Permit CITY OF TIGARD BUILDING PERMIT
Ill 2 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00019
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/21/2012
Parcel: 1 S136AD06000
Jurisdiction: Tigard
Site address: 11437 SW PACIFIC HWY
Project: Carl's Jr. Restaurant Subdivision: VILLA RIDGE Lot: PTS 1 -2
Project Description: Installation of (1) 20' freestanding sign.
Contractor: ADVANCED ELECTRIC SIGNS INC Owner: EJM PROPERTIES INC &
1550 DOWN RIVER DR MAVERICK DECATUR GEORGIA LLC
WOODLAND, WA 98674 3633 E BROADWAY
LONG BEACH, CA 90803
PHONE: 360 - 225 -6826 PHONE:
FAX: 360 - 225 -8299
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 02/21/2012 $164.96
Class of Work: OTR Demolition
Dwelling Units: 0 12% State Surcharge - Building 02/21/2012 $19.80
Stories: 0 Height: 20 ft Plan Review 01/27/2012 $107.22
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 02/21/2012 $64.00
Value: $6,000 DC Provision Review, COM TI - LRP 02/21/2012 $9.00
Info Process /Archiving - Sm $0.50 (up to 02/21/2012 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $370.98
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 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 ENTION: Oreg law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 - 001 -0010 through OAR 95001 -0 . ou 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: /_. A /`,
,....) Call 503.639.4175 by 7:00 a.m. for the next available Inspectio 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.
P
uilding Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received a -! Permit No.: ;. e( e Qrf7 1.2 - 9
. C ° 13125 SW Hall Blvd., Tigard, OR 972 gN 2 7 2012
Plan Reviet� a� 4
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I "l other Permit:
I' i c. n it U Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: d , /�, luri ® See Page 2 for
Internet: www.tigard or.gov BUILDING DIVISION Noti ed/Method: f1 �YJ• Supplemental Information
tuaP..i 1�v4 - .
TYPE OF WORK UIRED DATA: 1- AND 2- FAMILY DWELLING
k5 New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (romded to the nearest dollar) of all
❑ Addition /alteration/replacement p Other:5 /(„.) equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling El Cornmercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
ii 4137 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4444 7 r . 5W PAC) Cj C 1.119^l New dwelling area: square feet
City /State /ZIP: j( b 01, Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: OW S Sk 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: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ ei MO
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Dfk / Kw u F ans Type of construction:
Address: Fans Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):.
Address:
City /State /ZIP: Total fees due upon application:
Amount received: 1 f) 7 , P-2-
Phone: ( ) I Fax::( )
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted P' I toVoltaic Solar Panel System.
Business name: �p� Submit two (2) sets o oof plan with connection details
i 'e" /�1�)� �'11;�1�� c 5 and fire department ace- , along with the 20 �Bon
Address: /5 0 c si.mhtlidk D! Solar Installation Special , ode cFleclef' .
City /State /ZIP: r w/�D1 _I COQ[ Permit fee (includ- review $180.00
V Vr f�' - • • ministrative
Phone: (30) 7'1Cs G I nc Fax: ( ) St. e surcharge (12% of permit fee): $21.60
CCB lie.: intS 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: D 5 A s o Date: / ^ 9 , 7`/ 2 • Fee methodology set i -County Building Industry
VI = Service Board. Cf
1:1BuildinglPermitslBUP -COM PermitApp.doc 02/24/2011 440- 4613T(l I /02 /COM/WEB)
r.
q. 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 %0). -
•
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: $
(0 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 •
I
e ° Building Division
Development Code Provision Review
TIGARD Commercial Projects with Approved Land Use
Building Permit No.: 3 c._ P o'lo / a -o Co l9
Land Use Casefile No.: 2 otolb -cc43
Routed Plans:
Submittal Date: (/a7hg•
Submittal Date:
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items o the left side that are approved.
Planning Review (contact at 503 -718 - O OM or @tigard- or.gov)
L7 Lind Use Approval
Building Plans Match Approved Plan: Yes No ❑ I
EVMaximum tinitglft Height 14 P-7 ' '��`"�- 1 - J
/J
❑ Conditions Met /� l / /' ,, D,, 4 ! 1, pt e l .
Notes: 0/ 74, /J�V '� `'
APC/ 1 / 0 / ;/----
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope: cyo
❑ PFI Permit #
❑ Conditions Met /� ,1
Notes: / "
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
City Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @tigard - or.gov)
❑ Street Trees
❑ Protected Trees
Notes: � J
Original Plan: Approved ❑ Not Approved ❑ Date:
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not'Approved ❑ . Date:
•
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay. to Issue Permit
❑ Engineering Okay to Issue Permit
Notes: _
kci
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
•
•
Page 2 of 2
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ELECTRONIC SIGNS