Permit (213) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00204
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2018
Tt �� Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15800 SW UPPER BOONES FERRY RD 400
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work:TI for future tenant.Interior demolition,new flooring,finishes,and paint.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY TRUST
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: VB DC Provision Review,COM TI-Ping 07/03/2018 $91.00
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 07/03/2018 $564.15
Demolition
Dwelling Units: 0 Plan Review 07/03/2018 $366.70
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/03/2018 $1.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $34,895 12%State Surcharge-Building 07/03/2018 $67.70
Plan Review-Fire Life Safety 07/03/2018 $225.66
Floor Areas:
Total Area: 1127
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,316.71
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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: ,00.0„. t _ / Permittee Signature: 1XCA
Call 1 3.639.4175 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
CityTigard
of R
DateBy:eiv7/3�� ,i —
Permit No.:e"itf'i f`O-cid 'y
13125 SW Hall Blvd.,Tigard,OR 97223 ff u Z 1 Plan Review
' S Phone: 503.718.2439 Fax: 503.598.1960-�-• Date/By:InAv 7-- 3-is Other Permit:
Ti G A R D Inspection Line: 503.639.4175 Date Ready/By: 7 �ns:f o See Page 2 for
Internet: www.tigard-or.gov CIT O 'IGAR Notified/Method: /T,/.1r 41j f,C� I Supplemental Information
•❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
�e P i, "�� . igi work indicated on this application.
t �'' a Ol tltill>T1iUC1'IQ I '''i41111t, -.7s11,,,!!,h , ..
0 1-and 2-familydwellingc Valuation: $
®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
', r iy - d013:1':501W- NFO 4 T�IOI�121 D lint' 'Io 24 Total number of floors:
Job site address:15800 SW Upper Boones Ferry Rd.#400 T New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 97035 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Vacancy Spec Clean-Up Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and Sequoia Pkwy. Deck area: square feet
Other structure area: square feet
' 4' !)D T dQ� i t TS O L
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
'� ; D SCRW` Io ,T I ' F - i _ work indicated on this application.
Demolition,new flooring finishes and paint. Valuation: $$34,895.00
Existing building area: 1,127 square feet
New building area: 1,127 square feet
►® k.UPF 4 O N , z J 4 ,is = a Number of stories: One
Name:PacTrust Type of construction: V-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
: 4-tiA - 416 34 9 ; NT crF. _ iV Vf aut0P I(k ' ES*: Po u � a': v A6Pe }rWfd }6
= yr
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
City/State/ZIP:97224 Total fees due upon application:
Amount received:
Phone:(503)624-6300 Fax: :(503)624-7755
E-mail:lesliel@pactrust.com
t ,.� ���_ �,. Commercial and residential prescriptive installation of
, _ ,gym 0Q1TRQT gf;i%-i0X' roof-top mounted Photo Voltaic 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 Pkwy#300 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)3624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee): $21.60
CCB lie.:193 1 s 2q 1 Y2 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained j
Authorized signature: \"t C 4,✓1.0\ y within 180 days after it has been accepted as complete.
Print name: �� GI Date: 2 * Fee methodology set by Tri-County Building Industry
�-- Q ��ly hl Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
11 . Over-The-Counter (OTC) Building & Fire Protection System Permit
i(,n RD Appointment Checklist
Permit Record#: , /Q1,2 0-66:4,C)11
Contact Name: L s Phone #: <50 3 Vo 3 —413-9 y�
Business Name: pyo e 7 ,aS T Appt. Date/Time: �.3/4 & /p,o' .hy
Site Address: /5-Poo SW terV€rz l3oo/ves 9e-d
Project Name: S��G �$��� New Tenant? ❑ Yes 0 No
Project Description: `¢�..f,IT E-7L/jg. `AEI-toe-1
I-toe-1ne c/, /�fEW ,/, ‘.06,2/"/S- //
/"/S- //' S/'-c
(!/v'"t:) / tl 'V/ / r
Existing Use: 11�,a% New Use: ��� c ---
MMD Required: 0 Yes 0:%No Related Record#:
APPLICATION$1•ECIFIC I FORMA ON
GENERAL INFORMATION
Class of Work: Occupancy Group: � Type of Construction: v,�
Type of Use: Ca" Occupancy Load: AilA Oregon Specialty Code: opo 1/
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: 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: $ -344 erf S ,
$ DC Prov Rvw,COM TI—Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 12%State Surcharge
Project Valuation $ ) Plan Review,Structural
Up to$4,999 $0.00 $ x 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 $ 3 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: $ TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
Dianna Howse
From: Leslie Louis <LeslieL@PacTrust.com>
Sent: Tuesday, June 19, 2018 12:35 PM
To: Branden Taggart
Cc: #Building Permit Technicians
Subject: Over the Counter Permit Appointment
Hi Branden,
I would like to schedule over the counter permit appointments for the following project:
2obp171-Vacancy Spec Clean Up
Oregon Business Park II—171 (2obp171)
15800 SW Upper Boones Ferry Rd.#400 / /3 72 7 `)
Lake Oswego,OR 97035
Type—V-B
Scope: Demolition, new flooring finishes and paint
Value: $34,895
Thank you,
Leslie Louis I Pacific Realty Associates,LP"PacTrust" I construction manager
0>503+624+6300 I F>503+624+7755 I C>503+403+8442
1
City of Tigard
III ■ COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A R o Building Permit Review — Commercial - No Land U s e
Building Permit #: ebexiii— ;,.,',01
Site Address: jgO O SW Ucx ' x& Suite/Bldg#: 400
Project Name: UMiy1-4- Cpeo Sp rye,
(Name of commerce business oc upying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: •yy k .
Existing Business Activity: va6 VY
Proposed Business Activity: VW-A./}-t
ii(Verify site address/suite# exists and active in permit system.
`River Terrace Neighborhood: ❑ Yes J L.No
't7 J Zoning: (—+ 1
Permitted Use: ❑ Yes ❑ No '(Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Ye 'J o,applicant notified to obtain business license
Notes:
Approved by Planning: _____Ar '1 Date: i 7/3N
Revisions (after Building Submittal ly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: > 3 /
Site Plans: #
Building Plans: #
Building Permit#: E--Errer building permit#above. - �•�°�
Workflow Routing: S-14 -in- rcI ng ❑ Permit Coordinator a-1 u -g
Workflow Sign-off: i-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07,
By PermitTechnician: Date: //i,-
I:\Building\Forms\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:
O SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15800 SW UPPER BOONES FERRY RD 400,
LAKE OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Building BUP2018-00204
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor