Permit CITY OF TIGARD BUILDING PERMIT
: . u
COMMUNITY DEVELOPMENT Permit#: BUP2014-00071
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2014
Parcel: 2S 113AD01800
Jurisdiction: Tigard
Site address: 16700 SW 72ND AVE B16
Project: Collection Connection Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1
Project Description: TI for future tenant:Demolition of(2)single restrooms,and adding new walls along with(1)restroom,
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
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 1
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 04/01/2014 $174.00
Occupancy Grp: B Occupancy Load: 72 DC Provision Review,COM TI-LRP 04/01/2014 $26.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/01/2014 $1,075.83
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 04/01/2014 $129.10
Bedrooms: 0 Bathrooms: 0 Plan Review 04/01/2014 $699.29
Value: $95,600 Plan Review-Fire Life Safety 04/01/2014 $430.33
Info Process/Archiving-Lg$2.00(over 04/01/2014 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,544.55
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 N• ion enter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a •• • •- • - •r direct questions to OUNC bfng 503.2 '.1987 or 1.:10.332.2344.
)
Issued By: . '== Permittee Signature: ___1 ail -
• .4175 by 7:00 a.m.for the next available nspection`'
This permit card shall be kept In a conspicuous place on the jobs : ntil com•etion of the project.
Approved plans are required on the job site at the time 0 • - spection.
Building Permit Application y .f, • r. •�../i)
1 ` FOR OFFICE USE ONLY Commercial rJ
1204 Received\I
City of Tigard APR h Date/B PermitNo.: �V, <. /G7 _ Dw y�
IN ,ty _ /
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review , 4. � ( ether Permit
li Phone: 503.718.2439 Fax: 503.598.1960 �\�(�►j, �� Date/B : � , � I
Inspection Line: 503.639.4175 w+�- Date Rea. ': Ems RI See Page 2 for
T I G A R D p `,O�C7 Notified/Method: Supplemental Information
Internet: www.tigard-or.gov ���`
a'l; i)l• \'„ii:J:
❑New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value(rowded to the nearest dollar)of all
Qi Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
f., z ) �: work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling Xi Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address: ' I Vl J J 1 ivt C New dwelling area: square feet
City/State/ZIP: \( 1 L 1 ( fi1.✓t f11�ZZ`, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ( ()l`J� IC.NI l 1 -(A/1 Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
• Other structure area: square feet
3i {).)_I1+d 111)/,\Ii :(e01,0:149i0, 3 1,'S,9 (ai T 10:11-y
Subdivision: I 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
work indicated on this application..�--
111 -�',tr(ur �vi O1 L J S ` (BUYS t1� _S / Valuation: $ �'J/ (k'c
Deev►t) Z SI 119(4.- rW frOtri'1 S f V e lv 1 5117�j U. Existing building area ta C square feet
reJfi'OU i � /W-) Brea k.. 1�et1Yh �•r1� ✓ New building area: (,Q J71 square feet
t / Number of stories: I ��V
Name: cv.:nr J C J— Type of construction: ?f , //f-B
Address: I S'3S-U SV.) �4 G��J CA G. 9V_�W Occupancy groups:
City/State/ZIP: `�. �„4 ®a. c172.24 1 Existing: e) /v1 , F/ �jI
Phone: ) _&230-D Fax: .):. • . New: SLt-V ■
Business name: Structural rural plan review fee(or deposit):
Contact name: 'n N,�C6V 1
K- tl/✓1 1 x" it., FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
(.)) �7-%e I Amount received:
Phone: Fax: :( )
l tO;r1: V't))l)_V I( ,r. , . ,r '
E-mail_ — .• I A a 0. • $4./k
Commercial and residential prescriptive installation of
q()),,'.11 1 4 I /1 _ ,; roof-top mounted PhotoVoltaic Solar Panel System.
Business name: otG, YV Sl- 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.
Cit /Blatt/ZIP: Permit fee(includes plan review $180 00
Y and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: I S.;cl Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
g within 180 days after it has been accepted as complete.
G��j
Print name: i Date: * Fee methodology set by Tri-County Building Industry
=_�11'<l�I.�_ •r�� �� Service Board
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Number: ,5rfaa/'-/- C5707/
: -
Building Permit Review
Commercial Project — No Associated Land Use Case
TIGARD
Site Address: (`COQ SW 12.11d Ave,.
❑Verify site address is valid.
Project Name : Co\`echon Conne ction
Planning Review
Proposal: Ifrferlor TI for new +Eros . Wnolesa\e, sales i-o WIoleso,\e, Sa\es .
Kin change. +n ex-r iof-! access.
Ig Zoning S..L
Permitted Use Yes ❑ No ❑ Spec Space
Land Use Required ❑ Yes No
Notes:
Approved by: Ti m Leh rb ad-) Date: LI f 1 11!
f
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 /4/Y/:Original Plan Submittal: Date: //v
By: g%-
Site Plans: #
Building Plans:
Create Case Record#: Lti'E nter case#above for Building Permit Number.
Workflow Routing: FJ�lanning ❑ Engineering ❑ Permit Coordinator 112 Building
Workflow Sign-off: off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ILYBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date: V/../V.
Notes:
TC
1:\Bui Iding\Ponns\B IdgPermitRvw_COM_NoLandUse_123013.docx
71 • Building Division
Over-The-Counter (OTC) Building Permit
wARD Check List
Project Description: TT
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction: '� ,.
Type of Use**: i l Occupancy Load: .T2.— Oregon Specialty Code: 2((O
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: (('_,) Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: p
Total Project Valuation: $ R'2 (::CC) FEES DUE
$ la .di DC Prov Rvw,COM TI—Ping
$ WO DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ Drj Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ -11` a 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ g``',z-- Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 'WM W. Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ to,co 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
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 2_545'OTAL 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).
1:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16700 SW 72ND AVE B16, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00071
Chip Barnett
Violation Summary:
Inspector Contractor