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Permit
CITY OF TIGARD BUILDING PERMIT I.�� COMMUNITY DEVELOPMENT Permit#: BUP2015-00267 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2015 Parcel: 2S 113AA00400 Jurisdiction: Tigard Site address: 16240 SW 72ND AVE B2 Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: C Project Description: TI for future tenant:Demolition of walls,and relocating shear wall. 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: IIIA DC Provision Review,COM TI-Ping 09/02/2015 $88.00 Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 09/02/2015 $842.40 Demolition Dwelling Units: 0 12%State Surcharge-Building 09/02/2015 $101.09 Stories: 1 Height: 0 ft Plan Review 09/02/2015 $547.56 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/02/2015 $336.96 Value: $65,000 Info Process/Archiving-Lg$2.00(over 09/02/2015 $12.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,928.01 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 obtai�es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: • Permittee ignature: !4,3.639.4175 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 FOROFFI( l: 1 tit:O\l.\ City of Tigard 9ii3CEit\IED Received © PermitNo.: '_e � t 13125 SW Hall Blvd.,Tigard,OPlan Review w Other Permit: Phone: 503.718.2439 Fax: 50 .1960 2p15 Date/B : �a TIGARD Inspection Line: 503.639.4175 SEP Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov J �`GA�p Notified/Method: t S jj� Supplemental Information C) oN 1 'YPE.E i; (1) 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 r work indicated on this application. ' � ' `� �RTit"OF CONSTRUCTION. �� : _- ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: 1:1 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: 16240 SW 72od Ave. New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: lobp108-16240 Spec TI Covered porch area: square feet Cross street/directions to job site:SW 72"and SW Upper Boones Ferry Rd. 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. Demolition of walls,relocate shear wall. Valuation: (Xt.( . 4,000.00 Existing building area: 17500 square feet New building area: 17500 square feet PROPERTY OWNER ❑ TENANT Number of stories: 1 Name:PacTrust Type of construction: II-A Address: 15350 SW Sequoia Parkway#300 Occupancy groups: City/State/ZIP:Portland,OR 97224 Existing: B,S-2 Phone:(503)624-6300 Fax:(503)624-7755 New: B,S-2 ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:PacTrust (Please referto 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: Amount received: 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 mounted PhotoVoltaic Solar Panel System. Business name:PacTrust Submit two(2)sets of roof plan with connection details — and fire department access,along with the 2010 Oregon Address: 15350 SW Sequoia Parkway#300 Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97224 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee): $21.60 CCB lic.: 153913 �j/y� Total fee due upon application: $201.60 Authorized signature: (f) z V`{ 14,0 _ `,A This permit application expires if a permit is not obtained Lie (/�.�C% within 180 days after it has been accepted as complete. Print name: L is e 01 y Date: g-25-Zo( 7 * Fee methodology set by Tri-County Building Industry L Service Board. C\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) City of Tigard III r COMMUNITY DEVELOPMENT DEPARTMENT ■ Building Permit Review — Commercial - No Land Use T1GARI) Building Permit #: 8/4P020(c _ (p7 Site Address: 1 (O24 0 S w 12 "4 Cn r'c- Suite/Bldg#: Project Name: PA c Trvfl- TT (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: T-11 + r O TT 10umo W.4I Ii rY lOCGzr-e viol If C_rcofre_ Y\-1„1"/ eci-e-r ti) r rci►mp . Existing Business Activity: t (- Proposed Business Activity: 1,L Verify site address/suite # exists and active in permit system. .River Terrace Neighborhood: ❑ Yes -2-N175- ,2r Zoning: I L ermitted Use: 'Yes ❑ No ❑ Spec Space Confirm no land use required. ❑ Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: /v1 Z (.1 6+i Octi-ti.•-- Date: 9/ 2) 7S 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: / Z /5.-- Site Plans: # Building Plans: # 3 Building Permit#: b .cling permit#above. Workflow Routing. lanning l ❑ Permit Coordinator Workflow Sign-off: [ 1 off for Planning(include notes from planning review) Route Application Documents: ❑t-Et Gildtng. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 65Z_ By Permit Technician: � ? �� 7,g.- 2-------- Date: 9�,//ls-- 1:\Building\Forms\BldgPermitRvw_COM_NoLandUse 070915.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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\BldgPermitRvw_COM_NoLandU se_070915.docx P s ' Building Division Over-The-Counter (OTC) Building Permit I IGARD Check List Project Description: T ( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: CI Occupancy Group: Type of Construction: Type of Use**: Occupancy Load: Oregon Specialty Code: "2& (I._ SPECIFICS Number of Stories: 1 Building Height: Mixed Use: Number of Dw Units: t 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: t'C-- --) 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: 1 Total Project Valuation: $ &f000 FEES DUE $ a ,0 DCProvRvw,COMTI—Ping $ ILIMIlt 0 Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI (effective 7/1/2015) $ r ,40.' 12%State Surcharge Project Valuation $ 7 _ Plan Review,Structural Up to$4,999 $0.00 $ w Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ 2_,(y Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $351.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: $ - Other: Building Staff: $ O Date/Time: $ 1,C7(2/3-0( TOT FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufac •• structure. "*CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory w :um; ;I'=alteration;DEM=demo;NEW=new; OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Building\Forms\O TC_BUP_070115.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T D G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION "ii!ECEIVED FROM: DEC 16 2015 o--� (�L�- CITY OF T#GAR'� COMPANY: . BUILDING D#V# ' PHONE: 5D3- Loa-11- 403610 By: RE: /10040 �7a �i �u Pao!s�o ec 7 (Permit Number) (Projec�subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Cl1zac-,a_, `tD c SF e-- e("n , 6706-0-4—, I / A tt,a-t 4-rA FOR OF CF/USE ONLY Routed to Permit clinician: Date: Y2 Initials: \, - Fees Due: es ❑No _ Fee Description: Amount Due: 1;144\ $ , c $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑No ❑ Done Applicant Notified: L:;5 Date: i)/j- A j-- ,/„/ s,, i Initials: j I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 16240 SW 72ND AVE B2, TIGARD, OR, 97224 Commercial - Building 299 Final inspection PASS - No C of O BUP2015-00267 Chip Barnett Violation Summary: Inspector Contractor