Permit CITY OF TIGARD BUILDING PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00094
T[GARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/08/2017
Parcel: 2S 101 DC03700
Jurisdiction: Tigard
Site address: 7095 SW SANDBURG ST
Project: UFCW Subdivision: None Lot: None
Project Description: Installation of(1)new wall sign on west-facing wall.Single element,greater than 20 pounds.
Contractor: RAMSAY SIGNS INC Owner: UNITED FOOD&COMMERICAL WORKERS
9160 SE 74TH AVE UNION LOCAL#555
PORTLAND, OR 97206 PO BOX 23555
TIGARD, OR 97281
PHONE: 503-777-4555 PHONE:
FAX: 503-777-0220
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/11/2017 $195.38
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/11/2017 $23.45
Dwelling Units: Plan Review 04/11/2017 $127.00
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 04/11/2017 $2.00
Bedrooms: Bathrooms: 11x17)
Value: $7,300
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
• Deck:
Garage:
Mezzanine:
Total $347.83
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 503.232.1987 or 1.800.332.2344.
Issued By: .Permittee Signature:
"""etifi 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
Commercial ItECEIVED FOR 0lF►( ►: LASE 011.1
City of Tigard Received Li// /
Date/By: 7 , Permit No.: : u#00/a/7 ODD Fr
• 13125 SW Hall Blvd.,Tigard,OR 97223 7 /
I: Phone: 503-718-2439 Fax: 503-598ARA 1 i 7. 7 Plan Revi i /
i Date/By: �' ,� Related Permit:60'4),20x7- .<.,,
T 1 C A R 17 Inspection Line: 503-639-4175 Date Ready/By: / Tur s: I See Page 2 for
Internet: www.ti and-or. ovTIG
py���
g g CITY OF ��Ut9hD Notified/Method:,j ,,/,/,,.....,
�/�
�j/ Supplemental Information
V
TYP3PeG DIVISIONT'U'¢
RE UIRED DATA:1-AND 2-FAMILY DWELLING
ew construction 0 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.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
9f .J it,,
Job site address: ��1/1/(7e96(1-� New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.#: Project name: LU/ 1--e Covered porch area: square feet
Cross street/directions to job site: t) 14,/ 7 2
/-? ' ( ,/1-'7'r Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
J 77../17 (Zo n / // (/i� //1(J7. /( Valuation: $ 736 c
i, )ail , re f.-, Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: /i y►/') f/^ /� /1 JJ j/ �, !/ vPteose refer to fee deposit):schedule)
(�( i r c t (/C/J [ t�ti Structural plan review fee(or deposit):
Contact name:
Address: FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:
—
Phone:( ) Fax::( ) Amount received: f7. 8 ,
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation o
roof-top nte. '•.toVoltaic Solar Panel Sys , '
Business name: X ��/?I /' Submit two(2)sets of r.• plan with co i- ton details
Address: l !� �� �J L r� j and fire department access, the 2010 Oregon
7�/ -v Solar Installation Specia • of. •ecklist.
City/State/ZIP: ' li)/71 041 a CO j� Permit fe- ' c udes plan revie , $180.00
and administrative fees):
Phone:O3) 7 7 7 6 Z 4F0:( )yZ 7 7 'j f-7 State surc arge(12%-of permit fee): $21.60
CCB Lic.: -, Z � ..:1 -
�% Total fee due upon application: 11.60
Authorized Signa e: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ��� --
/ l 7 a j C.,/, Date: y///// ] Fee methodology set by Tri-County Building Industry
/ / Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
!Pi g Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family -
Additions or Alterations
T I GA RD 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\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7095 SW SANDBURG ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00094
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor