Permit CITY OF TIGARD BUILDING PERMIT
to
a COMMUNITY DEVELOPMENT Permit#: BUP2014-00129
T I G A R I_) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2014
Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 800
Project: Microlnterconnects Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: TI for new tenant.
Contractor: ALEGIS CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES LP
6900 SW ATLANTA ST SUITE 110 ATTN: N PIVEN
PORTLAND,OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-427-6065 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 06/03/2014 $174.00
Occupancy Grp: Occupancy Load: DC Provision Review,COM TI-LRP 06/03/2014 $26.00
Permit Fee-Additions,Alterations, 06/03/2014 $1,142.19
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 06/03/2014 $137.06
Bedrooms: 0 Bathrooms: 0 Plan Review 06/03/2014 $742.42
Value: $105,400 Plan Review-Fire Life Safety 06/03/2014 $456.88
Metro Const.Excise Tax-Commercial 06/03/2014 $126.48
Use
Floor Areas: Info Process/Archiving-Lg$2.00(over 06/03/2014 $12.00
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,817.03
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 accordance with approved plans. This permit will expire if work is not started within 180 day .- = or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili otification Centel. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rule&odirect questions to OUNC y call'., r .2.1987 or .:00.332 2344.
Issued By: e - ermittee Signature:
Ca .4175 by 7:00 a.m.for the next available ins• ction
This permit card shall be kept in a conspicuous place on the job site unti n of the projec
Approved plans are required on the job site at the time of each ion.
Building Permit Application ; .j so . , . . . . . .
wCommercial c FOR OFFICE USE ONL1
City of Tigard q 24\4 DateB • /t/ , Permit No.: ;f ,`A i - 1, #
N - • 13125 SW Ball Blvd.,Tigard,OR 97223 f+ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 N R� DateB • ,,��1� it • er Permit
Inspection Line: 503.639.4175 \\GP Date Ready': Ems
67 See Page 2 for
T 1 G r\R D InterneC www.tigard or.gov G\S`l OF NG\NEER Notified/Method: i."7(:.,_ Supplemental Information
1NG��
;I;t:1i“1 I) Wj !...; i ii)"';I ..,;ll 1 31 )4,1 1'.•(:.,
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(ronded to the nearest dollar)of all
Cr'Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
❑ 1 and 2-family dwelling 'CommerciaUmdustrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
' e't`'t + c Total number of floors:
Job site address: � S t.3 1ZK# i New dwelling area: square feet
City/State/ZIP: —r"1 � 1 1 224 Garage/carport area: square feet
Suite/bldg./apt.no.: 3 Project name: i v\I(X C7 \ on 0 J Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
. Other structure area: • square feet •
ro ): •
o-Ultt1: )12 l �i,, (,)a3)tebt:)ti i.',1. i.;,l l <:._ it -+
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 •
.f` e,'�s}'`j - ) 1•'�( :+l'-i!(,,, t)I ii>t,)t,),., , , i, �'oii',_c;:?k Z . work indicated on this application.
_.,�.�a z� .ter IDS, ti 00
v\�� ■(N' TA - t ( ��I� f Valuation: $
A c^ C�‘`N Ao �� \S-YA-; & � Existing building area i S 2L square feet
f C 1 I 1 • New building area: iyzZi square feet
.1,.2b I d <)l'))t i , t 1) 's'1:.:' , . Number of stories:
Name: 'Ck.C.---itvCI— Type of construction: \\\ - \3
•
Address: 152 S'a St") g y c,t .. p 1 _
i Occupancy groups: •
City/State/ZIP: �1.4,4 8 �e{,7 Existing: h J - z
Phone: w/ ) (a30-0 Fax (g3) ' -77SS New: G i— .S, 2
/fF 1,... r?, l...t
Business name:
Structural plan review fee(or deposit):
Contact name: leTLAA MC61V 1 ',if__
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
(�3) i lay I Amount received:
Phone: Fax: :( )
.l41.)()\colt,, It
E-mail: # 0. In/�
•
.1 II _ ---a- - Commercial and residential prescriptive installation 6
r •i 3;:{ I a'1; roof-top mounted PhotoVoltaic Solar Panel System.
Business name: a 1 ,S Co.( l� �� Submit two(2)sets of roof plan with connection details
/� Q S� <i II� and fire s department Specialty access,along checklist.
lis. Oregon
Address: l L -7 2 Solar Installation Specialfy Code checklist.
City/State/ZIP: 4-e��,(f�.V�d OV_ c i ZC,3 ‘I-e.1 k d Permit fee(includes plan review
$180.00
Y and administrative fees
Phone:(S615 4.-2,-/ l.11.O Fax:( ) State surcharge(12%of permit fee): $21.60
CCB sic.: l CI ` Le, ,,,,,'' Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�i within 180 days after it has been accepted as complete.
Print name: / * Fee methodology set by Tri-County Building Industry
_y -�� /� '�� Date: / 3 L" Service Board
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
City of Tigard
1114 COMMUNITY DEVELOPMENT DEPARTMENT
T I GA R l) Building Permit Review — Commercial - No Land Use
Building Permit /1.1 —Ud
g #: �3�Pa_d (► � rr
Site Address: / ' T$ 3 cSbt/ 7,2 °I Suite/Bldg#: :,`iL'
Project Name: /1/{&fr/WI/t,rca/wed-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Rev'e w
Proposal: f J K 4/Oa b U y --A J e,41•3( ,> /44 /
t
❑ Verify site address/suite#exists and active in permit system.
❑ Zoning: 4 1
❑ Permitted Use: LT Yes �❑, N ❑ Spec Space
❑ Land Use Required: ❑ Yes LNo Type Required
Notes:
Approved by Planning:
\ /I'" < Date: 63 /9'
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: 60/P7
Site Plans: # N//}
Building Plans: #
Building Permit#: 0/E building permit#above.
Workflow Routing: ning ❑ Engineering ❑ Permit Coordinator t ding
Workflow Sign-off: for Planning(include notes from planning review)
Route Application Documents: ❑" uilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: OTC,
By Permit Technician: 6 .7. Date: 6/.3/i y
I:\Building\Forms\B I dgPermitRvw_COM_NoLand Use_042914.docx
;11114 . ' Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description: ( t
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: �'� Occupancy Group: Type of Construction: --3t-
Type of Use**: --3t-
Type Occupancy Load: � Oregon Specialty Code: �j to
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 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: W: _ Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: to 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: $ (4` tea) I FEES DUE
$ [77,10 DC Prov Rvw,COM TI—Ping
$ t, DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ I ibig Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ( . 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Am 'flan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 'Wa v Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ (Z,ai 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)
$ I.2-6,•,r e; 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: $ '7,O 3 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
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
16655 SW 72ND AVE 800, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00129
Jeff Grove
Violation Summary:
Inspector Contractor