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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 00180 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/19/2011 Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15575 SW SEQUOIA PKWY 160 Project: Verizon Corp Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: TI Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES 5320 SW DOVER LN ATTN: N PIVEN PORTLAND, OR 97225 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 892 -0066 PHONE: 503 - 624 -6300 FAX: 503 - 892 -0067 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 08/19/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 08/19/2011 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/19/2011 $195.38 Stories: 1 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 08/19/2011 $23.45 Value: $7,500 Plan Review 08/19/2011 $127.00 Plan Review - Fire Life Safety 08/19/2011 $78.15 Info Process /Archiving - Lg Sheet (over 08/19/2011 $2.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $498.98 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 952-001-0011 roug R 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1* :for 1.800.332.2 • Issued B . a Permittee Signature: � - Call 503.639.4175 by 7:00 a.m. for the next available inspection • ate. 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 RECEIVED . • ' FoR on Ic E csl tist . City of Tigard Received ,///r7 ker 1 I I / �/�' Permit No. " 10 /r ° 1 3125 SW Hall Blvd., Tigard, OR 97223 AUG 18 2011 Plan Revie ' ► , , �� ill Phone: 503.7183439 Fax: 503.598.1960 �t�g : , Other Permit: � 1' Tr :d _ 1'! c «� R t) Inspection Line: 503.639.4175 Date Rea': Ju`is: ® See Page 2 for Internet www.tigard- or.gov CTTY OFTIGARD Notified/Method: Supplemental Information BUILDING DIVISION . i z T l 0It` VVDIi : x x , ,- REQUI .1SAND ,I�YI>WE , ❑ 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 ' °,, work indicated on this a lication. El 1- and 2- family dwelling . f ommercial/industrial Valuat $ 1=1 Accessory building El Multi-family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: "' rl t'W 'ra r mo Total number of floors: ,. k� J ©Jib 3 I1�1 O TI LY �i A'I IOTA i - '� yL a S , _ i ��. _.� �"~, ..d '"`w :r ...�. .?,.- "'i. ..;F`= (. ?�_ i:'',.� °.= a?> Job site address: ew dwelling a square feet Au, City/State /ZIP: Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: L' Zr eui d Covered porch area: square feet Cross street/directions to job site: Deck area: square feet � / o/`rS7�UG T , /�� ,,,p /. /� 4..„ „:, Other structure area: square feet ubdivision: 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 ,S t ; ,��" - J' #i'k Ki h r+`3 `�fa `$., r'S' m °T, - scams - i `3h. } r -, ;u� {' h 7 ,� f j' * u E work indicated on this application. Valuation: $ �dG' Existing building area: square feet • New building area: / //A square feet � -y E �, 'o * TE1�Ir` NTY -� Number of stories: - Z' t . g ; . .Q «. +'r ' ° S'0z ,. z,, ,t..'s`_' „ „.:mti•Ia.a e,ti � .' �' ' // /y � Name: PacTrust Type of construction: Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: City/State /ZIP: Portland, OR 97224 Existing: `r e Phone: ( 503 624-6300 Fax: ( 503 ) 624 -7755 New . a.! - `� � k -- A •w. s .4 om i a : Js ..r Business name: PacTrust • All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board De nl s P 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: : 6V 'r , ` t t ` ' ,;, � '. * =,, : - . -.4 Business name: 27 /4_27 CAs aA, d 1-- 2 t l I z a y ► a Address: t,:� r �.= v i _ a � � lt*. Sttucturalp1an review fee (or deposit): City/State /ZIP: • Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lie.: U U - Total fees due upon application: Amount received: Authorized signature: essipPt This permit application expires if a permit is not obtained I Date: � within 180 days after it has been accepted as complete. Print name: e+ j 7Ai ( 7,,,, N . �� 9/,/� * Fee methodology set by Tri-County Building Industry i Service Board. I:\Building\Permits\BUP -COM PermitApp.doc 09 /09/10 440- 4613T(11 /02/COM/WEB) ' • 111 q Building Division Accessibility: Barrier Removal Improvement Plan T,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 traveLto.,an'altered area maybe 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 $ t (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 PerrnitApp.doc 06/25/08 .14 _ Building Division Over - The - Counter (OTC) Building Permit TIGARD Check List Project Description: l APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: a , Occu.anc Grou.: - Type of Construction: *T .e of Use: a Occu.anc Load: (i' Ore•on S.ecial Code: 40 SPECIFICS Number of Stories: l Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback — Left Sideyard Setback — Front Sideyard Setback — Right Sideyard Setback — Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access. Parking Spaces: REQUIRED ITEMS Fire Sprinklers: Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ — CC) FEES DUE $ ,7 DC Prov Rvw, COM TI — Ping $ i n DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ t Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 2Z' 12% State Surcharge Up to $4,999 $0.00 $0.00 $ 127, Ct Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $, 1 %j Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ wig. Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ .� !Other: $ Other: Building Staff: / fir. - Date /Time: 4 Aite5. C e TOTAL F ES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactur . cture. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; F D — se v. on; 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.docx 01/13/2011 oP Building Division s Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: U r ool f ' o0 /W 4Expedited Review Plan Submittal Date: gb? //� 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. Plan 'ng Review (contact at 503-718-) or @tigard- or.gov) [l Zoning r r' Permitted Use Yes E No ❑ Land Use Required: Yes ❑ No Er" r (explain below) Notes: /lA ' C7 .�2a- �— /Approved ❑ Not Approved Date: 01/// Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov) Notes: Routed back to Building Division Date: I: \CURPLN