Permit CITY OF TIGARD BUILDING PERMIT
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$ COMMUNITY DEVELOPMENT Permit #: BUP2013 -00279
T L GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/02/2013
Parcel: 2S112DD00200
Jurisdiction: Tigard
Site address: 15500 SW 72ND AVE 200
Project: Trinity Flooring Subdivision: 1994 -006 PARTITION PLAT Lot: 2
Project Description: New freestanding sign, approximately 55 square feet, located at 15500 SW 72nd Avenue for Trinity Flooring.
Contractor: GUIDED PATH VENTURES, INC Owner: PACIFIC REALTY ASSOCIATES LP
15812 UPPERBOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 639 -5656 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: QOM
Class of Work: ALT T Permit Fee - Additions, Alterations, 12/02/2013 $134.54
ype of Const: Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 12/02/2013 $16.14
Dwelling Units: 0 Plan Review 11/07/2013 $87.45
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/02/2013 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $4,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $239.63
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 applicable law. All work will
be done in accordance.wifh approved plans. This permit will expire if work is not started within 180 days of issuance, or if ork is suspended for more the 180
days. ATTENTION: Oregon -w requires you to follow the rules adopted by the Oregon Utility Notificatioq Cent= Those ules are set forth in OAR
952 -0 X through OAR 952 -. - 6 6 . 1 . Y• may obtain a copy of the rules or direct questions to OUNC by calling 503 232 19; •r .800. 2.2344.
I sued By: �� / Permittee Signature:
O. WIC el
r
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This rmit card shall be kept pt 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 ECEIVE� I OR f ►Fl l(l I ,t f► \I 1
Cl of Tigard v Received / Permit No.. 4 An
`J and R g Date/B : /e ��/ /' i 1
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13125 SW Hall Blvd., Tigard,OR 97223 Plan Revie
• Other Permit: C
Ph one: 50 3- 718 -2439 Fax: 503 - 598 -1960 Date/B : A ` /Af (�'j J • , (.1! -••••i'
Line: 503 -639 -4175
Inspection 7 2013 Date Ready :: 7 eris • El See Page 2 for
I ICi ARD p NOV
Internet: www.tigard- or.gov Notified/Method: /9 /1// 1.' " 7 Supplemental Information
ITY OF TIGARD Al fI —
TYPE OF ING ntVISION REQUIRED DATA: 1- AND 2-FAMILY DWELLING
Iew construction D emolition 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.
CI 1- and 2- family dwelling ❑ Commercial/industrial
Valuation: $
❑ 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: I � . ' 00 1� S � 7 2 4∎49 P., \I- � . New dwelling area: square feet
City /State /ZIP: ` l GA114 t. O 1~ 1 1 yZt f Garage /carport area: square feet
Suite/bldgJapt. no.: Project name: (/ 1417 Y -X.,(:) 6114 /J& Covered porch area: square feet
Cross street/directions to job site: of e& i t__ �S ' ` l _ _'.( � Deck area: square feet
11 t ^ Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK - l � - work indicated on this application.
N .).% t �0 (N`%fi - t t A &-Q , c IW , l� ANt T t.C�w •' ` Valuation: $ 40-150
Existing building area square feet
New building area: square feet
ett OWNER I ❑ TENANT Number of stories:
Name: f he.... 1`-Ai ` ` , r Type of construction:
Address: I S ?, 9'0 s V\l , S E( O Q t pS Occupancy groups:
City /State /ZIP: Et &T vn I O 0(1 L T Existing:
Phone: (O ( _ (0.5 0--0 Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please
Business name: : �a to f« u�lf�
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
i
City /State /ZIP: Total fees due upon application: i' 7 45
Phone: ( ) Fax:: ( ) Amount received:
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: p t c (Nc_T s (6_,J A t, JU r Submit two (2) sets of roof plan with connection details
-1 ,, and fire department access, along with the 2010 Oregon
Address: ( C ( 2- 0 PP. -iZ Y" €S E/Lel Solar Installation Specialty Code checklist.
City /State /ZIP: C....(4..4&,. 0 g -C O� ,--/ O?) Permit fee (includes plan review $180.00
1 and administrative fees):
Phone: (; ?j 057 – 5-, S 4 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: i U & co
Total fee due upon application: $201.60
Authorized signature: 1 �� This permit application expires if a permit is not obtained
r - within 180 days after it has been accepted as complete.
Print name: �� 6 t N� Date: t t & ( j 3 * Fee methodology set by Tri -County Building Industry
1 Service Board
1 I:\ Building \Permits\BUP_COM_PennitApp.doc Rev. 12/11/2012 LO-46l3T(l 1/02/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, 9,
excluding painting and wallpapering: [1] $ 60 0
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ( 06 0
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 \Pemuts \BUP_COM_PemvtApp.doc Rev. 12/11/2012
• S , .
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7.17 City of Tigard
Sign Permit Application
TsI "GARkD
GENERAL INFORMATION
Name of Development /Project FOR STAFF USE ONLY
Site tF4 NIT-I F-L Cis
Address/ Street Address ` Permit No.:
Location 1 5 50O SUS( 72 -1 ' V Approved By
Swte /Bldg. # City/State
,, Zip }
1102304-D l QI G 1 Z 4 � /_ Date:
Name " Fee:
Property 1 Act. T) ST Receipt #:
Owner Mailing Address Suite Map /TL#:
I C350 sv4 seav Oi lik ?IVY S 360 zoning.
