Permit CITY OF TIGARD BUILDING PERMIT
1111 11. COMMUNITY DEVELOPMENT Permit#: BUP2019-00336
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2019
T[C"1 R t7 g Parcel: 1S136CD01400
Jurisdiction: Tigard
Site address: 11654 SW PACIFIC HWY 6
Project: Paradise Deli&Grocery Subdivision: None Lot: None
Project Description: (1)internally illuminated wall sign on the southeast-facing wall.
Contractor: CARRICK INC Owner: YASAVOLIAN, PIERROUZ
4875 NW KAHNEETA DR 9 SPINOSA
PORTLAND, OR 97229 LAKE OSWEGO, OR 97035
PHONE: 503-334-6005 PHONE:
FAX: 503-645-8273
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 12/17/2019 $63.44
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 12/17/2019 $7.61
Dwelling Units: Info Process/Archiving-Sm$0.50(up to 12/17/2019 $2.50
Stories: Height: ft 11x17)
Bedrooms: Bathrooms:
Value: $800
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $73.55
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 rul adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-00 0090. You may b in a copy of rules or direct questions to OUNC by calling 503.232. '. ''1. .
Issued By: Permittee Signature:
/ 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.
Building Permit Application
Commercial 1,0R OFI, 1 SL()NIA
City of Tigard RECEIVED Received Permit No.
Date/B 4"
,.....4.
III '� 13125 SW Hall Blvd.,Tigard,OR 97223 q Plan Review
Phone: 503-718-2439 Fax: 503-598-1960)E C 0 5 2019 Date/B : 2— ill Related Permit:t5 r' v♦ • ,-_
Inspection Line: 503-639-4175 Date Ready/By: c. !.
® See Page 2 forTIGARDInternet: www.tigard-or.gov CITY OF TIGARD Notified/Method:i2 t ///r
../� Supplemental Information
;iu DINn 1111/lsioN Ci''f,-''L /9,47"�_'s'9
TYPE OF WORK 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
16,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 la Commercial/industrial
Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATIONAND LOCATION Total number of floors:
Job site address: 1165ii 5A fea i�)c 1. y New dwelling area: square feet
City/State/ZIP: T; {(-4 ( ',+33 Garage/carport area: square feet
Suite/bldg./apt.#: Project name: PO1cadL Sc De) 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: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: S ail ��V f y Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
L i f DESCRIPTION OF WORK ( 1 work indicated on this application.
1 Y‘&4 71 1( I d ffe y/ `j)� V) (51'1 se T 11'L; i-c a ti Valuation: $
/ l� Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: J icc c 61A-7 Vet S A 1,0 / ;C/4-t Type of construction:
Address: i 1 654-1 Se ,66-4. 6.3)/' )0 Occupancy groups:
City/State/ZIP:
�� Existing:
Phone:( ) Fax:( )
New:
,APPLICANT (CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Z Structural plan review fee(or deposit):
Contact name: N'r 44 f T 6 j-4
cii)Address: e-7s ii-i R;;h K`'.'c 0: FLS plan review fee(if applicable):
_ p p�-
�J Total fees due upon application:
� t`L-
City/State/ZIP:
Phone:(Ai-) ,`1/. F3 f Fax: :( ) Amount received:
E-mail: C PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Wl-ek n (/,Gam('i Z.LC/eix ,ec'i<'�
CONTIA("FOI Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: rem-j- L �. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: " a/49 e •s".S a ,jam/. Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 61
/ Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
���fff V1Z
within 180 days after it has been accepted as complete.
Print name:
r ��Date: / 7 l' * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)