Permit jo ,, CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP2012 -00027
- [IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/09/2012
Parcel: 2S113AA00700
Jurisdiction: Tigard
Site address: 16444 SW 72ND AVE B5
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: TI
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY TRUST
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 892 -0066 PHONE:
FAX: 503 - 892 -0067
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 02/09/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 02/09/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 02/09/2012 $819.81
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 02/09/2012 $98.38
Value: $62,000 Plan Review 02/09/2012 $532.88
Plan Review - Fire Life Safety 02/09/2012 $327.92
Info Process /Archiving - Lg $2.00 (over 02/09/2012 $8.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,859.99
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 suspende more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules e set orth in OAR
952 - 001 -0010 t - _ _ - 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 • 1.800.332 44.
Issued By: . Permittee Signature: w oe
Call - 503:639:4175 by7:00 the 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 ,,,,i„,,,,:-
,£: FOR: OFFIC U SE O , -
11711 City of Tigard ' � h4� Date,'B ' Ip Pen»It No ^U ������
'. 13125 SW Hall Blvd., Tigard, OR 97223 (<.--C6 { G �� Plan Review Phone: 503.639.4171 Fax: 503.598.19 60 0 (A. Plan Date/13 v L,.�• m Other Permit
TIGARD Inspection Line. 503.639.4175 �'S� ` �CS D ate Ready /: y: Duns 0 See Page 2 for
.. - Internet: www.tigard or.gov C. i Notified/Method. Supplemental Information
TYPE OF WORK `' . 1 1"" ' " w 5 REQUIREDlDATA °4 }AND 2 FAMII =Y DWELLING& 5
3
r' z
❑ 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
. , '" "
' CATEGORY -OF CONSTRUCTION t . t •i work indicated on this application.
Valuation: S
❑ I - and 2- family dwelling ommercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
r JOB SITTE INFOliNIATION,I/ N1 L=OCATION Total number of floors:
Job site address: ,, Slims /70 s+/-4. New dwelling area: square feet
City /State /ZIP: JG Are J. h/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:) /4 e yaw � Cp
� _ dp Covered porch area: square feet
Cross street/directions to job site: v �� Deck area: square feet
Other structure area: square feet
• REQUIRED, DATA : %COMMERCIAL "- 'USEkCHECKLIS,T' 1
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
l� �� �� Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead and the profit for the
1,. DESCRIPTION OF. WORK work indicated on this application.
,.(4e ✓� (� 0 �-4�1 �7 Valuation: S 41-0&
Existing building area: square feet
New building area: square feet
❑ IROPERTY OWNER ®_TFI\r>NT• Number of stories: J
Name: PacTrust Type of construction: //
Address: 15315350 SW Sequoia Pkwy., Suite 300 Occupancy groups: ��� -._.-...
City /State /ZIP: , Portland, OR 97224 Existing73 7,�'
Phone: (503) 624 -6300 Fax (503) 624 7755
Nei
x � ,-AgPLI s, '..4. ` :r CONTACT "PERSON ; fi , ky
. .�.e. _ r NOTI t a ,
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
' /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
x t' " i. I rCONTAA CTOR "" ' 4 ' "" ' •` , . -,
Business name: /2"2/3,77).k �1t. /J )5�i� a : BUILDING P>iR1V1IT FEES* ` 3"
Address: -s , r. ,.,,(Please =refer >ta:fee- schedul)r „
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB -Iic.: — 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: Dater
•/ XJ// / I qF /Al ' � 9 r / f Z� * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permlts\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)
1114 '' Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: r-_uJ .0 / 2 - 000 a-7 xpedited Review
Plan Submittal Date: 2 /C/1 /)-
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 'elm. Pm at 503 - 718 - a 4 4, 1 - 9 rr j \l 0 4 /1 R @ tigard- or.gov)
❑ Zoning _I — Z - Permitted Use Yes �l No❑
❑ Land Use Required: Yes ❑ No L9' (explain below)
Notes: Po Gllo*je, /n / , sc,
0:1 Approved ❑ Not Approved Date: ` ! 4°
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPEN
I ol Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: I (
•
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: ' -4 Occupancy Group: Type of Construction: 2-0
*Type of Use: Occupancy Load: ( Oregon Specialty Code: 0.(:)(0
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: 1V Fire Alarms: Ye Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 6Z) r ) FEES DUE
$ 11, DC Prov Rvw, COM TI — Ping
$ , DCProvRvw,COMTI — LRP
DC Provision Review Fee for COM TI $ ' Il Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ ' 2 :35 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ „' , Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ , - 32'7,'2_, Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ el,C,1:3 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: $ p�j7, cq TOTAL FEES DUE
*OPTIONS:
TYPEOFUSE: "COM= commercial; CMS = commercial manufactured stn idi33rc. - — - - - - -
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; O"IR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I:A Building \Forms \OTC - BUP.docx 01/13/2011
�v ? 2012 - 600
mg? 0L-k. sPF4_, A-OP v esiovn Ups ra
Building Division
Accessibility: Barrier Removal Improveme
T[GARD �����
NOV 28 2012
CITY OFTIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. BUILDING DIVISION
(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, CO �
excluding painting and wallpapering: [1] $ 2� VV �.J
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [ $ I S, S
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 s gle unisex I f q
restroom: S�� GL 1 1 _ ok \j re CX -0‘ $ — 1 I / IS
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $ q (�,
TOTAL (shall equal line [2] of Valuation Computation): $ `T f I vS
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
PacTrust Cost Estimate
lobp114 ADA restroom upgrade
PARK 1OBP TOTAL COST: $49,185
PTR #: 114 RENTABLE S.F. 130
DATE: 1/22/2012 COST/ RENTABLE S.F. $378.34
DESCRIPTION COST
DIRECT COSTS
01 74 23 FINAL CLEANING $950
02 40 00 DEMOLITION $2,500
03 00 00 CONCRETE $750
05 50 00 METAL FABRICATIONS $0
07 00 00 THERMAL/ MOISTURE PROTECTION $765
08 00 00 DOORS $3,170
08 40 00 ENTRANCES, STOREFRONTS $0
08 62 00 UNIT SKYLIGHTS $0
08 8000 GLAZING $0
09 00 00 FRAMING / DRYWALL $3,720
09 50 00 CEILINGS $1,525
09 60 00 FLOORING $2,300
09 70 00 PAINTING $5,250
10 00 00 SPECIALTIES SECURITY CARD ACCESS $2,425
12 20 00 WINDOW COVERINGS $0
12 30 00 CASEWORK $570
12 93 00 SITE FURNISHINGS $0
21 13 13 WET PIPE FIRE PROTECTION $1,020
20 00 00 PLUMBING $7,600
23 00 00 H.V.A.C. $2,100
26 00 00 ELECTRICAL $2,450
28 30 00 FIRE DETECTION AND ALARM $900
32 00 00 EXTERIOR IMPROVEMENTS $0
MISCELLANEOUS $350
DIRECT COST SUBTOTAL $38,345
GENERAL CONDITIONS $2,684
ADA UPGRADES $0
TOTAL COST $41,029
CONTRACTOR OH & P $2,051
TOTAL CONSTRUCTION COST $43,081
B&OTAX $0
WA SALES TAX $0
CONTINGENCY $2,154
ARCHITECTURE & ENGINEERING $2,000
PERMITS & FEES $1,950
SPECIAL INSPECTIONS $0
(GRAND TOTAL $49,185
10bp114 ADA reatroom uppr de budget 2012 -01.22
t„.„,..,..„:,, ., BUSING
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L .. .' , ' ,,', : 7 ,.• 7,500 SF
fa._..t. _. _ :_ : �� . 843 SF OFFICE isi
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SUBJECT
BUILDING KEY PLAN 6
NOT TO SCALE z
PACTR
Pacific Realty Associates, L.P.
15350 SW Sequoia Parkway, Suite 300, Portland OR 97224 • 503 -624 -6300 • www.pactrust.com
Thy: >cp.iare footage and rates quoted herein are subject to change. PacTrust can only guarantee square footage and rates with a signed lease agreement