Permit CITY OF TIGARD BUILDING PERMIT
1111 a. COMMUNITY DEVELOPMENT Permit#: BUP2016-00165
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/18/2016
TIGARD g Parcel: 2S113AA00700
Jurisdiction: Tigard
Site address: 16416 SW 72ND AVE B5
Project: Stauffer Cisco Supply Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Office build with(2)restrooms&(1)break room sink.
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: 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, 05/18/2016 $1,098.42
Demolition
Occupancy Grp: S-1 Occupancy Load: 22 12%State Surcharge-Building 05/18/2016 $131.81
Dwelling Units: 0 Plan Review 05/18/2016 $713.97
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 05/18/2016 $439.37
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 05/18/2016 $8.00
Value: $98,984 11x17)
DC Provision Review,COM TI-Ping 05/18/2016 $220.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,611.57
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 calling 503.232.1987 or 1.800.332.2344.
Issued By: I^ ) CataL44,c4.4.41 Permittee Signature:
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 the Job site at the time of each Inspection.
Building Permit Application
Commercial RECEIVE') FOR of 11(T. l'sr 011.1
UPIReceived
Cityof Tigard ry J Irja Permit No.: 4
131SW Hall Blvd.,Tigard,OR yy I n Date/ 5 7 �l0 0���'�I
iNl i Y 2 U 6 Plan Revie���� �� cher Permit:
= Phone: 503.718.2439 Fax: 503.598.1960 Date/B :
T I G A R D
Inspection Line: 503.639.4175(�` �1 (� Date Rea.M7 Sufis: El See Page 2 for
Internet: www.tigard-or.gov 41 i �� � RI) Notified/Metho.. Supplemental Information
UUUI ING DIVISION
r.
" a
TYPE OF RI A x r' ==„=-„,,,,,,,,,,)IR DATA.1-AND 2-FAMILY DWELLING
J.
❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF`C T'STRUCtION *. : work indicated on this application.
❑ 1-and 2-family dwelling ®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: 16416 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:Stauffer Cisco Supply Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and 72' Ave. Deck area: square feet
Other structure area: square feet
RE.'Iii ''►°i 4;COMMiRCSAL-* ISS;
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 OFWORK work indicated on this application.
Office build with two restrooms and break sink(demo and sitework under separate Valuation: $598,984.00
permit) Existing building area: 7,500 square feet
New building area: 7,500 square feet
N, rPROPERTY OWNER" 0 TE,I'ANT' Number of stories: 1
Name:PacTrust Type of construction: 11-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 y BUILDING PERMIT FEES*
Business name:PacTrust
{Please reaertofee 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:
PIIOTOVOLTAI 'SOLAR 'ANEL SYSTEM FEES*
E-mail:lesliel@pactrust.com
Commercial and residential prescriptive installation of
�',`s° CONTRAi IOR " roof-top mounted Photo Voltaic 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
y $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: �� S This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: I ,P(i`i C L OV(,s Date: r1 Ate (6 Z * Fee methodology set by Tri-County Building Industry
b' J l Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
City of Tigard
11111 r COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: t-J t t.,P,;p( (Q- C D I Co S"
Site Address: /&2J]4 , RIC) /e;11/P Suite/Bldg#:
Project Name: ,...c) ->A1— Cikee> _ i
(Name of commercial business occupying the spat Ara ,en er Spec Space.)
Planning Review
Proposal: 1. ILA) 4A1'(.7`"
Existing Business Activity: G'l.k)/.s ___J(
Proposed Business Activity: // //
/Verify site address/suite#exists and active in permit systt
'7 '''ver Terrace Neighborhood: ❑ Yes IG No
fVoning: /--
trmitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
'usiness License:
Exists: ( es ❑ No,applicant notified to obtain business license
Notes:
- e
Approved by Planning: ;� Date: S-/? Jee
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: 51/7/( 60(
Site Plans: # 3
Building Plans: # 15
Building Permit#: 2-Enter building permit#above. /
Workflow Routing: Planning Z Building
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
(J 1
�-- beam calculations andtrustdetails,if applicable,etc.Notes: e - MA- ko-i I �Q, ^ i43 ,.lel,
By Permit Technician: i,�_ _. . _! 0-744 a °'N- 5!/cl ik aIli
te: 7 1
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_070915.docx
Permit Coordinator Re sew
❑ Conditions "Met"prior to issua e of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent . Applicant:
Revision Notice 2: Date S- t to Applicant:
Revision Notice 3: Da - ent to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: h Yes ❑ N/A
Tigard Trans SDC: ❑ -s ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue P- it
Approved by ' rmit Coordinator: Date:
L\Building\Forms\B1dgPermitRvw_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
16416 SW 72ND AVE B5, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00165
Chip Barnett
Violation Summary:
Inspector Contractor