Permit (46) CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2016-00202
TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/16/2016
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 135
Project: Sstanley Convergent Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: TI-New restroom and conference 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
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 06/16/2016 $88.00
Occupancy Grp: B Occupancy Load: 30 Permit Fee-Additions,Alterations, 06/16/2016 $301.85
Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/16/2016 $36.22
Stories: 1 Height: 0 ft Plan Review 06/16/2016 $196.20
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/16/2016 $120.74
Value: $14,230 Info Process/Archiving-Lg$2.00(over 06/16/2016 $10.00
11x17)
Floor Areas:
Total Area: 4376
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $753.01
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 -• •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.
Issue By: /j Permittee Signature: _ "U. 1 _` U
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 FOR OFFICE USE ONLY
RECEIVED Received firm Permit No.: ` ��t�' bZ
City of Tigard Date/By /k Ile
II q 13125 SW Hall Blvd.,Tigard,OR 97223III Plan Revte r Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 N 16 2016 Date/By: 1�
T t GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Read Juris I ® See Page 2 for
Internet: www.tigard-or.gov ' TL Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 ❑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: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder 111Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15115 SW Sequoia Parkway#135 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 135 Project name:Stanley Convergent Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Parkway and Redwood Lane 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.
New restroom and conference room. Valuation: $14,230
Existing building area: 4,376 square feet
New building area: 4,376 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:PacTrust Type of construction: III-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
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PacTrust (Please refer to fee 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:
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 lie.:153913
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: L_...CS it e, L.Qvi'vJ Date: Jui)e ct I 'LAO * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 7
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
s
TIGARD Building Permit Review — Commercial - No Land Use
®
Building Permit #: -----6,,,P„poi to--00, 02--
Site
2-
Site Address: /S-7/C- A) P, , Suite/Bldg#: /3 ..."--
Project
cProject Name: S-36,1Cn v 0,/j
(Name of com cial business occup .' _ e space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ heL -/e/pyn` L Ci4 h „ )2,24u • i'0`" S'�c-e
Existing Business Activity: !,1 air�
Pro.osed Business Activity: 0 C-e._
A Verify site address/suite#exists and active in permit sys�t
IM �" 'ver Terrace Neighborhood: ❑ Yes V No
/Zoning: I—
rfr,Permitted Use: Yes ❑ No El Spec Space
ICl Cnfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: L--- 31.,y___ Date: 6/M/ip
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//(B 7/0
Site Plans: #
Building Plans: # 3
Building Permit#: [ Enter building permit#above.
Workflow Routing: Planning Permit Coordinator 12YF3uilding
Workflow Sign-off: [a'Sign-off for Planning(include notes from planning review)
Route Application Documents: [Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 0 / C—
By Permit Technician: ( II) ( Date: Oe:2
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 Su: 's ittal o )
Revision Notice 1: Dat:•'-nt to Applicant:
Revision Notice 2: 111.to Sent . . ,.licant:
Revision Notice 3: Date Sent to App :.. :
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ■ ❑ N/A
Tigard Trans SDC: El Yes N/A
Parks SDC: a Yes al N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
,11111
Over-The-Counter (OTC) Building & Fire Protection System Permit
T l G A R I) Appointment Checklist
Permit Record#: 2 leap/ (o 04:3a-0
Contact Name: " , ' 7'
/ � Phone #: ,'jp 3- (Pa 567 O
Business Name: /r te Appointment Date: (r//6 @ a..cr,AI)
3SProSite Address: /57/5 (� A.Ly /3 c Bldg/Suite #: 7.,'S—
Project
ject Name: .�s�
Project Description: fZe�f,�o- --, '- . j2c.,-v
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record #:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: _ Occupancy Group: Type of Construction:
Type of Use: ('"( 7t Occupancy Load: 4tiP - Oregon Specialty Code: �"'1
SPECIFICS
Number of Stories: I 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: 7 Cavort: 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: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: u(V-7-2 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: $ �..D a, 1111=111111
1 $ rTSj0�f/ DC Prov Rvw,COM TI-Ping
$ - a lidi,_ Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2015) $ .. 12%State Surcharge
Project Valuation $ li1J,Plan Review,Structural
Up to$4,999 $0.00 $ Ail,; Plan 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 $ Metro Construction Excise Tax
$ _ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ .7r f TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx