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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 -00055 .- t Date Issued: 03/22/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112DD00200 Jurisdiction: Tigard Site address: 15862 SW 72ND AVE 150 Project: Immunology Subdivision: PACIFIC CORPORATE CENTER Lot: 0 Project Description: TI. 3/31/11, reprint to change contractor. Contractor: DURUS CONTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES 15806 UPPER BOONES FERRY RD 15350 SW SEQUOIA PKWY #300 LAKE OSWEGO, OR 97035 PORTLAND, OR 97224 PHONE: 503 - 320 -8601 PHONE: 503 -624 -6300 FAX: 503 - 244 -4318 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 03/22/2011 $256.00 Class of Work: ALT DC Provision Review, COM TI - LRP 03/22/2011 $38.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/22/2011 $1,709.95 Stories: 2 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/22/2011 $205.19 Value: $200,000 Plan Review 03/22/2011 $1,111.47 Plan Review - Fire Life Safety 03/22/2011 $683.98 Info Process /Archiving - Lg Sheet (over 03/22/2011 $10.00 Floor Areas: 11x17) Metro Const. Excise Tax - Commercial 03/22/2011 $240.00 Total Area: 0 Use Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,254.59 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. • • ' • a - •on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -' • 1 -0010 through OAR • , 2 -00 -• • • 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is- ed By: / i Permittee Signatur- 1111W 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. q CITY OF TIGARD BUILDING PERMIT - * COMMUNITY DEVELOPMENT Permit #: BUP2011 -00055 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/22/2011 Parcel: 2S112DD00200 Jurisdiction: Tigard Site address: 15862 SW 72ND AVE 150 Project: Immunology 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 DC Provision Review, COM TI - Ping 03/22/2011 $256.00 Class of Work: ALT DC Provision Review, COM TI - LRP 03/22/2011 $38.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 03/22/2011 $1,709.95 Stories: 2 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/22/2011 $205.19 Value: $200,000 Plan Review 03/22/2011 $1,111.47 Plan Review - Fire Life Safety 03/22/2011 $683.98 Info Process /Archiving - Lg Sheet (over 03/22/2011 $10.00 Floor Areas: 11x17) Metro Const. Excise Tax - Commercial 03/22/2011 $240.00 Total Area: 0 Use Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,254.59 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 • • - • e 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. , ENTION: Ore• •n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-• through OAR • -2 -• .1-6690. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 • .800.332.2 Is uedBy: 1 Me 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 R ECEIVED FOR OFFICE I SE om.\ City of Tigard , Rec ived �e Permit No.: p,2, 1 � 0,,,c, ,, .7 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: FIG IZ I) Inspection Line: 503.639 CI O T1GARD Date Ready/By: luris: ® See Page 2 for Internet: www.tigard- or.gov B��lLD1NG DWIS Notified/Method: Supplemental information l i "' l t = iieW O ` O tit' ', REQUIRED TIATA 'f ' u al:I 1 G1<I ,lf 07p. < a, ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all V I,Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the { - ' x it s work indicated on this ap rortunercial/industrial Valuation. S El I- and 2- family dwelling CI Accessory building 111 Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: x JQ)$F© o' © &�P --' Total number of floors: Job site address: _ -rX S ., 9 7 p- . e, New dwelling area: square feet City/State /ZIP: Z" / d /22 9 ', 9 4/3 Garage/carport area: square feet Suite/bldg. /apt. no.: J Projec[ name: ��� v �� e .. J ` Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 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 ''''AMC* .''ii' ; .Ff3 q .A,_W `;i I 1 -I k �9 Y'R� � 3 _ � ? work indicated on this application. �� ,,,le• /'/ o , ) 47 4/ n r /r'i Valuation: $ e,' ,/,:;6 D 7 `r . t� -.>? L Existing building area: square feet 6c,..../1 f 5 l vvvTTT � u.e `�� X1/7 -;n ,246, _ New building area: square feet 1 WK P �� �� T� ,,� r' Number of stories: Name: PacTrust Type of construction: /7/-27 Address: '15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: �s,. City/State /ZIP: Portland, OR 97224 Existing: G ". f /� Phone: ( 503 ) 624 Fax: ( 503 ) 624 7755 New: 9 / Business name: PacTrust All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board Denni S Patti 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 I Fax:: ( 503 ) 624 - 7755 E- mail: i.: Rte a.. �, -�"� a {` t ii»t 6) ,� S . rii ; 5 3 - Z Business name: . / Address: � -�Q, . l tvt Z .C.. t- -1 ' ,,r. ,.,.�_ - t - City/State /Z1P: Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: ( ) I Fax: ( ) CCB lic.: Total fees due upon application: Amount received: / Authorized signature: �� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name o /7,7 e f' el, A__. f Date: dj / �// * Fee methodology set by Tri County Building Industry � Service Board. l:\Building\Permits\BUP -COM PermitApp.doc 09/09/10 440- 4613T(11 /02/COM/WEB) .. ;'� _ ' 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: $ (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): $ r A2 /2 6_c_ .mss /I/ -/e 3 Si2 e--Y1_,---- -- • I :\ Building \Permits \BUP -COM PermitApp.doc 06 /25/08 I Building Division Development Code Provision Review T l G A R D Commercial Projects - No Associated Land Use Case Building Permit No: ❑ Expedited Review Plan Submittal Date: 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 T04 aye( at 503-718-91%19 or J ooh (I @tigard - or.gov) Zoning .— /� Permitted Use Yes ,r No ❑ ❑ Land Use Required: Yes ❑ No g (explain below) Notes: fUJ€ fGsIvriV'.'av iet re a v,YV doe i e e alcak Approved ❑ Not Approved Date: 3 deL l/ Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: I: \CURPLN