Permit y ,, CITY OF TIGARD BUILDING PERMIT
''11 I • COMMUNITY DEVELOPMENT Permit#: BUP2015-00297
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2015
Parcel: 2S112DA01400
Jurisdiction: TIGARD
Site address: 15350 SW SEQUOIA PKWY 140
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI: demolition of office,carpet and paint throughout,hardware finish change
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:
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 10/20/2015 $88.00
Occupancy Grp: B Occupancy Load: 42 Permit Fee-Additions,Alterations, 10/20/2015 $464.97
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/20/2015 $55.80
Stories: 3 Height: 0 ft Plan Review 10/20/2015 $302.23
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/20/2015 $185.99
Value: $25,186 Info Process/Archiving-Lg$2.00(over 10/20/2015 $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 $1,102.99
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 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.
i
Issued By: .�� - Permittee Signature: ___\P /�/t 4
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 RECEIVEP FOR OFFICE USE ONLY
Erl I Received%
City of Tigard Date/B f /S 17-, Permit -AV_ 97
" 13125 SW Hall Blvd.,Tigard,OR 9722 (�^T 2 u 2g15 PlanRevie °j,:, � � �
Phone: 503.718.2439 Fax: 503.598.1& I 6 lJ DateB : '.therPermit:
TIGARD Inspection Line: 503.639.4175 tl gg �y p Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov (, f 'Of!l}}u jiA�K1i) Notified/Method: Supplemental Information
A�T9 i. R�4 �,r N M�Q'/lSIO�
TYPE dl `l A r� 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.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
111 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
tII .0.JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:151155-SW Sequoia Pkwy,Suite 140 New dwelling area: square feet
City/State/ZIP: . pox q--e Garage/carport area: square feet
Suite/bldg./apt.no.: 140 Project name: 140 Spec Office Covered porch area: square feet
Cross street/directions to job site:Carman Dr.and Sequoia Pkwy 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 office,carpet and paint throughout,hardware finish change Valuation: $$25,186.00
Existing building area: 4,132 square feet
New building area: 4,132 square feet
Z PROPERTY OWNER ❑ TENANT Number of stories: 3
Name:PacTrust Type of construction: II-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 —
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 Total fee due upon application: $201.60
Authorized signature: , je This permit application expires if a permit is not obtained
{T d`1 within 180 days after it has been accepted as complete.
.y�r� * Fee methodology set by Tri-County Building Industry
Print name: tot( L v Date: OG� .P��O 7D Vr�j Service Board.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
•
74 ■
COMMUNITY DEVELOPMENT DEPARTMENT
T I c A R o Building Permit Review — Commercial - No Land Use
1 I
Building Permit #: . a/c62045 —029'7
Site Address: ' 5 3 5 0 SW 3 e ovV O ' cA Pk cite/Bldg#: 14 0
Project Name: ?o►C-Try S k-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: \ejno J 0GC, (Q. -Fe ri or �� , V if1t- C01r-rJe-f- , P OorS
Existing Business Activity: 1 ( (0 YLV `GZ,'L
Proposed Business Activity: j p GO v (Yu' 2 i c.,
Verify site address/suite#exists and active in permit system.
2f River Terrace Neighborhood: ❑ Yes -$'No
Zoning: [ 4
Permitted 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: /'1 0 G?1 LGt_ 61)(3,t . Date: 10Y 20 / j 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: /0/2-d/I-5
Site Plans: # 2.
Building Plans: #
Building Permit#: Qr.-Enter building permit#above.
Workflow Routing. anning ❑ Permit Coordinator 8r1-3-uilding
Workflow Sign-off: 8-Sign-off for Planning(include notes from planning review)
Route Application Documents: aluilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: OTC_
By Permit Technician: Date: i0/2e/ 5-
l:\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:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
III , Ill Building Division
r t c n K o Over-The-Counter (OTC) Building Permit
Check List
Project Description: T ,,2e/s-dO,2-9 7
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: i Occu•anc Grou.: Tj•e of Construction:
TA•e of Use**: r_r31 Occu•an Load: LFAM Ore:on S•ecial Code: _40
SPECIFICS
Number of Stories: �J� 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: le, 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: $ 25)I FEES DUE
$ Zi. r DC Prov Rvw,COM TI—Ping
$ IF:Mr Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ .ii ' '7,..,,Plan Review,Structural
Up to$4,999 $0.00 $ ' ° Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ a,,L'1e) 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: v L`2 le-t 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_070115.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
15350 SW SEQUOIA PKWY 140, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00297
Chip Barnett
Violation Summary:
Inspector Contractor