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Permit
CITY OF TIGARD BUILDING PERMIT ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00269 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2016 Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15575 SW SEQUOIA PKWY 130 Project: BFit Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: TI for future tenant. Demolition only.Suites 130-180. Contractor: CUMMING CONSTRUCTION INC A CORPORATION C Owner: PACIFIC REALTY ASSOCIATES 1483 EAST 3850 SOUTH ATTN: N PIVEN SAINT GEORGE, UT 84790 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 435-656-8433 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 09/07/2016 $90.00 Occupancy Grp: B Occupancy Load: 73 Permit Fee-Additions,Alterations, 09/07/2016 $910.17 Dwelling Units: 0 Demolition 12%State Surcharge-Building 09/07/2016 $109.22 Stories: 1 Height: 0 ft Plan Review Bedrooms: 0 Bathrooms: 0 09/07/2016 $591.61 Plan Review-Fire Life Safety 09/07/2016 $364.07 Value: $73,625 Info Process/Archiving-Lg$2.00(over 09/07/2016 1 $12.00 1x17) Floor Areas: Total Area: 21863 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,077.07 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- .. . the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. MOP Issued By: i•nature: \P2-/Wk/W (( al 03.639.4175 by 7:00 a.m.for the next available inspection date. This permit cahrshall 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 City of Tigard Received f s Permit No.: ' 13125 SW Hall Blvd.,Tigard,OR 9722 "'s DateB . / ,_. '�-- ;1� `� ,, A Plan Review ' Phone: 503.718.2439 Fax: 503.598.19 aE�.:.;, f DateB . ~ M'� , Other Permit: I. O ilo 01 TIGARD Inspection Line: 503.639.4175 Date Rea2t,i'By See Page 2 for Internet: www.tigard-or.gov 1 EP 7 2016 Notified/Method: gonMI Supplemental Information r 1 ' 1:46,'_,%-i '''r-.} : " f., a' x T 3,> ":a i #,. o $v.;, ry 3°= x4. a .;: , m5. 1w „s ke . "`= t# d,R f il- ]} ' '� *�\1 3 ❑New construction ■bieLliVoli ro 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 ti ed on this application. Gr��oR��Oi COlT1`��:iC.�l��r� i o *" o ; work indicated PP 1:31-and 2-family dwelling ®Commercial/industrial Valuation: $ CIAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: "a s JOB,SiTE INF`ORMATIO ANtI (ICATI01 `a,F Total number of floors: Job site address:15575 SW Sequoia Pkwy New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:130-180 Project name:BFit HC(see below) Covered porch area: square feet Cross street/directions to job site:SW Sequoia Pkwy and SW Upper Boones Ferr Deck area: square feet Other structure area: square feet NAME-B-Fit Health Club Demolition Work I1E i D0" `a1 R Ii3CJS ' 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 DESCRIPT>O1-T,,-61--'w-- i.0 , ,--%:--,0,:,,,A, work indicated on this application. Major demolition Valuation: $$73,625.00 Existing building area: 21863 square feet New building area: 21863 square feet '` ''-hioPERTY OWkt1 R�., = io'. ❑`' EN `' �a Number of stories: 1 Name:PacTrust Type of construction: II-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: A-3 ® APPLI'cAN'I `, -' CONTAC' PERSO1i ;' t BL#H�At�:srotRM1T� +�'+rS*rt`' i E Business name:PacTrust i _ a, -'(Pleiiref�r Yciease 75drfte , :!,..,,--;4,°-:'',:, _ 3 Structural plan review fee(or deposit): Contact name:Leslie Louis Address: 15350 SW Sequoia Parkway#300 FLS plan review fee(if applicable): City/State/ZIP:97224 Total fees due upon application: Phone:(503)624-6300 Fax::(503)624-7755 Amount received: E-mail:lesliel@pactrust.com HOTOVOLTAIC S ►�RR�' E T�_ "# C©N RACTOR 5, ig tea`„` Commercial and residential prescriptive installation of ' _. .� . r �i r ` roof-top mounted Photo Voltaic Solar Panel System. Business name:Cummins Construction mn Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1483 East 3850 South Solar Installation Specialty Code checklist. City/State/ZIP:Saint George,UT 84790 Permit fee(includes plan review $180.00 and administrative fees): Phone:(435)656-8433 Fax:(435)656-8447 State surcharge(12%of permit fee): $21.60 CCB lic.:88743 Wh/i"7 �']� ��j Total fee due upon application: $201.60 Authorized signature: "' This permit application expires if a permit is not obtained iiiscf within 180 days after it has been accepted as complete. Print name: Lt',1 i-e 1,..OU t y Date: See L7 2 o l * Fee methodology set by Tri-County Building Industry 1 Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard 1111 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: /, `1,1) j(2 tic;b q '3o Site Address: l 5-S1 S S W & Gjjj O i Ci Suite/Bldg#: 369-f .& Project Name: B Pi i-- (Name(Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: pe1{(n Q 4- -i 0 r WO r 12. Existing Business Activity: Q`rille Proposed Business Activity: Ir)C(,)OC Qtikti-Ci i r1 r111.4.r1 j- Verify site address/suite# exists and active in permit system. .e River Terrace Neighborhood: ❑ Yes No Zoning: Permitted Use: ❑ Yes ❑ No ❑ Spec Space XI Confirm no land use required. m NI 0002.1 Business License: Exists: ❑ Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: /11 g'ki1i„�.0_t7 Date: C/ / 7 /f I 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: 4/7// j Site Plans: # Building Plans: # Building Permit#: , nter building permit#above. Workflow Routing: Ii Plaenning ❑ Permit Coordinator Workflow Sign-off: f for Planning(include notes from planning review) Route Application Documents: uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: _ v /Date: 1/04 I:\Building\Forms\B1dgPermitRvw_COM_NolandUse_060116.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: El Yes El N/A Parks SDC: ❑ Yes ❑ N/A El OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPernutRvw_COM NoLandUse_070915.docx IN City of Tigard • BUILDING DIVISION Over-The-Counter (OTC)) Buildin g & Fire Protection System Permit Appointment Checklist Permit Record#: o,10 Z —r_r)a6Y Contact Name: Ge,S l iG L .S Phone#: (,5~1Y3 6.02t t-6302) Business Name: c-7 -i/- Appt. Date/Time: 4://77/6 p__, lit:co Site Address: t.4 y r /557 -_�7-�i� n�� ‘2,151C.3 l3e-1sti Bldg/Suite #: e3C� ---l�0 Project Name: F,: Project Description: a/,kw 4_ Existing Use: 6' New Use: 4.-,3 MMD Required: ❑ Yes L'f No Related Record#:yr( /(p y 011(eretc .nt MM 4 ) GENERAL INFORMATION Class of Work: •/s Occupancy Group: Type of Construction: Type of Use: Occupancy Load: "'7 Oregon Specialty Code: SPECIFICS Number of Stories: l 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: Z,8,E 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: Fire Alarms: Smoke Detectors: Sprinkler Type:P � yp 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: $ 7 3l.`Z $ 6. DC Prov Rvw,COM TI—Ping $ 9(` ( Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2016) $ r 2%State Surcharge Project Valuation $ , �^ Plan Review,Structural Up to$4,999 $0.00 $ .5♦A .07 Plan Review,Fire Life Safety $5,000-$74,999 $90.00 $ ' 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: $ ._.....4 •r, .r: Date/Time: $ Z1r•et o ) T• AL FEES DUE I:\Building\Forms\OTC_Bup_Fps_070116.docx