Permit 44 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00288
Date Issued: 10/07/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 170
Project: Alegis Construction Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: TI for new tenant. Constructing new walls for office space.
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: IIB DC Provision Review,COM TI-Ping 10/07/2015 $88.00
Occupancy Grp: B Occupancy Load: 20 Permit Fee-Additions,Alterations, 10/07/2015 $608.23
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/07/2015 $72.99
Stories: 4 Height: 0 ft Plan Review 10/07/2015 $395.35
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/07/2015 $243.29
Value: $38,161 Info Process/Archiving-Lg$2.00(over 10/07/2015 $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 $1,413.86
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: -- ••Signature: \.j2,M V`9 ✓ " ' Gf
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
a
Commercial '' rule c,l rlc l: 1 SE c»1.)
City of Tigard ` k,)I - Receive eivd 1 i Permit No.: ; /a l U,
. • 13125 SW Hall Blvd.,Tigard,OR 97223 ^ /0'. Plan Review ®�
= Phone: 503.718.2439 Fax: 503.598.1960 I DateB : p A Other Permit:
TIGARD Inspection Line: 503.639.4175 vii: s ate'ea.y:` kris ® See Page 2for
Internet: www.tigard-or.gov ' .k.1 „ 4, fied/Method: i l5—lar7,-- .-f -C,9 Supplemental Information
TYPE OF WORI ',���U 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: $ 3S b I
❑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: 12'1 v CI 5v4. 0 g+ti • p yl `-7 0 New dwelling area: square feet
City/State/ZIP: 'P '1-1 oth 4 O`.- c l� '7-2-'7-2- Garage/carport area: square feet
+
Suite/bldg./apt.no.: 170 Project name: Oli elf g v-' ` Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
0 0► F 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.
Valuation:
New office including break sink. S 3e I OL
Existing building area: I square feet�1 14
i
New building area: 1, 91 LT square feet
® PROPERTY OWNER ❑ TENANT Number of stories: LA
Name: PacTrust Type of construction: 1)-1
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP: Portland,OR 97224 Existing:
Phone:(503)624-6300 Fax:(503)624-7755 New: 2,
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:PacTrust
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: leslieWpactrust.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 Total fee due upon application: $201.60
Authorized signature: G This permit application expires if a permit is not obtained
5 within 180 days after it has been accepted as complete.
Print name: L_,ey l(�i L o v c 5 Date: 0(A.. 1 f I h *
Service Board.
set by Tri-County Building Industry
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
UPI ■ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: , 1002 /S_ $'YY
Site Address: /21P y SLe) 744 Suite/Bldg#: ,
Project Name: � /5
ame of ommercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /CAA 64,4.711 G7).� l07; /rL7O -iea1L`c2,24,-,. te-op..24
Existing Business Activity:
Proposed Business Activity: ,
,r
er(V—erify site address/suite# exists and active in permit system.
El River Terrace Neighborhood: ❑ Yes No
J21"Zoning: N U E
,Permitted Use: VrYes ❑ No ❑ Spec Space
ea—Confirm no land use required.
'siness License:
Exists: 2 Yes ❑ No,applicant notified to obtain business license
Notes: /1 b7 t.I f ri-t g rj#Q54
Approved by Planning: C3—g i Date: /° — 7--(5—--/
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: /0/7 / —
Site Plans: # /✓,
Building Plans: # 3
Building Permit#: [}Ier building permit#above.
Workflow Routing. a—Penning ❑ Permit Coordinator Ll'Butlding
Workflow Sign-off M� 5i -off for Planning(include notes 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: C)77._
By Permit Technician: ,% --tom— Date: A/7A1—
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_0'70915.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\Forms\BIdgPennitRvw_COM_NoLandUse_070915.docx
Building Division
Over-The-Counter (OTC) Building Permit
TIGARI)
Check List
Project Description: _
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: lLr Occupancy Group: Type of Construction: 2.e>
Type of Use**: GQj,(,t Occupancy Load: Oregon Specialty Code: 24
SPECIFICS
Number of Stories: 4- 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:
i
Total Project Valuation: $ 3 3 t( ( .. FEES DUE
$ ele • DC Prov Rvw,COM TI—Ping
$ gre Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ "1 •1F 12%State Surcharge
Project Valuation $ j " Plan Review,Structural
Up to$4,999 $0.00 $ 4,47?j, Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 0110 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: $ ____.._,Other:
Date/Time: %
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
12909 SW 68TH PKWY 170, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00288
Chip Barnett
Violation Summary:
Inspector Contractor