Permit (22) CITY OF TIGARD BUILDING PERMIT
1,11 4- COMMUNITY DEVELOPMENT Permit#: BUP2018-00311
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 12/05/2018
TIC AI<.C7 9
Parcel: 2S113AA01000
Jurisdiction: Tigard
Site address: 16550 SW 72ND AVE B9
Project: PacTrust Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS C,C
Project Description: Voluntary seismic upgrades.
Contractor: MARVIN AND SONS CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES
8560 SE BONNIE JEAN WAY ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-329-2826 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 12/05/2018 $225.80
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 12/05/2018 $27.10
Dwelling Units: 0 Plan Review 11/08/2018 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 12/05/2018 $6.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000 Info Process/Archiving-Sm$0.50(up to 12/05/2018 $10.00
11x17)
DC Provision Review,COM TI-Ping 12/05/2018 $98.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $513.67
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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: "ie./4'7)241a Permittee Signature:Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ><1
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 USI:ONLI.11 '
City of Tigard ',14( N.••.ived • Permit No.:
11 13125 SW Hall Blvd.,Ti ard,OR 97223 f7at/By: ///til�� �'"� �G��j^,t/Tf—�} f
g Plan Review
Phone: 503.639.4171 Fax: 503.598.1960DateBy: ) ).— 0 " Other Permit:
T I G A R D Inspection Line: 503.639.4175 v Date Ready/By: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: / /�//11 Supplemental Information
1 r ` .
'
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the` work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
•SIl I E r RMAT1it N, iND'II A � Total number of floors:
Job site address:16550-16578 SW 72"d Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:Bldg#9 Project name:OBPI Seismic Upgrades Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1<RE EI).<lIA1 A M t �IwUSE e T
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.rformed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
t OF work indicated on this application.
This project is a voluntary seismic strengthening of the wall anchorage systems Valuation: $$10,000.00
to reduce the potential for structural damage in an earthquake. 0 C`J14AV1o)ec Existing building area: 20000 square feet
f t I&f%L 'f t,61 ?tevi'+I ` New building area: 20000 square feet
r`
ti T Number of stories: 1
Name:Pacific Realty Associates,LP Type of construction: III-B
Address: 15350 SW Sequoia Pkwy.,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B/S-2
Phone:(503)624 6300 Fax (503)624 7755
New: B/S-2
--,::'v €
Business name:Pacific Realty Associates,LP All contractors and subcontractors are required to be
Contact name:Dick Krippaehne licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)624-6300 Fax::(503)624-7755
E-mail:dickk@pactrust.com
Business name:Marvin&Sons Construction Inc -72qI31fILTNG p FEES* t
Address:8560 SE Bonny Jean Way
.F �lite,reler al '0'14(ufe
Structural plan review fee(or deposit):
City/State/ZIP:Clackamas,OR 97015
FLS plan review fee(if applicable):
Phone:(503)657-9525 Fax:( )
CCB lic.: 103793 Total fees due upon application:
Authorized signature: tl>tery 4f Ayes oc tp- i (,,s Amount received:
pyti: C--_ This permit application expires if a permit is not obtained
{/ within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: 11/1/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(1I/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T l cA Ro Building Permit Review — Commercial - No Land Use
Building Permit #: 4eP// ' -000/
Site Address: 16 S O )J 77/4 A . Suite/Bldg#:
Project Name: OE Ueirait
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ) I
Proposal: SPLs hr7 tr,fi r4k ' Lost! Q"(1 g 4-4(k•-‘,4 4+ , e/�h4( hr
G oa�a1( G.,‘ G440.1q. cks.St P nk tp\ or tack( " 444."-A-1
Existing Business Activity: a '1,t
Proposed Business Activity:
LWVe ify site address/suite#exists and active in permit system.
❑ Yes LGJ'No
C_,��iz'ver Terrace Neighborhood:
LS1�Coning: 1-L
-Permitted Use: ❑ Yes ❑ No ❑ Spec Space
D,Kinfirrn no land use required.
114-Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: J, C Date: t 11 �Q
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: #f/AIl r6
Site Plans:
Building Plans: ##
Building Permit#: nler building perTitfi above.
Workflow Routing: PlanningPermit Coordinator ding
Workflow Sign-off: ErScn_Off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: {�C Date: l//s't.6'
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
0 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:
C Fees Entered: Wash Co Trans Dev Tax: 0 Yes /A
Tigard Trans SDC: 0 Yes yi,,N/A
Parks SDC: 0 Yes N/A
7rOK to Issue Permit
i
.4i/ ► Date: 7 ii r
pproved by Permit Coordinator:
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:
16550 SW 72ND AVE B9, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00311
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor