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Permit (52) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2017-00253 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2017 Parcel: 2S 101 AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 290 Project: Thenell Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT Project Description: Build out office space and add break room. Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN PORTLAND, OR 97224 15350 SE 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 DC Provision Review,COM TI-Ping 09/19/2017 $226.00 Occupancy Grp: B Occupancy Load: 36 Permit Fee-Additions,Alterations, 09/19/2017 $1,250.91 Demolition Dwelling Units: 0 12%State Surcharge-Building 09/19/2017 $150.11 Stories: 4 Height: 40 ft Plan Review 09/19/2017 $813.09 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/19/2017 $500.36 Value: $123,072 Info Process/Archiving-Lg$2.00(over 09/19/2017 $8.00 11x17) Metro Const.Excise Tax 09/19/2017 $147.69 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $3,096.16 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: U `Aid t. 67 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 Applicatio r0,--!1-7 i Commercial a FOR OFFICE USE ONLY > Received City of Tigard Zi 1i DateB : 9 /7 4 �, PermitN., cl/47: /7- 5: ■!PI 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 4 , Phone: 503.718.2439 Fax: 503.598.J90-1 nr i ro-N 4,ft rt Date/ : L Other Permit: T t C A R D Inspection Line: 503.639.4175 t aZ r.,$1 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov t+y g���- t� .�y,rra Y Notified/Method: Supplemental Information ��1.�a1.Fflii�f��4 5'd�R � �' _ ;iH4* CT'A'PE a Y7 i ❑New construction ❑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 0 Other: equipment,materials,labor,overhead,and the profit for the � 'S,CATEGORY,'©i COlt`RIJC' iQ 1 - , i work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ 1=1Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: s"" 6, Nw ,,IOB BYTE,7NFOIIMATIO$ T ,OCATIOI =z 7 Total number of floors: Job site address:12909 SW 68`"Pkwy#290 New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:290 Project name:Thenell Covered porch area: square feet Cross street/directions to job site:SW Hampton and SW 68th 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 theprofitoflt for the u , ' L o� WORTV-Rpa FS � , work indicated on this application Valuation: $$123,072 break room,build out office space Existing building area: 3943 square feet New building area: 3943 square feet ne' .. - _ .err �.� mi.. � i:',,113,44,-14- G 4 ► %4 RTYa , �� "" 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 ®q r APP1 'I / NTA T PERSON a w 1fl 1L13IlSG PERI '� S* FAIR; 4$ ' Business name:PacTrust �$`'" `' ''l a e *toofe hMd T_ el'y,� a 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 E-mail:lesliel@pactrust.com PUQT rO A P Y <<- 4 Commercial and residential prescriptive installation of s y O O 'OTI �� 1� �e� . � ,, .,� �f.���, ,� e,r�„r a _ �<< roof-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 lic.:153913 Total fee due upon application: $201.60 Authorized signature: \,ep�j�1 \foy This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 1, I i e ..0 t.i y Date: , in 2oi f * 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) City of Tigard ■ 'I COMMUNITY DEVELOPMENT DEPARTMENT 11111 T 1 c a lz D Building Permit Review — Commercial - No Land U s e (Hi Building Permit #: amu/ .2Z0/ 7efd',2_5'`3 Site Address: 1 '2909 S VV C 9 44, F k D Suite/Bldg#: Z g Project Name: Menet k (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: To- IO ' TL , Ada off'_c1�. Y0Cv-) by t I cl O u F Qt fig'C.Q S ec7 - Existing Business Activity: (Alffli - ,1 Proposed Business Activity: DO - `` tak Verify site address/suite#exists and active in permit system. River Terrace Neighb rhood: ElYes X No AZoning: V 1 U C-- Permitted Permitted Use: /Yes III No ❑ Spec Space Confirm no land use required. Business License: Exists: ❑ Yes JNo,applicant notified to obtain business license Notes: Approved by Planning: /II ((-s'�� (i'\.i._ Date: q/ j 7 / 1 7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 9//;// 7 Site Plans: # Building Plans: ## Building Permit#: W Enter building permit#above. Workflow Routing: ligPlanning Cl Permit Coordinator ,2-"'Building Workflow Sign-off: '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: '( _ri-e-- Date: f � . I:\BuildingWorms\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 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\Fonns\BldgPermitRvw_COM NoIandUse_070915.docx City of Tigard • BUILDING DIVISION RI (OTC) Building & Fire Protection System Permit i1 r 1 c.n k n Appointment Checklist Permit Record#: 6 u/'a0/7 -00 a S',3 Contact Name: Z-E -/E e.--0 u / S Phone #: X03-4,a 9-4.300 Business Name: /' C TfLaS 7- Appt. Date/Time: ?jig/7 c /0 70-6 Site Address: /290 ? Ski 'F-K- /a7z14/y Bldg/Suite #: ag 0 Project Name: 7774E'/✓ r New Tenant? 0 Yes In'No Project Description: 7-14-- Existing '.rExisting Use: D/�fj e-e New Use: 0/5c. ..,----' MMD Required: 0 Yes ,No Related Record#: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work: Occupancy Group: Type of Construction: I�_)- 4 Type of Use: P-- f3 Occupancy Load: Oregon Specialty Code: I p 1,. SPECIFICS Number of Stories: y-- Building Height: it 0 Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: . 2,4 410J 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: 1)-.4) 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: $ /a 3/ 07 F .ES IVE v $ as( -- DC Prov Rvw,COM TI-Ping V $1 aCo . 9 i Permit Fee-Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2017) ,/ $ i 6-0 I 1 12%State Surcharge Project Valuation V $ IN 3 <m 9 Plan Review,Structural Up to$4,999 $0.00 V $ coo .3 6 Plan Review,Fire Life Safety $5,000-$74,999 $91.00 V $ 8 — Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $226.00 $ 2 Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $361.00 I i?, (0 9 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ 3au(4.'6-TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070117.docx �� V 309 / /4 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12909 SW 68TH PKWY 290, TIGARD, OR, 97223 November 21 , 2017 at 7:32:07 AM Record Type: Record ID: Commercial - Building BUP2017-00253 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor