Permit 111n CITY OF TIGARD BUILDING PERMIT
1 g COMMUNITY DEVELOPMENT Permit#: BUP2015-00073
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/25/2015
Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 400
Project: Applied Colors Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: TI for new tenant:Building(1)new wall for an office.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
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 03/25/2015 $75.00
Occupancy Grp: B Occupancy Load: 26 DC Provision Review,COM TI-LRP 03/25/2015 $11.00
Permit Fee-Additions,Alterations, 03/25/2015 $164.96
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 03/25/2015 $19.80
Bedrooms: 0 Bathrooms: 0 Plan Review 03/25/2015 $107.22
Value: $5,160 Plan Review-Fire Life Safety 03/25/2015 $65.98
Info Process/Archiving-Lg$2.00(over 03/25/2015 $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 $447.96
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: — Permittee Signature: Il�
175 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.
III City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A It D Building Permit Review — Commercial - No Land Use
Building Permit #: 66,p?_0/5--00cD3
Site Address: /66,5-5 5t4 --7a - ,L az.,j 'too Suite/Bldg#: z(ci„
Project Name: " ii�'e4 Co fOrS
'
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ac1d WO Gor pnv'cite_. 0f- L&. ClreG+ , Spc,Lk ■ cu
previous of vi off.;Le_
Existing Business Activity: Z✓1 cLu S bin- _.
Proposed Business Activity: 't n des frcrdL
gr Verify site address/suite# exists and active in permit system.
— Terrace Plan District ❑ Yes ❑ No
Zoning: 1-p
Permitted Use: ...2.---Y-es ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: rv1.. el ii.G—, t '1(D Date: 2/z c1 1 S
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: 6-4M/15"--03o 73
Site Plans: # _
Building Plans: # 3
Building Permit#: rater building permit#above. ,� �
Workflow Routing: fanning ❑ Permit Coordinator Jrc#�Butldtng
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: g: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07Z-
By Permit Technician: 4 _--rte--- _ - Date: .?/as//S�
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.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 031015.docx
Building Permit Application
Commercial V�jjC VEll FOR OFFICE USE ONLY
City of Tigard L+" � Dates,.•
1114 I SW Hall Blvd.,Tigard,OR 97223 Plan Revti w v/
Phone: 503.718.2439 Fax: 503.598.1960 C 2015 Date/B :Ala" r ,/ ��. a
T 1 G A R D Inspection Line: 503.639.4175 OR 2 J Date Read .- ® See Page 2 for
Internet: www.tigard-or.gov S Notified/Metho,: IS:.,. �i Supplemental Information
TYPE OF R$1 1N(!DIVISION N 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
'2/Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building ❑Multi-family Number of bedrooms:
[1 Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ' (p it 5 5 s W 72'id Ave,. #L.'.00 New dwelling area: square feet
City/State/ZIP: Pat 4-`AAA, Pia' 9/'2 2-/4 Garage/carport area: square feet
Suite/bldg./apt.no.: Li 0 0 Project name: Apr li ec1 Cot W6 Covered porch area: square feet
Cross street/directions to job site: 1 / I r° Deck area: square feet
SW7 Z'" obi al V P 1 "■ b d OA b s R ry c,� Rti• Other structure area: square feet
\J REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
ad of W ql1 fr+r v*t Ce/
Valuation: $ 5, I b0
Existing building area: r,' y 02 square feet
New building area: S 1., 02_ square feet
PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: poi G Tr( oi- Type of construction: 1 l I-B
Address: 15 'S 0 SW St Q,ppw of iJ) PKti w .t 300 Occupancy groups: g , c-'Z ci
City/State/ZIP: PQv-t I av%d 9R 1'7 224 Existing: g 5- 2.
Phone:(50 3) 024 -0300 Fax:(5j01J) t1 2 4 7/5 5" New: th. 5_2
VI APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: pq G TIri 9 Structural plan review fee(or deposit):
Contact name: 10.eCj 1 i e Lovi„f FLS plan review fee(if applicable):
Address: (same AS Aisoi,Ve
Total fees due upon application:
City/State/ZIP:
Phone:( ) per; ;( ) Amount received:
E-mail: 1 es l 1 e I e I A G tr u�f , CBrvi PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Po G Try of Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15 3 5 0 S'Id Se Qu cI a Pk " Cl 0 Solar Installation Specialty Code checklist.
City/State/ZIP: 1 ole/4 of oR of 7ZZ11 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:( 3) 40244"049 Fax:(933 ) 0 2.4_7755-- State surcharge(12%of permit fee): $21.60
CCB lie.: I 53913 Total fee due upon application: $201.60
Authorized signature: l Lew'
I/V{S This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Lecl i e L.dv I y Date: f reh 24 2d�
I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
;I I II Building Division
Over-The-Counter (OTC) Building Permit
IR, p " Check List
Project Description: l C
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: As/ , Occupancy Group: Jc9 Type of Construction: -r
Type of Use**: (S`-lvl l 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: 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: $ J;1 GO FEES DUE
$ ---7 , ) DC Prov Rvw,COM TI—Ping
$ IWt DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ HMG. Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ` .71111 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ W. Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ ' � ) Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ • .`'v 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: $ Alk7 , 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 070114.docx