Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2016-00020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2016
Parcel: 2S113AA00200
Jurisdiction: Tigard
Site address: 16364 SW 72ND AVE B8
Project: General Parts Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: TI for new tenant:Demolition and office construction.
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:
FAX: 503-624-7755
Specifics: FEES
Description Dale Amount
Type of Use: COM
Class of Work: ALT Type of Const: HIS DC Provision Review,COM TI-Ping 01/19/2016 $88.00
Occupancy Grp: B Occupancy Load: 48 Permit Fee-Additions,Alterations, 01/19/2016 $674.35
Demolition
Dwelling Units: 0 12%Stale Surcharge-Building 01/19/2016 $80.92
Stories: 1 Height: 0 ft Plan Review 01/19/2016 $438.33
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/19/2016 $269.74
Value: $44,817 Info Process/Archiving-L9$2.00(over 01/19/2016 $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 $1,557.34
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 co es or direct questions to OUNC by calling 503.232.1987 or VVV 1.8I00.332.2344
VOW 1 n .
Issued By: Permittee Signature: om-. I '�
Ca 639.4175 by 7:00 a.m.for the next available Inspection date. ✓✓✓ ��"yu
03.
This permit card shall be kept in a conspicuous place on lhejob site until completion of the project.
Approved plans are required on thejob site at the time of each inspection.
Building Permit Application
Commercial
`i Received
City of Tigard GI Date/B Pe mit No.:
• 1.3125 SW Hall Blvd.,Tigard,OR 97 �j Q\fO Plen R vie
• Phone: 503.718.2439 Fax: 503.598 w\ ,9 �- f1 Date/B 1 (� Other Permit:
Inspection Line: 503.639.4175 ,p,\`� � V ate Re r�r ® See Page 2 for
Internet: www.tigard-ocgov, '��� ; atifie=thod: Supplemental lnformadoo
TYPE OF WO r \\„ ' REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New conswction ❑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 I ❑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: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�- OB SITE INFORMATIONIAND LOCATION Total number of floors:
Job site ad -t6m SW 72,d Ave. New dwelling area: square feet
City/State/ZIP:Port an ,OR 4 Garage/carport area: square feet
Suite/bldg./apt.no.:NA Project name:General Parts,LLC Covered porch area: square feet
Cross strcet/directions to job site:SW Upper Booties Ferry and SW 72ed Ave. 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 and office rebuild. Valuation: $$44,817.00
Existing building area: 10000 square feet
New building area: 10000 square feet
® PROPERTY OWNER :. ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: III-B
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*
Please refer to fee schedule
Business name:PacTrust
Structural plan review fee(or deposit):
Contact time: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 i*
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 1wrallation Specialty Cade 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: n/may This permit application expires if a permit is not obtained
�r within 180 days after it has been accepted as complete.
Print name: Cj I I L 0 Lw I Date: J Gi h. ! f 2(J * Fee methodology set by Tri-County Building Industry
t Service Board.
I:Building\Permits\BUP-COM PermitApp.doc 02242011 440-4613T(I I/02/COM(WEB)
City of Tigard
COMMUNITY DEN I:LOPMENT DEPARTMENT
s
Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: %3(.1{ 5w 12.ro P"P, Suite/Bldg#:
Project Name: G"Wfmk fslsKts
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review 1 1
Proposal: +o remove. wa��S and loin aaiaeeoi su)+es occupied �W
Camp.
Existing Business Activity: ir%A\A4(I QJ SeTV 1 W;
Proposed Business Activity: -q�
LJroVerify site address/suite # exists and active in permit system.
19 River Terrace Neighborhood: El Yes No
1
oning: �
�L�i'ertnitted Use: M Yes ❑ No ❑ Spec Space
�
onfirm no land use required.
Bus Licens
Exists: Yes ❑ No,applicant notified to obtain business license
Notes: ---�
Approved by Planning: 1 �m Y a Date: 1111116
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: /(p
Site Plans: # -
Building Plans: #
Building Permit#: nter wilding permit#above. � �
Workflow Routing: arming El Permit Coordinator Citi ildutg
Workflow Sign-off: ,.� ��off for Planning(include notes from planning review)
Route Application Documents: Q�- lding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: �zl'fzllz
1:\Buildtng\Forms\BldgPermit Rvw_COM_NoLandUse_070915.doex
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\BldgPermit Rvw_COM_NoLandUse_07091 S.dwx
Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Wodr*i Occupancy Group; T of Construction:
Type of Use**: Occu ane Load: Oregon S ecial Code:
SPECIFICS
Number of Stories: Builder Hei ht: Mixed Use.
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: L Accessory Structure: Covered Porch:
Basement: Deck:
Total Square Foot Carport: Mezzanine:
SETBACKS
Side and Setback—Left Sid and Setback—Front
Sideystd Setback— t Sid and Setback—Back !i
CONSTRUCTION
Exterior Walls: Openin Protected: FirewallSeparation:
N: i N: is.. Occupancy Separation:
E: W: E.
W. Access.Padang Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fite Alarms: Smoke Detectors:
Sprinkler Type: Alarm T Protected Corridors:
Standvive Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor.
Total Project Valuation: $ &T FEES DUE
$ „[3 DC Prov Rvw,COM TI—Ping
: Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) S 12%State Surcharge
Project Valuation S Plan Review,Structural
Up to$4,999 $0.00 ;' Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ Info Proc/Arch,Lg(over 11:17$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 $ Odter.
Date/Time: Sk�,—Vl�ffOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF W_ — — on;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other us - venin or caro ies.
I:\Budding\Fomes\OYI'C_BUP_070115.doct