Permit CITY OF TIGARD BUILDING PERMIT
11111 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00255
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2011
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 220
Project: Spec Space Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: TI
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY #300
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 12/06/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 12/06/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/06/2011 $225.80
Stories: 3 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 12/06/2011 $27.10
Value: $10,000 Plan Review 12/06/2011 $146.77
Plan Review - Fire Life Safety 12/06/2011 $90.32
Info Process /Archiving - Lg $2.00 (over 12/06/2011 $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 $566.99
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 C ter. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of t e ruiese direct questions to OUNC by calling 503.2 •87 or 1.800.332 •4.
Issued By: Permittee Signature:
C. :;•Et(: " 75 by 7:00 a.m. for the next availa. • 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 Applicatio
Commercial Ec ��� 'Mil OFFICE LSE ONLY - ".
City of Tigard EC 6 2011 D eBea 1 Q u Permit No.: 4 ,` /J Q,)J
13125 SW Hall Blvd., Tigard, OR 97 Plan Review.
Phone: 503.718.2439 Fax: 503.598 Date/B : ( ' i �� Other Permit:
Inspection Line: 503 639 4175 ( Y O TIGARD Date Ready' y: ® See Page 2 for
- I . ICl.1lt f) Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: I, Supplemental Information
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El 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
Y .�. yx:�:::,-.- N, �r work indicated on • �� ' } 3 r > �� Q ' , 1 ' Ir- -, ca d this application.
El I- and 2-family dwelling Valuation: $
y g ❑ Commercial/industrial
CI Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
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} : Job site address: New dwelling area: square feet
City/State /ZIP: 7 '� 17/ X. / Q� , � Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name] 74) J_ 1 4, e < Covered porch area: square feet
Cross street/directions to job site: Deck area: • square feet
Other structure area: square feet
- .:?, �:s�s���;= .•��t:�.. rte• . .r;{xm, M..%.
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no equipment, materials, labor, overhead, and the profit for the
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w ° Oft p ' n , ,w' �. •.-3,„ work indicated on this application.
� i
AR Kr? A Rd�m .,e-- ,, , Valuation: $ , C'
ART f
` P o-v � l Existing building area: square feet
< /ov r4 New building area: square feet
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p , O W, _ N �' E R Number of stories: ___5r : m..,.. `,... t„.. ",.... F= ,.,. .�, ' �* ''a^ s �.t:u. ,_;.,,-9 +.- aaf.,r ,,w, ». Vim:
Name: PacTrust Type of construction: //....
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
cit Portland, OR 97224 Existing: eVi2d9
Phone: ( 503 ) 624 Fax: ( 503 ) 624 New: ---
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: • licensed with the Oregon Construction Contractors Board
Dermi s Pagoi 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:
Business name: ,7 cs•'• '� , w e wt
Address: : 5 ?'571 AA/ '� a Structural plan review fee (or deposit):
City/State/ZIP: ,/ ?)-1 — '
Phone: ( ) Crl fin,' t f rl � Fax: ( ( ) FLS plan review fee (if applicable):
` CCB lie.: 1 5 Total fees due upon application:
Amount received: •
Authorized signature: —
_ This permit application expires if a permit is not obtained
—
Print ne: J) within 180 days after it has been accepted as complete.
0 N
am 1 a f I Date: J / /// * Fee methodology set by Tn County Building Industry
/ Service Board. t
I: \Building\Permits\BUP -COM PermitApp.doc 09 /09/10 440- 4613T(I l /02/COM/WEB)
Building. Division
Accessibility: Barrier Removal Improvement Plan
T (G fait• D
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 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): $
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. . Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: 607)11- (I() S'S (' Expedited Review
Plan Submittal Date: /Z/&' /
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 lfzi, at 503 - 718 -0 0or i1 @ tigard- or.gov)
14d Zoning J- Permitted Use Yes [ No ❑
[V Land Use Required: Yes ❑ No ❑ ( e x lain below)
Notes: 6-,46e- /--.E - 0 �L--
A ' ` -.e.—
V-1,pproved ❑ Not Approved Date: 17- 4// 7 /
/
Permit Coordinator Review (contact Albert Shields at 503 - 718 - 2426 or albert @tigard - or.gov)
Notes: ii\ji
ilk
Routed back to Building Division Date:
I: \CURPLN
N IIII
Building Division •
TIGARD Over- The - Counter (OTC) Building Permit
Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION x
*Class of Work: ►Tt-T Occupancy Group: Type of Construction:
*Type of Use: ' M Occupancy Load: 2--, Oregon Specialty Code: - _,01 o —
SPECIFICS I �
Number of Stories: J 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: t 1 r= r Fire Alarms: 'T7 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ (() FEES DUE
$ , CD DC Prov Rvw, COM TI — Ping
$ ,Or) DCProvRvw,COMTI — LRP
DC Provision Review Fee for COM TI $ , 6C1bermit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 27 , (# 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ AM, Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ o 0 . jZ Plan Review, Fire Life Safety
�
$75,000 - $149,999• $160.00 $24.00 $ ,, 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: $ Other:
Date/Time: $ ' ' • 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;
END = 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
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15350 SW SEQUOIA PKWY 220, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
2014-01-17 (null)
BUP2011-00255
PASS - No C of O
Violation Summary:
Inspector Contractor