Permit (44) 1111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00291
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 105
Project: Middlegate Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for new tenant:New demising wall,door,and minor demolition.
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
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 10/12/2016 $90.00
Occupancy Grp: B Occupancy Load: 8 Permit Fee-Additions,Alterations, 10/12/2016 $301.85
Dwelling Units: 0 Demolition
12%State Surcharge-Building 10/12/2016 $36.22
Stories: 3 Height: 0 ft Plan Review 10/12/2016 $196.20
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/12/2016 $120.74
Value: $15,000 Info Process/Archiving-Sm$0.50(up to 10/12/2016 $3.00
11x17)
Floor Areas:
Total Area: 795
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $748.01
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 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: ` - Permittee Signature: �Q e *
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
City of Tigard Received ��
Permit No.: C
1" 13125 SW Hall Blvd.,Tigard,OR 'x e" Date/B : ��� /: r a/ f►,�
�
Phone: 503.718.2439 Fax: 503. 8.1960t Date/BPlanRerew P�.L if 4 7r Other Permit:,C 490/(g....-,-,,Z.17
T 1 G A R D Inspection Line: 503.639.4175 Date Reader MAMIE ® See Page 2 for
Internet: www.tigard-or.gov i .T 1 2 2.016 Notified/method: •0jarEmmiEgl Supplemental Information
r _ V ,'' cif = arm _ a `n L s.�,. ,
a 9 fi ti , r i 1 s _ e A .M®IJ� 6j,- 'I �* t+- I
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❑New construction t 1 1 LI1*Ijtib , 1 a 1? 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
4' � A'r jv 8'Ai4iii 1 I( �� „ work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
et. , JO *SIT� %A'"O Ate} L( ,A N iii -j,k Total number of floors:
Job site address:6650 SW Redwood Lane#105 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:105 I Project name:Middlegate Relocation Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Parkway and SW Redwood Lane Deck area: square feet
Other structure area: square feet
r E T,^x St s R . , P1 C I
Subdivision: 1 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
,V equipment,materials,labor,overhead,and the profit for the
r = ; ORIif O��OOF"Wa14X - „ ay ' �' work indicated on this application.
�,,A ._� _ r..,� 1. s
- � ��.�, .,4�.. mar _ .. ,.,.an, .. - ;
Relocated sink,increase the size of two offices. Valuation: $$15,000.00
Existing building area: 795 square feet
New building area: 795 square feet
',. 04 4RO$R . ,E "7 k r� (' ,, " a dr . Number of stories: 3
Name:PacTrust Type of construction: III-A
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
6 ALA
` _ 4 O A* 0*-A u§ B1 P RMFT E
' -. - {I remta. sr*redui f
tABusiness name:PacTrust
Structural plan review fee(or deposit):
Contact name:Leslie Louis
FLS plan review fee(if applicable):
Address:15350 SW Sequoia Parkway#300
Total fees due upon application:
City/State/ZIP:97224
Phone:(503)624-6300 Fax::(503)624-7755
Amount received:
E-mail:lesliel@pactrust.com 'm'� _ � S- ' , * 4ER
, A t f FCommercial and residential prescriptivetive installation of
. _ C01 . . a _ k .„
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 lic.:153913
Total fee due upon application: $201.60
Authorized signature: LC;f,414-4, V0 v 4, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L C g t j C �o tot%y Date: Q G-{-,12 2:2 01(p * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: c�d/(# Cfl 71
Contact Name: Phone #: !;3- a..c/a god
Business Name: � 7 a ,,/— Appointment Date: /D�/3 ()a:oo,�99-7
OSProSite Address: (tt`050 &.,J t� _ Bldg/Suite #: /65--
Project
ject Name: .Al,' J
Project Description: _ ..Q.,1`. (a ex_ 40_,•
_O
Existing Use: 6 New Use: 6
MMD Required: ❑ Yes ❑ No Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: g- Type of Construction: 0
Type of Use: 'l Occupancy Load: Oregon Specialty Code: ?o 14—
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: --"TCV.3.1 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: t.eFire 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: $ (6y .CO
�' r'd') DC Prov Rvw,COM TI—Ping
,-/11:'
$ (A5 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 1: Z.Z. 12%State Surcharge
Project Valuation $ I j,2D Plan Review,Structural
Up to$4,999 $0.00 $ t2C)t` 4_PIan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ ' Info Proc/Arch,Lg(over 11x17$2.00)
$75,000 $149,999 $224.00 $ "3, 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: $!- -, I ther:
Date/Time: $ 74e j TO i AL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
IIICity of Tigard
liiII
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /511/ 2O((c V- `-''1/
Site Address: 6G50 SW Red W ccs( Suite/Bldg#: i C15
1Y
Project Name: fdcAU- Cf tom. R,I Ucen-hCD
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7 fl i-e r110 t' Tr 110 Cc 1-e. vV CI (1 S S 10 1,k..
Existing Business Activity: W In Ini2fr iC / 0(i7,1-Cg-..
Proposed Business Activity: t r I
Z( Verify site address/suite#exists and active in permit system.
0 River Terrace Neighborhood:
El Yes e No
PZoning: I, F'
7Permitted Use: El Yes ❑ No ❑ Spec Space
)21 Confirm no land use required.
°G—Business License:
Exists: El Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ill %._ Date: 101)`Z / I (,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: I) / /t/
Site Plans: # L
Building Plans: #
Building Permit#: dingpermit#above.
Workflow Routing: Intl� Planning ❑ Permit Coordinator elr ding
Workflow Sign off: E, w off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - Date: /
I:\Building\Forms\BldgPermitRvwCOM 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 ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx