Permit (220) y CITY OF TIGARD BUILDING PERMIT
I3 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00172
T IG 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 1 1 ` ' ' -°
Date Issued: 08/30/2012
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY S
Project: Spec Space Subdivision: 2004 -015 PARTITION PLAT Lot: 1
Project Description: Split one lease space into two lease spaces. 10/2/12, reprinted to correct suite address from S2 to S.
Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP
17750 SW UPPER BOONES FERRY RD SUITE 1121 SW SALMON ST
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 - 6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 08/30/2012 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 08/30/2012 $10
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/30/2012 $819 81
Demolition .
Stories: 1 Height: 0 ft 12% State Surcharge - Building 08/30/2012 $98.38
Bedrooms: 0 Bathrooms: 0 Plan Review 08/30/2012 $532.88
Value: $61,500 Plan Review - Fire Life Safety 08/30/2012 $327.92
Info Process /Archiving - Lg $2.00 (over 08/30/2012 $4.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 08/30/2012 $5.50
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0 .
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,865.49
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:
C �
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
0 .
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. .
CITY OF TIGARD BUILDING PERMIT
1 1 a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00172
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/30/2012
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY S
Project: Spec Space Subdivision: 2004 -015 PARTITION PLAT Lot: 1
Project Description: Split one lease space into two lease spaces
Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP
17750 SW UPPER BOONES FERRY RD SUITE 1121 SW SALMON ST
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 08/30/2012 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 08/30/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/30/2012 $819.81
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 08/30/2012 $98.38
Bedrooms: 0 Bathrooms: 0 Plan Review 08/30/2012 $532.88
Value: $61,500 Plan Review - Fire Life Safety 08/30/2012 $327.92
Info Process /Archiving - Lg $2.00 (over 08/30/2012 $4.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 08/30/2012 $5.50
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,865.49
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: /
Lit
Call 503.639.4175 by 7:00 a.m. for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until comple. = of the project
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Applicatio
CommercialE FOR OFFICE USE ONLY
u
Received / •
City of Tigard �t�B : 30 3 Permit No.: p, -
7
a 13125 SW I tall Blvd., Tigard, OR 9722 A U G 3 0 20 12 Plnn Revi � I
Phone: 503 Fax: 503.598.19 0 DaleB : r i • J Other Permit:
TI G A R D Inspection Line: 503.639 diiv OF TIGARD Date Ready!uy ®Sec Page 2 for
.
Internet: www.ligard-or.gov B I D!NC r� Notified /Method: Supplemental Information
TYPE` OF.-W L ' ''� '' ' :.; ''- ^.,'..2•.
- +' . . ORK;`„ �- •_ -''` ;s,: p Q ;' ,
REQLiRED- DATA: 1- 4ND :2- FAMILYDWEI.LING.
.
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performe
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement Other: T t . De /3 equipment, materials, labor, overhead, and the profit ' r the
"�'• :44 }':'. •' •' work icated on this application.
-_ CATEGORY_OF• CONSCRUCI'ION�: +±�;iar +. � �t>•;�r {. = • =A• > `,- PP
❑ I- and 2- family dwelling Commercial /industrial Valuation: $
Itccessory building ❑ Multi- family Number of edrooms:
tJ Master builder ❑ Other: Number of bat otns:
- _ -JOB' SITE INEORMATION. - AI D L '• "� f=> , Total number of fl trs: .
Job site address: I (p 21:30 W j Ft e„... .1-1 w Y City/State/ZIP: / ' T S New dwelling area square feet
Garage/carp.. area: s
n �� 'n2� o,I? square feet q
Suite/bldg. /apt. no.: Project name: r I DL `\/1 1 5-- Cover=. porch area: square feet
Cross street/directions to job site: P eck area: uare feet
Other structure area: square feel
;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.
g
—� P( / T G{'i e_ /.0_0--,,2._ -3, (wire, Ilrt no Valuation: $ C' ! _ J O
floc L2A-5e_ 4-C.4e- c Existing building area: 5, 4. 3 square feet
New building area: 3Z5/ o6 I square feet
=
OPROPERTY;OWNER . _ t! = Number of I
- _ ❑:'TENANT stories:
Name: S 1 N V L ST t'vl T P ope9.n es LL.- Type of construction: 3 6
Address: i I ii 6LJ 5, 6T � Occupancy groups: WI
City /State/ZIP: pc i _TL 4 lv'X) c:›12.... 7 7 ZOO i Existing: 4v1
Phone: (Sv3) 4 • 675 a Fax: (5 2 7 4- - z ' q 3 New: WI. --
•" A PPLICANT, , -. •: : - -,fi a,," 10 CONTACTPERON - r BUILDING= PERMIT FEES* " _
Business name: L. LZ KA_ A o r rt c_ry e • - • - (Please refer re fee schedule) � • .
