Permit (65) CITY OF TIGARD BUILDING PERMIT
1114 4
COMMUNITY DEVELOPMENT Permit#: BUP2017 00059
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2017
TIGARDParcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 100
Project: Kinetic Computer Solutions Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: TI for new tenant:Office rebuild with new breakroom.
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 03/14/2017 $224.00
Occupancy Grp: B Occupancy Load: 184 Permit Fee-Additions,Alterations, 03/14/2017 $1,136.15
Demolition
Dwelling Units: 12%State Surcharge-Building 03/14/2017 $136.34
Stories: Height: ft Plan Review 03/14/2017 $738.50
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 03/14/2017 $454.46
Value: $104,911 Info Process/Archiving-Lg$2.00(over 03/14/2017 $8.00
11x17)
Metro Const. Excise Tax 03/14/2017 $125.89
Floor Areas:
Total Area: 8377
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Mezzanine:
Total $2,823.34
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: fz...ert../.",1/4...._ / Permittee Signature: ,14 \ S
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
Commercial FOR OFFICE USE ONLY
\I°
City of Tigard ** ���\ Received
INSIMIIII
Permit No.: /, S
INI - ' 13125 SW Hall Blvd.,Tigard,OR 97223 l j >
g 1 1, Plan Review ;, Other Permit: -� !'
Phone: 503.718.2439 Fax: 503.598.1960 t �U Date B .. ��n G// i 7
T I G ARD Inspection Line: 503.639.4175 `�PR ! Date Ready :T. ,f ))�� Ju &'1 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: , ,r7 1 7 Supplemental Information
TYPE OF WORK . f'Al REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1=11-and 2-family dwelling ®Commercial/industrial Valuation: $
1=1Accessory building 11Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15495 SW Sequoia Pkwy#100 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Kinetic Computer Solution Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Pkwy+SW Upper Boones Ferry Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Office rebuild,new break room Valuation: $$104,911.00
Existing building area: 8377 square feet
New building area: 8377 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:PacTrust Type of construction: Exterior
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
,,, ' ® 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:
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
E-mail:lesliel@pactrust.com PHOTOVOLTAIC'SOLAR PANEL SYSTEM FEES*
iCommercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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: 1914V,4' 4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
•
Print name: ..e'4 name: LecilitAislowit Date: march'4.,2O 1 * 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
111111 g v COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: 7-CO65-I
Site Address: I S 4 d1 S S vi f'e9V of Suite/Bldg#: 10 0
Project Name: k.;ne h c. LOP') pu-t-e-r So io1-1sh
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: —511-1-e.r17.)r I L 0i-C1-t& 12e h c+ (tt i r L+vtn ►:�(- 1.t._
rt 0 cc)
Existing Business Activity: FG1 ((
Proposed Business Activity: 0 kn-Ct–
7JVerify site address/suite# exists and active in permit system.
l River Terrace Neighborhood: ❑ Yes No
Zoning: I P
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
7 Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
g1, 2Approved by Planning: " Date: 3) i / 17
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: 3/1 / 7
Site Plans: # fe9
Building Plans: #
Building Permit#: S�,, T�E..n--teer building permit#above.
Workflow Routing: LJ Planning ❑ Permit Coordinator t�wlding
Workflow Sign-off: L�7'"S�i -off for Planning(include notes from planning review)
Route Application Documents: L�YBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: G.l
By Permit Technician: - _ Date: 3/0 7
I:\Building\Fonns\BldgPennitRvw_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\B1dgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Iiig
' Over-The-Counter (OTC) Building & Fire Protection System Permit
T I(,,A R n Appointment Checklist
Permit Record#: fi. /77-a./051
Contact Name: 0i0.eu.D Phone #: 5-03—4 9.,/-6 go
Business Name: /"a.c�wo-'— Appt. Date/Time: 4 - #Li1P
Site Address: 15'4 95' 6w t& YknBldg/Suite #: // e:9Project Name: / r.vt,�' c� C,o.,,it ,,4 oo-� Pi ,0-• _
Project Description: ca4Ao ..,ja ,_44.4211 ,L,pa fJ_ ,,/� _
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record #:
GENERAL INFORMATION �%�✓
Class of Work:
L Occupancy Group: Type of Construction:
Type of Use: Occupancy Load: t Oregon Specialty Code: 7 ( --
SPECIFICS
Number of Stories: l 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 11
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: $ 70 i 9// 3
,I: .080 Prov Rvw,COM TI—Ping
( ) a 4 , 4 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI effective 7/1/2016 %State Surcharge
Project Valuation r Ian Review,Structural
Up to$4,999 $0.00 ,,,jjj Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 t/ $ or.cilia. 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 ✓ $ !L.11- Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ Wit: -604 OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx0), ,V-3.-31i
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15495 SW SEQUOIA PKWY 100, TIGARD, OR, April 28, 2017 at 9:25:21 AM
97224
Record Type: Record ID:
Commercial - Building BUP2017-00059
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor