Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00142
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2014
Parcel: 2S 112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 100
Project: North Coast Lighting Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: TI for new tenant. Wall demolition and construction.
Contractor: ROBERTSON&OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
16821 SE MCGILLVRAY BLVD#210 ATTN: N PIVEN
VANCOUVER,WA 98683-3404 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 360-699-4724 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 06/17/2014 $174.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 06/17/2014 $26.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 06/17/2014 $1,184.47
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 06/17/2014 $142.14
Bedrooms: 0 Bathrooms: 0 Plan Review 06/17/2014 $769.91
Value: $112,500 Plan Review-Fire Life Safety 06/17/2014 $473.79
Info Process/Archiving-Lg$2.00(over 06/17/2014 $8.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 06/17/2014 $135.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,913.31
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. Special c- _ .nd 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 0 ua'ce, or i ark is suspended for more the 180
days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility days
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�/ling 5...232.1987 or 1.80'.332.2344.
Issued By: Permittee ignature: _
CAE 5 by 7:00 a.m.for the next available in • •ata�
This permit card shall be kept in a conspicuous place on the job site u •lotion of • •act
Approved plans are required on the Job site at the time of ea nspection.
Building Permit Application . . . .
Commercial FOR OFFICE USE ONLY pod/Li-61V
1,114 " City of Tigard ���� Date/By: / i `7/�1 �C./t J 6, tp ,
V Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97� Plan Review
Other Permit:
S Phone: 503.718.2439 Fax: 503.598.1 Date/By:
Inspection Line: 503.639.4175 1"A1 11 2:3+ Date Ready/By fps: ® See Page 2 for
T I G:1 R U Internet www.tigard-or.gov JUI`I 1 Notified/Method: �'C Supplemental Information
•
. h i,1 ,:1:t:t:11a-I1 U.I.,. , 'it'.I 0111 i1 a a:
❑New construction //IPA*. t&1 Permit fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
C_ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling 'Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
' t•1:;:`3"t 7 r I."< t' Total number of floors:
Job site address: New dwelling area: square feet
�523p s g�gyor'�. Kwy
City/State/ZIP: / I G�u,r� � 1 72:24 Garage/carport area: square feet
Suite/bldg./apt.no.: Q'a,,JJ I Project name: iN or 1.4i+ 6/ G!lithe.l 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(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
N �� '' )rt Y;1,a 1,:' i t r fel 1)3' work indicated on this ,•elication.
I l.4-eAK:1O,- Ti : O f t�r,tls t /���5, Valuation: $ I 12 ��
Gu '1VL h141‘ dUJT/'r Existing building area square feet
J I New building area: square feet
a kb°?. .j.-4i (i. ` � i`i.+ ':,.l, i Number of stories: I
Name: eoC--TY%)CI— Type of construction: `t — t
Address: I S"'""&S7) St,J
"�� 0-1 a Q ' Occupancy groups:
City/State/ZIP: ��f La a. ® s-7224
Existing: i 5 .. 2
Phone: SOS. y -&23(Jf Fax: # ) , -77S - New: S -•
1 7. , _ t . '' ' '(i)' .;ls I1 (, '! ; i
, . 1
Business name:
Structural plan review fee(or deposit):
Contact name: ln lcuA
N/1C oV t 'it_
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:(s53) 70-4-) 44 I Fax: :( ) ;t r();';)] I ,:lr : t ; I ;
E-mail: 1( • .A II 0. 1 thA
Commercial and residential prescriptive installation of
? '(0 .' 7 `1> 'r-- - - roof-top mounted PhotoVoltaic Solar Panel System.
Business name: OP ty-Q Co,nstruch.an Submit two(2)sets of roof plan with connection details
I and fire department access,along with the 2010 Oregon
Address: `t_( 2 s F_ me 61`l 1 V Y C►Vok 42.4D Solar Installation Ssecial Code checklist.
City/State/ZIP: GuA L e� Permit fee(includes pian review $180.00
and administrative fees :
Phone:(360) �qc1 — L f 7 2C/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: ices.a. 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.
Print name: V u impi.
Date: �/ 17/ I it ` Fee methodology set by Tri-County Building Industry
T'� ��� ttt 111 Service Board
1:113uildinglPermits\BBUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
w OD ' )k-A 5 x 0.9 5 5-rr'r "� o-"3-s 4"
114 City of Tigard
i ■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 3up0ly -00i Lk
Site Address: /S Z 30 S i-J S.74,1 014, Pk ti- Suite/Bldg#: /o o
Project Name: A/.(41„ Coart Li 1);1
(Name of commercial business occupying thcr'space. If vacant,enter Spec Space.)
Planning Review
g i re}r/(
Proposal: Lh1br1o, cLt Za a.1.!C , fVti-, i' need : I,'jA71%y d.,rp) x".. cf1 nt..lP-
rtL[KJ-h/gJ $e -il.•f rc4 t I
Verify site address/suite #exists and active in permit system.
❑ Zoning: / P
D'Permitted Use: Lt' Yes ❑ o ❑ Spec Space
❑ Land Use Required: ❑ Yes i No Type Required
Notes:
Approved by Planning: Date: 6 "'17— /`/
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: Gii 0 i /y
Site Plans: # N4
Building Plans: #
Building Permit#: Edd' rater building permit# above.
Workflow Routing: ❑ Engineering ❑ Permit Coordinator g
Workflow Sign-off: Sign-off or Planning(include notes from planning review)
Route Application Documents: ( .- titldtng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 9-j//
I:\Bui Iding\Forms\BldgPer mitRvw_COM_NoLandUse_042914.docx
Building Division
Over-The-Counter (OTC) Building Permit
T I G A R D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: /'(5—ekk Occupancy Group: > Type of Construction: 2232.
Type of Use**: kT Occupancy Load: Oregon Specialty Code: '7[Ar)
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: I 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: $ (+Z- ') FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ am DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ f , ' Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ /'l ,1 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ laikj j Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ s 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)
$ (S43 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_( 3r 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