Permit p CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00048
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/02/2011
Parcel: 2S1 12 DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 130
Project: Yecuris Subdivision: Lot: 0
Project Description: TI - Construct lab /offices
Contractor: EMERICK CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES
P.O. BOX 66100 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97290 PORTLAND, OR 97224
PHONE: 503 - 777 -5531 PHONE: 503 - 624 -6300
FAX: 503 -771 -2933
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 03/02/2011 $256.00
Class of Work: ALT DC Provision Review, COM TI - LRP 03/02/2011 $38.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/02/2011 $2,313.95
Stories: 0 Height: 0 It Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/02/2011 $277.67
Value: $300,000 Plan Review 03/02/2011 $1,504.07
Plan Review - Fire Life Safety 03/02/2011 $925.58
Info Process /Archiving - Lg Sheet (over 03/02/2011 $20.00
Floor Areas: 11x17)
Info Process /Archiving - Sm Sheet (up to 03/02/2011 $3 00
Total Area: 0 11x17)
Accessory Struct: 0 Metro Const. Excise Tax - Commercial 03/02/2011 $360.00
Basement: 0 Use
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,698.27
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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. • • •N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 601 -0010 throug •AR 95 2-6. -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 of 1.800
Iss = d By: I (� 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 Perm Applicatio A ECE\ ' FOR OFFICE USE ONLY
Cit of Ti and R g DateB e Permit No.: u al/ eee, g a2
lIlIl q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi
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Phone: 503.639.4171 Fax: 503.598.1960 to AR DateB : @m Other Permit:
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TIGARD Inspection Line: 503.639.4175 — 2 Date Ready/B : -� luru ® See Attached Checklist for
Internet: www.tigard- or.gov r ("7: Tr On Notified/Method: Supplemental Information
TYPE OF WORK 1 REQUIRED DATA: 1 AND 2 FAMILY DWELLING
V New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1 and 2 family dwelling ® Commercial /industrial Valuation: $
Accessory building, Number of bedrooms:
❑ ry ❑ Multi- family
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: „4ew dwelling area: square feet
City/State /ZIP: ! f i /a. 6
t 99 V Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ` 4 Covered porch area: square feet
C C ,7P) .S
Cross street/directions to job site: Deck area: square feet
," -r?V t-- 1- , i tl _ [ - &� Other 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.: 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.
Valuation: $� ap /)
Existing building area: square feet
New building area: ,, square feet
_ 0 PROPERTY OWNER Ell TENANT Number of stories:
Name: PacTrust Type of construction: if..
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: _.._,D
City /State /ZIP: Portland, OR 97224 Existing:
R:.!-Z. '
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
® APPLICANT ® CONTACT PERSON
NOTICE
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
CONTRACTOR
Business name: // BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) — FLS plan review fee (if applicable):
CCB lic.: /d 70 Total fees due upon application:
Amount received:
Authorized signature: �e '71 f ��;1, / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: � — Date: .s.Z 1 * Fee methodology set by Tri-County Building Industry
Service Board.
t:\ Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(11 /02/COMNJEB)
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1 ■
Building Division
Accessibility: Barrier Removal Improvement Plan
I . I GARD
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: [ $
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): $
;Le
ill i ....-------------- --
I: \Building \Permits \BUP -COM PernutApp.doc 02/24/2011
14 _ " Building Division
Development Code Provision Review
T c R Commercial Projects - No Associated Land Use Case
cl�
Building Permit No: � ❑Expedited Review
Plan Submittal Date: .3 //
To the Applicant:
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact �r�� at 503 -718 ` /� or A I 4@tigard- or.gov)
L Zoning ' y Permitted Use Yes ' No ❑
[Land Use Required: Yes ❑ No 03 (explain below)
r � [
Notes: • ¶ U r Iat�� Auz- � ()` , -e- Gr> 1 i1'',
n- ,/a /J r 1
Approved ❑ Not Approved Date: o
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN