Permit s rr CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT Permit#: BUP2016-00138
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2016
Parcel: 2S112DD00500
Jurisdiction: Tigard
Site address: 15860 SW UPPER BOONES FERRY RD B15
Project: Oregon Air Reps Subdivision: None Lot: None
Project Description: Minor demolition,one new wall with doors and sidelites.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 15350 SW SEQUOIA PKWY, SUITE 300
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: IIIB DC Provision Review,COM TI-Ping 04/20/2016 $88.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 04/20/2016 $438.74
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/20/2016 $52.65
Stories: 1 Height: 0 ft Plan Review 04/20/2016 $285.18
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/20/2016 $175.50
Value: $23,468 Info Process/Archiving-Lg$2.00(over 04/20/2016 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,044.07
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 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. TENTIO : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010 through O•- 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.1 "
Issued By: . -die, _ _ •
Permittee Signature: j ryv/y-
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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 FOR OFFICE USE ONLYQ
City of Tigard Received
d �3.e4_co/5g
i /6 Permit No.:
- 13125hSW Hall .24Blvd.,9 Tigard,OR5W1/460
Plan Review ���� ��
Phone: 503.718.2439 Fax: 503. 1 60 O 2016 PDate/Blan R : AreZ Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready : . Iuris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF fd .A pn Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15860 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:NA Project name:Oregon Air Reps,Inc. Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and Carman Dr. 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.
Minor demolition,one new wall with doors and sidelites,new carpet where shown. Valuation: $$23,468.00
Existing building area: 11200 square feet
New building area: 11200 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
Z APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PacTrust (Please refer to fee schedule)
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 lic.: 153913 t ��� ,�y�,, Total fee due upon application: $201.60
Authorized signature: `%�-j A:A. \/'_? -:(7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: �(,�,� 20 2 0({o * Fee methodology set by Tri-County Building Industry
L. (6 �QN� ' N l I Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
.III111COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c a R o Building Permit Review — Commercial - No Land U s e
Building Permit #: —72J►-t-P of le- oo (3 g
Site Address: L,5 / O C'f,a &pus Suite/Bldg#:
Project Name: �l� n /97,1,__ `�'t, , ed•
(Nam of ommercial business occupying th/space. If vacant,enter pec Space.)
Planning Review ,
Proposal: 77 (--,,, le&241- X17/;1 e -- (-444 6
Existing Business Activity: 2--!94L /1?d -')
Proposed Business Activity: (_/ // //
'Verify site address/suite#exists and active in permit syste .
1, ver Terrace Neighborhood: ❑ Yes V7No
7/Zoning: /—L /
rfill tted Use: Yes ❑ No D Spec Space
Vr onfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
OE 1:20//(0
Approved by Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal,// i
Original Submittal Date: 7`/ �( 'b
Site Plans: # 3
Building Plans: # 3
Building Permit#: 0—Enter building permit#above.
Workflow Routing: ®"Planningor ' EI'Building
Workflow Sign-off: 1.--Sign-off for Planning(include notes from planning review)
Route Application Documents: [21-11-uilding: original permit application,site plans,building plans,engineer and
beam�ecalculations and trust details,if applicable,etc.
Notes: c /C_&-)
By Permit Technician: . Date: 1/x/,6
1:\Building\Forms\BldgPermitRvw_COM_NoLand Use_070915.docx
Permit Coordinator ' -view
❑ Conditions "Met"prior to iss nce of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal o• y)
Revision Notice 1: Date :ent to Applican •
Revision Notice 2: •to Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ■ es 0 N/A
Tigard Trans SDC: 0 Ye 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPerntitRvw_COM_NoLandUse_070915.docx
' City of Tigard • BUILDING DIVISION
II
Over-The-Counter (OTC) Building & Fire Protection System Permit
T I G A R ID Appointment Checklist ,
Permit Record#: u P ccp t(o-QC) r3 8
Contact Name: _e_diLI Phone #: F---6,p_Li- 6,f50
Business Name: /-)a_,a. �i rc�.a-r- Appointment/ Date: *6 (Ct., alcoPryt
Site Address:
15$!00 d`e� Kd Bldg/Suite #:
Project Name: e: J
Project Description: H ,„ _qua1 Jy\_ cc ,,00.‘,,, w L.,� 5-, (
Existing Use: -----&- 4 -g-- New Use: 6 -..-D___.
MMDRequired: ❑ Yes No Related Record #:
sV.' ' cocIFIC INFORMATION
GENERAL INFORMATION
Class of Work:
AT-
Occupancy Group: �''� Type of Construction: mss=Type of Use: Occupancy Load: ( Oregon Specialty Code: 4-
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: te, Fire Alarms: Smoke Detectors:
prinkler 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: $ 2_-J) 44-{."-_, : e--c- ,,;
$ / ` DC Prov Rvw,COM TI—Ping
$ -4kr5C "�.74-Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ .52....L,j 12%State Surcharge
Project Valuation $ 2 G Plan Review,Structural
Up to$4,999 $0.00 $ 17'5; Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 4,61 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: $ Other:
Date/Time: $ L3L4-1 C7 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.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
15860 SW UPPER BOONES FERRY RD B15,
TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00138
Jeff Grove
Violation Summary:
Inspector Contractor