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Permit (61) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2019-00137 T I(;.1 p f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2019 Parcel: 2S 101 AA08700 Jurisdiction: Tigard Site address: 12511 SW 68TH AVE Project: Kassay Family Medicine Subdivision: WEST PORTLAND HEIGHTS Lot: 34 Project Description: Installation of(2)new non-illuminated wall signs. Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: TIGARD TRIANGLE PROPERTIES LLC 1400 S TOWNSHIP RD 3232 SW FAIRMOUNT BLVD CANBY, OR 97013 PORTLAND, OR 97239 PHONE: 503-263-3600 PHONE: 503-272-1230 FAX: 503-263-4617 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 06/20/2019 $164.96 Demolition Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 06/20/2019 $19.80 Dwelling Units: 0 Plan Review 05/30/2019 $107.22 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/20/2019 $3.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $6,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $294.98 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 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: xeff4le Permittee Signature: /4044 Call 503.639.4175 by 7:00 a.m.for the next available insp 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 Commercial RECEIVE "- FOR OFFICE USE ONLY City of Tigard MAY 3 0 2019 Daceivd l'?/ / U`�?-(,.3 7 114 . DDate/By:y: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503-718-2439 Fax: 503-598-1960 ) Related Permit: CITY OF TIGARD Date/By: 1 i i Inspection Line: 503-639-4175 Date ReadyBy:• //• ) ' 7m9s: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Meth,deei a /' Supplemental Information IsL�LLi ((c tt /yam ❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the `F work indicated on this application. 0 1-and 2-family dwelling la Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: I m Total number of floors: Job site address: 125‘k S(Z (0(60A k e_ New dwelling area: square feet City/State/ZIP: -r'1�., ,rn�-� 009_, ( 1 Z�3 Garage/carport area: square feet Suite/bldg./apt.#: `� Project name: ie..--,,r-- Ls V4v1$tj NUA6>t1/4.11.. Covered porch area: square feet Cross street/directions to job site: G•460,0 sl._ (...D Deck area: square feet Other structure area: square feet 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 r,, ;' i .<; work indicated on this application. I c� OI NJ� +CDO 1(\BnValuation: $ $ O 0 ltlt u. � t 1, ,akc-3 Existing building area: square feet New building area: square feet __ ' Number of stories: Name: P I0CA( V-A CM R ,SQY�Q " (so i" 92f fl° Type of construction: Address: 1 2 i t c (el." � _ Q{�'' -VO Occupancy groups: City/State/ZIP: "TiejY J 0 9N 61--1/1-2--(3 Existing: Phone:O0`3)'Z-Tt I23C) Fax:( ) New: � E _e � . Business name: A.r�`1^ lL�(��'� ���'Contact name: M�( Kms`v[., 11/4..1‘.0 rr(\`J Structural plan review fee(or deposit): y� FLS plan review fee(if applicable): Address: 1400 e '�Q� , K City/State/ZIP: C � 61-1 0, iy � Total fees due upon application: V Amount received: Phone: (►<— I Fax::( ) E-mail: ,,,Q-`�r - Commercial and residential prescriptive installation of .� ._ , - :: - , ' roof-top mounted PhotoVoltaic Solar Panel System. Business name:Q v\\ E kc. 5 i rC. LL._ Submit two(2)sets of roof plan with connection details \ 1 and fire department access,along with the 2010 Oregon Address: ILA tt,^�E ' .���'�c�,(2 Q Solar Installation Specialty Code checklist. City/State/ZIP: � y1 V ©R c1-1 V,' `1 Permit fee(includes plan review $180.00 and administrative fees k. Phone:50` 1--(0S-- (000 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 1$(05(2-" 5--(2 / Total fee due upon application: $201.60 Authorized signature: .-. (_ _ This permit application expires if a permit is not obtained within 180 daysafter it has been accepted as complete. Print name: ie y't 9j n��\(_., Date: 6 I `Z,u ( j * Fee methodology set by Tri-County Building Industry Y Service Board. I:\BuiIding\Permits\BUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations I 'GAR" 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 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 percent(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: $ (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 Rev.03/05/2019 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12511 SW 68TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2019-00137 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor