO�/7 //` Notes:
Parks: Estimated # of Employees / TIF:
If the above figure Is not supplied at the time of application, the city will
-- calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must precede or accompany Building 01<t) �f - 0 /I _
Permit Application 120 1V 0 a v
I: \COMNEW.DOC (DST) 5/98 r4-)71— /52� ��j .. 460,
• C1 \I fil 1
-1 •
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Raiiiiiii4ii4600eidetiffuoiiiittiboiittaEtitiBta.ROOfiANCiiiecOMPLETE042_.--
oppkpallgtoi!:gilEcflpoiiploctopAlogongtalilttgiappitgattonpg$tiiicntgtrAlftgopiimmoir
••••••••••••••••-•::: revew will be conduofed 001.10#ure:41:::thavUpie.rvtstnoe.16btrtetargbeforwtr
pia
After plan reyw approval, PIais Examinerwdl contact the applicantto request
additional p1ansets for thstributtaittertjq$0m.i:coprifOr Contraotor City. —
V.VathihOttlit County, Tualatui Valley Fire & Rescue)
TYPE OF SUBMIflAL Plans •
KEY:
.......................... ....... Subntted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building -
F (New or Add or Alt) 3 F = Fire Protection System
•
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing - -
(New , Add) Building
- —
•
NOTES:
I:\dsts\niaxtrixl .doc 07/06/98 •
-7-7 _ .
._:.: ..::
CITY OF TIGARD
p � i �,�� DEVE SERVICES
S IGN F`ERPH }IT
PERMIT :: 513N98 -0175
\\/..---- DATE ISSUED ^ 01/05/99
. ( 0 p
PARCEL....... ^ .: 1 S 1 ,6CD -01600
ZONE.^^.,, . C —S
JURISDICTION...: TIG
BUSINESS NAME..: RAMSAY SIGNS
SIGN LOCATION—: 11674 SW PACIFIC HWY
APPLICANT / GENT: STANDARD TV
BUSINESS TAX NO
SIGN:
PERMANEN (X) FREESTANDING (Y) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS,. : 4')(17'6"
TOTAL SIGN AREA....... 140 w q ^ f t .
WALL AREA ^ 0 sq.ft.
WALL_ FACE (DIRECTION): NA -•
SIGN HEIGHT.......,..: 20 ft.
PROJECTION FROM WALL.: 0 in. .
ILL.UMI NAT ION ^ INT
DESCRIPTION OF SIGN: Standard TV &:• Appliance � +
MATERIALS ^ ALUM, STEEL._, P
EXISTING SIGNS.. . ..... 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED— : Y
ADMINISTRATIVE EXCEPTIONS.: N/A
PERMI1• FEE: $ 50. 00
This peroit is issued subject to the regulations contained in the
Tigard {Municipal Code State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved
approved plans. A sign peroit shall expire 90 days from approval date.
A temporary sign shall expire 30 days frog approval date. A balloon sign
shall expire le days from approval date.
e i:; - ' -- --14-1 1
APPROM) BY: _ - <
' PEII4ITTEE SISNATIJRE� r_T - - :1 e / -C'
i
DATE: 01/05P39
6/9/00 • Activities for Case #: BUP98 -00565
3:32:03 PM •
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 12/29/98 JSD PASS JSD 12/30/98 Received w /SGN98 -0175 and
associated ELC.
BUPC008 Permit created 12/30/98 JSD PASS JSD 12/30/98 • BUPC012 Plans routed to Plans Examiner 12/30/98 JSD PASS JSD 12/30/98 SGN98 -0175 and ELC98 -0751
accompanied the BUP. jsd
BUPCO24 Plans Approved by CPE 1/4/99 RDP APPR RDP 1/4/99
BUPCO26 Approved Plans routed to DSTs 1/4/98 RDP APPR RDP 1/4/99
BUPC802 Final Inspection 2/4/00 TLP PASS AKJ 2/15/00
BUPC792 Misc. Inspection 1/4/99 • RDP 1/4/99
BUPC090 (F) Ready to issue 1/5/99 JSD PASS JSD 1/5/99
BUPC100 (F) Issue permit 1/5/99 JSD PASS JSD 1/5/99 Per applicant call and mail".
Notified Amber at 1003am
01/05/99. jsd
BUPC960 Case Finaled 2/15/00 AKJ DONE No Hold AKJ 2/15/00
•
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