Permit CITY OF TIGARD BUILDING PERMIT
111111 COMMUNITY DEVELOPMENT Permit#: BUP2015-00053
T f CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2015
Parcel: 2S113AA00300
Jurisdiction: Tigard
Site address: 16320 SW 72ND AVE B3
Project: Service Partners Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: TI for existing tenant:Removal of(1)drive-in ramp,widening of an existing drive-in ramp,increase width of
overhead door,two new pit type dock levelers.
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
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 03/05/2015 $75.00
Occupancy Grp: S-1 Occupancy Load: 92 DC Provision Review,COM TI-LRP 03/05/2015 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 03/05/2015 $408.32
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 03/05/2015 $49.00
Bedrooms: 0 Bathrooms: 0 Plan Review 03/05/2015 $265.41
Value: $22,000 Plan Review-Fire Life Safety 03/05/2015 $163.33
Info Process/Archiving-Lg$2.00(over 03/05/2015 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $978.06
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 Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtailes or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • _—' ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,
Building Permit Application
Commercial RECEIVED I OR 01 I I( I 1 'NI 0\1.1
City of Tigard Re eiivved y/t Permit No.:AP
1111
- • 13125 SW Hall Blvd.,Tigard,OR 97223 Dp Plan Re 'e "\ j�
Phone: 503.718.2439 Fax: 503.598.196�AR 5 2015 Date/B :aill il-NRIE Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Rea '• ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Meth.,; Egil Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA 1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling [Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ` 49 J) 2.0 50/ 7 2^� G ye.... New dwelling area: square feet
City/State/ZIP: T;card I OA 91 2 211 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Service Pa r f ner' lv w Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
C'c' 0.e SV` 0 (n re 7,O0�e� F jvj 17/4, Other structure area: square feet
( t•i 4-1"1")4-1"1") f REQUIRED DATA COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK ; work indicated on this application.
p-em ove, 611(1Ve '1„ 1i44 17) W I deo exid-Inft J Valuation: $ Z 2, 0 0 0
1 im p, -I n ri-e �Ci W iN-I►rl1 6t' �G✓heatt Gi(7V7' Existing building area: �0g75-square feet
O yi J 01.0* l I eve ev New building area: 3z C 7 5 square feet
[B'PROPERTY OWNER ❑ TENANT Number of stories: v 17 G
Name: ?(/IG TYUc-!` Type of construction: 1 1_13
Address: 15 3 5 0 SW Sequoia) Pkw i W0 Occupancy groups: 13 /5 —I
City/State/ZIP: pv,e4-I 61"1D f 2)Q 61-7z 114 Existing:
2j -7 Q ( g f
Phone:(5O3 214 -070 O Fax:(5-13 ))(g 24-7 7 S S New: ....ter.
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* .
(Please refer Wee schedule)
Business name: f°1&Dr U 0- Structural plan review fee(or deposit):
Contact name: (cy l j e I.0u 16
FLS plan review fee(if applicable):
Address: 1' 350 5W eQll 01,91 Pf(W i 300
City/State/ZIP: p01/(-I aid , OA Cl/221 Total fees due upon application:
Amount received:
Phone:(503 ) 69 14-(c.300 Fax::( 6p3) 014-7155"
E-mail: i e91,(6 ' p q&-f ru G�-r,GQ'VJ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
!r
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 701 G-Ti/a,-f-- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15 35 0 s w 5 c Q u of Pi Pj,v4 t. W 0 Solar Installation Specialty Code checklist.
City/State/ZIP: 170 ' 113Yi -17 Z z4 J Permit fee(includes plan review $180.00
tt t and administrative fees
Phone:(5v9j)( ,4�(Q 300 Fax:( §o3 ) 0 24-17 5 ' State surcharge(12%of permit fee): $21.60
CCB tic.: S �"1 p �j Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
��� within 180 days after it has been accepted as complete.
Print name: �,,{;i" (/ /tt 1/1Q')/t4 Date: Maim Cj/20i5 * Fee methodology set by Tri-County Building Industry
1 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
71 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
•
TIGARD Building Permit Review — Commercial - No Land Use
!J
I
Building Permit #: 5,,,p.„,,_0,53
Site Address: /69-WO SU) 7- c it . / /e_ . Suite/Bldg#: 3
Project Name: ll/,C Q 7-4l ecc. •00
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: - ,07L Nom(/) reaM / o«X n 6i /.ym,O j Mc' l Lt_ Yli-A
c,. eyvprke.a Mfr
Existing Business Activity: g!.Ipp fir' ( .jyA I /nc f
Proposed Business Activity: , (p /-oc-- ( /l`J' /li c S" )
Verify site address/suite #exists and active in permit$stem.
CI/River Terrace Plan District ❑ Yes M'No
IJ� oning: l
Vrmitted Use: /Yes ❑ No ❑ Spec Space
nfirm no land use required.
L✓J Business License-
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: .��: ��26���C__. Date: cp-c—,/. —
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: 1//5//S
Site Plans: # 9,
Building Plans: # 3
Building Permit#: Center building permit#above.
Workflow Routing: -Punning ❑ Permit Coordinator E-Building
Workflow Sign-off: a-Sip-off for Planning(include notes from planning review)
Route Application Documents: la-Wnl`ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: c)?f
By Permit Technician: —. _ �r • Date: l/5 lj S."--
or
I:\BuildingWorms\BldgPermitRvw_COM NoLandUse 030415.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM NoLandUse_020415.docx
711
• Building Division
Over-The-Counter (OTC) Building Permit
l `' 1' Check List
Project Description: k
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: 'j( _Type of Construction: SP,
Type of Use**: pi--T-
cNA. Occupancy Load: '12.._ Oregon Specialty Code: '—� `, /\
SPECIFICS
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: l 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: te, 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: $ '22—j6-C) FEES DUE
$ di,-,cc DC Prov Rvw,COM TI—Ping
$ ma DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ afrAP' •'ermit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ y%'",0 1 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ i Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ MM.. Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ _ '1' Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ 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: $ Qk) 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:\Budding\Forms\OTC_BUP 070114.docx