Permit (116) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00058
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2016
Parcel: 2S112DD00400
Jurisdiction: Tigard
Site address: 15954 SW 72ND AVE
Project: Environmental Controls Corporation Subdivision: None Lot: None
Project Description: TI for existing tenant:Demolition,new offices,and bathroom alteration.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES L P
15350 SW SEQUOIA PKWY#300 15350 SW SEQUOIA PKWY#300-WMI
PORTLAND, OR 97224 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: DC Provision Review,COM TI-Ping 02/18/2016 $88.00
Occupancy Grp: B Occupancy Load: 39 Permit Fee-Additions,Alterations, 02/18/2016 $619.25
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/18/2016 $74.31
Stories: 1 Height: 0 ft Plan Review 02/18/2016 $402.51
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/18/2016 $247.70
Value: $39,731 Info Process/Archiving-Lg$2.00(over 02/18/2016 $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 $1,437.77
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 copy of the rules or direct questions to OUNC by callingtw
503.232.1987 or 1.800.332.2344.
Issued By: ermittee Signature: ,t 639.4175 by 7:00 a.m.for the next available inspection date. J�_
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.
City of Tigard • BUILDING DIVISION
a �
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: B'
Contact Name: Phone #:
Business Name: Appointment Date:
Site Address: 15- 95A A-W Bldg/Suite #:
Project Name:
Project Description: 4�2r /,jYnA/ Ale� 0-A
Existing Use: / 5 —a New Use: —
MMD Required: LJ Yes J9_No t Related Record #:
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:
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: $ :Z�i/
$ DC Prov Rvw,COM TI—Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/l/2015) $ 12%State Surcharge
Project Valuation $ 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 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:
Building Staff. $ _ Othef:�
Date/Time: $ TOTAJ,- EES DUE
L•\Building\Forms\OTC_BUP_FPS_020916.docx
Building Permit Application
Commercial �3 "
OFFICE FSE ONLY
�� Date/By:: p /�
Permit No.:
City of Tigard
■ 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
. ` Other Permit:
Phone. 503.718.2439 Fax. 503. . V. �0 Date/By:
Inspection Line: 503.639.4175tn �Q� Date Ready y: is: ® See Page 2 for
a �` g A
Internet: www.tigazd-Or.gov Q7 �{1V^� Notifiied/Method: 01b Supplemental information
TYPE OF WO O (�� �`\' REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction tion Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Add ition/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: 15954 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:Environmental Controls Co 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Demolition,add offices,add restroom. Valuation: $39,731
Existing building area: 5981 square feet
New building area: 5981 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
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*
re
Please er to fee schedu/e
Business name:PacTrust
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 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
n * Fee methodology set by Tri-County Building Industry
Pc�rint name: i V G, Date: - too, 2-01 b Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: Jl,�j 7c� "Y Suite/Bldg#:
Project Name: �ry�/, coo�-O l- 6,o
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Vlel-r,ti / � - /t/� C �wKe •n vSe .
Existing Business Activity: ��,Of ��'•f�etl
Proposed Business Activity: �Ki( Ju,.v2ej
L"_ erify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
2<- oning: G
Er P 'i'tted Use: es ❑ No ❑ Spec Space
2/Confirm no land use required.
LTJ Business license:
6>Y"
Exists: L`�Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date:
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 d
Original Submittal Date:
Site Plans: #
Building Plans: # �
Building Permit#: n�ter building permit#above.
Workflow Routing: E�—Vanning ❑ Permit Coordinator 0Y5u—il ding
Workflow Sign-off D�-off for Planning(include notes from planning review)
Route Application Documents: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: QTr'
By Permit Technician: Date:
1:\Building\Forms\B1dgPermitRvw_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 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:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.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
15954 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00058
Chip Barnett
Violation Summary:
Inspector Contractor