Permit (43) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00204
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 240
Project: Financial Planners Northwest Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for new tenant:Demolition and office reconfiguration.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE:
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 06/21/2016 $88.00
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 06/21/2016 $423.53
Occupancy Grp: B Occupancy Load: 19 Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/21/2016 $50.82
Stories: 3 Height: 0 ft Plan Review 06/21/2016 $275.29
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/21/2016 $169.41
Value: $22,590 Info Process/Archiving-Lg$2.00(over 06/21/2016 $12.00
11x17)
Floor Areas:
Total Area: 1812
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,019.05
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: •- •• . ignature: l! Ve et/ okAj,
C.,, ,,xr.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 G (0 2/
Commercial 0' V FOR OFFICE USE ONLY
Ci of Tigard 21
�� ti4�`° Received ��
- "� g I.Date/B PM Permit No.: - : p
74 • 13125 SW Hall Blvd.,Tigard,OR 97223 `� M Q�
t Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 \V`P ,� c\�`1C� �_ �e ��
TI G A R D Inspection Line: 503.639.4175 .(�[ i� r 0` Date Ready : ® See Page 2 for
Internet: www.tigard-or.gov "\\ `�,k\vi, Notified/Method: _� ... I� iI Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Parkway,Suite 240 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:240 Project name:Financial Planners Northw Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and SW Sequoia Pkw 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.
Demolition and rebuild offices. Valuation: $$22,590.00
Existing building area: 1,812 square feet
New building area: 1,812 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name:PacTrust Type of construction: II/one hour fs
I 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
Z 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:
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
E-mail:lesliel@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 $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: n I s This permit application expires if a permit is not obtained
WWW 1/\47.;.
"'"` within 180 days after it has been accepted as complete.
Print name: L ? i Qi 0 U L.6 Date: Jt c. ZQ Lolb * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard
II
COMMUNITY DEVELOPMENT DEPARTMENT
IN ■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ak,0 6—6Q1
Site Address: 1 5 3 SO SW s',0 ciN O i ci Pcirk wG) Suite/Bldg#: ?40
Project Name: Fi nk6 U c.L_ e(cl n rurl No rt1,1 we.s f-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: D Q/n10 C r)ct b u 11 L 0 t-Ci((2 3
Existing Business Activity: 0�il(.R,
Proposed Business Activity: 0(.(/j c
Verify site address/suite#exists and active in permit system.
ARiver Terrace Neig orhood: I=1 Yes A No
Z]
, Zoning: i— P
APermitted Use: ❑ Yes ❑ No ❑ Spec Space
(Confirm no land use required.
6 Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: (7)QV)i? 6 11 00(.0-01AA._ Date: Ca/21 / Oa
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: , n
Site Plans: # L
Building Plans: #
Building Permit#: 9 "nter b •ding permit# above.
Workflow Routing: amo•ng CI �}�
Permit Coordinator uilding
Workflow Sign-off: n��i f 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
By Permit Technician: / c - -� ,ii _� - Date:iim /21
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 El N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
.4City of Tigard • BUILDING DIVISION
1
Over-The-Counter (OTC) Building & Fire Protection System Permit
r I G A R n Appointment Checklist
Permit Record#: ', ye.7
Contact Name: • • «, Phone #: 503-LL / 6 6 0 0
Business Name: al-c--"r; c�� � Appointment Date: 6/./61/) /Q:co RAI
Site Address: /5 3 5d �W .. . . _ !'�w BldgSuite #: , c/v
Project Name: .h, 1,.0...,.....f 1.e- ,ArA.,o l\_Va.i ik_t_.i]�.--
Project Description: `--D_Q,w.,-,-mo-,;, o ' /,? ,L—QP
r �u C�
Existing Use: —PD New Use: ------f j
MMD Required: ❑ Yes No Related Record #:
APPLIC t1ON SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: " Occupancy Group: 1 Type of Construction:
f
Type of Use: j Occupancy Load: G{ Oregon Specialty Code: 20(11,
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: 1 c' ;' 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: Cc)fJ 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: $ 2_2-)1 '•: FEES" DUE
g.
$ r. Air DC Prov Rvw,COM TI—Ping
$ arilr��i ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ Apr ---' 12%State Surcharge
Project Valuation $ /Plan Review,Structural
Up to$4,999 $0.00 $ MEI Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ ,t. 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: $ -Qther:
Date/Time: � Pe' O
ri � AL 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
15350 SW SEQUOIA PKWY 240, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00204
Chip Barnett
Previous corrections completed
Violation Summary:
Inspector Contractor