Permit n CITY OF TIGARD BUILDING PERMIT
l3 COMMUNITY DEVELOP Permit #: BUP2013 00003
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2013
Parcel: 2S 112 DA01200
Jurisdiction: Tigard
Site address: 15060 SW SEQUOIA PKWY
Project: PacTrust Subdivision: 1995 -098 PARTITION PLAT Lot: 3
Project Description: (3) Monument signs
Contractor: SECURITY SIGNS INC Owner: PACIFIC REALTY ASSOCIATES
2424 SE HOLGATE BLVD ATTN: N PIVEN
PORTLAND, OR 97202 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 546 -7114 PHONE:
FAX: 503 - 230 -1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ADD Type of Const: Permit Fee - Additions, Alterations, 01/31/2013 $256.22
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 01/31/2013 $30.75
Dwelling Units: 0 Plan Review 01/31/2013 $166.54
Stories: 0 Height: 6.5 ft Info Process /Archiving - Sm $0.50 (up to 01/31/2013 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $456.51
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 th g OA' • - 001 -0090. -u may obtain a copy of the rules or direct questions to OUNC by calling 501232.1987 or 1.800.332.2344.
Issued By: / / / Permittee Signature:
� v
Call 503.639.4175 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 RECEIVED
. . .
Commercial , , FOR OFFICE USE '
. i
City of Tigard JAN 0 3 20 13 Received
J H Date/B 5 ,
' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review is
II
. <� Phone: 503.718.2439 Fax: 503.598.196 � f1JJ
TIG� Date/B : Ar�� Other Permit:
T I G A R D Inspection Line: 503.639.4175 �I 1I Date Ready : y: lure. ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 7 I f T1 (,, Supplemental Information
U ' Ltl £ ' iSSC1/4..
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.
111 1- and 2- family dwelling Valuation: $
® Commercial /industrial
El 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: • + — _ + New dwelling area: square feet
G,�,
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: rtc 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: 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.
C O �, 1�1 , ` R �K ` _ Valuation: $ 1z G —
l � �1C Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Security Signs (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Melissa Hayden
FLS plan review fee (if applicable):
Address: 2424 SE Holgate Blvd
City /State /ZIP: Portland OR 97202 Total fees due upon application:
Phone: (503) 546.7114 Fax: : (503) 230.1861 Amount received: l� Sy
E - mail: Melissa @SecuritySigns.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Security Signs Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City /State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: 122809
Total fee due upon application: $201.60
Authorized signature: / J - - This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name: Melissa Hayden Date: * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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): $
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
q Building Division
° - Development Code Provision Review
T I GA RD Commercial Projects - No Associated Land Use Case
Building Permit No: ,(P a0 / 3 000 ❑ Expedited Review
Plan Submittal Date: l 3 /13
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved. , /Q/
Planning Review (contact at 503 -718 Y 7O or (" -4@tigard - or.gov)
Proposal: r ,
,I//I X I Lf_ �; L1� ' v1
Zoning r 1
Permitted Use Yes DI No ❑ ,_,/
Land Use Required: Yes ❑ No E
Notes: 4 (ili c: 7 ' ^ 0,0/97
A r / 7 /, 3
0 Approved Date:
REVISED 10/4/12