Permit (73) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00122
Tr tiAI D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017
Parcel: 2S113AA00500
Jurisdiction: Tigard
Site address: 16100 SW 72ND AVE B18
Project: Pac Trust Subdivision: ROSEWOOD ACRE TRACTS Lot: PTA&F
Project Description: Voluntary seismic upgrade
Contractor: MARVIN AND SONS CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES
8560 SE BONNIE JEAN WAY ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-329-2826 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 05/17/2017 $90.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 05/17/2017 $729.45
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/17/2017 $87.53
Stories: 0 Height: 0 ft Plan Review 05/17/2017 $474.14
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/17/2017 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 05/17/2017 $4.00
11x17)
Info Process/Archiving-Sm$0.50(up to 05/17/2017 $12.50
Floor Areas: 11x17)
Total Area: 34070
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,689.40
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: \t'
Call 603.639.4176 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.
Th1V8,)
Building Permit Application
Commercial FOR OFFICE USE O LV
City of Tigard Received sows
. �) DateB : ` .(" 1 Permit No /?` 7,...0e7/12,2—
‘k
Q�/ .
13125 SW Hall Blvd.,Tigard,OR 97223 `� .
R a�� Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 1,t �i FZateB : i �� Other Permit:
T I GA K I) Inspection Line: 503.639.4175 ` Date Ready • Juris: H See Page 2 for
Internet www.tigard-or.gov Cli‘.1- 12k-5V Notified/Method: Supplemental Information
4r 5 ivy;
41,71-1,,,Age Chiu � '� i S
�,k.,A
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
�� '' 1�P
work indicated on this application.
hE�
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
Total number of floors:
;111,4
Job site address:16100-16112 SW 72"Ave. /6/0 1/ �,f/Q New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: ,81,f, Project name:Voluntary Seismic Upgrade Covered porch area: square feet
Cross street/directions to job site:SW 72"Ave.and SW Upper Boones Ferry Deck area: square feet
Other structure area: square feet
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 therofit for the
work indicated on this application. p
Voluntary Seismic Upgrades Valuation: $50,000
Existing building area: 34070 square feet
New building area: 34070 square feet
r - i 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,S-1
Phone:(503)624-6300 Fax (503)624-7755
New: B,S-1
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
Phone:(503)624-6300 Fax::(503)624-7755
Amount received:
E-mail:lesliel@pactrust.com '7 F41
m C y s Commercial and residential prescriptive installation of
_ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Marvin and Sons (,,c;ry;7t C'i c A.; /A/G Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:8560 SE Bonnie Jean Way Solar Installation Specialty Code checklist.
City/State/ZIP:Clackamas,OR 97015 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)329-2826 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:103793 f/3/11-
Total fee due upon application: $201.60
Authorized signature: \j �/e k► �7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
•Print name: L�Ct'(e 1,40\ �, Date:t 'a �7t Z 0 7 * Fee methodology set by Tri-County Building Industry
J Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
1111
T 1 G A RD Building Permit Review — Commercial - No Land Use
Building Permit #: i>t 7). -C7,,, 2 - QCT
Site Address: I (p 10 0 l 6 112 Ste/ - 7_ Suite/Bldg#:
Project Name: \IOi UI) 1 ~€ i m; V tP errnkz.,
(Name of commercial usiness occupying the space. If vacant,enter Spec Space.)
Planning Review ``��''
Proposal: lJj) 0-1(74 ctii-J CUo r � t�r,r r�-) C..
r _
Existing Business Activity: Q C1 Ci1_2 \ R O C ?MA')9.e,
Proposed Business Activity: U G h /
7 Verify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: ❑ Yes / No
Zoning:
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
/ Confirm no land use required.
E fI'131Thies--ticense:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: ‘C/ I I
.1
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: 3/17/I'7
Site Plans: # :3
Building Plans: # ..�
Building Permit#: El--Enter building permit#above.
Workflow Routing: Planning ❑ Permit Coordinator gfrfuilding
Workflow Sign-off: 0--Sign-off for Planning(include notes from planning review)
Route Application Documents: e"—Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 0 re
By Permit Technician: Date: s�/7//7
I:\Building\Forms\B1dgPermitRvwCOM 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
1111 City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System em Permit
,; ,_ ,, Appointment Checklist
Permit Record#: ,-ti/ 2O/ 7-00/2
Contact Name: c.� , e_.p Phone #: 593 -to 2 4-(p 30d
Business Name: -%w4-44— Appt. Date/Time: 541 l Q;Ge)
Site Address: /(p/D O 560 ?at-9'4-0c 71t o'1letto 1 U t/ ) Bldg/Suite #:
Project Name: Pett-T12-4 -1- `c et6P1 s C U.PCCM b ES
Project Description: ,4,,c ,ro42.0.o
Existing Use: New Use:
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: 0 Type of Construction:
Type of Use: t Occupancy Load: Oregon Specialty Code: 1
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 J
Fire Sprinklers: l 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: $
$ 4IP DC Prov Rvw,COM TI-Ping
$ /A'S—Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ j ,5— 12%State Surcharge
Project Valuation $ % 7 --Plan Review,Structural
Up to$4,999 $0.00 $ " �0 Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ ' ,Ce„.., Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ C , I 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: `/$ [�o, TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx'