Permit CITY OF TIGARD BUILDING PERMIT
y q
a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00195
T tGARL�' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/17/2012 •
. Parcel: 2S112DA01400
Jurisdiction: Tigard
•
- Site address: 15350 SW SEQUOIA PKWY 198
Project: Computeration Expansion Subdivision: 1996 -048 PARTITION PLAT Lot: 2
. Project Description: TI Expansion - office
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
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 10/17/2012 $67.00
Occupancy Grp: B Occupancy Load: 20 DC Provision Review, COM TI - LRP 10/17/2012 $10.00
Dwelling Units: 0 12% State Surcharge - Building 10/17/2012 $50.82
Plan Review 10/17/2012 $275.29
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 10/17/2012 $169.41
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 10/17/2012 $4.00
Value: $22,500 11x17)
Permit Fee - Additions, Alterations, 10/17/2012 $423.53
Demolition
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
• Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,000.05
•
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. Spec :Iry Codes and all oth r applicable law. All work will
.
be done in accordance with approved plans. This permit will expire if work is not started within 180 day - I _ = or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili office •n Center. Those r - s 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 y calling 503.: 2.1987 or .800.332.23.4.
Issued By: - ILL. A _ I / J _ --,4 Permittee Signatu : •---- i
Call 503.639.4175 by 7:00 a.m. for the next available inspection d
This permit card shall be kept In a conspicuous place on the job site ntil completi n •
Approved plans are required on the job site at the time of a Ion.
Building Permit Application
�
Commercial F O
R O FFICE USE ONLY
City of Tigard Date /By: I�V 11 I S4' Permit No.:AUO g (,)_ BO f4'
IIP4 q 13125 SW Hall Blvd., Tigard,OR 97223 OCT 17 2012 Plan Review p
.' ® Phone: 503.718.2439 Fax: 503.598.1960 DateBy: ID 17A 1 Other Permit: rir
T1 GARD
Inspection Line: 503.639.4175 T IGARD Date Ready /B : 1 °� El See Page 2 for
Internet: www.tigard- or.gov B1 Dn a , , - Notified/Method: ��Cp Supplemental Information
TYPE OF WORK 1V�V REQUIRED DATA: 1- AND 2- FAMILY DWELLING .
❑ 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 work indicated on this application.
•
❑ 1- and 2- family dwelling Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Pte-tA) Total number of floors:
Job site address: 1s3 5 t z cce ` V Ud (A. New dwelling area: square feet
1 City /State /ZIP: ,c;1 ,c;1 -� - D n72.2-1 n7� I
Garage /carport area: square feet
Suite/bldg. /apt. no.: ._, Project na C� 01e{-1(N` Covered porch area square feet
Cross street/directions to job site: t l � fain& I ` W \ Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 1 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
DESCRIPTION OF WORK work indicated on this application.
•
po an 71 -& t - D f 1.C..,� Valuation: S 7-2- 500 -'
Existing building area square feet
New building area: square feet
PROPERTY OWNER '❑ TENANT Number of stories:
Name: f a1/4c. vs F a " - �/� _ ` C6 V 1� Type of construction:
6 Address: is3.Sa l� )c) jc kw �'( � Occupancy groups:
City /State /ZIP: ) / i f _ 72._ 9 "72 .Lf ` ! - Existing:
Phone: (Q3 4 - �3 (54:D Fax: (3) 461.4 ^� 7 v - New:
g APPLICANT ❑ 'CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Structural plan review fee (or deposit):
Contact name: Q M Q t �_
"1 FLS plan review fee (if applicable):
Address:
City /State /ZIP: Total fees due upon application:
Phone: (SUN 701 1g0 I Fax: : ( ) Amount received:
E - mail: r u A^ ` �-+ f . 1-� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J ,- Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: 4-1-IALAAD I & avl r� ^ C C Submit two (2) sets of roof plan with connection details
_ and fire department access, along with the 2010 Oregon
Address: S-32...-0 S�w T eX r ,, - — Solar Installation Specialty Code checklist.
City /State /ZIP: 1 - 14 ( at-4"%.. _ c k - 72 . 2 - Permit fee (includes plan review $180.00
�55 � Z -cock ^ - Fax: ( ) and administrative fees):
Phone: cG State surcharge (12% of permit fee): , $21.60
CCB lic.: • Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
dirop / ` within 180 days after it has been accepted as complete.
Print name: aM1 V 144.- Date: 107/r / L * Fee methodology set by Tri- County Building Industry
( ((( Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
• Project Description: Ti Bu P SDI a- D01 q.S�
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: IN(T Occupancy Group: Type of Construction: Z�
*Type of Use:- ("," .Q Occupancy Load: Oregon Specialty Code: ( c
SPECIFICS
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 22 ' FEES DUE
$ k-7, QD DC Prov Rvw, COM TI — Ping
$ A in F co DC Prov Rvw, COM TI —LRP
DC Provision Review Fee for COM TI $ 3,., Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 60.52_ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ Z7 . Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ : = Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ • , Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 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: $ I 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 07/01/2012
Building Division
:,
Development Code Provision Review
TaG R Commercial Projects - No Associated Land Use Case
Building Permit No: AN P " a' - 0-0 1 of 'LT <edited Review
Plan Submittal Date: /0/17 /1 Y
To the Applicant:
/5 4 7 it) �$I - Pk.v it 10
➢ 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 o ly if approved.
Planning Review (contact at 503 -718 ► `»U or hig,4@tigard- or.gov)
LT Zoning _ 2 — P Permitted Use Yes gr ❑
D' Land Use Required: Yes ❑ No t1 (explain below)
Notes: / A
/Approved ❑ Not Approved Date: M-/7-/2_ / -/z ,
/
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN