Permit (135) CITY OF TIGARD BUILDING PERMIT
: COMMUNITY DEVELOPMENT BUILDING
BUP2017-00047
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/22/2017
T l t rti R Dg Parcel: 2S112DD00700
Jurisdiction: Tigard
Site address: 15786 SW UPPER BOONES FERRY RD
Project: Spec Space Subdivision: None Lot: None
Project Description: Interior demolition,office rebuild.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
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: ALT Type of Const: VB DC Provision Review,COM TI-Ping 02/22/2017 $90.00
Occupancy Grp: B Occupancy Load: 7 Permit Fee-Additions,Alterations, 02/22/2017 $597.21
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/22/2017 $71.67
Stories: 1 Height: 0 ft Plan Review 02/22/2017 $388.19
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/22/2017 $238.88
Value: $37,010 Info Process/Archiving-Lg$2.00(over 02/22/2017 $4.00
11x17)
Floor Areas:
Total Area: 3101
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,389.95
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
day. • ENTION: Or-.• law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
2-001-0010 through OAR 932-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i.
Issued By: k . dr _ Permittee Signature: `4 A '
Call 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 . ,Tr ,
Commercial FOR OFFICE USE ONLY
City of Tigard c 2 2017 Date/BReceived % �� Permit No.: / U. 1A,/7-Coo ,
a 1 hone S50 Hall .24 9 Tigard,OR 9824 Plan Reviy x- - ��'
Phone: 503.718.2439 Fax: 503.598.1960 Date/B + i.I�- Other Permit:
Ti G A R D Inspection Line: 503.639.4175 fir' Date RealwTy: 4 Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ID 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
4''-'''-'''' JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15786 SW Upper Boones Ferry Rd. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 15786 Spec Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and SW 72' Ave. Deck area: square feet
Other structure area: square feet
REQUIRED.DATA:COMMERCIAL-USEEf HE KLIST
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
''. ":-.2.-- DESCRIPTION OF WORK a work indicated on this application.
Interior demolition,office rebuild Valuation: $$37,010.00
Existing building area: 3,101 square feet
New building area: 3,101 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name:PacTrust Type of construction: V-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
4 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PacTrust (Please refer to fee schedule)
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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR
�,� a 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: I i (, This permit application expires if a permit is not obtained
l within 180 days after it has been accepted as complete.
Print name: L C ``.e \_ Q GJ Date: Few, 2 2, z o u-i * Fee methodology set by Tri-County Building Industry
IService Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III mg COMMUNITY DEVELOPMENT DEPARTMENT
C
T1cARo Building Permit Review — Commercial - No Land Use
cP
Building Permit #: I t P O! 7-460 7 Oj
Site Address: I 5-78(p S\A) A ;r axma Suite/Bldg#:
Project Name: S9CC Space.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: S p c I-I= [ . Cteaul 19
Existing Business Activity: b/bet
Proposed Business Activity: AP(A--
''Verify site address/suite# exists and active in permit system.
L River Terrace Neighborhood: ❑ Yes t5it No
a Zoning: I—P
'Permitted Use: ❑ Yes ❑ No `9L Spec Space
RConfirm no land use required.
Business License: f\f/
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: A- 1 W�,( Date: 2.-12-2,i1'.7
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: P`2-7�7
Site Plans: #
Building Plans: #
Building Permit#: V��ter building pe 't#a.ove.
Workflow Routing: PI arming Ll ' - A' .• • 'Building
Workflow Sign-offSi -off for P anning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: C/ r
By Permit Technician: ,,d2t0Date: ,,,,Ar , ,
I:\Building\Forms\BldgPermitRvw_COM_NolandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Rele'a ed: Date:
Notes:
Revisions (after Building Submittal onl
Revision Notice 1: Date Sent to ' splicant:
Revision Notice 2: Date Sent to Apo 'cant:
Revision Notice 3: Date Sent to Appli : t:
❑ SDC Fees Entered: Wash Co Trans D:' Tax: 0 Yes ❑ N/A
Tigard Trans S►,C: \' es ❑ N/A
Parks SDC: 0 Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordin, or: Date:
I:\BuildingWorms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
.11Ia ii
Over-The-Counter (OTC) Building & Fire Protection System Permit
r l G A R D Appointment Checklist
Permit Record#: tA_Y ES 17 "6,06e/7
Contact Name: tl Phone #: 50 3- (oma,/_ 306
Business Name: —77" Appt. Date/Time: d gg- ,;op
Site Address: /S7 g'(a `ave "`'�t"� .d ( ) Bldg/Suite
Project Name: ' J c a
Project Description: d _ . ; I J ,
am. . ., •'
� `, , • /
Ir
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record#:
APPLICATION SPECIFIC INFORMATION :,:'-
GENERAL INFORMATION
Class of Work: Occupancy Group: 0 Type of Construction:
Type of Use: ( Occupancy Load: 7 Oregon Specialty Code:
SPECIFICS
Number of Stories: r 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: lf
() 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: 22
Total Project Valuation: $ �,71 6/0 ` 4.: TIMENE
,,
$ (- (.6,1 DC Prov Rvw,COM TI—Ping
$ 'S i , _ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM,TI(effective 7/1/2016) $ 7i��J 12%State Surcharge
Project Valuation $ Vat. Plan Review,Structural
Up to$4,999 $0.00 $ W''''. Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ • 1/20 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: $ Other:
Date/Time: $ 61e\P'OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15786 SW UPPER BOONES FERRY RD, LAKE
OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Building BUP2017-00047
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor