Permit ` , ` " CITY OF TIGARD BUILDING PERMIT
Ip
5 .:' COMMUNITY DEVELOPMENT Permit #: BUP2010 00266
T IGAR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2010
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 300
Project: Pacific Realty Subdivision: PACIFIC CORPORATE CENTER Lot: 0
Project Description: TI
Contractor: PACIFIC REALTY ASSOCIATES LP Owner PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 PORTLAND, OR 97224
PHONE: 503 - 624 -6300 PHONE: 503 - 624 -6300
FAX: 503 - 624 -7755
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/03/2010 $1,287.15
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/03/2010 $154.46
Stories: 3 Height: 0 ft Plan Review 12/03/2010 $836.65
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/03/2010 $514.86
Value: $130,000 Metro Const. Excise Tax - Commercial 12/03/2010 $156.00
Use
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,949.12
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 Cent= Th rue -re set forth in OAR
952- 001 -0010 through -9AR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 • or . 00.332.2344. ,
/ \ ,
Issued By: ( Permittee Signature:
-
Call 503.639.4175 by 7:00 a.m. for the next available inspecti / 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 g , 5 a FOR OFFICE.USE ONLY s � e
'f e
� ` a City Of Tigard DEC 2010 D ate /B ' ✓ I Penn it N o. : �� u �/��Q /
13125 SW Hall Blvd., Ti ard, OR 97223
e g Plan Review 1
'' Phone: 503.639.4171 Fax: 503.598.1960 CITY OF T fGARD Date/t3 : i�
TIGAR'D p DIVIS `� Other Permit:
Inspection Line: 503 BUI LDING Date Ready turfs:
y ' Y ® See Attached Checklist for
.' f•' - " -: • Internet: www.tigard or.gov Notified/Method: Supplemental Information
' 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
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGOR OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ill Multi-family Number of bedrooms_
❑ Master builder III Other: Number of bathrooms:
, 3 JOB SITE, INFORMATION ;AND r LOCATION r Total number of floors:
Job site address: jj �r1�% New dwelling area: square feet
,A� 4101
City /State /ZIP: 0 2 -- ' /J_ y_ /�/) Garage /carport area: square feet ____
Su ite bldg. /apt. no.: Pro n ame !/ � �� - sr f- Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
( ..( - 7?c_ U r ��.---) jai A ( v'{ Other structure area: square feet
)
ti r,a
T7o/ /L.. -6 O /,,lS , _ .&-e- G' '-/7 • /l DATA M
COMERCIAL USE1,CHECKLIST4
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax snap /parcel no
Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
„; DE OF WORK 4 _ , ; work indicated on this application.
Valuation: $ �_ Qi'
Existing building area: square feet
New building area: square feet
' 4 1:1 , " k .. .A 4 K - %, k ..
T ® PROPERTY OWNER - .,- f TENANT,T , , r. Number of stories: 3
Name: PacTrust Type of construction: // IF
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City /State /ZIP: Portland, OR 97224 Existing: _/ 4" -- 7 "7/
Phone: (503)624-6300 Fax: (503)624 -7755
` * ®APP ICANT „ tit'CONTACT'PE ' � New: t NOTICE i ` ''
.4x. c „ ,, , e. sr5,.,,,,,i s „„,..,-,ro .,sie . ..:` `. a __; ,. , ..0 .... , e.. a .� m . v
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624-7755
E - mail: dennisp @pactrust.com
1 : if , a; - y' f r CONTRACTOR, A o i . r , ”; ^" , _
Business name: ,11�`7"�� .4 BUILDING PERMITIFEES* 4 V
ll���� �� �✓ .. ...d° . _. s t r (Please;reler.tofee e'hedule) ,
` ,
Address:
City /State /ZIP: Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: ( ) I Fax: ( )
CCB lie.:
Total fees due upon application:
Amount received: to , 9'C�
�._/ Z
Authorized signature: n
This permit application expires if a permit is ot obtained
mot '" �f'/
1 � within 180 days after it has been accepted as complete.
Print name: '1,--L...-/—— Date: J� le) * Fee methodology set by Tri- County Building Industry
�r67� `� Service Board.
1: \Building \Permits \BUP- PermitApp.doc 03/21/06 440- 46t3T(t t/02 /COM/WEB)
II _ " Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Description of Project:
`kr GENERAL INFORMATION
Class of Work:* G�CI . Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* (70 First floor: • N: S:
Type of Construction: 7 Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: 0 , Total sq ft.: N: S:
Stories: 'S Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
•
Fire sprinkler: - Handicap access:
Smoke detector: Protected corridors: 00
Fire alarm: ( c 2 -. Parking spaces ( #):
Notes:
Total Valuation: $ C fr ap, MO
INSPECTIONS FEES DUE
Footing /foundation Firewall $ I j7, Permit Fee
Post /beam structural Smoke detector $ ,I , State Surcharge
Shear wall Misc. inspection $ d, j Plan Review Fee
Masonry Approach /sidewalk $ ", �
, , FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ ( ' Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 29 \90, i 2- Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \ Building \Forms \OTC - BUP.doc 08/19/08
•