Structural plan review fee (or deposit):
Contact name: N L L L--E.
FLS plan review fee (if applicable):
Address: ) 46 z e 7�- Cc g.4- S - r,
City /Slate /ZIP: p, j 2 r L d N n G 11- G Z0 .2--
Total fees due upon application:
I / �c�� es / Amount received:
Phone: (9. 6 4.4 . 4 - 2 2 2 Fax: :(g53 p - 2Z ¢(O
- / / / ` Lc'LL' �
' PHOTOVOLTAI SOLAR PANEL SYSTEM FEES*
E -mail: L 1 L-e 4-9 • L <2 Y
- r� r :._...,x,�,,= ; _� :,•;.; -,,:, - Commercial and residential prescriptive installation of .
- . _ ` r - ?
,- if '' ' _ - roof -top mo�i tkIed Photo Voltaic Solar Panel System.
Business name: �f C , Submit two (2 -ets of roo an with connection details
1.0 ^_Y y v 2 13�N €S pee- R ) Gt P and fire departure ace: • along with the 2010 Oregon
Address: 17.7 5 5t.,) t;lb . Installation S • ally / (( 5 � gyp Solar Corte checklist.
City/State/ZIP: our Permit fee (if es plan review
ry VGA G and dmi • trative fees): $180.00
(5 ) 9 (v q ti-cl I Fax: ( Lj c 5 1 $'• • 6,c sp Slate surcharg: (12% of . , mit fee): $21.60
66 CCB tic.: � ( I S` 1 Total f=- due upon application: $201.60
Authorized signature:, YE This permit application expires if a permit is obtained
_ ` / „', within 180 days after it has been accepted as complete.
Print name: J Q . 30 / Z * Fee methodology set by Tri- County Building Industry
/ + L / O C tom.. Service Board.
I: \Building \Pcnnits \BUP -COM PennitApIr c 02/24/2011 440- 4613T(I 1 /02/COM /WEB)
Ph q Building Division
Over- The - Counter (OTC) Building Permit
T I G A R D Check List
Project Description: T( iV PARK( )& &tP ;ma - V 0 / 7 '
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION 7,
*Class of Work: iikj,Z"' Occupancy Group: V — Type of Construction:
*Type of Use: CJXk Occupancy Load: Oregon Specialty Code: "2i5In
SPECIFICS
Number of Stories: I 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: Lea:5 Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ to( FEES DUE
$ 7, GO DC Prov Rvw, COM TI — Ping
$ 0, - DCProvRvw,COMTI — LRP
DC Provision Review Fee for COM TI - $ ' Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ f ' ° , ,i 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ - _ 5 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 2 , 'Z Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ 1 j,p Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ e A TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I: \ Building \Forms \OTC - BUP.docx 07/01/2012
o a Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: P 10 / - 00112— Expedited Review
Plan Submittal Date: _ I j0 0
To the Applicant: ( r b D0 4t '' 7"'')/ -./ )
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left o nly if approved.
Planning Review (contact l o at 503-718,:R V ��� or `1, @tigard- or.gov)
/Zoning C — C' Permitted Use Yes 11K
No ❑
q Land Use Required: Yes Pl No ❑ (explain below)
r
Notes: _ /, / 7 _ iene _% G� / 5 z'
i r • 411 /L1,44 '
,/ -er , i s r
//
r
� / -...L4 : / — 14 / / 14-1-- lii" Approved ❑ Not Approved Date: /6' / (YL-,
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov)
Notes:
A
Routed back to Building Division Date:
I: \CURPLN
CITY OF TIGARD BUILDING PERMIT
1 1 a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00172
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/30/2012
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY S
Project: Spec Space Subdivision: 2004 -015 PARTITION PLAT Lot: 1
Project Description: Split one lease space into two lease spaces
Contractor: PACIFIC CREST STRUCTURES INC Owner: SN PROPERTIES PARTNERSHIP
17750 SW UPPER BOONES FERRY RD SUITE 1121 SW SALMON ST
190 PORTLAND, OR 97205
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review, COM TI - Ping 08/30/2012 $67.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 08/30/2012 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/30/2012 $819.81
Demolition
Stories: 1 Height: 0 ft 12% State Surcharge - Building 08/30/2012 $98.38
Bedrooms: 0 Bathrooms: 0 Plan Review 08/30/2012 $532.88
Value: $61,500 Plan Review - Fire Life Safety 08/30/2012 $327.92
Info Process /Archiving - Lg $2.00 (over 08/30/2012 $4.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 08/30/2012 $5.50
11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,865.49
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: /
Lit
Call 503.639.4175 by 7:00 a.m. for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until comple. = of the project
Approved plans are required on the Job site at the time of each Inspection.