Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00135
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2019
Parcel: 2S101AB90131
Jurisdiction: Tigard
Site address: 12011 SW 70TH AVE
Project: Benchmark Physical Therapy Subdivision: RED ROCK CREEK CONDO Lot:
Project Description: New wall sign weighing 63 lbs.
Contractor: HANNAH SIGN SYSTEMS INC Owner: TIGARD CH HOLDING LLC
1660 SW BERTHA BLVD ATTN HOOBLER, MEGHAN
PORTLAND, OR 97219 26180 SW FRENCH OAK DR
WEST LINN, OR 97068
PHONE: 503-946-8373 PHONE: 503-946-8373
FAX: 503-206-4900
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/07/2019 $119.33
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 06/07/2019 $14.32
Dwelling Units: 0 Plan Review 05/28/2019 - $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/07/2019 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,300
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $212.71
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 C''ter. hose rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• • -- - - • ect questions to OUNC by calli a 503.232. • or .800.332.2344.
1
Issued By: .0111 Permittee Signature:
all•13.639.4175 by 7:00 a.m.for the next available inspection Ate.
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 Applicatip „ ,, -4i
Commercial _._ FOR orFI( I. t Sl.Oy1.v
City of Tigard MAY 2 8 2019 Received
Date/By: c ! P fr'O'Citi 135—J 5—
III13125 SW Hall Blvd.,Tigard,OR 97223 ..� Plan Review ----.‘ n
° a Phone: 503-718-2439 Fax: 503-5984960 "": Date/By: 3n o) 1 , Related Permit:
r 16,k t) Inspection Line: 503-639-4175 talii,-.+_1.3 i 1 V )iL)" Date Ready/By: S � Jur Is. 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method�j k / �� r Supplemental Information
b1 1!/ )'Vi
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New 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:
Job site address:12011 SW 70th Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:BenchMark Physical Therapy 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:Red Rock Creek Condo Lot#:3 Permit fees*are based on the value of the work performed.
Tax map/parcel#:2S 101 A690131 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.
" / / Valuation: $ 2.300 —
Existing building area: square feet
New building area: square feet
Vi PROPERTY OWNER 0 TENANT Number of stories:
Name:Tigard CH Holding LLC Type of construction:
Address: 515 NW Saltzman Rd#898 Occupancy groups:
City/State/ZIP: Portland, OR 97229 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Hannah Sign Systems (Please refer rofe
sckedrrk)
Structural plan review fee(or deposit):
Contact name:Dave Lanphere
Address: 1660 SW Bertha Blvd FLS plan review fee(if applicable):
City/State/ZIF Total fees due upon application:
Portland. OR 97219
Phone:(503 )946-8373 Fax::(503 )206-4900Amount received:
E-mail: davel@hannahsignsystems.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Hannah Sign Systems Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1660 SW Bertha Blvd Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97219 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503)946-8373 Fax:(503 )206-4900 State surcharge(12%of permit fee): $21.60
CCB Lic.: 203638 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Dave Lanphere Date: c/�j/f Ol * Fee methodology set by Tri-County Building Industry
Service Board.
I:\isuilaingu-ermhs\tsur COM_rermtIApp.aoc Key.04/21/21/14 440-40131(11/O2IU JM/wE13)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12011 SW 70TH AVE, TIGARD, OR, 97223 July 25, 2019 at 9:17:52 AM
Record Type: Record ID:
Commercial - Building BUP2019-00135
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor