Permit (31) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00041
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016
Parcel: 2S 113AA00400
Jurisdiction: Tigard
Site address: 16240 SW 72ND AVE B2
Project: Precision Packaging Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: No work,change of occupant.
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: 503-624-6300
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 02/04/2016 $53.27
Demolition
Occupancy Grp: S-1 Occupancy Load: 40 12%State Surcharge-Building 02/04/2016 $6.39
Dwelling Units: 0 Plan Review-Fire Life Safety 02/04/2016 $21.31
Stories: 1 Height: 0 ft Info Process/Archiving-Lg$2.00(over 02/04/2016 $2.00
Bedrooms: 0 Bathrooms: 0 11 x17)
Value: $500 Plan Review 02/04/2016 $34.63
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $117.60
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- roug R 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.
Issu d By: Permittee Signature: 1
V
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 thejob site at the time of each inspection.
Building Permit Application
Commercial RECEIVI=[) FOR OFFICE USE ONLV
Received
City of Tigard FEB Date/Bl: I Permit No.: —coo
13125 SW Hall Blvd.,Tigard,OR 97223 2016 Plan Review 1
Phone: 503.718.2439 Fax: 503.5989 Date/By: l Other Permit:
Inspection Line: 503.639.4175 MY OF TIGARD Date ReadyBy: Juris: H See Page 2 for
Internet: www.tigard-or.gov BUILDIN(7- Notified/Method: Supplemental Information
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: 16240 SW 72°d Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:NA Project name:Precision Packaging Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and SW 72"d 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.
—Demoo W yr 4- hC41 G (& Valuation: $$0 5p D
fD ie Existing building area: 17500 square feet
New building area: 17500 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: II-A
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*
Business name:PacTrust hl ref-toeesehedule
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)624-77.5.5 Amount received:
E-mail:lesliel@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive install tion of
CONTRACTOR roof-top moun d Photovoltaic Solar System.
Business name:PacTrust Submit two(2)s of roof plan connection details
and fire departmen ccess ng with the 2010 Oregon
Address: 15350 SW Sequoia Parkway#300 Solar Installation Spe4idiy Code checklist.
City/State/ZIP:Portland,OR 97224 Permit fee Jude Ian review $180.00
pla administrat fees :
Phone:(503)624-6300 Fax:(503)624-7755 States harge(12%of permit f-"-&_ $21.60
CCB lic.:153913
Total fee due upon application: $201.60
Authorized signature: ✓mac y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Gr Date: 1p, Lr z p( (Q * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
im ----
Building Permit #: - St, -Fj U c9-0/& -000 y
TOP—
Site Address: 1��V „/ 7,L� Suite/Bldg#:
�'(
Project Name: fieCi-[J66'A `nG
(Name of commercial business occ yin the space. If vacant,enter Spee Space.)
Planning Review
Proposal: �l.,nPv /A,00
c cJS► Q,'kV IAf
Existing Business Activity: S&C,
Proposed Business Activity: WGi/�i�t.VSG
EiVV *IFy site address/suite # exists and active in Permit system.
LU/Rtver Terrace Neighborhood: ❑ Yes KNo
❑ Zoning: - �-
X, Permitted Use: Yes ❑ No ElSpec Space
ii! confirrn no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: C2—
Revisions
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:
Site Plans: #
Building Plans: #
Building Permit#: { Enter building permit#above.
Workflow Routing: El-Planning r C"Building
Workflow Sign-off: LSign-off for Planning(include notes from planning review)
Route Application Documents: [a-guilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07-0--
By
/ CBy Permit Technician: Date: ;7 [/
1:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuXoffing permit
ElApproved, NOT ReleasedDate:
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 T ❑ es ❑ N/A
Parks SDC: ❑ ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Fonns\B1dgPermitRvw_COM_NoL.andUse_070915.docx
Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description:
i
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: I ki PDccupancyGroup: T e of Construction:
T e of Use**: (Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: BuddingHeight:
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 �Sideyard 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:
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: $ U' FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ ,L Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ r ,'`� Plan 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: $ ther:
Date/Time: $ TO AL FEES DUE
i
'TYPE OF USE: COM=commercial;CMS=commercial manu a tu�red struc re.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory'dwe ngAt w T&T=alteration;DEM=demo;NEW=new;
OTR=other use for fences,decks retaining walls signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070115.docx