Permit CITY OF TIGARD BUILDING PERMIT
'IA a COMMUNITY DEVELOPMENT Permit#: BUP2014-00050
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014
T I c''`1 RD 13125 Parcel: 2S112DD00200
Jurisdiction: Tigard
Site address: 15618 SW 72ND AVE
Project: Spec Space Subdivision: 1994-006 PARTITION PLAT Lot: 2
Project Description: TI for future tenant.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-624-6300 PHONE:
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 03/05/2014 $70.00
Occupancy Grp: B Occupancy Load: 54 DC Provision Review,COM TI-LRP 03/05/2014 $10.00
Permit Fee-Additions,Alterations, 03/05/2014 $210.59
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 03/05/2014 $25.27
Bedrooms: 0 Bathrooms: 0 Plan Review 03/05/2014 $136.88
Value: $8,500 Plan Review-Fire Life Safety 03/05/2014 $84.24
Info Process/Archiving-Lg$2.00(over 03/05/2014 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $538.98
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 N j;. - on a Those rules 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 by mg 503.232.1987 , :00.332.2344.
Issued By: / Permittee Signature: —_ -
'3.639.4175 by 7:00 a.m.for the next available in • ctlon•• •.
This permit card shall be kept in a conspicuous place on the job site u I coin I: •n of the projec
Approved plans are required on the job site at the time of ea • i•-pecti• .
Building Permit Application
Commercial �'`� FOR OFFICE USE ONLY
City of Tigard �N v D �"`a Pit xo.: i / — C,�k
13125 SW Hall Blvd.,Tigard,OR 97224 C� Plan Review `l
0. Phone: 503.718.2439 Fax: 503.598.1966 Date/By: k _t • 1� Other Permit:
T 1 G A I&D Inspection Line: 503.639.4175 +I%\t Date Ready : . t t s: El See Page 2 for
Internet: www.tigard-or.gov MP`s s �i Notifie. •ethod: 7 Supplemental Information
1 fil, (0, \',111;1. 1111=1111111111111111=11111
❑New construction ❑ . . • , Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ii Addition/alteration/replacement • %*•er: equipment,materials,labor,overhead,and the profit for the
s work indicated on this application.
❑ 1-and 2-family dwelling 'Commerciallindustrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
iirG .;) :I ail( , '(' ,. I .. Iil!
Total number of floors:
Job site address: `S(ja.k C2, Cw —7 Z N A-it`C.... New dwelling area: square feet
City/State/ZIP: "r1�(��Y-� 1 ZZ' Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: P U_Z LO SPA je rv� Covered porch area square feet
Cross street/directions to job site: 1 Deck area: square feet
Other structure gee; square fit •
Subdivision: I Lot no.: Permit fees"are based on the value of the work performed.
Indicate the value(roinded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the•
work indicated on this application.
\)-e,L o 0 1VAt-C/" IU.r~' w�kl S a-. t C&�. Valuation: $ SZ•
Existing building area (133 Li square feet
New building area: tf2,13 square feet
'?e4.1!):4d )1-4,1a,Ya-Nee,•;; Number of stories: '
Name: #ar__'T ie-v c.1-- Type of construction: lit-
Address: I S"/,S7) S∎.J )Q a. 9k.i4.. Occupancy groups:
Ci /State/ZIP: ere n
ty �tk�.-�Q-�I�G� 'L7�'�' Existing: ii• Ir. S -Z•Phone: 4,4 of ..(f2.3Cro Fax: a ) , 4--77 .. New: 4atn►AR_.
I , 1 ,.qi I111 V'd) 1,,
Business name: 1r
1n Structural plan review fee(or deposit):
Contact name: C�.-.45,,,„ VC 6 tJ t rl-e�
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) X7.11 j14 I Fax::( ) Amount received:
E-mail: 'r Q v\.."
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ���-�r�J I--- 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.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: IS"-- 9 i dio Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: V......) ... • ;�� Date: 3 S Service Board
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
IN I •' Building Division
Over-The-Counter (OTC) Building Permit
TIGAKD Check List
Project Description: ---fi
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: NM. Occu.an Grou.: In li'/' ape of Construction: '
Type of Use**: ( Occupancy Load: Oregon Specialty Code: y .
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 FOOT AGES
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: 1 W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: ce Fire Alarms: /0.-j Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 3pfX, FEES DUE
$ 7 ),( ) DC Prov Rvw,COM TI—Ping
$ 0 ,L10 DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ r -*"j_ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 2 ' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 7114:11 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ AIIM Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ 'Z,O Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ 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'D.),qftOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Building Permit Number: V ct p,w/l--wC?SZ>
i . Iii
Building Permit Review
Commercial Project —No Associated Land Use Case
I'I iARI)
VSi a Address: 1 S(1 1 g SW 121id �CV�
erify site address is valid.
Project Name : Pac, Trust
Planning Review
Proposal: tnichor ramie) -r )V61
if al hill 04.4 11 5.
CKZotting: (—p __,
ermitted Use ❑ Yes ❑ V o f?Spec Space
RV-Land Use Required ❑ Yes R No
Notes: KID viatriim tit pr .
Approved by: Date: 5i 5 1 I`t
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: ' By: B j
Site Plans: #
Building Plans: #
Create Case Record#: L nntt r case# above for Building Permit Number.
Workflow Routing: LTi�la ning ❑ Engineering ❑ Permit Coordinator Lr Building
Workflow Sign-off: LtJ� off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ['Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Reviewed By: De m/ Date: 3,jr/1y
Notes:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx