Permit (82) CITY OF TIGARD BUILDING PERMIT
III 1 COMMUNITY DEVELOPMENT Permit#: BUP2018-00213
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2018
Tit''ti It_C� g Parcel: 1 S 136CCO2100
Jurisdiction: Tigard
Site address: 11744 SW PACIFIC HWY
Project: Dutch Bros. Subdivision: None Lot: None
Project Description: Remove and install new signs.
Contractor: E S&A SIGN&AWNING Owner: GRUNBAUM FAMILY TRUST
89975 PRAIRIE RD BY GRUNBAUM, HANS H AND MARILYN K,
EUGENE, OR 97402 21390 SW EDY RD
SHERWOOD, OR 97140
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 08/08/2018 $362.69
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 08/08/2018 $43.52
Dwelling Units: Plan Review 08/08/2018 $235.75
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 08/08/2018 $4.00
Bedrooms: Bathrooms: 11x17)
Value: $18,164
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $645.96
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 for 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: - • 'ttee Signature: �� /`•
/A
S /L
Call 603.639.4175 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.
Building Permit Application et"iv
Commercial R.EFOR()I II( CSI:O\Ll'
Cityof Tigard Received , _
naleB , j7 Permit No.: ` t , r
13125 SW Hall Blvd.,Tigard,OR 97223 ��L t7 U r lan Review
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: Cil -a-) g Other Permit: %,lt►" (14
f i i ,a '.I) Inspection Line: 503.639.4175 * I-y w A a t .dy/By: mums. ti See Page 2 for
Internet: www.tigard-or.gov (.11 Y F' 17111 1: •/Me n `(, ,�y(oj Supplemental Information
RTU1L )INU DI 1SIO
TYPE OF WO , REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑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 ®Other: 5;<.1 A equipment,materials,labor,overhead,and the profit . the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑1-and 2-family dwelling ® ommercial/industrial
❑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: '/1 y J S j W ft- New dwelling area: square feet
City/State/ZIP: --1-15,,,,,,,t ork ei-12 Garage/carpo : ea: square feet
Suite/bldg./apt.no.: Project name: '--bu'—(.S/( 6f Covered t: ch area: square feet
Cross sstreet/directions�/tojobsite: t Dec .rea: square feet
(1'040'13 1 S 0 t1. C ct 1..J i7 y,)({f 1< r er 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.: 3 e.L t V 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.p
A...eovv .zt1� Y `-.-r. $ - t� ni � y j Valuation: $ I O I �Dy
r��n I —5 Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 1NANT Number of stories:
j
Name: b�„ �,.- S Type of construction:
Address: ` )r)i-4,4 S' tJ ()&C,l I e Occupancy groups:
P y gr s
City/State/ZIP: �: Cc t d 0 1 ).22 3 Existing:
Phone:( ) Fax:( )
New:
EgrA7PPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* —
Business
name: �,-` (Please refer mteeschedule)
3 m``'1`- ' -hint `^S Structural plan review fee(or deposit):
Contact name: ,M a, I\ J J� `N
r I s v 1 n FLS plan review fee(if applicable):
Address: $59'-)S-- rix,J-i I` —Total fees due upon application:
City/State/ZIP: P�nO _ P, c)'�d'Z
(`. �) s t / q�� I Fax::( 1) ysr_ 573 Amount received:
Phone: > �1 J6J _
E-mail: /natC,A- b1s�S ^ns -W� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: cc Submit two(2)sets of roof plan with connection details
Ce� Jand fire department access,along with the 2010 Oregon
Address: 9 r)' P�� Sn r,el2IcvjivjG, Solar Installation Specialty Code checklist.
City/State/ZIP: -� Permit fee(includes plan review
7 1 and administrative feesL $180.00
Phone:(51-11) 8"Si...'- 6-57-/ Fax:(911) Ll ' Ski3 State surcharge(12%of permit fee): $21.60
CCB lic.: ,t473 y 7 J Total fee due upon application: $201.60
Authorized signature:c-i M I X01 This permit application expires if a permit is not obtained
f (/ t / within 180 days after it has been accepted as complete.
Print name: Mart,,& ;\A) Date: te ii
q/j C/ * Fee methodology set by Tri-County Building Industry
0 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
III ■ 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: $ 1
(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\Permits\BUP-COM PermitApp.doc 03/03/2011