Permit CITY OF TIGARD BUILDING PERMIT
`i COMMUNITY DEVELOPMENT Permit#: BUP2016 00147
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016
T I i;;�R D g Parcel: 2S113AA00700
Jurisdiction: Tigard
Site address: 16416 SW 72ND AVE B5
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: TI-major demolition, new ADA ramp and openings
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY TRUST
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 Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 04/28/2016 $88.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 04/28/2016 $729.45
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/28/2016 $87.53
Stories: 1 Height: 0 ft Plan Review 04/28/2016 $474.14
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/28/2016 $291.78
Value: $49,106 Info Process/Archiving-Lg$2.00(over 04/28/2016 $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 $1,676.90
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 •TTENTIO N. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -001-0010 through •'R 95 :i 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is ed By: I 4. Permittee Signature: l kt � ., ,
' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. (/w�
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 4/74
Commercial it cl FOR OFFICE USE ONLY
� -1 w .w# Received 7A Permit No.: y /�/� / 7
Cityof Tigard y a g' 6 ♦A
g DateB : I I
III - 13125 SW Hall Blvd.,Ttgard,OR 97223 Plan ReJiew /�
Phone: 503.718.2439 Fax: 503.598.1960D p 2 Q S01 Date/B : /Wir �i4,411y1s,Other Permit:
:y: ®
Inspection Line: 503.639.4175 Date Rea" Juris: See Page 2 for
T I G A R D Notified/Method: Su lemental Information
Internet: www.tigard-or.gov as
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16416 SW 72"Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:NA Project name:Spec Office 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.
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.
Major demolition,new ADA ramp and openings. Valuation: $49,106
Existing building area: 7,500 square feet
New building area: 7,500 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: II-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 name:Leslie Louis
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300
Total fees due upon application:
City/State/ZIP:97224
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
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 Total fee due upon application: $201.60
Authorized signature: \/10/@/7This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 1,.,f 6 1`t L ow(� Date: AQC�' 2 S 2 0( * Fee methodology set by Tri-County Building Industry
11 / Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
il City of Tigard • BUILDING DIVISION
14
. . Over-The-Counter (OTC) Building & Fire Protection System Permit
T I G A R D Appointment Checklist
Permit Record#: RLt IJc9c)l Cv-CSU/Li 7
Contact Name: 41,d6
" .a Phone #: 5!!)-3-'6 a.�-f 5ODBusiness Name: -�_ A- Appointment Date:
Site Address: ((p4 1 (r 6.AD 7g'4 Ow Bldg/Suite #:
Project Name: et,c1 n ,
Project Description: ,o.4 S_n_.044) Pt-1 ,+ 1 4T
Existing Use: -,- ca-- New Use: --�,... ..
MMD Required: ❑ Yes No Related Record #:
��/��/AP```PPPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: [,( Occupancy Group: t' Type of Construction: d
Type of Use: [ �v�tOccupancy 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
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: t.', 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: $ 49'1 (O.6, _ FEES DUE
L-r
$ :,,,( : DC Prov Rvw,COM TI Ping
$ 2R, Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 715 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 $ L--) 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: $ IC.7(.. ,ern TOTAL FEES DUE
L\Building\Forms\OTC_BUP_FPS_020916.docx
'Pi . 7
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c a R D Building Permit Review — Commercial - No Land U s e
Building Permit #: (-tLP(3-01/0— On / Lt 7
Site Address: 161-116 SUI -72f18 Ave . Suite/Bldg#: B5
Project Name: Spec S' ce
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: j&fef1oY dcmo 1 new A1.)1\ ramp
Existing Business Activity: b fhte.. / l +y)'1"1- ) n oW s ti'lZ+,
Proposed Business Activity: D h.j c,
V.Verify site address/suite#exists and active in permit system.
$River Terrace Neighborhood: 0 Yes ' e 'No
1 Zoning: 1 —L
Alfiermitted Use: 0 Yes 0 No Lr! Spec Space
M Confirm no land use required.
-B.•Business License:
Exists: 0 Yes 0 No,applicant notified to obtain business license
Notes:
Approved by Planning: D r i 1i%L '>1!o k,„ Date: 9/Z t)/ ( go
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: y/tr//4
Site Plans: #
Building Plans: #
Building Permit#: 0"Enter building permit#above.
Workflow Routing: .1E1"Planning ' rr Soerdivate _ IJ'Building
Workflow Sign-off: CSign-off for Planning(include notes from planning review)_/
Route Application Documents: 1� Building. original permit application,site plans,building plans,engineer and
//II ��{{
beam calculations and trust details,if applicable,etc.
Notes: Ord—
By Permit Technician: I,,J�� Date: T /��
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Revi
❑ Conditions "Met"prior to,ssuancc of building permit
❑ Approved,NOT Releas• e: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to A.: cant:
Revision Notice 2: Date Sent t. pplicant:
Revision Notice 3: Date Se to Applicant:
❑ SDC Fees Entered: W h Co Trans Dev Tax: ❑ Yes ❑ N/A
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:ABuilding\Fonns\BldgPennitRvw_COM_NoLandUse_O709I5.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
16416 SW 72ND AVE B5, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00147
Chip Barnett
Violation Summary:
Inspector Contractor