Permit CITY OF TIGARD BUILDING PERMIT
: � f Permit #: BUP2011 -00237
COMMUNITY DEVELOPMENT
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13125 SW Hat Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/15/2011
TIGARD 13125 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 185
Project: Cricket Communications Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: TI
&/'2 /A/TE7S Fc72 AA e.._v AT72fl - cTe2
Contr. tor: DURUS CONTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
15806 UPPER BOONES FERRY RD ATTN: N PIVEN
LAKE OSWEGO, OR 97035 � 15350 SW SEQUOIA PKWY #300
• PORTLAND, OR 97224
•
/
PHONE: 503 - 320 -8601 PHONE:
FAX: 503 - 244 -4318
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 11/15/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/15/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/15/2011 $586.19
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/15/2011 $70.34
Value: $37,000 Plan Review 11/15/2011 $381.02
Plan Review - Fire Life Safety 11/15/2011 $234.48
Info Process /Archiving - Lg Sheet (over 11/15/2011 $4.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,349.03
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. 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 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 987 or 1.800.332.2344.
Issued By: I � Permittee Signature: /
Call 503.639.4175 by 7:00 a.m. for the next available inspe•ST' n 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.
CITY OF TIGARD BUILDING PERMIT
111 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00237
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/15/2011
Parcel: 2S 112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 185
Project: Cricket Communications Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: TI
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 624 -6300 PHONE:
FAX: 503 - 624 -7755
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 11/15/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/15/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/15/2011 $586.19
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/15/2011 $70.34
Value: $37,000 Plan Review 11/15/2011 $381.02
Plan Review - Fire Life Safety 11/15/2011 $234.48
Info Process /Archiving - Lg Sheet (over 11/15/2011 $4.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,349.03
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce• r. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the -s or direc • estions to OUNC by calling 503.23 : or 1.800.3 . 44.
Issued By: - rmittee Signature: `/
Call 5' 1 7:00 a.m. for the next available inspectio "rte. / 'I
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 + I . :` r ` FOR OFFICE USE ON
Received
Er
City of Tigard NOV 1 , 1, , Permit No.: ( �I l I
13125 SW Hall Blvd., Tigard, OR 97223 N 1 •,e • elie,v: ='!`.� �
Phone: 503.639.4171 Fax: 503.598.1960 Date/B g Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OFT'. 1)= dy7Fj: / ® See Page 2 for
Internet: www.tigard- or.gov BUILDING r o ethod:
I Supplemental Information
. 'yt e r^ $ TYPEj OF kWORK ,,, ( 'tti e r, a &� .y Q i - iitti `
'f N
� RE UIItEDDATA l AND LXDWE LI G`�t
_ _ ,a �_- ..mss- ��.%�� _ ����rr_..,�.z - �. � U =_ - : , � � �„ - ��.°�,.�.�a � � �.. _. ..t� � �� , .� .__: _��.
❑ 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 application.
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CATEGORY•:OF ,CONSTRUCTION . -, . �" 4 .
<Y `, ,`.? ; . , ,1.dx�s a '7m 2`E n4 . ... a �3'§a �'' .. k.«.. � ;' �..n .. , , x ,e era, fix_ -i . � 4.
Valuation: $
�❑ 1- and 2- family dwelling onnnercial /industrial
❑ Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.. -_ ' ��� . Total number of floors:
JOB SITE�INFORbIATION ANI)tEOCATIONr .1...i4...-*:
Job site address: ye ....<-,, / 4"s9R,i.4,42., .L , New dwelling area: square feet
City /State /ZIP: "U/ / d 0 2 Cf 9a?.0`i Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:/lg C+�.z. „Aid c . area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA 00141 54, IAL�USE C 4 IST 5
Subdivision: 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
-7.-;`.:': 1 ' ' 5 '' $ DESCRIPTION OFi�WORK ' _• g r . ; work indicated on this application.
Valuation: $,..__Y Oo
- -
Existing building area: square feet
New building area: /
square feet
.112o pERTYO
WN ' ;*TEN A04 , _ - Number of stories:
Name: PacTrust Type of construction: ,/ii.,.._ BP
Address: 15315350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City /State /ZIP: , Portland, OR 97224
Existing: /Y.
Phone: (503) 624 -6300 Fax: (503) 624 -7755 New:
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CANT N. 3 NTACT PERSON „ ,
- - ._-.., �..,( .', ����x- .,�,_ ., F,.. . ._..�, kr: �w>2 . _. r . , .> _, Vag*, �� <..� ,..�.. NOTICE ;` � i it `
`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 SW Sequoia Pkwy jurisdiction in which work is being performed. If the
t ity /State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624 -6300
E -mail dennisp @pactrust.com
, , ' -..€. z - Q - i. ,1" - -v° s . a.. i � f S . s .fi.� 5*
Aga r -44-4, 4Y. a ,` CONTRACTORA t . ..
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Business name: �- _` + P t„
�� /� � � c /v-t =4 I i �" t �°, � ��' i ?BLIILDrssPEI2MI.T li?.EE � �. r �p �.
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- „ °� `, (P,lease;refer to jee seherlu7ef � a4 „, -�„�_� � ` "r
Address: 1C-6-6 V "� !,4 �� ,tn :''P.O.)
City /State /ZIP: �,„ -� D 1 yLy _(� Structural plan review fee (or deposit):
p # ,,,„ j r/r U / .l , r ll� 4 /vim ! FLS plan review fee (if applicable):
Phone: ( Sli 3) co �G,1(3Z Fax: ( )
CCB lie.: I S 3 / i 3 Total fees due upon application:
/ Amount received:
Authorized signature: — ` '40 -e This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
Print name: �/ Date: / ✓ J i * Fee methodolo set by Tri -County Buildin Industry
a',�`_ f /� gY Y tY g tr
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(1I/02 /COM/WEB)
4\ • ` ` 1
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Buildin g Permit No: ,, //- 00)-,) L+d' Ex edited Review
Plan Submittal Date: / / p
To the Applicant: 7t 7 9w a t fi zi4 '
➢ 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 1 at 503 - 718 -ai or 1 1-4.e_@igard- or.gov)
Er—Zoning — Permitted Use Yes [IY" No ❑
Land Use Required: Yes ❑ No LY (explain below)
Notes: _ i I it!ik
1 Approved ❑ Not Approved Date: / /// s / /
f r'
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
,O'
Routed back to Building Division Date:
I: \CURPLN
•
Building Division
TIGARD Over - The - Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: k LT Occupancy Group: Type of Construction: Ej
*Type of Use: (y,4 Occupancy Load: '5 Oregon Specialty Code: 2611
SPECIFICS
Number of Stories: ` 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: $ 2 ? FEES DUE
$ ,Q") DC Prov Rvw, COM TI - Ping
$ 9 , ce, DC Prov Rvw, COM TI - LRP
DC Provision Review Fee for COM TI $ '56. Fr Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ ga 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 3Q1 0 Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ Ae Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ ,(y.j 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: $ I ourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 1 . 03 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.docx 01 /13/2011