Permit (8) CITY OF TIGARD BUILDING PERMIT
R..", COMMUNITY DEVELOPMENTIIII
Permit#: BUP2018 00187
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2018
T[Ca�jt'C� 9 Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 460
Project: Staples Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: TI for new tenant: Full height walls for IT room.
Contractor: ARJAE SHEET METAL CO, INC. Owner: PACIFIC REALTY ASSOCIATES
8545 SE MCLOUGHLIN BLVD. ATTN: N PIVEN
PORTLAND, OR 97222 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-231-7717 PHONE:
FAX: 503-230-4888
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 06/19/2018 $91.00
Occupancy Grp: B Occupancy Load: 35 Permit Fee-Additions,Alterations, 06/19/2018 $464.97
Demolition
Dwelling Units: 0 12%State Surcharge-Building 06/19/2018 $55.80
Stories: 0 Height: 0 ft Plan Review 06/19/2018 $302.23
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/19/2018 $185.99
Value: $25,308 Info Process/Archiving-Lg$2.00(over 06/19/2018 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,105.99
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 obta'. -== - -- -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: Permittee • - ure: e` vv I{ (i
Alliir
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 TigardRECEt r71) Received /
Date/By: /�( t j� Permit No.: /4 )t -7
13125 SW Hall Blvd.,Tigard,OR 97223 9 n18 / I 4 d
p Plan Review
' I. Phone: 503.718.2439 Fax: 503.598.1960,I kJ N 1 ' Date/By: Other Permit:
6=l 9-J � � ��ci�ts'�c : yrl
Inspection Line: 503.639.4175 Date Ready/By: ` Jurts:
TIGARD y s Y Y: % f RI See Page2for
Internet: www tigard o[gov f',rry F 9 I G AR Notified/Method: C/l d� r t Supplemental Information
(�"--
. .. S ;. = , OF"ORT ww = . --r „EQV1R 'Ali „_„-;,„.,_,...,..„,,,,,,,„-„Al,1YWE4 : 1 l
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
.uk
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
re+e A i `i x y p i- work indicated on this application.
” ,11 ., M ,ce:4 v a t` ex17 i!1, 4G ;
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
�E '10,-52',,''''t.7",I. a it Sri no e'A'T'I ijA ' 6' Total number of floors:
Job site address:12909 SW 68"'Pkwy,Suite 460 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Staples Covered porch area: square feet
Cross street/directions to job site:SW 68th Pkwy and SW Hamilton 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
or,
materials, and
equipment, Iab ,overhead, profit for the
the r
RIPTT< W
�w�'' , a work indicated on this application.
Full height walls at IT room Valuation: $25,308
Existing building area: 3,512 square feet
New building area: 3,512 square feet
11:r
" _ s 7 ooh �-
. L == = t .aa41� ,u�' _ "'7 'E 1 Number of stories: Four
- 6 it .�7�� —42ad,. �..3g
Name:PacTrust Type of construction: II-A
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
ac irk �,
T'2 moo , � leri + n.fie' i ., as=Business name:PacTrust
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:Portland,OR 97224
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:lesliel@pactrust.com 0TAT --,%1':( ` gki
,nn
a0i * � t4 4g- r , ` � i s x
� i '��� � i Commercial and residential prescriptivetive installation of
, t :n a . .�� „, ,7":„'t„,7:!;:74.4.4.. ,
,,, ,f4A �f, ,,, 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
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Authorized signature: A \,,,
v_Apyq y This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L 1°0 I(. , I.,a v 4 Date: d We J-2_0( * 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 • BUILDING DIVISION
II Over-The-Counter (OTC) Building & Fire Protection System Permit
T I c n R n Appointment Checklist
Permit Record#: /7‘,4Aj/f- Cv/17
Contact Name: 4-5 /E' 1-O u/S Phone #: 5o3 -9 3 -(F.V 1
Business Name: ,'° c. 7724A-C7- Appt. Date/Time: (,/9/// 6 /O.'ov /fry
Site Address: /a290?SA) 6,-/d.-P�cJ y Bldg/Suite #: $
Project Name: S772ct-E-C New Tenant? J Yes 0 No
Project Description: /=-Lt`t_ /74-&-/6 T AM-t is "9-7- 27^ /2.0 c iel -
Existing Use: 0/'-if Com— New Use: c;, /.CE
MMD Required: 0 Yes K)No Related Record #:
APPLICATION SPECIFIC;INFOit1 ATIQN
GENERAL INFORMATION
Class of Work: NT Occupancy Group: liType of Construction: J )— A
Type of Use: LS Occupancy Load: 3 Oregon Specialty Code:
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:
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,i-r,S 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: $ ,,P 5; 3 0 cP 1400701.7A
$ q ja DC Prov Rvw,COM TI—Ping
$ y Li , 7 7 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 4-. ; • 12%State Surcharge
Project Valuation p . __ Plan Review,Structural
Up to$4,999 $0.00 $ • • Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ 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: $ Other:
Date/Time: $ , J p s-.9 g TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
Front1 DSTS
Subject: Leslie Louis, Pac Trust, 503-403-8442, 12909 SW 68th Pkwy, Suite 460, Staples
Location: CR 3 Permit Center
Start: Tue 6/19/2018 10:00 AM
End: Tue 6/19/2018 11:00 AM
Recurrence: (none)
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR 3 Permit Center
Project Name: Staples — New tenant
Existing Use: office
New use: office
Scope of work: new full height walls at IT room
Valuation: $25,308
1
City of Tigard
ligq
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,06,,P jir 00 tS7
Site Address: 12-1 Oct SW 684- Pkwy Suite/Bldg#: (-16O
Project Name: Aft -S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review I
Proposal: Ne`,, 'CIAlIt��q�i' 1 11s 41- IT W,I1s eR rink kir- s eleS. 7k° cv;)1 Sb.P
Dict Cl ti • ;1•—1 & IX-1j Sit re- &n.C;rn�� -1\4 All Cit4A e OR r4lir',.-
Existing Business Activity: O. iCe
— Proposed� Business Activity: Q �
'
[ Verify site address/suite#exists and active in permit syste .
'ver Terrace Neighborhood:- � ❑ Yes IV No
7forung. [ �V
is ermitted Use: Yes ❑ No ❑ Spec Space
' gill Confirm no land use required.
R.'Business License: ^/
Exists: El Yes [ l No,applicant notified to obtain business license
Notes:
Approved by Planning: LIOM.a. Date: 6-1(f-1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6/i t/fir
Site Plans: #
Building Plans: #
Building Permit#: Ei<nter building permit#above.
Workflow Routing: 8'151anning El Permit Coordinator Ging
Workflow Sign-off: [L} S-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: (J
By Permit Technician: Xgo.„4...., 42.....---- 2.-----____ ___ Date: 67,q/
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