Permit 1459, CITY OF TIGARD BUILDING PERMIT
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.' , COMMUNITY DEVELOPMENT Permit#: BUP2015-00349
Date Issued: 12/17/2015
?1pARI} 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 290
Project: Spec Space Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: TI for future tenant:Adding offices.
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 12/17/2015 $88.00
Occupancy Grp: B Occupancy Load: 36 Permit Fee-Additions,Alterations, 12/17/2015 $553.13
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/17/2015 $66.38
Stories: 3 Height: 0 ft Plan Review 12/17/2015 $359.53
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/17/2015 $221.25
Value: $33,481 Info Process/Archiving-Lg$2 00(over 12/17/2015 $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 $1,294.29
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 at 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: Permiffee Signature: `\VPls-
' V V- - 6
' 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 F , i • t `{, FOR OFFICEiUSE ONLY
City of TigardErI ®� Received 17 1 � PermitNo.: �(4 �6� 31.1
Date/B .
° 1 e S50 Hall .2B39d.,Tigard,OR 98.1 �� Plan Review ®
Phone: 503.718.2439 Fax: 503.598.1 [r!4 �� iii, DateB : /' Other Permit:
TIGARD Inspection Line: 503.639.4175 C, tioVi ^.�:Ready 7uris: ei See Page 2 for
Internet: www.tigard-or.gov O� -COQ``taj lit +ufied/Method: Supplemental Information
TYPE OF WORK GAfio� C' - -REQUIRED DATA:17°AND 2-FAMILY,DWELLING;
❑New construction ❑Det * 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 ElMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
' JOB SITE INFORMATION AND LOCATION" - Total number of floors:
Job site address: 12909 SW 68th Parkway Center New dwelling area: square feet
City/State/ZIP: Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:290 Project name: Btrxee-Palmer c ptic ce Covered porch area: square feet
Cross street/directions to job site:SW Ilampton and SW 66th Ave. Deck arca: square feet
Other structure area: square feet
REQUIRED DATA:iCOMMERCIAE-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.
Added offices and break sink. Valuation: $$33,481.00
Existing building area: 3,943 square feet
New building area: 3,943 square feet
• ® 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*
• (Please refer to fee.sc edule)
Business name: PacTrust
Structural plan review fee(or deposit):
Contact name: Leslie Louis
ELS 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: Icsliel@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.
Permit fee(includes plan review
City/State/ZIP: Portland,OR 97224 and administrative fees): $180.00
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee): $21.60
CCB lie.: 153913
��Q ¢�,, Total fee due upon application: $201.60
Authorized signature: V. ' _'` `/" _ "'y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Leslie L o tott 6 Date: 11-1,-1-2015- * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III :,11 COMMUNITY DEVELOPMENT DEPARTMENT
` : BuildingPermit Review — Commercial - No Land Use
TI G A RD
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Building Permit #: euP /5"=60311
Site Address: /oRt9 ji/v Gfrc Suite/Bldg#: (2 20
Project Name: Q.a1aJ( 4Tec- 663te
(Name of commercial business occupying the space. I f vacant,enter Spec Space.)
Planning Review
Proposal: . -(111C✓nq,f Zhvo - Spec. 4C.e,
Existing Business Activity: V[GCI*,it
Proposed Business Activity: Vaca.,.f-
KVerify site address/suite # exists and active in permit system.
River Terrace Neighborhood: ❑ Yes k( No
Zoning: Of,:
X" Permitted Use: ❑ Yes ❑ No X Spec Space
XConfirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: Date: ��----77--/c
Revisions (after Building Sub ttal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /2/i 7,4.6--
Site
JSite Plans: # ^/
Building Plans: #
Building Permit#: tf�r7, it�er building permit# above.
Workflow Routing: ,�J'1'lant iing ❑ Permit Coordinator wilding
Workflow Sign-off: i,�t,' S�it ff for Planning(include notes from planning review)
Route Application Documents: 1,�13mlding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: f
By Permit Technician: ' -
- I. Date: 1/ //l//j"
I:\BuildingForms\BldgPermitRvw_COM_NoLandUse_0709I 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\Fonns\BldgPennitRvw_COM_NoLandUsc_0709I 5.docx
MI Building Division
Over-The-Counter (OTC) Building Permit
T I G A R D Check List
Project Description: ( (
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: jc(lT Occupancy Group: Type of Construction: -1J
Type of Use**: (10)(A, Occupancy Load: '�(e, Oregon Specialty Code: -2644_
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: leet7 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: yy11
Total Project Valuation: $ 3_ r'T�f ` , FEES,DUE,
$ ee,a5) DC Prov Rvw,COM TI—Ping
$ .j Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ` 12%State Surcharge
Project Valuation $ -,,J an Review,Structural
I Up to$4,999 $0.00 2Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 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: $ (214-2?'OTAL 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,sighs,awnings or canopies).
L\Building\Forms\OTC_B UP_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
12909 SW 68TH PKWY 290, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00349
Chip Barnett
Violation Summary:
Inspector Contractor