Permit (111) CITY OF TIGARD BUILDING PERMIT
Permit#: BUP2017-00204
2 COMMUNITY DEVELOPMENT
T E G A aD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2017
Parcel: 2S113AA00700
Jurisdiction: Tigard
Site address: 16416 SW 72ND AVE B5
Project: PacTrust Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Seismic upgrade.
Contractor: MARVIN AND SONS CONSTRUCTION INC Owner: PACIFIC REALTY TRUST
8560 SE BONNIE JEAN WAY ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-329-2826 PHONE: 603-624-6300
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/27/2017 $377.90
Occupancy Grp: B Occupancy Load: Demolition
12%State Surcharge-Building 07/27/2017 $45.35
Dwelling Units: 0 Plan Review 07/27/2017 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 07/27/2017 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000 Info Process/Archiving-Sm$0.50(up to 07/27/2017 $7.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $682.39
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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: \�� 47r —11 V "�' /
A74. ,I /
Permittee Signature: VV
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 RECEIVED
FOR OFFICE USE ONLY
City of Tigard JUL
1 8 2017 Received /
- 13125 SW Hall Blvd.,Tigard,OR 97223 J U L DateB : .1j % Permit No.A1 / • �� ,A dip
PlanReview Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 , i-")";( ,�R® DateB 41
Inspection Line: 503.639.4175 e ��
TIGARD p BUILDING DIVISI®N DateReadyBy: Juris: SeePage2for
Internet www.tigard-or.gov Notified/method:/off 7 7 7 , / 1' Supplemental Information
'''':::'''-:.-116!"-:'5 d �` T ' Ol'.S Ql1� ° M.„ :� 1,I REQIli o ` ? Y 1 E+ , _±_
❑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:Seismic equipment,materials,labor,overhead,and the profit for the
� � work indicated on this application.
gi .i, sts� . _ CA'.` OR'l l i. !�rr� :� �Y',4gt '
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
„, 'JOB RE IN.N.FORMATIO1 AND1L OCATIIQ]Iy Total number of floors:
„.
Job site address:16416-4-6444 SW 72' Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 .5.-- Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Vulnnra y_Seis...ie rigrade 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
r equipment,materials,labor,overhead,and the profit for the
� , ' , ' CI 'ION � OI l, work indicated on this application.
Seismic Upgrade Valuation: $$20,000.00
Existing building area: 30000 square feet
New building area: 30000 square feet
" i 1 OP 1t O ., a n "T' rfi ,yn
r. � ,1,: . - „s i,tiLL„--4,1,-, --:-",.:„.4,-.-'6:0=1RNumber of stories: One
Name:PacTrust Type of construction: II-B
Address:15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing:
Phone:(503)624-6300 Fax:(503)624-7755 New:
x Rte® APPLICANT ;`. ®el.. +I NTAC '.f'ERSOI 4,, BUILDING P I MI't EEE * ,'
Business name:PacTrust tl' rrs x l to a lreduAe)-
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:
xt. ., IC ` S P * ,,FRFTTov? rAO AR L F , hE-mail:lesliel@pactrust.com
„ �; CO»T>Ct 1.0 '4 ,AVy740-,,,, * � Commercial and residential prescriptive installation of
, '- ;�a =, a - - ,. _ • roof-top mounted Photo Voltaic Solar Panel System.
Business name:Marvin&Sons Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:8650 SE Bonnie Jean Way Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97015 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)657-9525 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:103793
Q �� '7314A'
- . Total fee due upon application: $201.60
Authorized signature: 1JJ "Q '/3144' ; This permit application expires if a permit is not obtained
vv within 180 days after it has been accepted as complete.
Print name: 1,e1,1(G Q W S Date:J V ty I S I a 0I 7 * 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)
I