Permit (185) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00032
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2016
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 68TH PKWY 100
Project: Precoa Subdivision: None Lot: None
Project Description: TI-Remove interior partition wall,add new interior partition walls.
Contractor: PACIFIC CREST STRUCTURES INC Owner: GK TRIANGLE CORPORATE PARK III L
17750 SW UPPER BOONES FERRY RD SUITE ATTN KBS REALTY ADVISORS
190 P 0 BOX 28270
DURHAM, OR 97224 SANTA ANA, CA 92709
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 01/27/2016 $88.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 01/27/2016 $225.80
Demolition
Dwelling Units: 0 12%State Surcharge-Building 01/27/2016 $27.10
Stories: 5 Height: 0 ft Plan Review 01/27/2016 $146.77
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/27/2016 $90.32
Value: $9,200 Info Process/Archiving-Lg$2.00(over 01/27/2016 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $579.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 nce 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: gon law requires you to follow the rules adopted by the Oregon Utility Notifi ion enter. Those rules are set forth in OAR
9 -001-0010 through OA 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by Galli 503.23 1987 or 1.800.33Z
(..'.ed By: Permittee Signature:
Call 503.639.4176 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
R CEIVEP
City of Tigard R=emvedDate/By i ,� l� Peru No.: U
a 13125 SW Hall Blvd.,Tigard,OR97 ?,3, Pte,Ravi
Phone: 503.718.2439 Fax: 503.,1 2 7 2 016 Da.B : 27 other Permit:
Inspection Line: 503.639.4175 Date Ready huis: ® See Page 2 for
Internet: www.tigard-or.gov CMM V�1� f�1 1ARU Notified/Method: Supplemental Information
1 I i V S owstoN
l" 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.
❑ i-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:13221 SW 68m Pkwy New dwelling area: square feet
City/State/ZIP:Portland OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Suite 100 Project name:PRECOA Covered porch area: square feet
Cross street/directions to job site: 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.
Remove interior partition wall,add new,interior partition walls Valuation: $9200
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Type of construction: IIA
Address: Occupancy groups:
City/State/ZIP: Existing: B
Phone:( ) Fax:( ) New: B-No Change
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:NW Precision Design Please refer toa srkedule
Structural plan review fee(or deposit):
Contact name:Darin Bouska
FLS plan review fee(if applicable):
Address:22605 SW Pinehurst Ct
City/State/ZIP:Sherwood OR 97140 Total fees due upon application:
Phone:(503)680-6444 Fax::(503)217-0933 Amount received:
E-mail:Darin@NW-Precision.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Pacific Crest Structures Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:17750 SW Upper Boones Ferry Rd,#190 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland OR 97224 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)%8-8949 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:66915
Total fee due upon application: $201.60
Authorized signs F This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Darin Bouska Date:11/12/15 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
mCity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
Building Permit #: (pct.PaoSite Address: o , Suite/Bldg#:
Project Name: Ase
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Zig•�
Existing Business Activity:
L�
Proposed Business Activity:
V/Verify site address/suite# exists and active in permit sysstee
tj j er Terrace Neighborhood: ❑ Yes Lvf No
"ping:
�rmitted Use: Yes ❑ No ❑ Spec Space
LV - norm no land use required.
Ia Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: a
Revisions (after Building Submittal only) Reviewer bate
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /�0�7(��o
Site Plans: #
Building Plans: # _
Building Permit#: O'Enter building permit#above.
Workflow Routing: Er-Planning L?13uilding
Workflow Sign-off: Sign-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:
By Permit Technician: Date: Z7 11
1:\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 plica
Revision Notice 2: Date Sen Applicant:
Revision Notice 3: Date nt to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: ❑ Yes A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue ermit
Approved� Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM_NolandUse_070915.docx
Z
Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code:
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
Side and Setback—Left Side and Setback—Front
Side and Setback—Right Side and 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:
Sp rinkler 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: $ l FEES DUE
$ 66, DCProv Rvw,COM TI—Ping
$ - 'j. Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ W12-7. 12%State Surcharge
Project Valuation $ lan Review,Structural
Up to$4,999 $0.00 $ Ian Review,Fire Life Safety
$5,000-$74,999 $88.00 $ nfo 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: $ `J 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;
0"1R=other use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Bading\Foffns\OTC—BUP-070115.docx