Permit CITY OF TIGARD BUILDING PERMIT
1,11111 -
a COMMUNITY DEVELOPMENT Permit#: BUP2014-00113
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2014
Parcel: 2S112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 120
Project: Big Town Hero Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: TI for existing tenant: Adding 154 sq.ft.and a new demising wall.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND,OR 97224 15350 SW 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-LRP 05/14/2014 $10.00
Occupancy Grp: M Occupancy Load: Permit Fee-Additions,Alterations, 05/14/2014 $271.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/14/2014 $32.57
Stories: 1 Height: 0 ft Plan Review 05/14/2014 $176.43
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/14/2014 $108.57
Value: $12,500 Info Process/Archiving-Lg$2.00(over 05/14/2014 $2.00
11x17)
DC Provision Review,COM TI-Ping 05/14/2014 $70.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $671.00
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 Notifica • 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 call' 800.332.2344.
Issued By: Permittee Signature: _
,�•�
.; 9.4175 by 7:00 a.m.for the next available inspe••
This permit card shall be kept in a conspicuous place on the job site until c• • • on of the proj:•
Approved plans are required on the job site at the time of each inspec •
Building Permit Application . .' . .` '
Commercial
����1�1 FOR OFFICE USE 0,�l.�
Received (` �-, Permit No.: �,
City of Tigard Date/B : V ) — at 113
1,1
. 13125 SW Hall Blvd.,T i g a r d,OR 97223 `101Qr Plan Revie e,
Phone: 503.718.2439 Fax: 503.598.1960 `,P( 1 k l� Date/E3 :- ���� rLI e'er Permit:
Inspection Line. 503.639.4175 �`t` ( ,.te Rea•y :y: ® See Page 2 for
TIGARD Q`�,V Notified/Method: ;"1% /1 Supplemental Information
Internet: www.tigard-or-gov ``��Ol \ N %/)���
f
)'t'1 tin \i,r1 1C l
` :i '7�ii l a Ji 1. tY I'iw) CI)> .. 4 )1l i (,.
❑New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
►l'1 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
.; 1;1;,1 {)�'' E)1: 1:, work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 'Cotrmtercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
tto k,1 , ) t. ,,a C'i
i ,; III()', Total number of floors:
Job site address: t S 2,36 Ic- I SsC.4 l0 I a 0\I (4)�1 .4 I New dwelling area: square feet
City/State/ZIP: T,' 0.4, -. a21•et 7uy J Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: et, T�yl lid 'ieCovered porch area: square feet
Cross street/directions to job site: Deck area: square feet
• Other structure arec . square feet • .
1,1��t-qila lilt/t1 a tit,
Subdivision: l 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
3 0 work indicated on this application.
•
r Q 6L �� GY e.14(6.1-Ilrl (��h�j L��+l�J Valuation: $ 1 v
d- b kit 1 a i v Y A_ otL//1 t I c�ICI L.QG4.[ / I JQ.�d(it, Existing building area l al
square feet
.S s New building area: `3� l square feet
'? L.el 0:1-0'M3 , 1 i.,_ Number of stories: ` •
Name: /ate`r0 C.1-- Type of construction: 1 t` —
Address: t PTO S� �ety Q tG, 9 1 Occupancy groups: •
City/State/ZIP: 'ear.1.4„.4 ®Q, S-7224 1 �-�+ Existing: M .
Phone: f11) t.fG� - (.(230-0 Fax:(7)3) , 7 . New: Y\A
1p1 "1 11 l( ..% /I _ .. :.: aigl ON:
Business name: Structural plan review fee(or deposit):
Contact name: ker, I v`e olu t .i.e..,
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP: •
( ) 7-03-,8 ,•, i • Amount received:
Phone: l4.Ct- Fax::( ) .:-, ,..
1,•otf1- 115 ; ;t
- E-mail: 'r • .I AA 41 O, 0 A.^ .
- Commercial and residential prescriptive installation of
,: . . .E -.. roof-top mounted Photo Voltaic Solar Panel System.
Business name: OcteTieVS 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
Y and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: `s 3 4 i .� Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
w� _/ , within 180 days after it has been accepted as complete.
�i f iall0-� 441. .�--• Date: Illb 11'l111 * Fee methodology set by Tri-County Building Industry
Service Board
I:\BuildingWermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/W EB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
k,
Building Permit #: 81.4p a0 j 4--00113
Site Address: �1 3 Sc', VP/4 4-0 kw Suite/Bldg#:
Project Name: 8 �� /� �j
(N�of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal:
Verify site address/suite #exists and active in permit system.
--Zoning: f - I�
1:1--Permitted Use: Er Yes ❑ No ❑ Spec Space
Land Use Required: ❑ Yes l No Type Required
Notes:
Approved by Planning: Date: 5—/5///1
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 Submittal Date: V/41/Pi
Site Plans: # .1 N`i¢
Building Plans: #
Building Permit#: ,�C�T EE rater building permit#above.
Workflow Routing: [p nning ❑ Engineering ❑ Permit Coordinator LeBuilding
Workflow Sign-off -off for Planning(include notes from planning review)
Route Application Documents: 2' leg original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: C7
By Permit Technician: .4f- ---- ----- Date: 5/A0 y
I:\Building\Forms\BldgPermit Rvw_COM_NotandUse_042914.doc x
114 ,, .1 Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description: fl
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: e .*7,1;1 Occupancy Load: Oregon Specialty Code:
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: C?�� 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:
Total Project Valuation: $ (ZI FEES DUE
$ `�,z^ DC Prov Rvw,COM TI—Ping
$ I ,ex2) DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ •27(./.7,7„, Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 2, 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ , •9 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ I Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ '20tX) 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: $ L2,7 I ,C TOTAL 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