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Permit CITY OF TIGARD BUILDING PERMIT - � = COMMUNITY DEVELOPMENT Permit#: BUP2015-00305 Date Issued: 10/27/2015 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01201 Jurisdiction: Tigard Site address: 16535 SW 72ND AVE Project: Language Access Network Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Demo existing offices,create new offices,lighting,carpet&paint. Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP 15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN PORTLAND, OR 97224 15350 SE 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: Ilg DC Provision Review,COM TI-Ping 10/27/2015 $88.00 Occupancy Grp: B Occupancy Load: 49 Permit Fee-Additions,Alterations, 10/27/2015 $782.16 Demolition Dwelling Units: 0 12%State Surcharge-Building 10/27/2015 $93.86 Stories: 1 Height: 0 ft Plan Review 10/27/2015 $508.40 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/27/2015 $312.86 Value: $56,371 Info Process/Archiving-Lg$2.00(over 10/27/2015 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,795.28 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. A •1: -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-•01-0010 through OAR 2-01 ::'0. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 Issued By: U\ I , Permittee Signature: ` (^�( ` \\\ � Y 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 FECEIVE,) FoR t1FFIt I: Fsl:ONl. City of Tigard V C Date/B �� Permit No.: '�Q s•��3 • 13125 h n SW Hall .2 39 Tigard,OR 98.1t3T A 7 2015 Plan Review�' �� Phone: 503.718.2439 Fax: 503.598.1 0 G / Date/B : Other Permit TIGARD MI 111 Inspection Line: 503.639.4175 G`f 7'Y OF Date Ready: : Juris: H See Page 2 for Internet: www.ugard-or.govgDf�Df�V r1Gq�p Notified/Method: Supplemental Information 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. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑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: 16535 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: Language Access Network Covered porch area: square feet Cross street/directions to job site:SW Upper Boones Ferry Road and SW Durham 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 existing offices,new offices,lighting and carpet/paint. Valuation: $$56,371.00 Existing building area: 4,904 square feet New building area: 4,904 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 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: Phone:(503)624-6300 Fax::(503)624-7755 Amount received: 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 tic.: 153913 %� (� /(��/J Total fee due upon application: $201.60 Authorized signature: `•j ' V`,C V" ' .. / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: L c S Date:©Oh 2�f 2015 * Fee methodology set by Tri-County Building Industry 1 Q Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB) • Building Division Over-The-Counter (OTC) Building Permit T I G A R D Check List Project Description: l l APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Occupancy Group: Type of Construction: Type of Use**: [�}(,� Occupancy Load: Oregon Specialty Code: _ LQ14- 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: Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Densi : Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ Sry 1 7( .coo ( FEES DUE $ e saD DC Prov Rvw,COM TI—Plug $ i 2.t , Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ - ./ei_ 12%State Surcharge Project Valuation $ ',Qai ' Plan Review,Structural Up to$4,999 $0.00 $ "::?(2 ii. Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ S 45 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: $ (775.2e 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; O1R=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Building\Forms\OTC_BUP_070115.docx City of Tigard III ■ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R l7 Building Permit Review — Commercial - No Land Use Building Permit #: ---12-D l t- P(9-0/ 5 - OO 3o Site Address: 16535 SW 72nd live,. Suite/Bldg#: Project Name: Lan9>t wa,0\e Access Ne.-hwov k (Name'14 coi crcial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 40 r n 2W ±e n arrl- Existing Business Activity: \f co + (0- l c,40 Proposed Business Activity: p-f i Ce. LrJ Verify site address/suite#exists and active in permit sys m. g/River Terrace Nei hborhood: ❑ Yes No "/oning: (— ermitted Use: N Yes ❑ No ❑ Spec Space nfirm no land use required. L�J Business License: Exists: ❑ Yes I0 No,applicant notified to obtain business license Notes: Approved by Planning: V 1 m l-b(�,C. Date: 1 0 1-2,-1 1 15 Revisions (after Building Submittal only) Reviewer late Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: /cA7/1 S Site Plans: # Building Plans: # -; Building Permit#: [1Enter building permit# above. Workflow Routing. -Er Planning N- Ceo*din ^ Building Workflow Sign-off: . Sign-off for Planning(include notes from planning review) Route Application Documents: wilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technicia0: _ _ 0 ,' Date: /o/-745- 1:\Building\Forms\BldgPermi tRvw_COM_No LandUse_0709 I 5.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\BldgPcnnitRvw_COM_NoLandUse_07091 5.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 16535 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00305 Jeff Grove Violation Summary: Inspector Contractor