Permit (179) 1111 CITY OF TIGARD BUILDING PERMIT
an COMMUNITY DEVELOPMENT
Permit#: BUP2018 00248
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2018
TEC� iR. Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15800 SW UPPER BOONES FERRY RD 400
Project: Animal Dentist Subdivision: None Lot: None
Project Description: TI for new tenant:(1)new storage room and(1)new office.
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 09/05/2018 $98.00
Occupancy Grp: B Occupancy Load: 12 Permit Fee-Additions,Alterations, 09/05/2018 $225.80
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/05/2018 $27.10
Stories: 0 Height: 0 ft Plan Review 09/05/2018 $146.77
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/05/2018 $90.32
Value: $9,718 Info Process/Archiving-Lg$2.00(over 09/05/2018 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $591.99
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.
t
i�� V
Issued By: -- i tee Signature: vlA v v r\)i
.ff
0415.4r39.4175 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
Received
11111 City of Tigard 1.� Permit No.: .1
- DanB , z
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 C t 20 18 Date/B : '�'J III Other Permit:
TI G A R D Inspection Line: 503.639.4175 C t .. Date ReadyBy: „i Iuris: H See Page 2 for
Internet: www.tigard-or.gov Y + t Notified/Method:41 )t; ti Supplemental Information
CITY OF i
111 �" o i�1,{ ,li. ' � - � 1 ® + t r't I? ,, —i --- '� k 4 ® 11..._ -- i ,' i wft,, w �.t }� ,1�, :nc .
0 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
"amu : - -��7� i � �,,"' �`�' � yy6���� -A'�� Aft.‘�h��6rwork indicated on this application.
�❑ 1-and 2-family dwelling El Commercial/industrial 01 Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
h n -o ( ,� f- i,u Total number of floors:
414s,u 14,14) � o4, llrT11 `+QR ATii „4 ND) Mx'1TO , w '.t„,n
Job site address:15800 SW Upper Boones Ferry Rd.#400 New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 97035 Garage/carport area: square feet
Suite/bldg./apt.no.:400 Project name:Animal Dentist 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
*Car iU. zt ri,u.. .rd a' i,SII
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
ror equipment,materials,labor,overhead,and the profit for the
3r`gt- ti
-
5 z i K F1�, :Oar A M,< work indicated on this application.
R* ,. ".+ �*,fl�1iG is 7,4, -_ � .,.,`"� s . 'rv,A,i� I�.rt�°.�,W t' `'.'�� M - - ika
One new storage rom,one new office Valuation: $$9,718.00
Existing building area: 12275 square feet
New building area: 12275 square feet
, �, b` „:, of r® �� - 5f ” Number of stories: One
IllName: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
WNN17 �i T�i 4°^�-r...+. �4�# j�iir� �mSi� T �j` r5� a� ri', - a _
(��h, m iia rii� �p i+"r?r. 't ®�`' '4,,01 # z .r" - r�1I:D_! �r'Ii. '-` •� _ v=
b,,..„,,,,,,,,,,, S' - err..= rQ, r t , _ _ �.i��'t
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:Portland,OR 97224 Total fees due upon application:
Phone:(503)624-6300 I Fax::(503)624-7755 Amount received:
rl o
n440.air a� , k:_ ,,,i„. g,r, ,,,,, ' G
E-mail:lesliel@pactrust.com - - t
fi �`� z � 1 R,ti r v 6= � .' tela a , Commercial and residential prescriptive installation of
r11_ ,„,;4",,,r.,-1._,„„--)',,,,,,,,, ' �, 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: lAffp 1 y This permit application expires if a permit is not obtained
V within 180 days after it has been accepted as complete.
Print name: 1...-6,C.f yL Z 1,,,m.)14y Date: Gff?p i 5/l b!9 * Fee methodology set by Tri-County Building Industry
"1 t Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
IIIel City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: __ i° /r lido qr
Contact Name: / TSG/E e....attis Phone #: -Sb-3 —50.3 -- FL1 fol,
Business Name: ,t49C. TSS 7— Appt. Date/Time: 9/-s7/F' ,,,0.'o' ...07
Site Address: `Seat, 4'43 Ge.Ji,e7Z 600,%ss/ :04e), Bldg/Suite #: yO3
Project Name: f v tjq7r;6_ L/E-772.,4/g7y GWN,.New Tenant? /K Yes El No
Project Description: 7/ 7 ere j p^/- � �� ) �c? yZt.� j
4 , ,,,i , .,p 0,V6—
/1/6-41 C'A c
Existing Use: 015=/L�c- New Use: e.g.-
MMD Required: ❑ Yes [o Related Record #:
GENERAL INFORMATION �.{�
Class of Work: P r Occupancy Group: 43 Type of Construction:
Type of Use: II Occupancy Load: )2, — 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: n3 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: $ i /e; 0 D ;
V � 5 � A zorS�
$ 9DC Prov Rvw,COM TI—Ping
$.1.& , $ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ al . I 12%State Surcharge
Project Valuation $ j 4 6 . 7 7 Plan Review,Structural
Up to$4,999 $0.00 $ q Q ..3 Z Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ et ® Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ cq J , 91 TOTAL FEES DUE
1:\Building\Forms\OTC_BUP_FPS_070118.docx
City of Tigard
•
COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 c A lzo Building Permit Review — Commercial - No Land Use
Building Permit #: ' i22 / g_ le
Site Address: i5bJ O W 0 pFer 1O kl Suite/Bldg#: 400
Project Name: h►rim t PrAfrvii Ciiiiic- LLG
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: M4 9-Tru (,4 GAle 'FYUVV\ !t, i L Vri" S z Le ( ti SD iTtitt i c-e °A/D
Existing Business Activity: iNtl tC (Ala
Proposed Business Activity: 11 Ecti(ea of LQ
,'Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes .,ANO
j Zoning: `—p
xPermitted Use: , Yes ❑ No ❑ Spec Space
,k Confirm no land use required.
Business License:
Exists: ...N—Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: (� A/V. Date: cf g fi
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: 4/ J/g
Site Plans: #
Building Plans: #� _33
Building Permit#: ,,�a�nte--r building permit#above.
Workflow Routing: t,TP�lanning ❑ Permit Coordinator 8–$GfTc iig
Workflow Sign off: E�,k�g -off for Planning(include notes from planning review)
Route Application Documents: L7 Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: (1I
By Permit Technician: .r ,..4.0 ,7.-4..e.&"""(.'*- ..!_.!;,, )
,7, &-- t )- Date: 7/lr jj
I:\Building\Forms\BldgPerniitRvw_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: 0 Yes 0 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ 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 BUP2018-00248
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor