Permit (138) CITY OF TIGARD BUILDING PERMIT
Ill A
COMMUNITY DEVELOPMENT Permit#: BUP2017-00100
Date Issued: 04/19/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 180
Project: SMC Corporation Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Office rebuild,new break room.
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: 503-624-6300
FAX: 503-624-7755
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 04/19/2017 $90.00
Class of Work: ALT Type of Const: IIIB
Permit Fee-Additions,Alterations, 04/19/2017 $674.35
Occupancy Grp: B Occupancy Load: 30
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/19/2017 $80.92
Stories: 1 Height: 0 ft Plan Review 04/19/2017 $438.33
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/19/2017 $269.74
Value: $44,232 Info Process/Archiving-Lg$2.00(over 04/19/2017 $6.00
11x17)
Floor Areas:
Total Area: 2937
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,559.34
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 •r. - ' th 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 : requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 /-001-0010 through OAR 95 .4 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: i ' Permittee Signature: \ptcvJ.
•
\ 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
EIV' Permit No: `
Cityof Tigard Received /� /jf)/
g �� DateB �7 / � �I r�7�w C�
11 - 13125 SW Hall Blvd.,Tigard,OR 972 Plan Revie ���
Phone: 503.718.2439 Fax: 503.598. 60 Date/B : jL� Other Permit:
TI GA RD Inspection Line: 503.639.4175 + 9 h O'11 Date Ready : Juris: ® See Page 2 for
Internet: www.tigard-or.gov APR ! L Notified/Method: Supplemental Information
-� " i°,i 4 R Q 7$2EI)DATA 1� 1 AMU 3 B WELLING
. ti, w = „� ` x S ' 1 ., - gra >, ,
❑New construction
% l\ ' 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
x , CATEGORe -, work indicated on this application.
�
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
IIIAccessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
r' JOB SITE;INFORMATION AND LOCATION 7.7ya {{:. Total number of floors:
Job site address: 15055 SW Sequoia Pkwy#180 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SMC Corporation Covered porch area: square feet
Cross street/directions to job site:SW 72°i Ave.and 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
kr - DESCRIPTION.OF WORK f 4 ' work indicated on this application.
Office rebuild,new break room Valuation: $44,232
Existing building area: 2,937 square feet
New building area: 2,937 square feet
►l® PROPERTX'OWNER-- �: 0' IAN`f` Number of stories: One
Name:PacTrust Type of construction: III-B
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 10 CONTACT PERSON 4BUILDING PERMIT FEES*
Fl¢n erefer`lafee schedu/e) p�
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
PIIOTOVOLTAI SOLAR-1'ANEL°SYSTEM FEES*
E-mail:lesliel@pactrust.com
Commercial . : residential prescriptive installation of
r CONTRACTOR roof-top mounted 'i otoVoltaic Solar Panel System.
Business name:PacTrust Submit two(2)sets o oof plan with connection details
and fire department acce" along with the 2010 Oregon
Address:15350 SW Sequoia Parkway#300 Solar Installation Specialty .de checklist. _•___----
City/State/ZIP:Portland,OR 97224 Permit fee(includes plan $180.00
and admin. , . we e :
Phone:(503)624-6300 Fax:(503)624-7755 State surcharg• 2%of permit fee): $21.60
CCB lic.:153913 Total fee pdue upon application: $201.60
(} l This permit application expires if a permit is not obtained
Authorized signature: Vt L))00(Ai �/�/IA within 180 days after it has been accepted as complete.
Date: * Fee methodology set by Tri-County Building Industry
Print name: L.flS (� ' . 0(41‘ Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
114 II COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: (1- -(--t-PC9-tf)/7-00/ D0
Site Address: ( (.5 0S-5 S W Sg qIv o i rt rkwy Suite/Bldg#: ($°
Project Name: c IV1 G W r po stn in t7 n
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: tot r(13 r T , n Gc.► ot, re loot I a, , YvAw IO nevi k.
yo0re"
Existing Business Activity: 6,CCIL
Proposed Business Activity: O F(((,�
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: ' P
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: (\4 - V Date: q/ 1 4(/
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: ,/,/7
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above. —/
Workflow Routing: I °Planning U-P rmit at • . ,� Building
Workflow Sign-off: 2–Sign-off for Planning(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:
By Permit Technician: _ ,, Adh.d.erL,
Date: /9 /
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 Appli t:
Revision Notice 3: Date Sent to ' cant:
❑ SDC Fees Entered: Wash . Trans Dev Tax: ❑ Yes ❑ N/A
gard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue 'ermit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
111 a
Over-The-Counter (OTC) Building & Fire Protection System Permit
1 l ci:1 R h Appointment Checklist
Permit Record#: u Pa-0/ co/e)C)
Contact Name: Phone #: 503-6,„23-a1'4C
Business Name: a� rw,e.t' Appt. Date/Time: .....P0 '//i92'%
•
Site Address: /5055" uo-c,,,t._ Bldg/Suite #: /c,v
Project Name: NtC e..t t
Project Description: / .
d/._,LtD
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record #:
GENERAL INFORMATION
Class of Work: ,V1T— Occupancy Group: f Type of Construction: 0
Type of Use: v:� Occupancy Load: 0 Oregon Specialty Code: ";__:..0
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: '�7. 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 Sprinlders: 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: $ 44-‘ 23z- r � o €
.
$ .
DC Prov Rvw,COM TI—Ping
$ • ' , rmit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2016) $ ' 4►f i 12%State Surcharge
Project Valuation $ 7; '3 Plan Review,Structural
Up to$4,999 $0.00 $ eralM, Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ (c -, 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: $ VD5c1:561rOTAL 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:
15055 SW SEQUOIA PKWY 180, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Building BUP2017-00100
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor