Permit (58) CITY OF TIGARD BUILDING PERMIT
11;
COMMUNITY DEVELOPMENT Permit#: BUP2017-00234
13125 SW Hall Blvd.,Ti Date Issued: 08/22/2017
T[fa•M1L7 and OR 97223 503.718.2439 9
Parcel: 2S112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 150
Project: Flyboy Brewing Minor Modification Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: TI for existing tenant. New patio and new trash/recycling area.
Contractor: SAGE CONTRACTORS INC Owner: PACIFIC REALTY ASSOCIATES
12210 SE 162ND AVE ATTN: N PIVEN
CLACKAMAS, OR 97086 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: II IB DC Provision Review,COM TI-Ping 08/22/2017 $91.00
Occupancy Grp: A-2 Occupancy Load: 85 Permit Fee-Additions,Alterations, 08/22/2017 $575.17
Demolition
Dwelling Units: 12%State Surcharge-Building 08/22/2017 $69.02
Stories: Height: ft Plan Review 08/22/2017 $373.86
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 08/22/2017 $230.07
Value: $35,400 Info Process/Archiving-Sm$0.50(up to 08/22/2017 $2.50
11x17)
Floor Areas:
Total Area: 4574
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,341.62
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. Speck , •i '•• 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 day qua ce, or if lwork is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utir• eotification Center. , hose 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 • '•••503. 32.1987•.'1.800.332.2344.
Issued By: Permittee Signature -"Ali
4,,,..
03.639.4176 by 7:00 a.m.for the next available spection l
This permit card shall be kept in a conspicuous place on the job site ntil corn,le••- project.
Approved plans are required on the Job site at the time o ach I pectlon.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard - t ed / q —Ce
.� ,y: . /„t Permit No.eA/)62V/2 LT .
5 11 13125 SW Hall Blvd.,Tigard,OR 97223 ! çtV Plan Re ew ! 4r VPhone: 503.718.2439 Fax: 503,598.1960Date/By: b Other Permi a )ry/•,� ,
TIGARD Inspection Line: 503.639.4175 ate Read ) orris: EI See Page 2 for
Internet: www.tigard-or.gov i�y �� a Et 7\),!Notified/Method: / 1/7 / r Supplemental Information
TYPE OF WORK Of',lkics m REQUIRED,DATA.1-ANDx;,FAM1LYDWELLING
❑New construction ❑Demohh w '• 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
CATEGORY OF CONSTRUCTION; work indicated on this application.
❑ 1-and 2-family dwelling eigr Commercial/industrial Valuation: $
0 Accessory building D Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
SOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: (S2 3 O S `-rl v O't G etc,......, 4t S Q New dwelling area: square feet
City/State/ZIP: --1— cjo�rok O ° '7ZZ4 Garage/carport area: square feet
Suite/bldg./apt.no.: 1�'� Project name: c i(„n 4 gr C 4.04(/ Pi p Covered porch area: square feet
Cross street/directions to job site: a- kY ,SL.. Ar'4-0. Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCIAL-USE,CHECKLIST
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
DESCRIPTION OF WORK- ' '- _- work indicated on this application.
N2. .h po. O 4 FrONA d` Nei—) : . :i,ra$ Valuation: $ JS'I 400
Ark'\t_G% E- bu tkottV1c) / fc .i- p,()rut 10s H.41. 44 Existing building area: square feet
`
(e_ or la(di (ot1.hNew building area: square feet
pF(PROPERTY OWNER ,JJ 0 TENANT Number of stories:
Name: _ ra' ‘c--Tru 6 J- Type of construction:
Address: ` cls-0 gam) steal V 0 t A. Iakw`.1 4 S 45,0 Occupancy groups:
City/State/ZIP: "5 i 6a. ot-7zy 7Existing:
Phone:(ca) (az .....(a--gootiwC� Fax:( j) 62.,(2.4...... --1— --s—
New:
0 APPLICANT CONTACT PERSON BUILDING ERMIT FEES* s
Business name: Sam. (P/easereJer'tafee selredtrleJ
� Structural plan review fee(or deposit):
Contact name: G'
a�. / ‘A�
�'1 FLS plan review fee(if applicable):
Address:
City/State/ZIP:
Total fees due upon application:
Phone:( ) Fax::( ) Amount received:
L PHOTOVOLTAIC$DLA;RPANEL SYSTEM FEES*
E-mail: V'�(�M Vs/, yf �1. V& . toYv-%
%"I
,, Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: SS1t. (iN„t - -, 0. _ Submit two(2)sets of roof plan with connection details
— i ` and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( )qyiy/ Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:/,t7/
e°1111010
Total fee due upon application: $201.60
Authorized signature -A11111..... --00,0"'" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
[Print name: P0��- d _ _` Date: B Z,7„„ * Fee methodology set by Tri-County Building Industry
Service Board,
1.\Building\Permits\BUP-COM PermitApp.doe 02/24/2011 440-4613T(1 l/02/COM/WEB)
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
oh
TlcalzD Building Permit Review — Commercial - With Land Use
c;
Building Permit #: Qwd -7.-00;j3 4
Site Address: 1 5 23 0 Sw Sect/v of C, Pte..y Suite/Bldg#: ISO
Project Name: Cl y boy
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: C re E-C. 0 Uf-c(..0 0 - part—ie c .1- G-e-t9 el i— n ems)
tr s k b iv" of re cA. ori- r-e C4 r
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes //n No
/`r Land Use Case#: M M 0 1,011 - 0002Z1
Xr Plans Match Approved Land Use:
izrSite Plan Ei--bandscape Plan ❑ Other:
ger Urban Forestry Plan ief Elevation Plan
Building Height: Maximum Height 9 S a Y' Actual Height 1—
XConditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business License:
Exists: ie Yes ❑ No,applicant notified to obtain business license
Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified ,YJ No Applied For: ❑ Yes 0 No,stop intake
Notes:
Approved by Planning: 41 tom-, t/N.--- ----: Date: S /Z Z/ 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: pp-- groY/
Site Plans: #v
Building Plans: #
Building Permit#: nter building permit#above.
C
Workflow Routing: KI--Sig ---n-off
[ y�j�' r n g
Workflow Sign-off: Leign off for Planning(include notes from planning review)
Route Application Documents: ceding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ore _
By Permit Technician: (.r- C -_...Date: '/ j y
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering condi:t s of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by E :'neering: Date
Notes:
Approved b ngineering: Date:
Revisio : (after Building Submittal only) Reviewer Date
' :•ision 1: ❑ Approved ❑ Not Approved
'evision 2: ❑ Approved ❑ Not Approved
Revision 3r ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal o
Revision Notice 1: Date nt to Applicant:
Revision Notice 2: D. e Sent to Applicant:
Revision Notice 3: t ate Sent to Applicant:
❑ SDC Fees Entere.• Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK t. ssue Permit
Ap. .ved by Permit Coordinator: Date:
I:\BuildingForms\BldgPermitRvw_COM_WithLandUse 070915.docx
City of Tigard • BUILDING DIVISION
1111
III I Over-The-Counter (OTC) Building & Fire Protection System Permit
T I( n l:1) Appointment Checklist
Permit Record#: .jCi7-GOa34
Contact Name: `' Phone #: 503- (o 9.49.4-6,566)o
Business Name: • 1 )Z -�( �'c�.,o. Appt. Date/Time: ci tagia- Ca /0:o0
Site Address:
1 S P.30 x.1_,.) -,z,46,,,,,; , eaKkA� Bldg/Suite #: /52D
Project Name: New Tenant? 0 Yes 0 No
Project Description: , , ._ r,i,, , p„.. , : - ' -,1 1F j, ,
CL _ ,cam " .�.1�et�
Existing Use: r-f New Use:
MMD Required: 7:l. Yes 0 No Related Record#: MID D ao17-COOP•V
ci APPLICATION SPECIPIC INPORMATtON.
GENERAL INFORMATION
Class of Work: ' Occupancy Group:[ P cy p Z Type of Construction:
Type of Use: Occupancy Load: Oregon Specialty Code: 2�(
lV
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:
.4 , Total Square Footage: A-AD 7I� Carport: Mezzanine:
SETBACKS
1. Sideyard Setback–Left Sideyard Setback–Front
Q Sideyard Setback–Right Sideyard Setback–Back
CONSTRUCTION
L. Exterior Walls: Openings Protected: Firewall Separation:
\J.9,.
N: S: N: S: Occupancy Separation:
E: ' W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers:-/ Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
`
Hazard Group: Battery Calcs Provided:
`A Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ -.. ----40:.) ✓i6' 'I( ,C DC Prov Rvw,COM TI–Ping
&F. -- Demo�("]'PeutFee–add,Alt,
DC Provision Review Fee for COM TI(effective 7/1/2017) �' 12%State Surcharge
Project Valuation $ `7^ "„, 'Ian Review,Structural
Up to$4,999 $0.00
$5,000-$74,999 ,d, V Plan Review,Fire Life Safety
$91.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999R'
$226.00 2., d Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
�` Building Staff: $ —i i -
Date/Time: $ 01 , OTAL EES DUE
I:\Building\Forms\OTC_BUP_FPS_o70117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15230 SW SEQUOIA PKWY 150, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Building BUP2017-00234
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor