Permit CITY. OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00103
. TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2012
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 14945 SW SEQUOIA PKWY 150
Project: Spec Space 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: 503 - 624 -6300
FAX: 503 - 624 -7755
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 05/22/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 05/22/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/22/2012 $377.90
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/22/2012 $45.35
Value: $19,200 Plan Review 05/22/2012 $245.64
Plan Review - Fire Life Safety 05/22/2012 $151.16
Info Process /Archiving - Lg $2.00 (over 05/22/2012 $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 $895.05
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 - ter. Those rules are set forth in OAR
952 -00 • r throu• •AR 952 -101 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5)490 • 32.2344.
Iss =d By: I �� / Permittee Signature:
ti I i 1111116.i■r:
Call 503.639.4175 by 7:00 a.m. for the next available inspe
This permit card shall be kept In a conspicuous place on the Job site until co on of the project.
Approved plans are required on the job site at the time of each In ectio
■
Building Permit Application
Commercial RECEIVED 1:oR 01 Flcv US!:: ON 1.)
City of Tigard Received �' � � M �
° 13125 SW Hall Blvd., Tigard,OR 97223 MAY 2 2 DateB : M -/X/6 /(XQ
• C e i
Phone: 503.718.2439 Fax: 503.598.1960 Z Date/B : Plan Revi WIN 'j� Other Permit:
A ii
1 - i C t) Inspection Line: 503.639.4175 Date Re• r Juris: ® 9: See Page 2 for
Internet: www.tigard- or.gov BUILDING D CARD ZQ 1 Notified/Method: Supplemental Information
DI VISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling CommercialJindustrial Valuation: , ' � , c O
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
AM Y5" JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t , 5 ( ,S A U e) (CA if 4- (SD New dwelling area: square feet
City/State /ZIP: 7 j of Dye. 9 7'Zz Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: 1 7 6 c , L s - - 1 S,_ Covered porch area square feet
Cross street/directions to job site: S ( ,,j °7 Z►'' r - . V Deck area: square feet
g 1..) C...a.AeOt i VIC+..' Le•••^-k-- Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
( eAnna V i h Ver 14 1 k J,,, fN\ rl _ 1 l S A - Valuation: $
1 t W G Existing building area square feet
New building area: square feet
pc PROPERTY OWNER ❑ TENANT Number of stories:
Name: f aC :GC. e QA AKSoC(c-l-eS (e Type of construction:
Address: t'7) 6 +7 L )c) l o t o ti y 4-3(0 Occupancy groups:
City/State /ZIP: A� Qv, / 72z I Existing:
Phone: (so ) 2 -&300 300 Fax: (Z-01 L2 Z4 — 7 - 7SS New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: <__ a V
S O, Structural plan review fee (or deposit):
Contact name: /I_4 co, U (.,'Qi
Address: W FLS plan review fee (if applicable):
City/State /ZIP: Total fees due upon application:
Phone: (qA) 701 _Iiiwti Fax: : ( ) Amount received:
E -mail: ,r a� I r -t ru st , c 1 r+ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: S amA ,6 k . S Q,12„�n,Q -' Submit two (2) sets of roof plan with connection details
/1 �' and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City /State /ZIP: Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( )
State surcharge (12% of permit fee): $21.60
CCB lic.: ISY1 tip
Total fee due upon application: $201.60 _I%
Authorized signatur, , This permit application expires if a permit is not obtained
ilb w 180 days after it has been accepted as complete.
Print name: p A C 6 1 �l I Date: (,, * Fee methodology set by Tri -County Building Industry
a 1 Service Board
I:\Building\PetmiUP COM PermitApp.doc 02/24/2011 440- 4613T(1 l /02 /COM/WEB)
C'oa T /9 s5 (s,- /104/6- a&R v./- i
YZ Building Division 4/56
Development Code Provision Review
TIGARD p
Commercial Projects - No Associated Land Use Case
Building Permit No: ` 1 *( 00 to 3 t xpedited Review
Plan Submittal Date: 517-2-1 /'7
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 at 503 -718. it'•U or k/..@tigard-or.gov)
84-Oiling "r-- P Permitted Use Yes lE" No ❑
[ Land Use Required: Yes ❑ No 13' (explain below)
r r , , //r
Notes: B . . 4_ L.� L ' i L/'
/i ,i
Yb Aal l�s
L7 Approved ❑ Not Approved Date: �7�' / 2 Ai)
y i
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Iv
Routed back to Building Division Date:
I: \CURPLN
;_ C . B uilding Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: ikC r Occupancy Group: l' Type of Construction: Z.Ii%'
*Type of Use: &Mk Occupancy Load: Oregon Specialty Code: 'ZD(Q
SPECIFICS
Number of Stories: I 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: i?I'e�.— Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Q
Total Project Valuation: $ • 1 j z FEES DUE
$ LA ,C,0 DC Prov Rvw, COM TI – Ping
$ 9, eit9 DC Prov Rvw, COM TI – LRP
DC Provision Review Fee for COM TI $ Permit Fee – Add, Alt, Demo
Project Valuation Planning LRP $ - i = 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 2' , / Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ , I „ Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ 2_, 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:
$
Building Staff: ; ii: .. -r:
Date /Time: $ 0.15;05 FEE • UE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured strut .
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; O1R = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \Building \Forms \OTC - BUP.docx 01 /13/2011