Permit CITY OF TIGARD BUILDING PERMIT
' = COMMUNITY DEVELOPMENT Permit#: BUP2015 00097
Date Issued: 04/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 190
Project: ColumbiaSoft Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: TI-creating new offices
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND,OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE: 503-624-6300
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 04/08/2015 $75.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 04/08/2015 $11.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/08/2015 $531.09
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 04/08/2015 $63.73
Bedrooms: 0 Bathrooms: 0 Plan Review 04/08/2015 $345.21
Value: $31,748 Plan Review-Fire Life Safety 04/08/2015 $212.44
Info Process/Archiving-Lg$2.00(over 04/08/2015 $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 $1,242.47
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 days of issuance, or if work is suspended for more the 180
day • NT• •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
-001-0010 through 0•• 95 • 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:
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 FOR OFFICE USE ONLY
City of Tigard Da Received e y ! _ _' Permit No.: ��- t )
• 13125 SW Hall Blvd.,Tigard,OR 97223 8 2015 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 A P R
Date/B Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: Juris: ® See Page 2 for
Internet: www-tigard-or.gov Notified/Method: 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.
❑ I-and 2-family dwelling Valuation: $
®Commercial/industrial
❑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: 15495 SW Sequoia Parkway#190 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 190 Project name:ColumbiaSoft Covered porch area: square feet
Cross street/directions to job site:SW 72e"and Redwood Lane 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.
New offices Valuation: $531,748.00
Existing building area: 6,338 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: Ill-B
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)624-6300 Fax:(503)624-7755
New: B
® 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
Total fees due upon application:
City/State/ZIP:97224
Amount received: ,` �y
!l p�7 t��• //
Phone:(503)624-6300 Fax: :(503)624-7755
E-mail:lesliel @pactrust.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top m. ted PhotoVoltaic Solar Panel Syste
Business name:PacTrust Submit two - sets of roof plan with cone details
and fire departm• t access,along • e 2010 Oregon
Address: 15350 SW Sequoia Parkway#300 Solar Installation ••cia a checklist.
City/State/ZIP:Portland,OR 97224 Permit -- • clu.- plan review
$180.00
and adminis . 've fees):
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit - : $21.60
CCB lic.: 153913 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
A �i �y within 180 days after it has been accepted as complete.
Print name: L_ ,( iq Date: 1.K1 2 2a5 * Fee methodology set by Tri-County Building Industry
�'^ r Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
•
COMMUNITY DEVELOPMENT DEPARTMENT
. a/ a a
r 1 c n K n Building Permit Review - Commercial - No Land Use
Building Permit #: ----Fa-t k P(Do r.45.--COO 97
Site Address: /9/9S— .&0 0 4/4/ Suite/Bldg#: /90
Project Name: �7�G1/71iva arP1-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: iv j ex a751 Lt �375 ,
/ y ,tf co
Existing Business Activity: r:e(!r: .. :.ri!.. i CO CE
�/�`T7
Proposed Business Activity: f� �' Ce
Verify site address/suite# exists and active in permit sys m.
14(
'ver Terrace Plan District
/ CI No
/Zoning: _
g / P
Vermitted Use: Yes ❑ No ❑ Spec Space
onfirm no land use required.
Business License:
Exists: Yes El No, applicant notified to obtain business license
Notes:
Approved by Planning: i� Date: .4-/-ca /,7--
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: `�{4(/ S
Site Plans: #
Building Plans: # 3
Building Permit#: nter building permit#above.
Workflow Routing: �P anning ^ Tom t rnnrdin tax
uilding
Workflow Sign-off: 9�'�-off for Planning(include notes from planning review)
Route Application Documents: l uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , _/�,� ._ Date: 4/,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 onl
Revision Notice 1: Date Sent to . .plicant:
Revision Notice 2: Date Se o Applicant:
Revision Notice 3: Da - ent to Applicant:
❑ OK to Issue mit
Appro by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
1111 " Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: A L.r Occupancy Group: Type of Construction: 3
Type of Use**: G2n4 Occupancy Load: 11 Oregon Specialty Code: 2 O i f
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: Y Fire Alarms: Smoke Detectors:
Sprinlder 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: $ FEES DUE
$ 75- DC Prov Rvw,COM TI—Ping
$ // DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ A 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: $ 1IoWp1• 7 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
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
15495 SW SEQUOIA PKWY 190, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00097
Chip Barnett
Violation Summary:
Inspector Contractor