Permit CITY OF TIGARD BURI
vs COMMUNITY DEVELOPMENT Permit#:ILDING BUP2016-0E0:
0PE314MT
T I C;A It f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2016
Parcel: 2S 112 DC00201
Jurisdiction: Tigard
Site address: 15865 SW 72ND AVE, BLDG#C
Project: ChemWest Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 3
Project Description: TI for existing tenant:Demolition,office reconfiguration,and expansion.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
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: IIlB DC Provision Review,COM TI-Ping 11/02/2016 $224.00
Occupancy Grp: S-1 Occupancy Load: 108 Permit Fee-Additions,Alterations, 11/02/2016 $1,347.55
Dwelling Units: 0 Demolition
12%State Surcharge-Building 11/02/2016 $161.71
Stories: 1 Height: 0 ft Plan Review
Bedrooms: 0 Bathrooms: 0 11/02/2016 $875.91
Plan Review-Fire Life Safety 11/02/2016 $539.02
Value: $139,590 Metro Const.Excise Tax 11/02/2016
$167.51
Info Process/Archiving-Lg$2.00(over 11/02/2016 $20.00
11x17)
Floor Areas:
Total Area: 26200
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,335.70
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:
a Wi `tlA
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
Commercialir -, ' �
FOR OFFICE USE ONLY
City of Tigard Received
Date/B 1Lrd Permit '
114 3/ ,
13125 SW Hall Blvd.,Tigard,OR 972 (j V 2 yy Plan Revie
Phone: 503.718.2439 Fax: 503.598.14'40 f. U Date/B : AV'am Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready:•d: � ® See Page 2 for
Internet: www.tigard-or.gov tri I a1 ; Notified/Method: Supplemental Information
❑New construction 0 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
GO1 +C 1 7R CT* k"4 a'4 work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address:15865 SW 72k"Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Chemwest Systems,Inc. Covered porch area: square feet
Cross street/directions to job site:72"Ave.and SW Upper Boones Ferry Rd. Deck area: square feet
Other structure area: square feet
n 'l Q1U 1 A3 I) CIJI " Tyr.=.
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
work indicated on this application.
Demolition,office reconfiguration and expansion Valuation: $$139,590.00
Existing building area: 26200 square feet
w
New building area: 26200 square feet
Number of stories: 1
Name:PacTrust Type of construction: III-B
Address:15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B,S-2
Phone:(503)624-6300 Fax (503)624-7755
New: B,S-2
" PPIICA i rO1S ACT" 1RO1 ,<
Btr>1rn11sIxlr S
Business name:PacTrust
��� � 1 re r1t e cJ hde)
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:
Phone:(503)624-6300 Fax: :(503)624-7755 Amount received:
E-mail:lesliel@pactrust.com '":111. 't7 914-*i tLARY L SXSTEM 1 ELS*
A gONR _ Commercial and residential prescriptive installation of
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 lie.:153913
Total fee due upon application: $201.60
Authorized signature: tionit `1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 'L zul j e tou q Date: 1.,1 pN ')•' Z 4(b
* 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
11111 N COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 860,„_,,,-,,,,,.
Site Address: I CS (p S SvI 7 2 owe, . Suite/Bldg#:
Project Name: C, h,2(11 w'e S i- SL S i-fim S I r1 c
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: .04/M 0 0 eha. C COn C j c e €Y Pq n s i o r1
Existing Business Activity: W Y'f)YY ex .la..,
Proposed Business Activity: CA ry)(rLe -cls-G,k„
W Verify site address/suite# exists and active in permit system.
Zi River Terrace Nei hborhood: ❑ Yes gi No
7 Zoning: 1 -V
0 Permitted Use: Z Yes E No ❑ Spec Space
71-Confirm no land use required.
'usiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 41011,-7_,_ e d o ck.c.,...„. Date: 1 1 / al ) fv
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:
Site Plans: #�/ %4
Building Plans: # 3
Building Permit#: Er building permit#above. ,__,,, ��//
Workflow Routing: [ 11 ning ❑ Permit Coordinator E9-17 adding
Workflow Sign-off: f[ j,-off for Planning(include notes from planning review)
Route Application Documents: L`-1uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 0
By Permit Technician: � _____, - -1)57 ----Pa Date: 4/02
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 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\B1dgPernutRvw_COM NoLandUse_070915.docx
ill City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: ot9M9/I' —00/4-1
Contact Name: &esI i e I-04.is Phone #: (563� G‘214—(caro
Business Name: j - Appt. Date/Time: /( //(, /0
Site Address: /6165-1,4/ 702 A. a Bldg/Suite #: ?/&
Project Name: &herr\wes÷
Project Description: .Mdiiliac,/ 1 04,-02 aeric r5..,(Aesy1..� m
,) rd expf,,vim
Existing Use: New Use: Q
MMD Required: ❑ Yes &'''No Related Record#:
GENERAL INFORMATION
Class of Work: PIW Occupancy Group: '5 Type of Construction: '5
Type of Use: r Occupancy Load: 1C Oregon Specialty Code: 7(0)
SPECIFICS
Number of Stories: t 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: t2 Carport: Mezzanine:
SETBACKS l
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: yS Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ ) )
$ „� is DC Prov Rvw,COM TI—Ping
$ •7 b613ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ I „ ,7 12%State Surcharge
Project Valuation $ lj3 i t Q( Plan Review,Structural
Up to$4,999 $0.00 $ Ij -",t52_....Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ Lt ),CO 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 $ ` (.. -r„,,,'h etro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ ''V OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
3 1 335* 70
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard 4, COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
'Pt
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 'Oe o i e A A M'M A<-1 DATE- .,, :Ili
DEPT: BUILDING DIVISION
DEC. 0 8 2016
FROM: L.-e 5 I c e L 0 tn ) 6 ' 'OF AR!)
COMPANY: rol G 1 f u yfiitDir DIVISION
PHONE: 02' ""- 40 - 0 k‘l"Z-
6-j...ca
RE: 15 $ 65 S\ -] Z1-4 Ave, (f( G> '172 ' (3Up2CI(0—O0319-
ite ress , r ermit "um.er
C In ern w of S. 9 f ern 5 q K
(Project name or subdivision name anlot number) i
f it-
,,,.
ATTACHED ARE THE FOLLOWING ITEMS:
*;Copies: r Description r, C 0161: ' I Deseiption: Q t
Additional set(s) of plans. %/ Revisions: 1/A 2. 1 , °1+ I 0 -Al 0. 1
Cross section(s) and details. ., - Wall bracing and/or lateral analysis.
Floor/roof framing. �� Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: A die. < Iii U 1/ �'1 , , , t a1 ( , ween
ri c ckHe l() op mn01 • .qc'e .
(,_u-e�cQ. . .4- -/
FOR Y E USE ONLY
Routed to Permit Tec 'cian: D ate: t.'2- (l (6f, Initials{ •,,,,'
Fees Due: ❑ Yes [1I 1 o Fee Description: Amoun: Due:
$
$
$$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: c, Date: /0y,. 1,,<„ Initials:,
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc