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Permit CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT Permit #: BUP2013 -00271 13125 SW Ha ll Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2013 T f c� t1 R L 9 Parcel: 2S102C603200 Jurisdiction: TIGARD Site address: 9975 SW FREWING ST Project: United Urgent Care Subdivision: • FREWING'S ORCHARD TRACTS Lot: 21 Project Description: Installation of (2) wall signs Contractor: VISION SIGNS LLC Owner: MASSIH LLC 16127 NE THOMPSON STREET BY PIERROUZ YASAVOLIAN PORTLAND, OR 97230 8 BECKET ST LAKE OSWEGO, OR 97035 PHONE: 503 -442 -1195 PHONE: 503 - 704 -4240 FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 12/09/2013 $77.00 Demolition Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 12/09/2013 $9.24 Dwelling Units: 0 Plan Review 12/09/2013 $50.05 Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/09/2013 $1.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $1,200 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $137.29 Requlred: 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. TENTIOW- Clregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 01 -0010 through OAR -952 -001 -i a •0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Is ued By: i his. . /2 , , • / i ` Permittee Signature: , j �� LLB 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. $uildinQ Permit Applicatio 1lll1II.1lIlll.11llIll1l.1IlIllIl't' Commercial 1RECEIVED FOR OFFICE USE ONLI Received City of Tigard NOV 5 2013 DateB : ft© di Permit No.: , --a/27/ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503- 718 -2439 Fax: 503 -598 DateB : Other Permit: `� OF I I c Al(l) Ins Line: 503 -639 -4175 D Ready : 4 Lurie. ® See Page 2 for • g g BU ILDING DIVISION ' � /� Supplemental Information Internet: www.ti and or. ov Notified/Method // / / •� TYPE OF WORK / REQUIRED DATA: 1- AND 2- FAMILY DWELLING (g New construction ❑ Demolition Permit fees* are based on the value of the work performed. J Indicate the value (rotnded to the nearest dollar) of all ri ❑ Addition/alteration/replacement ❑ 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: $ W ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: 1 JOB SITE INFORMATION TION AND LOCATION Total number of floors: W `? S W ,FR {i/jil SO y New dwellin g area: square feet � Job site address: q City /State /ZIP: / ! a P o V D Garage /carport area: square feet Suite/bldg. /apt. no.: /PO I Project name: de A Uy �,f �/ aA Covered porch area square feet Cross street/directions to job site: D J � J V Deck area: square feet ZJ .2 Vt/ 1 R I tl c P d W 1 G ti 1mi Other structure area: square feet N. ,3 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 (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK ` work indicated on this application. w / /I4�rlr r' , led (164,7,1„, / / ?// /jar P f dir,e Valuation: $ -6-6- / i! �� // Existing building area square feet dot Fat DPW y New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: 44e RR .e Va/A i .‘ Type of construction: Address: 4' # 7 C VO fre'»;'i $ I Occupancy groups: I City /State /ZIP: r 01701 p/� (/ Existing: Phone: ( ,7 ) 764 _ y O Fax: ( ) New: ❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES* n 6 / (Please refer to fee schedule) Business name: VI Structural plan review fee (or deposit): Contact name: 1 A,./i71i Address: 1 �) s, l r h ,p c 4 ) FLS plan review fee (if applicable): City /State /ZIP: / 4 f I a4 . e R 1 7,-) 3 /' Total fees due upon applicatio Phone: (9 p1) 4/42 _ I // a 5 Fax: : ( ) "/ CJ Amount received: E -mail: it fin LA S`�"' C c PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of C RACTOR roof -top mou ed Photo Voltaic Solar Panel System. Business name: Ills / / 0a 9 / '( c� S an u d bmit fire two departure (2) is of access roof plan along wit ith connec 201 0 O details regon �l , , Address: /6 /pr '� 7 N � Solar Installation S. ialty Code checkli, � c / ,14f q /R ,-„ q ��3� $180.00 . Permit fee (incl es plan revi . City/State /ZIP: V '/ and admini .live s): , 4 Phone: 7) , 2 _ /i 45 _ Fax: ( ) State surcharge (12% of yf ' it fee): $21.60 CCB lic.: 70g / Total fee due • t . o p ca i on: $201.60 Authorized signature: 4 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: A II �r y .„/ Date: * Fee methodology set by Tri -County Building Industry Service Board I:\Building\Permits\BUP _COM_PermitApp.doc Rev. 12/11/2012 440- 4613T(11/02 /COM/WEB) 1 V 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, 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: \ Buil ding \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012