City /State Zip Phone
Allowable Total Area:
T(c,Ad , 8R- g? P'(Go3) 6Z4- 63 DO
Tenant or Name
Business 134 0 r F1 AG Electrical Permit Required? ❑ Yes ❑ No
Name 1 ��.► Building Permit Required? ❑ Yes ❑ No
Sign D (sr' 0 cr S f GN . n o r Rev. 10/21/2013
gII l l l 1: \CURPIN \ Masters \Land Use Apphcatums \ Sign Permit-doe
Contractor Nailing Address Suite
(68(z U P P p n & o s reppe g
cit /State Zip Phone
L OS 1;4 6 1 7 0% - (e03) 63•=1- 54 S(o REQUIRED SUBMITTAL ELEMENTS
-Oregon -Const Cont.- Board - license #— - Exp. -Date-
f F? ( & 4 ( 5 15 ❑ Completed Application Form
Proposed .er Permanent I4 Freestanding ❑ Freeway ❑ 2 copies of elevations on 8'/2" x 11" or 11" x 17"
Sign ❑ Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check an that ❑ wan ❑ Oth«
apply) ❑ 2 copies of site /plot plan, drawn to scale, on
81/2" x 11" or 11" x 17" pages (required for
J New sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimzsio x Q ^ k W l ❑ Application Fee
Total Sign Area
�� (sq. ft.): S3. 3 NOTES:
• Applications will not be accepted without all required
Sign Data Total Wall Area (sq ft) _ % submittal elements.
(Complete all Direction Wall Faces (circle one): • Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
seCtiOn) N S E W NE NW SE SW
Height to to of sign (feet): 4 - • Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall (inches): permit from the Building Division for construction. If
Materials: qt_ fAze l .A U)M, e-iscirl any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? 'Yes ❑ No plans must be prepared by a structural engineer.
Type: ,Internal ❑ External • When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site /plot plan must be submitted with application.
❑ Yes 'VI, No
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 of 2
•
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record, a lessee in possession with written
authorization from the owner, or an agent of the owner. The owner(s) must sign this application in the space below or submit a written
authorization with this application. *
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
I hereby acknowledge that I have read this application, that the information given is correct, that I am the
owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard.
SIGNATURES of each owner of the subject property are required.
1 /
' DISTigtr Si CEGMY 4 ( l3
Applicant S': - Date
ZeirA0g, //.
ignature o Owner /Agent Date
•
. r 4I .I _ . / f10.11./. ,I i • • • , Lam✓
Owner /Agent's Name (Please Print) ide Phone Number
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 2 of 2
80" - - - .
> RECEIVED
•
NOV 7 2013
CITY OF TIGARD
BUILDING DIVISII
.. ,
Approx. 56 "
. ,
48" TRINITY
FLOORING
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crnc2FT6iTARD Bottom of sign to follow slope of ground
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lIp,roved ......a........................
APPROVAL:
onditionally Approved.........- [ ]
ke Letter to: Follow.................• [ 1 ,
Atti ...............bj Illuminated Double-faced sign with mason b.s /
,i.initNumber: )P20t7- r ib"
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• 'S t12.) 1 S 1 nature Date
ly: Date: Approved plans
CA,dz shall be on iob site.
OFFICE COPY SIGNAGE APPROVED FOR PRODUCTION
G R OUP Trinity Flooring Date: October 29 2013
Name:
Title:
- 15500 SW 72nd Ave Scale: Pr000rtlonal
15812 Upper Boons Ferry Signature: Date: / /
Lake Oswego, OR 97035 Portland, OR 97224 smespers.: Hal Payne
Ph (503) 639-5656
Landlord Signature Date / /
F (503) 624-8706
dIstInetsign.com
These plans are the exclusive property of Distinct Signage Group and the result of the original work of its employees. They are submitted to your company
for the sole purpose of your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to
these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a similar sign is
expressly forbidden. In the event exhibition occurs, Distinct Signage Group expects to be reimbursed $500 for time and effort in creating these plans. The
respect of our creativity and time is appreciated by those who have worked on your behalf.
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APPROVAL:
Illuminated Double -faced sign with masonry b s �_ jj •lo
Sig Giu�rc; to
CZ:s i i i/j, i ii4c e
S I G N AG E APPROVED FOR PRODUCTION
G R O U P Trinity Flooring Date: October 29.2013 Name: Tina:
15500 SW 72nd Ave Proportional
15812 Upper Boones Feny ve s Signature: ___. Date / - /__.
Lake Oswego, OR 97035 Portland, OR 97224 salesperson: Hal Payne
Ph (503) 639 -5656 Landlord Signature: __._. Dale. /_. /_
F (503) 624-8706
dlstlnctslgn.com These lans are the exclusive property of Distinct Signage Grou and the result of the original work of its employees. The are submitted to your company
P P P Y Group They Y P Y
for the sole purpose of your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to
these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a similar sign is
expressly forbidden. In the event exhibition occurs, Distinct Signage Group expects to be reimbursed $500 for time and effort in creating these plans. The
respect of our creativity and time is appreciated by those who have worked on your behalf.
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Site Plan for Tr F loor i ng
15500 SW 72nd Ave.
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APPROVAL:
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SIGNAGE
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G R O U P
Sign :. ate