Permit CITY OF TIGARD BUILDING PERMIT
.71 0 . COMMUNITY DEVELOPMENT Permit #: BUP2010 -00220
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2010
TIGARD Parcel: 1S135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Tigard Plaza
Project Description: Relocate existing freestanding sign approximately 30'.
Owner: FEES
TIGARD PLAZA LLC Description Date Amount
8320 NW HWY 99 Permit Fee - Additions, Alterations, 10/06/2010 $195.38
VANCOUVER, WA 98665 Demolition
PHONE: 503- 643 -5757 12% State Surcharge - Building 10/06/2010 $23.45
Plan Review 10/06/2010 $127.00
Contractor:
SIGNCRAFT ELECTRICAL LLC
8900 SW BURNHAM
TIGARD, OR 97223
PHONE: 503 -639 -4910
FAX: 503 - 639 -4999
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 22 ft
Bedrooms: 0 Bathrooms: 0
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 $345.83
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 ules are set orth in OAR
952- 001 -0010 through OAR 952- 001 -0100. You i>20Y obtain a copy o - • • direct questions to OUNC by calling 5 .24. •69- • 1.800.332.2344.
Issued By: • - ermrttee Signature: 1.L
■ r
CaII . r' 5 by 7:00 a.m. for an inspection the buss s day.
This permit card shall be kept in a conspicuous place on the job s' un • completion of the project.
Approved plans are required on the job site at the time o each inspection.
Building Permit Application
Commercial RECEIVED
l►rrlci.: usl�: c���l.1
City of Tigard Received B ,p D Permit No.: hu 1 : 0 Q 1 , D
111
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan R evi
is Phone: 503.639.4171 Fax: 503.598. f'9 3 ? 0 Z O ' O DateB �P �!� ��� — lei Other Permit:
v�
r i , n is i i Inspection Line: 503.639.4175 Date Re: r Jig. ® See Page 2 for
Internet: www.tigard -or.gov CITY OF TIGARD tified/Method: / Supplemental Information
Ri ��[ ,DING DIVISION w/ k
TYPE WORK QUIRED DATA: 1 - AND 2- FAMILY DWELLING
si New construction ❑ Demolition it 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.
❑ 1- and 2- family dwelling Valuation: $
❑ Commercial/industrial
1
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: L; s New dwelling area: square feet
City /State /ZIP: --t J aj -�T Z q 1 a-, Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: --T i 5 p 1 to .f. ..„ .. _ Covered porch area: square feet
Cross street/directions to job site: ►trvu .4. qq+` Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: ,---- I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: ,-- 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.
Re ''M y A Valuation: $
11F iv f(Yit7tn Lani
n -.t- , : l n PA ll44& 0 G011 RCri `_ —
p o .I- ; mWt LA S i s n 3 D4 4-• i , Q �y Existing building area: square feet
1 c rl .d'l�G 4.• y .J
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: % t `lA,� y ,, (---), 46 ( Type of construction:
Address: A I (11r3 ((Ylc.�d rtr_AI /? I v L Occupancy groups:
City /State /ZIP: pn.rk.A r-. L h -.);,,1 a r't Existing:
Phone: (93 )
ID 4 3 - ,'7r 5 1) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: "' rA p ( 4.2=. _ All contractors and subcontractors are required to be
Contact name: J licensed with the Oregon Construction Contractors Board
r-•C -k_ 34 , _ under ORS 701 and may be required to be licensed in the
Address: 1 ir ' _ jurisdiction in which work is being performed. If the
`l'" �' — �" u applicant is exempt from licensing, the following reasons
City /State /ZIP: . fi^ , apply:
Phone: (Z ) ,t•- 3 - Fax: : ( )
E -mail 5 <_o.�rt 6 S i Sn' -i
d-. + ' 4,-4- a .,c:(- rt.cs_G. r ".�
CONTRACTOR
Business name: S `c L ,7,, „ _f_4_ eie_ _4'l'tf n i pa, /i BUILDING PERMIT FEES*
Address: JJ (2 �' � c k I p9 (Please refer to fee schedule)
� c Si-- - t tnh,, ,„� R
Structural plan review fee (or deposit):
City/State /ZIP: 7 A c i . C-t7)2-3
FLS plan review fee (if applicable):
Phone: (SO3) GA 9 _ `fa l Fax: ( SC?) ) /02c , •-q S(c.a
Total fees due upon application:
CCB lic.: / 5 ,S t.J 1
i f % ill "` Amount received:
Authorized signatur • ' AA This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: r A, ^ - — Date: 9 1 i) J I ,_, • Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
e
° Building Division
Accessibility: Barrier Removal Improvement Plan
- r1Gi \I&D
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 per -cent (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): $
1: \Building \Permits \BUP -COM PermitApp.doc 06/25/08