Permit (25) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00161
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2016
T r t.;, r.D9 Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 130
Project: Yecuris Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: TI for existing tenant: Interior demo and new office interior partition walls,finishes,doors.
Contractor: FORTIS CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES LP
1705 SW TAYLOR ST#200 ATTN: N PIVEN
PORTLAND, OR 97205 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-459-4477 PHONE:
FAX: 503-459-4478
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 05/31/2016 $88.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: 160 12%State Surcharge-Building 05/31/2016 $94.76
Plan Review 05/31/2016 $513.30
Dwelling Units: 0 Plan Review-Fire Life Safety 05/31/2016 $315.88
Stories: 1 Height: 0 ft Info Process/Archiving-Lg$2.00(over 05/31/2016 $10.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $57,200 Permit Fee-Additions,Alterations, 05/31/2016 $789.69
Demolition
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,811.63
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 i • •ance with approved plans. This permit will expire if work is not started within 180 days of or if work is suspended for more the 180
days. . TENTION: • -gon law requires you to follow the rules adopted by the Oregon Utility No- •• • nter. Those rules are set forth in OAR
95 001-0010 through OA- •52-0• ;:t0. •u may obtain a copy of the rules or direct questions to OUNC b 'ing 503. . .198 • 800.332.2344.
I --ued By: , (,06,0 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available ins•-ction
This permit card shall be kept in a conspicuous place on the job site until •.• f the •fect.
eH
Approved plans are required on the Job site at the time of each ins eon.
r'
Building Permit Application , • . ,' . • - •
COlCommerciala�
- `A V FOR OFFICE USE O\Ll
��?-
Received. I Permit No.: 61,,k26/4,__0016,
City of Tigard Q�, ei .
III11 13125 SW Hall Blvd-,Tigard,OR 97223 1 94 r Other Permit:
2 Phone: 503.718.2439 Fax: 503.598.1960 y 1 ,' �1 `Z t1/� -
Inspection Line: 503:639.4175 P G`�.\. ►:y T��' •y: C.� / h"": el See Page 2 for
T I G A R D Internet www.tigard-or.gov �T +�1'" / //��l e. Supplemental Information
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1 ,0,(0,-V" i;E _ 3v ,t.,ail'1 )) � 'q �1-; 9. ' I ,,',/'C,13\% ,1_,hi kOE
0 Demolition Permit fees'are based on the value of the work performed.
0 New constructionIndicate the value(rounded to the nearest dollar)of all
QI Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: &
o I-and 2-family dwelling Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family .
Other •
Number of bathrooms:
❑Master builder '
:_ .,0i ij' 3' ,T�jt3it , K9,i,), , ! AYE -_'. 1101
Total number.of floats:
Job site address: 144 I ST S-5 LAi c,V a i e.. Q 1 New dwelling area: square feet
Ctty/StatelZlP:. ��G�A�� 0 g- �722-4 Garage/carport area: • square feet
Suite/bldgapt.no.: 13 D Project name: `1 �c.A.),i 5 TI Covered porch area square feet
Cross street/directions to job site: - . Deck area: square feet
Other structure area: . • square feet •
-
_ - - I . i 11 - J i) )J 'S i ,„2, tin �. %
•
Subdivision: Lot no.: .• . Permit fees*are based on the valueof the work performed."
���,s ^A Indicate the value(rotndedto the dearest dollar)of all
map/parcel ap/parcel no.: I N 'l tLN.. .. 0 . 0• - :equipment,materials,labor,overhead,and the profit£or the
,:, tib^ indicated on this.. ittati ;'
Devin o ,i- Frawl ,n.el -tipa ntiN �#-v LcS : '
rn.►: e 'Existing building area l7 f , sty
feet _
Ge*ol a(J2JA i•-• VateZtAitt- C i ace ih sr 44441-. laid .. . . New building area: ye, square feet
i ,.,, 's; , .•)±lumber of stones: ,: -
Name: e . Type of construcfion: ((.. G •
Address: 19 --'0: .go .C ))Qts PFS Ocy groom=
City/State/ZIP: ( ( 1:727. fig: G sZ
•
Phone: 4,05. /0_`,. .. 1170.0. • Fax: ) `77N . New: 8.. .S-Z. f
Business name: _` - plan review fee c(or deposit):
s structural
Contact name: U 1:
� .GW\ � .� �� :.. '- , FLS plan review fee(if apphtabfe):
Address: :..
Total fees due upon applilcatidn"
City/State/ZIP: trieceived: ._
Amoun.
E-mail:
Y • _Ai AA a Commercial`-• and residential prescriptive insfallation:of
;,:
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i II ■
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 5t4I2h3J(o —00 I(o
Site Address: /SD Sk) _s-,.7 4(c9ic Pi a y Suite/Bldg#: /3
Project Name: y2
1 CCfri S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: / . 7g- 16,-C' `
. ! "7 °/2
Existing Business Activity: 004�
Proposed Business Activity: 1/
Verify site address/suite#exists and active in permit syste .
rty a'.ver Terrace Nei hborhood: ❑ Yes v No
li oning: /— J
�rmitted Use: ❑ Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ,Aft- Date: Sf ij(j
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: _5 ,
Site Plans: # /
Building Plans: #
Building Permit#: r ti..tspbuilding permit#above. ,__,,., ��
Workflow Routing: 1' ping ❑ Permit Coordinator wilding
Workflow Sign-off: L�I�Si off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 0
By Permit Technician: � Date: 7/�``�.
� / /
I:\Building\Forms\BldgPermitRvw_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:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx