Permit (75) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00168
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2017
R.;G�"aR'L 9 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 300
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Reception area and conference room remodel.
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 Permit Fee-Additions,Alterations, 06/20/2017 $902.64
Demolition
Occupancy Grp: B Occupancy Load: 163 12%State Surcharge-Building 06/20/2017 $108.32
Dwelling Units: 0 Plan Review 06/20/2017 $586.72
Stories: 3 Height: 0 ft Plan Review-Fire Life Safety 06/20/2017 $361.06
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/20/2017 $12.00
Value: $72,500 11x17)
DC Provision Review,COM TI-Ping 06/20/2017 $90.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,060.74
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: 5 6„ `C OX---
�, Permittee Signature: jE1J4\ (J"" `
£ all 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
City of Tigard Received +� _ PermitNo.:
Date/B : if�W/1��
- 13125 SW Hall Blvd.,Tigard,OR lilt. 1 VED Plan Review rI1 ;Jr
Phone: 503.718.2439 Fax: 503.5 Date/13 : S Other Permit:
T I GA RD Inspection Line: 503.639.4175Date Read H See Page 2 for
Internet: www.tigard-or.gov JUN 2 Q 2417 Notified/Method: -zi:„.1=11 Supplemental Information
:44 v 440,44,CUZA,*4511uIZ QIFIREII fi w1 ?► S I> Y3}W I
�±
El New construction BCA �isatt�r 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
� ATEx0 � s fes, work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
3 JaF Tt)B S1T1 1NI ORMAI 9NTI fO I(kkl�l S ; Total number of floors:
Job site address:15350 SW Sequoia Pkwy,Suite 300 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:PacTrust Suite 300 TI Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Pkwy and SW Redwood Deck area: square feet
Other structure area: square feet
k 1UIREDDr� �.� ®1r7sjg� `c��y
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
0,(17 "{` DvSRIPIN OWO�� �� � " ��4 work indicated on this application.
Remodel reception area and conference room Valuation: $$72,500.00
Existing building area: 16264 square feet
New building area: 16264 square feet
ILv RPiUl�ll?i ka� EIAI TM � Number of stories: Three
Name:PacTrust Type of construction: II-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
►! t1 Pi'DOAA1S I ' eta i SOI TACT PEUI
w p B� q ERMiT 7
Business name:PacTrust
(t'�e°re er rafeei�t1#1;a
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
, ., �V i�t at Commercial and residential prescriptive installation of
t. , `', k 4, " 0roof-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: %
City of Tigard • BUILDING DIVISION
.1111 Over-The-Counter (OTC) Building & Fire Protection System Permit
< i s, , [ Appointment Checklist
Permit Record#: e„.07c,, ,_0,,,P
Contact Name: Lcs/1 e Zet.413 Phone #: •3 4.4,11-1- 3do
Business Name: Pe07/2.4571- Appt. Date/Time: ,-iff,, 6
Site Address: /3-3 5v 5_,J , �, fuW -P36-6 Bldg Suite #:
Project Name: P 'T ..}-
Project Description: I`-"f`',' .plC `'P7h Gnit ,,,,,,, ,,,e.A.,c...e_
Existing Use: 6 New Use: /f
MMD Required: ❑ Yes 111.-Ilii Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: i 2 Type of Construction: �E
Type of Use: � (>�l Occupancy Load: \ Oregon Specialty Code:
SPECIFICS
Number of Stories: —.J 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
Fire Sprinklers: Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Sancipme Ke utred: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ Z
p24./D
. $ 'ro.6_ DC Prov Rvw,COM TI–Ping
,/$ C.12.., ' Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ te,I. 2%State Surcharge
Project Valuation $ '" Plan Review,Structural
Up to$4,999 $0.00 $ ✓1:::4 Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ 'L, 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: $ 2(C ,ATOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
: ■
r1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: gelt%!;&.,('-7-661(of,/
Site Address: b O E QuoIA PY. L y Suite/Bldg#: `-j 0 0
Project Name: ?c G 1" } UN-le -Ipo IT-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review nn ` t
Proposal: r 4 Q'C1� a.k ck.e. 1,0 g.. f�a(r1 �1 && ce-ceiphon k-con vinic&
Existing Business Activity: O ce
Proposed Business Activity: It
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes Ex No
RI/Zoning: _.—Q ,
Er/Permitted Use: LJ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License;
Exists: D Yes ❑ No,applicant notified to obtain bus ess license
Notes: lr1Rc Y►ct' u)cV'kG only 1 v\o ClIRli str v L'kS'e
Approved by Planning: i'421714 Date: /2o/(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: r Ai-
Site
Site Plans: # 1
Building Plans: #
Building Permit#: n nter building permmit#above.
Workflow Routing: arming Permit Coordinator ding
Workflow Sign-off: CSI-S"r - ff for Planning(include notes from planning review)
Route Application Documents: p ,g: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: e/e.,
By Permit Technician: �,„ Date: 6/✓(1`j
.010
I:\Building\Forms\BldgPermitRvwCOM 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\BldgPermitRvw_COM NoLandUse_070915.docx