Permit CITY OF TIGARD BUILDING PERMIT
g a'' COMMUNITY DEVELOPMENT Permit#: BUP2020-00053
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2020
Parcel: 1S136DB00201
Jurisdiction: Tigard
Site address: 11577 SW PACIFIC HWY
Project: Bridgetown Optometric Associates Subdivision: None Lot: None
Project Description: Installing 100 pound illuminated wall sign on the east elevation.
Contractor: SECURITY SIGNS INC Owner: FRED MEYER STORES INC
2424 SE HOLGATE BLVD STORE#375
PORTLAND, OR 97202 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/28/2020 $180.17
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/28/2020 $21.62
Dwelling Units: Plan Review 02/26/2020 $117.11
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 04/28/2020 $2.50
Bedrooms: Bathrooms: 11x17)
Value: $6,545
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $321.40
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended far more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: :4/44_
Permittee Signature: }�jl � G���ZZ�/// ��++���/// Call 503.639.4175 by 7:00 a.m.for the next available inspection datee... / ✓✓✓��,
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard D$ e1,c902{) %r 1, ;a20 6)07:e,
II 2 w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /�
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: L'I 3 Zr) II � ODD
T I GA RD Inspection Line: 503-639-4175 Date ReadyBy. �� hair 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ,? / Supplemental Information
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KNew construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
'"t" veg€ ctiu Cat a�� t work indicated on this application.
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Valuation: $
El1-and 2-family dwelling 'st Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other:
} Number of bathrooms:
a
r Sat 4:::1P4 r11+ ORl� O 5 Total number of floors:
Job site address: //5-77 5f.„.„) Phrj/G 1 1>( New dwelling area: square feet
City/State/ZIP: 77 6A-9 DR e9-722.3Garage/carport area: square feet
Suite/bldg./apt.#: Project name:(32iizerct„.3.& oftmenetc, Covered porch area: square feet
Cross street/directions
to job site: Deck area: square feet
st✓ .72440 /411E— Other structure area: square feet
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JaMpT.,
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
rauu- --- -4 --: - work indicated on this application.
1N5rgGL / q i L 514A Valuation: $ (,6(/5- -
bA1771-g 7— ioi i Existing building area: square feet
_� /oo 65 "��1 New building area: 6, square feet
. .Y �i$l'FB �''. ,sue -
- rn 'r Number of stories:
K'�^E 4 t@3.�.�5`i � S .tF:r2x '4 � iE�'+lk9A4�J
Name: F>f /04 f ii704)// OPTPA 72 G Ce- Type of construction:
Address: // 5-77 J fA-e-46£ f - Occupancy groups:
City/State/ZIP: % , 17223 Existing: .
Phone:( ) Fax:( ) New:
z.-.7wiz---';,-175-A" _ ,� . 4 _
� ,�.. _ 1:1 , .. , T a l&VutTae sehedu a r
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Business name: Y Structural plan review fee(or deposit):
Contact name: C L/A Q( Curz)eKS
FLS plan review fee(if applicable):
Address: 2y2LI OL SE J g.-ram 131-
City/State/ZIP: PDR-1-1- L3 CK '9?2�2 Total fees due upon application:
,
Phone:(5* g y( 7L p2 Fax::(Jb0 2 30 /86 Amount received
- /� -tI—�_ / �/i//}� C r� ` "'� 3�.`�r�, a� m ,r-rr rsa „t,.wn"` ,2-_k
• , ,€ ,%-, . s ,-,-,�t,e1•f , •• Commercial and residential prescriptive installation of
V,< � t'-,,'-.4V1 tc:11 . q tg, L. .,_ ... . roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ' ebyee 5/4Ais 1N Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: U 21./ 9 — j am,-- Solar Installation Specialty Code checklist.
2e-/-City/State/ZIP: o/ e ` Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 5,1 ray/ 710.2 Fax:( 7 2-3 r- IB'( State surcharge(12%of permit fee): $21.60
CCB Lic.: t2-2-00,
-����{JJ� ��� Total fee due upon application: $201.60
Authorized signature: %nil) ,CJ This permit application expires it a permit is not obtained
CC _ / within 180 days after It has been accepted as complete.
Print name: CY,4( (-�cS Date: 0�12b1zo * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BIJP_COM PemuitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ " Transmittal Letter
TIGARD 13125 SW Hall Blvd. •.Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: ,M DATE RECEIVED:
DEPT: BUILI?ING DIVISION RECEIVED
APR 2 2 2020
G FROM: ti�t CITY OF TIGARD
!s iS �S BUILDING DIVISION
COMPANY: rceei,tvyT ,r ‘5, u /S
PHONE: Ccv3) 5114,-71.02, By:
RE: 1 7 Si") Ju c f fi G �Lt l " �a� dW
(Site Address) �!// (P rmit umber)
rojccl nedjhe or subdivision nam )rrr number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
FOR IOFFIcE USE ONLY
Routed to Permit Technician: Date: 1-1. 7. Z- Initials:
Fees Due: ❑ Yes ` No Fee Descriettion: Amount Due:
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: 2. . Date: C{d?/- Initials•
1:\Building\Forms\TransmittalLetter-Reevisio_ns.doc 05/25/2012