Permit CITY OF TIGARD BUILDING PERMIT
741 s COMMUNITY DEVELOPMENT Permit#: BUP2014-00114
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2014
T t ''�t2 D 9 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 200
Project: MANAGEMENT GROUP Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for existing tenant: New lobby entrance and wall demolition for office reconfiguration.
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:
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 05/15/2014 $70.00
Occupancy Grp: B Occupancy Load: 46 DC Provision Review,COM TI-LRP 05/15/2014 $10.00
Permit Fee-Additions,Alterations, 05/15/2014 $453.95
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 05/15/2014 $54.47
Bedrooms: 0 Bathrooms: 0 Plan Review 05/15/2014 $295.07
Value: $24,300 Plan Review-Fire Life Safety 05/15/2014 $181.58
Info Process/Archiving-Lg$2.00(over 05/15/2014 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,069.07
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. S.= ••- 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 da s of issuance, or work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility •tification Center. • ose 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 - _ 987 or 1.8.1.332.2344.
,/ �__�
Issued By: /` �� Permittee Signatu e:
a 44176-39.4175 by 7:00 a.m.for the next availab, inspec •n d te.
This permit card shall be kept in a conspicuous place on the job si until c.mpl 'on of the project.
Approved plans are required on the job site at the time o inspect•1.
Building Permit Application . . }' ..
Commercial FOR OI 1.1( F. ( SE O\L)
City of Tigard ® Da cived L� Permit No.: [r, s II"—�j(J
IN • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review'�' er Permit
_ Phone: 503.7182439 Fax: 503.5 �r • Date/I3 : � �
Inspection Line: 503.639.4175 Date R ..11•7".". Juris ® See Page 2 for
T f G:\IZ U Internet: www.tigard-or.gov 14 Notified/Method: /y-ro Supplemental Information
I )?1'1 ill A',.' �� I.I: )1.II,4".f111 1,,:1 11 '1 .,:kiii l 3 ;:.i 1 1 •('.
El New construction i
❑ "? NG‘ Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
:
:'Addition/alteration/replacement el V. '-�` equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
r . ) I,(.,('nes,, ol, ( (?,IFS,I
Valuation: $
❑ 1-and 2-family dwelling ,'Commercialfmdustrial
❑Accessory building
❑Multi-family Number of bedrooms:
❑Master builder ❑Other. Number of bathrooms:
r.1: -i ,-11 ,P, , I , u" Total number of floors:
Job site address: IC 3 s-Z ., LJ el'l)e j I'C., Q L LA)t • 2 or New dwelling area: square feet
City/State/ZIP: 1 t o. t' 7 ZZ� Garage/carport area: square feet
Suite/bldg./apt.no.: ! I Project name: --11,..c M 3 M 4- 4OJ Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(romded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
c',: 1'1 I I; ,31 , ;PI, ` A - work indicated on this ..lication.
N2v-� 1 o bb ‘,(,.tY+eing t 14/∎iW\(N v-DO k Valuation $ 2 Zell.
v�.Nv• Q n l,s` _ Existing building area square feet
t �1 1'� New building area: c3 tt/square feet
),, iv,' ,. . . Number of stories:
Name: #Ov.:1-ry(j- Type of construction: I _ 1.
Address: , S D Stu V o lG 9V-10-1 Occupancy groups:
City/State/ZIP: far 4L4Aa Cie 9,72,2A. Existing: Pop
Phone: ..iIi , &230'D Fax: a ) , 775 New:
I I ! {W l V,;} 1 14,P(iN i 1:1 fM PI I" :,'i 1 .)';`
Business name: T'. -
Structural plan review fee(or deposit):
.
Contact name: l .. 455„,„ N/tt 6.1 .7 t Y�
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:( ) 1€ j 1 l . I Fax::( )
E-mail: Y • I AA ° 6 O.
A if‘A
Commercial and residential prescriptive installation of
• ';,_k ''I, _ roof-top mounted Photo Voltaic Solar Panel System.
0«Wl Submit two(2)sets of roof plan with connection details
Business name: M�� ,� and fire department access,along with the 2010 Oregon
Address: S' 2_0 S t..) j cuAii_ Solar Installation S.'cial Code checklist.
City/State/ZIP: par. H,,„04 e e a 7 12 Permit fee(includes plan review $180.00
and administrative fees :
Phone:(5-z)-3) 7 -? (d_S— Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB lic.: ` e 1 dp d Total fee due upon appication: 5201.60
Authorized signature: This permit application expires if a permit is not obtained
' _ within 180 days after it has been accepted as complete.
Print name: / _��A � vhC... I Date: (5 I c : Fee methodology set by Tri-County Building Industry
ice I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
lig r
■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6 LI P d-o I►i -Gba ti
Site Address: 1 5350 SW Sec of a Pkwy• Suite/Bldg#: 200
Project Name: -The. Mcinokqemen± Group
(Name of commercial siness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: e,kf(I exi s-\-i'n9 - -e notyyf lobby w h new e.Yr+'ranc_,
Verify site address/suite#exists and active in permit system.
I,�/Zoning I— p
L1(/ermitted Use: /Yes ❑i o ❑ Spec Space
2 Land Use Required: ❑ Yes Lam' No Type Required
Notes:
Approved by Planning: T m Len(load) Date: 5 / 1 S/( y/6
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: 5/l y
Site Plans: # /'
Building Plans: # 43
Building Permit#: r building permit#above.
Workflow Routing. Lei'P 'ng ❑ Engineering ❑ Permit Coordinator s ding
Workflow Sign-off: LAS' -off for Planning(include notes from planning review)
Route Application Documents: [ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: orC_
By Permit Technician: if-7. Date: r57 y
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_042914.docx
Building Division
Over-The-Counter (OTC) Building Permit
II(, \ i: I)
Check List
Project Description: TA
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: !. Occupancy Group: Type of Construction: 2
Type of Use**: rr \ Occupancy Load: c. Oregon Specialty Code: r '
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: ��‘--2 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: $ FEES DUE
$ /O,00 DCProvRvw,COMTI—Ping
$ r,rr DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ ji��1i 'ermit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ' , _? 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 7 `'O Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Mgr"- Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ irill. 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: $ to0,o7 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