Permit CITY OF TIGARD BUILDING PERMIT
;c1 COMMUNITY DEVELOPMENT Permit#: BUP2016-00195
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2016
Parcel: 2S 113AB00600
Jurisdiction: Tigard
Site address: 16150 SW UPPER BOONES FERRY RD
Project: Perlo Construction Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: TI for new tenant:Demolition,new walls,doors,and shower rooms.
Contractor: PERLO CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
16101 SW 72ND AVE SUITE 200 ATTN: N PIVEN
TIGARD, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 06/14/2016 $351.00
Occupancy Grp: A-3 Occupancy Load: 244 Permit Fee-Additions,Alterations, 06/14/2016 $2,615.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/14/2016 $313.91
Stories: 1 Height: 0 ft Plan Review 06/14/2016 $1,700.37
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/14/2016 $1,046.38
Value: $350,000 Info Process/Archiving-Lg$2.00(over 06/14/2016 $8.00
11x17)
Metro Const.Excise Tax 06/14/2016 $420.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,455.61
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: j—zoiteftieee...:
- ittee Signature: ,L
Call 0 .639.4175 by 7:00 a.m.for the next available inspec io ate.
This permit card shall be kept in a conspicuous place on the job site until pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 6//y
Commercial FOR OFFICE USE ONLY
City of Tigard Received an
Date/By: i� 'ermitNo.:51.p //_.—�1�`1c
Mill 13125 SW Hall Blvd.,Tigard,OR 97223 ('� Plan Red ' A a Other Permit. (/► !({/ (f/
Phone: 503.718.2439 Fax: 503.598.196 �{l ��. Date/By: 4.,
TIGARD
Inspection Line: 503.639.4175 1�J�1/
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ormationInternet: www.tigard-or.gov
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TYPE OF WORK
�_q ') REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ DeCotit Yr Permit fees*are based on the value of the work performed.
❑ N I' ��SIQN Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement O(�i7��:I1�. \ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONtwork indicated on this application.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16150 SW Upper Boones Ferry Road(Building C) New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Perlo Construction 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.
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.
Interior tenant improvements for new tenant on the first floor.Tenant will Valuation: $350000.00
Work includes demolition,new walls,doors,relites and toilet/shower rooms. Existing building area: 5566 square feet
New building area: 5566 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name:Perlo Construction Type of construction: II
Address: 16101 SW 72nd Ave,Suite 200 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing: B
Phone:(503)264-2090 Fax:( 1 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Lauren Rohde
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax: :(503)228-1285
E-mail:Irohde@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Perlo Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:16101 SW 72"d Ave,Suite 200 Solar Installation Specialty Code checklist.
City/State/ZIP:Tlgard,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)264-2090 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:189245
Total fee due upon application: $201.60
Authorized signature: L_ �Q' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Lauren ' • de Date:06/14/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
(:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
IIr COMMUNITY DEVELOPMENT DEPARTMENT
i
T IGARD Building Permit Review — Commercial - No Land Use
Oil
Building Permit #: 640a,016--al/ I's—
Site Address: I (0 co c w defer eoonei rC$Gi e/Bldg#: C
Project Name: Peri(9 Co n&t vc. n) n
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
•
Proposal: n 4t/1-0 i TI CO f 1 JAA/ wall.,IJ � loors rs , (th {{J , lO
1i L .f
Existing Business Activity: 0(ti C4
Proposed Business Activity: 0 (44i
Verify site address/suite# exists and active in permit system.
le River Terrace
Neiiborhood: ❑ Yes /e No
Zoning:
Permitted Use: Yes ❑ No El Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 440 V, t. a d o k_..W,- Date: CO/ 14 / / b
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: /62
Site Plans: #
Building Plans: #
Building Permit#: 7 nter�building permit#above. � ��//
Workflow Routing: L -Planning oo Building
Workflow Sign-off: Q...-‘Sioff for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: eC
By Permit Technician: .ce.C:::::6„ Date: CP100
1:\Building\Forms\BldgPennitRvw_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: Cl Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Ili
' II Over-The-Counter (OTC) Building & Fire Protection System Permit
r I G I R o Appointment Checklist
Permit Record#: et p A._ 0, /q.Contact Name: /i- e_ Phone #: 5O3-aoL'/' 96--(o a
Business Name: ��� •', Appointment Date: (o/////a tro a:co poi
Site Address: / /S6 •a ,e-eQ, dg/Suite #:
Project Name: Ks...i to Cc(---"— u t _--- I.)c.,raw,v0i.„,
Project Description: --77--,A,‘„2„...) leo QQ 0 ..,62 ac,��koi-iA� �/x_10 -f,.5(
f• °-4/5J - J20t,--0-4-0.
Existing Use: 17-J New Use: �
MMD Required: ❑ Yes ❑ No Related Record #:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: -kLT Occupancy Group: ki Type of Construction: '2..1'3
Type of Use: �_,Cl,(,t Occupancy Load: T 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:
ir-7 Fire Alarms: Smoke Detectors:
Sprinkler Type: Lr✓-� 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: $ iO CO FEES DUE
$ '.i=lG r , )DC Prov Rvw,COM TI—Ping
$ L r5,itiyermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ ROMP, Plan Review,Structural
Up to$4,999 $0.00 $ a•lr 'lan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ ' . 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 $ 42 ,C\Ietro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Other:
Building Staff: ' $ •ther:
Date/Time: $ ( J4`T .I T I TAL 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
16150 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
October 28, 2016 at 9:23:28
AM
BUP2016-00195
Chip Barnett
Violation Summary:
Inspector Contractor