Permit (51) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00294
Tf AID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2016
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN, STE#115
Project: National Mortgage Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for new tenant:Minor demolition,new demising wall,and a new door for a storage room.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACTRUST
15350 SW SEQUOIA PKWY#300 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224 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: NEW Type of Const: IIB DC Provision Review,COM TI-Ping 10/13/2016 $90.00
Occupancy Grp: B Occupancy Load: 1 Permit Fee-Additions,Alterations, 10/13/2016 $149.75
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/13/2016 $17.97
Stories: 3 Height: 0 ft Plan Review 10/13/2016 $97.34
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/13/2016 $59.90
Value: $5,000 Info Process/Archiving-Sm$0.50(up to 10/13/2016 $4.00
11x17)
Misc Administration Fee 10/13/2016 $50.00
Floor Areas:
Total Area: 314
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $468.96
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..220.1
321987 or 1.800.332.2344.
Issued By: ✓ Permittee Signature: ` lt (Q
1503.639.4175 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 _d_ ' FOR OFFICE USE ONLY
City of Tigard Received PermitNo.: '`, 411,111, Ii,- ) 'lY
13125 SW Hall Blvd.,Tigard,OR 972 0[1 r) Plan Review l �
l lir Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/B � ilii. 1-.1 ® See Page 2 for
Date Read
T I G A R D Inspection Line: 503.639.4175 � ,1 x: Nil
Internet: www.tigard-or.gov -- Notified/method: ' ',#, d f:AIM Supplemental Information
: l .. �Y T. l ' WO� 4 : . " , r .,d`` . = n;;.� " 'I"k+_Il g TA I*it1 Wl I zII'+1
5
❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
A: sir.O . , „ work indicated on this application.
1tY'vIt +LOITR JCTI
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
ElAccessory building
0 Multi-family
❑Master builder
0 Other: Number of bathrooms:
P �� Total number of floors:
: ,7`aGT'461 ill l l'1'totk, 6Li' kI kt:16 T , ' ' y ,
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:115 Project name:National Mortgage Relo. Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Parkway and SW Redwood Deck area: square feet
Other structure area: square feet
QUIRED *' M*RC E.-IC;I + I .TS
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
r Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: f/ G 1 equipment,materials,labor,overhead,and the profit for the
n (i FpkM �i
' I, ,O !OP `� °l,L `` work indicated on this application.
i
Minor demolition,build demising wall Valuation: $$5,000.00
Existing building area: 314 square feet
New building area: 314 square feet
URR ' � _ Number of stories: 3
u= ' E' �.. b A .aw -Y*T rTviT�
Name:PacTrust Type of construction: II-B
Address:15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: S-2
Phone:(503)624-6300 Fax:(503)624-7755 New: S-2
7 is , 1' I y `_s - y 7 O PE N 1 r m ,i tit I/ ftitivo-fors -
yt .. _ r-x t' . . : �e . 4�n`,, . _ „ �l�+le` ei er tfr`tket(t +j ,.�. E
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
Total fees due upon application:
City/State/ZIP:97224
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755 - �
1tSSQL
IetT3'O` a A1 PA$EL SY T E$*
Email:lesliel@pactrust.com
Commercial and residential prescriptive installation of
` r `® At ,.'.;.:947;: q1--OR ; "; '1],M-.:',V., roof-top mounted Photo Voltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:PacTrust
and fire department access,along with the 2010 Oregon
Address:15350 SW Sequoia Parkway#300 Solar Installation Specialty Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:Portland,OR 97224 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: JA„ t 1V-y ..✓ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date: `�;-y * Fee methodology set by Tri-County Building Industry
Print name: �eretri-e Lb1(� 9 f 1 .j ht 20Service 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#: e ,,,d,....cov
Contact Name: ¢A-A It Phone #: 505- 69-4-o300
Business Name: ,--6.-«s..4` Appointment Date: to//2-@ op!o0 Poi
Site Address: (p(p 5Z 01_Z wo-eht 441. Bldg/Suite #: /15-
Project Name: y'\„..t— .._-QYe.. W
Project Description: OAueSe.ti I ku,,10.�.�o,M,�,ii J l ,L�,o.Qf��„or ,� /
cQo,
Existing Use: ' j New Use: 6 .
MMD Required: 0 Yes ` -it No Related Record#:
GENERAL INFORMATION
Class of Work: OccupancyGroup: Type of Construction:
Type of Use: Occupancy Load: , Oregon Specialty Code: '' _
SPECIFICS
Number of Stories: g 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: 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: ktoS 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: $ COO,
$ P,OW DC Prov Rvw,COM TI—Ping
✓$ ( ' 41'.---"7_ - Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) L/ $ 12%State Surcharge
Project Valuation `/ $ Plan Review,Structural
Up to$4,999 $0.00 r✓$ 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
$ •0° Other: 'D�i;SS rem
Building Staff: $ Other:
a IID
Date/Time: o'$ �� r 1 _ OTAL FEES DUE
I:ABuilding\Forms\OTC_BUP_FPS_070116.docx �� �
City of Tigard
I COMMUNITY DEVELOPMENT DEPARTMENT
111
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /J`4, /(4)--0012 y
Site Address: 6CCP cb `s1,,0 io(pC4d l n , Suite/Bldg#: // ----
Project Name: AM 75via ,car` , ,
(Name of commercial business occup n;t I ace. If vacant,enter Spec Space.)
Planning Review
Proposal: / i Q,V1i Yl Q 404 21) ,Au>2d/h., ,?OL.) ./(.2s �//
Existing Business Activity: 001 'e / yiz -
Proposed Business Activity: it
/Verify site address/suite# exists and active in permitsyst .
Nal 'ver Terrace Neighborhood: I=1 Yes VNo
oning:vAti
/—
VA/Permitted Use: 112/Yes El No ❑ Spec Space
Ifd Confirm no land use required.
/Business Business License•
Exists: V Yes El No,applicant notified to obtain business license
Notes:
Approved by Planning: `� �' Date: /048jjr/,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved El Not Approved
Building Permit Submittal
Original Submittal Date: /1)//.?//6Site Plans: # /t///4
Building Plans: # 3
Building Permit#: ❑�.�,� r building ermit#above.
Workflow Routing: ,_C�Planningg
Workflow Sign-off: Cr n-off for Planning(include notes from planning review)
Route Application Documents: ling: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 3
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 ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx