Permit (39) CITY OF TIGARD BUILDING PERMIT
'' COMMUNITY DEVELOPMENT1114
Permit#: BUP2016-00252
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2016
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 140
Project: US Investors International Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Create(3)new offices,carpet&paint throughout
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE 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 08/16/2016 $90.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: 18 Permit Fee-Additions,Alterations, 08/16/2016 $608.23
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/16/2016 $72.99
Stories: 4 Height: 0 ft Plan Review 08/16/2016 $395.35
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/16/2016 $243.29
Value: $38,003 Info Process/Archiving-Lg$2.00(over 08/16/2016 $6.00
11x17)
Floor Areas:
Total Area: 1780
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,415.86
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 B : i /, ��/,1�( ..y Perm ittee Signature: A1_ii�U f�1�
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
Cityof Tigard t'," 4.,::4,.: ' Received i1c /4- V 2
g F ,'r a DateB . .4ard`� Permit No. •
liPq13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviej ir%IRE Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/ /ikv
Inspection Line:
503.639.4175 Date Read 'y: Jrs: H See Page 2 for
TIGARD f i"i h3 ti l 6Internet: www.tigard-or.gov Notified/Method: Supplemental Information rmation
r
gm .-rye
y 4 * =sem - T ii':. � `▪ ,,,t _ 0 .� _ i9_ 01 .1 ±r ' IN ir, w 1
0 New construction ` '`'❑'Demdlitidn ' ''ll 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
▪ ,i '4,1,9t-,04Wwork indicated on this application.
❑ 1-and 2-family dwelling El Commercial/industrial Valuation: $
EDAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
'H ' _
JOB SITE INT Rl T1o1(,,,",. .,',',I'S' L CATION1 - .-.., ,'},, ,'x Total number of floors:
Job site address:12909 SW 68th Parkway,Suite 140 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carpOrt area: square feet
Suite/bldg./apt.no.:140 Project name:US Investors Internationa Covered porch area: square feet
Cross street/directions to job site:SW 68th Parkway and SW Hampton Street Deck area: square feet
Other structure area: square feet
4O6REn pAT ao`l l a ct c T.
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
1 ," 1 sc1tI`1 d OF`WORD �' 0 work indicated on this application.
Three new offices,carpet and paint throughout. Valuation: $$38,003.00
Existing building area: 1,981 square feet
New building area: 1,981 square feet
PR OPERTI OWI lEIR f-:. ❑iENANT4 ry' ,. Number of stories: 3
Name:PacTrust Type of construction: II-B
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/Sate/ZIP:Portland,OR 97224 Existing: B
Phone:(503)624-6300 4t ., Fax.:(503)624-7755 Y` ry New: CB
41i rirc A1? AI4 1 '7',44'041.4V 'ei4 CV A RryE1S ; �,,Y, - -,9-1'''''54"-'''' '',-"'",:- 1--B O
sV
i _ 3QSi EG�r� , .
tr
Business name:PacTrust
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 l'HOTOVCi 'I' IC �PANEL SY EM S* 3'g
{ CONTRALTO 1 4 .. , roof-top omil Ccial and mount dresidential PhotoVol aic Solar 1ve Panelinstallation
System.of
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: L, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L, 0 u k y Date: �K 01. �11 2 01( * Fee methodology set by Tri-County Building Industry
L.£S i i e, J t Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
II
COMMUNITY DEVELOPMENT DEPARTMENT
I
T c R o Building Permit Review — Commercial - No Land Use
Building Permit #: I Oji. .0,9O i({ _OD 9-5-3'
Site
- 7-
Site Address: I� f 0 1 StAi (o - p ,,j y Suite/Bldg#: i q-b
Project Name: I' t
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review !�
Proposal: n-{eiri 0vY�mc4 el U-(' o-f A'c /vis Chct..-tr,,C of L(..1-c.. .
Existing Business Activity: 0C-Pi Ce,
Proposed Business Activity: Occ-; c.2_
<Verify
e—
Verify site address/suite#exists and active in permit system.
Iiver Terrace Neighborhood: ❑ Yes JNo
Permitted Use: 'Yes ❑ No ❑ Spec Space
,(Confirm no land use required.
,'Business License:
Exists: 'Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: 3 " (6 —(c,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: g1 i(e i
/4°
Site Plans: #
Building Plans: #—-÷—/
Building Permit#: L" Enter building perittfi.1 above.
Workflow Routing: E'Planningermit Coordinator Building
Workflow Sign-off: 2'Sign-off for Planning(include notes from planning review)
Route Application Documents: Er-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07---C_—
By Permit Technician: Atilba- - : Date: ,r/6//k
I:\Building Tom's\BldgPermitRvwCOM_NoLandUse 060I16.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Rele. ed: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to App t:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant
❑ SDC Fees Entered: Wash Co Trans,►ev Tax: ❑', es ❑ N/A
Tigard T . -s SDC: ❑ Ye ❑ N/A
P. s SDC: ❑ Yes, ❑ N/A
❑ OK to Issue Pe
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: i Le_P —QGa5'Y
Contact Name: 401P_'-elA' Phone #: P5b3-69.4-�p 30 d
Business Name: t 4. - Appt. Date/Time: coup °tot)
Site Address: ig29o4 .64.0 (oletpikwq. 4/do Bldg/Suite #: /4'o
Project Name: LI la `ata` Vz,,, n taF Ana
Project Description: .A �'
-tel•• ...1 , �-„. ..... � _-_A
// i i
Existing Use: New Use: etyzie_. •
MMD Required: 0 Y9lo Related Record#:
GENERAL INFORMATION
Class of Work: L! Occupancy Group: 3A) Type of Construction: � '
Type of Use: III Occupancy Load: 1 Oregon Specialty Code: L✓(L ..
SPECIFICS
Number of Stories: 4- 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- 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: Le, 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: $ 3 63
$ 410 4.0 DC Prov Rvw,COM TI-Ping
$ 001 /Cr Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ ---1" 12%State Surcharge
Project Valuation ..-- s..
$ t3► ,' an Review,Structural
Up to$4,999 $0.00 $ 'Plan Review,Fire Life Safety
$5,000 $74,999 $90.00 $ ,Ai Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ (4( 1 ,%TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.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
12909 SW 68TH PKWY 140, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00252
Chip Barnett
Violation Summary:
Inspector Contractor