Permit CITY OF TIGARD BUILDING PERMIT
'`1 " ' COMMUNITY DEVELOPMENT Permit#: BUP2015 00090
Date Issued: 04/01/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA00800
Jurisdiction: TIGARD
Site address: 15055 SW SEQUOIA PKWY 130
Project: Yecuris Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Minor demo,add doors and wall protection.
Contractor: EMERICK CONSTRUCTION CO Owner: PACIFIC REALTY ASSOCIATES LP
P.O. BOX 66100 ATTN: N PIVEN
PORTLAND, OR 97290 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-777-5531 PHONE: 503-624-6300
FAX: 503-771-2933
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 04/01/2015 $75.00
Occupancy Grp: B Occupancy Load: 83 DC Provision Review,COM TI-LRP 04/01/2015 $11.00
Permit Fee-Additions,Alterations, 04/01/2015 $225.80
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 04/01/2015 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 04/01/2015 $146.77
Value: $10,000 Plan Review-Fire Life Safety 04/01/2015 $90.32
Info Process/Archiving-Lg$2.00(over 04/01/2015 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $577.99
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 do : ' . • - • e 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
• . ATTENTION: Ore•- law requ• - you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 9 001-'.•0. Y.0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: I Permittee Signature: ri �e� p /
\ r 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 FOR OFFICE USE ONLY
City of Tigard RECEIVED Date/B : �e/7 .0) Permit No.. �S"�{L
1111
- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ►e,
Phone: 503.718.2439 Fax: 503.5 0 Date/B : S� ZInM Other Permit:
Inspection Line: 503.639.4175 1 2015 Date Ready/By: June: ® See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental TIGARD
T8IL4thKralVfSION
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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
y g ®Commercial/industrial
❑Accessory building El Multi-family Number of bedrooms:
El Master builder 11 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15055 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:130 Project name:Yecuris Covered porch area: square feet
Cross street/directions to job site:SW 72"and Cardinal Deck area: square feet
Other structure area: square feet
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.
Minor demo,add doors,add wall protection Valuation: $10,000.00
Existing building area: 8.799 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: II-B
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B,S-1
Phone:(503)624-6300 Fax:(503)624-7755 New: B,S-1
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PacTrust (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Leslie Louis
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300
City/State/ZIP:97224 Total fees due upon application:
Phone:(503)624-6300 Fax: :(503)624-7755 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:lesliel @pactrust.com _
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Emerick Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:8850 SE Otty Rd. Solar Installation Specialty Code checklist.
City/State/ZIP:Happy Valley,OR 97086 Permit fee(includes plan review
y ppy y and administrative fees): $180.00
Phone:(503)777-5531 / Fax:(503)771-2933 State surcharge(12%of permit fee): $21.60
CCB tic.: 10723 lV/V /40 Total fee due upon application: $201.60
Authorized signature: ff This permit application expires if a permit is not obtained
'^ within 180 days after it has been accepted as complete.
Print name: I y,�( � j V).--044-' Date: ��(1` 1 ,,�i(j * Fee methodology set by Tri-County Building Industry
ttt///"'"" t Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: c,c I'a0/5-GL� 9d /
Site Address: /5DS 3 S
l Suite/Bldg#: /Jo
Project Name: &WIS
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: "Teipiristj ''f1.,ate.ii4 is — k O G 4t.. j c lot �.i Q" o.,- (/Je,
Existing Business Activity: Aro age.c- /PCStti 1
Proposed Business Activity: sl'.,H.e,
Verify site address/suite#exists and active in permit system.
❑ River Terrace Plan District CI Yes X No
Cl Zoning: -7-- ,0 O
❑ ermitted Use: Yes CI No ❑ Spec Space
Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: `/ .�, Date: "l S
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: <7 /7S
Site Plans:
Building Plans: # `j
Building Permit#: .,2Enter building permit#above.
Workflow Routing: Planning �uilding
Workflow Sign-off: -O-Sign-off for Planning(include from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 07-e-
,
By Permit Technician: , Date: ./
I:\BuildingTorms\BldgPermitRvw_COM_NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions "Me " . . ' ..nce of building permit
❑ Approved, NOT Re - •d: Date:
Notes:
Revisions (after Building Submittal only
Revision Notice 1: Date Sent to A.; cant:
Revision Notice 2: Date Sent to 'pplicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 031015.docx
" Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occu.anc Grou.: Type of Construction:
Type of Use**: ( AA Occupancy Load: / Oregon Specialty Code: 2-O4
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: Ce&b 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: $ ID)sS* ( FEES DUE
$ 7 " ] DC Prov Rvw,COM TI—Ping
l ,
ell* DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ 2 4, Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 27,(0 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 'L g Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ '7' 'lan 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: $ "577.9`1 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).
1:\Building\Forms\OTC_BUP_070114.docx
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
15055 SW SEQUOIA PKWY 130, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00090
Chip Barnett
Violation Summary:
Inspector Contractor