Permit CITY OF TIGARD BUILDING PERMIT
11111 I. COMMUNITY DEVELOPMENT Permit#: BUP2016-00180
Date Issued: 05/26/2016
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY 190
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: New suite entry,demo break room.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW 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 DC Provision Review,COM TI-Ping 05/26/2016 $88.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: 48 Permit Fee-Additions,Alterations, 05/26/2016 $256.22
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/26/2016 $30.75
Stories: 1 Height: 0 ft Plan Review 05/26/2016 $166.54
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/26/2016 $102.49
Value: $11,487 Info Process/Archiving-Lg$2.00(over 05/26/2016 $8.00
11x17)
Address Fee 05/26/2016 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $702.00
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
952-001-0011 • -. • •AR 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: I a / Permittee Signature: K \JV
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 RECEIVED FOR OFFICE. USE O\l,l
City of Tigard Received A, • / /A�,�� Permit No.: 4 1:,,,'!o-Up/ r
Date/B : l(J
13125 SW Hall Blvd.,Tigard,OR mAy3 2 6 2016 Plan Revi �
= Phone: 503.718.2439 Fax: 503.598.1960 Date/B : r „Other Permit:
TIGARD Inspection Line: 503.639.417CIr/OF TIGARD Date Ready y: Juris. ® See Page 2 for
Internet: www.tigard-or.gi;UILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK , RJQUIRED DATA:I-AND 2-FAMILYDWELLI14G
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 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: $
0 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:15333 SW Sequoia Parkway,Suite 190 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 190 Project name:pcc228 Spec 190 Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Pkwy and Redwood Lane Deck area: square feet
Other structure area: square feet
. '11.0M.,0-,,,„ DATA`�COI`F, ERCIAL-USE eq.CKI:IST
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.
New suite entry,demo break room Valuation: $$11,487.00
Existing building
area: 5,421 square feet
New building area: 5,421 square feet
® PROPERTY OWNER. 0 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
Phone:(503)624-6300 Fax:(503)624-7755 New: B
-*I'M-APPLICANT ` ® CONTACT PERSON ` BUILDING PERMIT EES*
Business name:PacTrust (Pleasrr4J8rlsf k)
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
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail lesliel@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOiCommercial and residential prescriptive installation of
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 Specially 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 \P-)1.46' 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.
Print name: Le y tie Qom,y Date:MQU ZVI 20110 * Fee methodology set by Tri-County Building Industry
�J Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: —au P -D l 4 -DD/ g'U
Site Address: /' 33 ' t41 55e14/0 /
/A pfiavl/. Suite/Bldg#: //D
pee, S ®j
Project Name: Chi
(Narde of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: [,a 1 IA., ' e/r7eh ' nat.) l�itP�QA7L
Existing Business Activity: 4e-t- _
Proposed Business Activity:
. Iyerify site address/suite#exists and active in permit system.
g River Terrace Neighborhood: Cl Yes ONo
Zoning: T-p
Permitted Use: ,ZYes ❑ No Spec Space
,E] Confirm no land use required.
,i Business License:
Exists: ❑ Yes ,No,applicant notified to obtain business license
Notes:
/
Approved by Planning: L//�, Date: 612-(0//0
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: b 64//(p
Site Plans: #
---4—
Building Plans: #
Building Permit#: Ci--Enter building permit# above.
Workflow Routing: [t'Planning Building
Workflow Sign-off: 2Sign-off for Planning(include notes from planning review)
Route Application Documents: ErBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 0
By Permit Technician: ( Date: .6---P-6//7
L\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinator Review
❑ Conditions "Met"pri. . issuance of building permit
❑ Approved,N 0 T Released: Date:
Notes:
Revisions (after Building Submittal on
Revision Notice 1: Date Sent to Ap.._. t:
Revision Notice 2: Date Sent to `pplicant:
Revision Notice 3: Date Se. to Applicant:
❑ SDC Fees Entered: W. Co Trans Dev Tax: ❑ Yes N/A
igard Trans SDC: ❑ Yes ❑
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe
Approved by Pe . it Coordinator: Date:
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_0709I 5.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
15333 SW SEQUOIA PKWY 190, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
November 2, 2016 at 8:01:52
AM
BUP2016-00180
Chip Barnett
Previous corrections have been completed
Violation Summary:
Inspector Contractor