Permit (34) 1111 CITY OF TIGARD BUILDING PERMIT
1' ' COMMUNITY DEVELOPMENT Permit#: BUP2017-00170
T GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017
Parcel: 2S112DD01600
Site address: 15575 SW SEQUOIA PKWY 100 Jurisdiction: Tigard
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Landlord work prior to TI:New walls for restroom.
Contractor: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 Owner: PACIFIC REALTY ASSOCIATES
PORTLAND, OR 97224 ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE:
FAX: 503-624-7755
Specifics: FEES
Type of Use: COM Description Date
Amount
Permit Fee-Additions,Alterations, 06/21/2017 $301.85
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Demolition
Occupancy Load:
Dwelling Units:
12%State Surcharge-Building 06/21/2017
Plan Review 196.20
Stories: 1 Height: ft 06/21/2017 $196.20
Plan Review-Fire Life Safety 06/21/2017
Plan Review Addl-Fire Life Safety $120.74$1
Bedrooms: Bathrooms:
Value: $15,000 06/21/2017 $1.00
Info Process/Archiving-Lg$2.00(over 06/21/2017
11x17) $2.00
DC Provision Review,COM TI-Ping 06/21/2017 $90.00
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $748.01
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 the rules or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344.
Issued By: v`
Ue_ _ Permittee Signature: L ef_ t 1 oNAA c
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 PReceived /. 1 �� permit No f
13125 SW Hall Blvd.,Tigard,OR 9
Date/13 (17 '
Phone: 503.718.2439Blvd. Fax: 503.59: `:t CEIAIE° DateB „A� Other Permit: di 7 ' ,
T I G ARD Inspection Line: 503.639.4175 Date Real-37:y: • ® See Page 2 for
Internet: www.tigard-or.gov jI 1N 2 1. Z°17 Notified/Me'od: r j Supplemental Information
I ' c ul T1" B g / --
sr�" � .w � ;k y�,'ay ., an" ;,. LLr•a ,.. r. r-N� o- _< >a
"'ZS • w w
❑New construction :L t • itton44A 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
NNN4 ON-N3i "' 'p �76er — O 4r �, work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address:15575 SW Sequoia Pkwy,Suite 100 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:pcc226-100 Janitor Closet 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
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
work indicated on this application.
Add janitor's closet Valuation: $$15,000.00
Existing building area: 12852 square feet
New building area: 12852 square feet
r® �4- O � l ' 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-2
Phone:(503)624-6300 Fax (503)624-7755
New: B,S-2
II, 4 €;€zm ry€ ;u �:_ ..� ' ?;'S - , _t- IIl7rI :, ,
Business name:PacTrust ' '� 'Icc uTc -
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 O 76F:._
s�� � � $� � Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:PacTrust '444Submit 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: g...-kA This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: '„tcf y O IAffDate: kivm Z! 2,00 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
'I COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: .80 i 7 70
Site Address: S"), ,.c'- c2 7bC1 Suite/Bldg#:g /d6
Project Name: Ac-Trus —
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �^
Proposal: / G ' /,..J7/0�S_ cio ei-
Existing Business Activity: � •Lat7 (PO
C,
Prop. ed Business Activity: V // v /i
VA Verify site address/suite#exists and active in permit syst .
Ii er Terrace Neighborhood: ❑ Yes No
LK oning: 1-'/".
IA
ermitted Use: 0 Yes 0 No
Spec Space
nfirm no land use required.
Business License:
Exists: Yes 0 No,applicant notified to obtain business license
Notes:
Approved by Planning: -- —.,,a....
%,,.Z. Date: /�/�'
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved 0 Not Approved Date
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: t/a) i 7
Site Plans: # [ /V 9
Building Plans: #
Building Permit#: E[� nter building permit#above.
Workflow Routing: L:k1anning 0 Permit Coordinatording
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: LBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 6---a_
By Permit Technician: .. )—.2.,.....„--i„
-- Date: G721/ 17
I:\Building\Forms\B1dgPermitRvw COM_NoLandUse 060116.docx
Permit Cdinator Review
❑ Conditionsoor"Met"prior toe
o 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: El Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator:
Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
IL City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: /�1,4/2,0911/7—WI 70
Contact Name: a Phone #:
Business Name: Gtc � X74. Appt. Date/Time: �/j 7 g„pl ckl
Site Address: / �j— � ,,„ 7a0 Bldg/ui{{e #: /Ga
Project Name: srpel fo
Project Description: ems yS c„4,4,
Existing Use: e New Use: '
MMD Required: 0 Yes p--/CIRelated Record#:
GENERAL INFORMATION
Class of Work: ,fit Occupancy Group: 15 Type of Construction:
TypeSPEof ICS Use: �y� Occupancy Load: --- I Oregon Specialty Code: {�I
Number of Stories: Building Hei ht: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
- E FOOTAGES
Story Square Footage: I. 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: tee'-) Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ c
o—,62-2r.)
$ aPro gall DC Prov Rvw,COM TI—Ping
$ ' •a 7 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ � `1 %State Surcharge
Project Valuation $ .=
Up to$4,999 � ,/j Plan Review,Structural
$0.00 $ t y, 4 Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ 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: $ 741,o( TOTAL 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:
15575 SW SEQUOIA PKWY 100, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Building BUP2017-00170
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor