Permit q CITY OF TIGARD BUILDING PERMIT
il l 3 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00253
T I (AD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/12/2012
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 250
Project: Common Sense Investments Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: TI - Construct (2) offices
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: DC Provision Review, COM TI - Ping 12/12/2012 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 12/12/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/12/2012 $195.38
Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 12/12/2012 $23.45
Bedrooms: 0 Bathrooms: 0 Plan Review 12/12/2012 $127.00
Value: $7,500 Plan Review - Fire Life Safety 12/12/2012 $78.15
Info Process /Archiving - Sm $0.50 (up to 12/12/2012 $1.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $501.98
Required: Required Items and Reports (Conditions)
Fire Sprinkler: 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 - . • . - - -w i t h 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. • ENTION: • O =; •n law requires you to follow the rules adopted by the Oregon Utility Notific Center. Those rules are set forth in OAR
952-1 through OAR • -001 -r ; You may obtain a copy of the rules or direct questions to OUNC by calling .242.1987 or 1.800.332.2344.
Iss ed By: I � f � Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next 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.
e ° Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ❑ Expedited Review
Plan Submittal Date:
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 mOXiSSA 1 00.. ∎e.tS at 503 - 718- 24 ormOJ( S a., @tigard - or.gov)
Proposal: \ r -. wiv'od. SOip' € kedlA IA� AA) d ds Issue
Zoning I — Q
Permitted Use Yes Id No ❑ 2 (
Land Use Required: Yes ❑ No
Notes:
d Approved ❑ Not Approved Date: 2. I Z
pp o pp ed to 12 (1
REVISED 10/4/12
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received a
Date/B : / g; Permit Noo
13125 SW Hall Blvd., Tigard,OR 973 ' . 1 2 2012 Plan Review 1119 (
11 Phone: 503 -718 -2439 Fax: 503-598-19 Date/By: / �� t .' • er Permit:
TIGARD Inspection Line: 503 - 6394175 Date Ready : 1 uris. ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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 (ro 1. to the nearest dollar) of all
Addition/alteration /replacement ❑ Other: equipment, materials, : bor, : verhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this splicatr,
El 1- and 2- family dwelling Commercial/industrial
Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ( 3 - O f 5� u2 �1 0 , R f��s^' �/ -# New dwelling area: square feet
City /State/ZIP: � per. �1 7 L2 T Garage /carport area: s are feet
Suite/bldg. /apt. no.: I Project name: Lahn,y , S 1 /H2 -5iM f5 Covered porch ar • squ e feet
Cross street/directions to job site: Deck . .. square eet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation:
Existing building area square feet
New building area: square feet
0 PROPERTY OWNER I 1:1 TENANT Number of stones:
Name: Piz— . D244 ST Type of construction:
Address: ( 5-5 Sv yam.) SECS - uo lA e1 . - y 4 3dD Occupancy groups:
City /State /ZIP: 9 7 z.z 4
Existing:
Phone: (9 ) z 5F— ( u2: Fax: ( ) New:
Et APPLICANT ❑ CONTACT PERSON BUILDING PERMI
Business name: (vi 1 l J (�1.5 � Loa.�STyu� � tt v'"i review (or fee pos
N'TT� Structural plan review fee (or deposit):
Contact name: IAA n"1•r (Y— u
Address: 1 2 a 5 ei kV FLS plan review fee (if applicable):
Total fees due upon application:
City/State /ZIP: P _- ,t,,,47 L J C "j L "z 5
Phone: (y}",) ,eZ OOC Fax:: (j.ri) 7Z. UOC,'7 Amount received:
- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E -mail: 1A44 tt o LS o PJ c �S t , rte¢ l
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Atq- T - F .} :it ,,� CIA asp Gd7,AS7'M.at�7 ,,,.J Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City/State /ZIP: and administrative fees): 5180'00
Phone: ( ) Fax: ( ) a
State surcharge (12% of permit fee): $21.60
CCB lie.: Total fee due upon application: $201.60
Authorized signature: f t,� �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board
1:\ Building \Permits\BUP_COM_PermitApp.doc Rev. 12/11/2012 440-4613T( 1 I /02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 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,
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): $
1:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012
III I Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Group: Type of Construction:
*Type of Use: Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: '3 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: $ ` 1. . C° FEES DUE
$ (- CO DC Prov Rvw, COM TI — Ping
$ / , au. DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ '5 , Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ , '°' 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ (2-7,(7) Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 'e , f5 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 $ [ , ; er) 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: $ ,15 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