Permit (34) IN
CITY OF TIGARD BUILDING PERMIT
N . COMMUNITY DEVELOPMENT Permit#: BUP2016 00301
13125 SW Hall Blvd.,Ti Date Issued: 10/20/2016
T[GAR and OR 97223 503.718.2439 9
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 175
Project: Strong Refuge Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for existing tenant. Storage room relocation. Scope includes minor demolition,demising wall,and moving entry
door.
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: 116 DC Provision Review,COM TI-Ping 10/20/2016 $90.00
Occupancy Grp: S-2 Occupancy Load: 1 Permit Fee Additions,Alterations, 10/20/2016 $149.75
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/20/2016 $17.97
Stories: 0 Height: 0 ft Plan Review 10/20/2016 $97.34
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/20/2016 $59.90
Value: $5,000 Info Process/Archiving-Sm$0.50(up to 10/20/2016 $1.50
11x17)
Address Fee 10/20/2016 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $466.46
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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. Sped- odes ,nd all • •er applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 da - • issuanc-, or if work is uspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No''cation -nter. Those nes 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. ng 503. .2.1987 or 1.800.332.2'44.
Issued By: ilL ,r- 411111110 Permittee Signature: �-=�
503.639.4175 by 7:00 a.m.for the next available inspe• ion date.
This permit card shall be kept in a conspicuous place on the job site until c• plet on ,f the project.
Approved plans are required on the job site at the time of each in=.ec .
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard "i Received ANNIIMINIE
DateB �� ,. 4 Permit No.: f ,
14
" 13125 SW Hall Blvd.,Tigar ; L.2,3F
w�i� i
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/B : 7 _a AIOther Permit:
T I G A R D Inspection Line: 503.639.4175 �^ �ry Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov 0 C 12 0 (�1 D Notified/Method: / , 14 J `y Supplemental Information
+,pit,—' ,, 4 .` F r'b-
^ g� i * REi f „,, ,,,,,,,,,h,_
DAj f 1' 2-J AMILYDWE L'11+(G ---
0
❑New construction I3t� � i 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 Otherequipment,materials,labor,overhead,and the profit for the
' 4 ^u i k+I ati ( t #'Ii4'1i`[(`Tro ,, ` h , r '; T work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
'i ;TOB'�`I FOR MATTo A Lo iATiorl n ,T Total number of floors:
Job site address:15350 SW Sequoia Pkwy#175 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.45175- /?; Project name:Strong Refuge LLC
Covered porch area: square feet
Cross street/directions to job site:Sequoia and Redwood Lane Deck area:
square feet
Other structure area: square feet
i~lQ °''' Th 9M I)SiCII C1 14ST
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
_.. -4,--'4,6-:-.,t7-* DESCR PtION--OFA WORD ft 7 t work indicated on this application.
Storage room relocation. Minor demolition,demising walls and move entry door Valuation: $$5,000.00
Existing building area: 376 square feet
New building area: 376 square feet
j o_l�'t2OPERTY o"4' 41” 1 P . t Number of stories: 3
Name:PacTrust Type of construction: II-B
Address:15350 SW Sequoia Parkway#300
Occupancy p y groups:
City/State/ZIP:Portland,OR 97224
Existing: S-2
Phone:(503)624-6300 Fax (503)624-7755
3; ° ';:APPLICANT, . n g f El-,,,'14/ .�`PERSON7 1 New: S-2
rig $IJILIlINPERVIIT RI1ESt -*:,-','-i-:* ,,
Business name:PacTrust (I'Irues_er /�ehertb), �,
Contact name:Leslie Louis
Structural plan review fee(or deposit):
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 3.'L[ 'O O 7vAIC SOLAR*Al RL..YST 11.tES*,'
r Po 4'c ` CON ;,CYU .' , z Commercial and residential prescriptive installation of
"'° 4` ,� '°' ,:,,:v',::,;,,,---... �' p 1" roof-top mounted Photo Voltaic Solar Panel System.
Business name:PacTrust Submit two(2)sets of roof plan with connection details
Address: 15350 SW Sequoia Parkway#300 and fire department access,along with the 2010 Oregon
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: 1,, 9 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L. £'i. e Quay Date: 0 ok-.lo t Lot * 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
N COMMUNITY DEVELOPMENT DEPARTMENT
:,111111 1111,
TIGARD Building Permit Review — Commercial - No Land Use
,k
Building Permit #: 4fi0(2Q/Cv 0033 1
Site Address: 15'350 3 S t ul c P.K:\NN1 Suite/Bldg#: I
Project Name: PCA(, Tr si-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: SID Vey worn r.Ptixa.+(w- -- DY €Xt.c-h rto Vff LcP iC. 4101.41i
Existing Business Activity: O(S,
Proposed Business Activity: tj. (.)
.& Verify site address/suite#exists and active in permit system.
_,River Terrace Neighborhood: I=1 Yes No
KZoning: t--P
.Permitted Use: 1 Yes ❑ No ❑ Spec Space
,."Confirm no land use required.
Business License:
Exists: eE.Yes , Nis No,applicant notified to obtain business license
Notes:
Approved by Planning: IVO.V.11 Ve1.h Date: ID 110.1)te
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: /0 / 1
Site Plans: ## /
Building Plans: ##
Building Permit#: a nter building permit#above.
Workflow Routing: g4-'1•'lanning ❑ Permit Coordinator gi-funding
Workflow Sign-off: I-Sign_Off for Planning(include notes from planning review)
Route Application Documents: lig: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: Orzi
By Permit Technician:- -y6,a,1 _ _ Date: ity:106,
I:\Building\Forms\BldgPermitRvw_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 Applic- t:
Revision Notice 3: Date Sent to A., cant:
❑ SDC Fees Entered: Wash Co 'ans Dev Tax: ❑ Yes ❑ N/A
Tigar. rans SDC: ❑ Yes ❑ N/A
P. s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
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#: . 40u.fe- 1 ad df 101144
Contact Name: (&c.... L*0-ti-t.Lo Phone#: ?_—_62,/ god 47:Business Name: r Appointment ppointm
ent Date: 107 ,o D p41
Site Address: 1535-0 Bldg/Suite #: /75—
Project Name: _ &-lV :,„ `
Project Description: ,� �,AT�J1ee:-,. n "� 2— M,
M- +moo- ...9-.,,,,r ..dam-�, • J
Existing Use: New Use:
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: A L`7- Occupancy Group: ,S Type of Construction: 1/—,
Type of Use: Cry\ Occupancy Load: / Oregon Specialty Code: re
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: 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: 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 $
$ <\ DC Prov Rvw,COM TI—Ping
$ _ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ A 12%State Surcharge
Project Valuation $ ' Plan Review,Structural
Up to$4,999 $0.00 $ : Plan Review,Fire Life Safety
$5,000-$74,999 $90.00
$75,000-$149,999 $ Info Proc/Arch,Lg(over 1.1x17$2.00)
$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
.O
$ 5 ,0O p Other:GZ,dP 7---1212---
Building Staff: $ Other:
Date/Time: $ TOTAL FEES DUE
I:\Building\Forms\OTC_BUP FPS_070116.docx