Permit CITY OF TIGARD BUILDING PERMIT
: .' COMMUNITY DEVELOPMENT Permit#: BUP2019-00072
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2019
T(( A 1=Ca g Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15858 SW UPPER BOONES FERRY RD
Project: Ideation Subdivision: None Lot: None
Project Description: 3,000 sf office and warehouse renovation. Including drywall,metal studs,suspended ceiling,doors,and frames.
Contractor: SAGE CONTRACTORS INC Owner: PACIFIC REALTY TRUST
12210 SE 162ND AVE ATTN: N PIVEN
CLACKAMAS, OR 97086 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-558-1009 PHONE: 503-624-6300
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 03/26/2019 $98.00
Occupancy Grp: B Occupancy Load: 20 Permit Fee-Additions,Alterations, 03/26/2019 $464.97
Demolition
Dwelling Units: 0 12%State Surcharge-Building 03/26/2019 $55.80
Stories: 0 Height: 0 ft Plan Review 03/26/2019 $302.23
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/26/2019 $185.99
Value: $25,410 Info Process/Archiving-Lg$2.00(over 03/26/2019 $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 $1,110.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may/.tain a copy of he rules o .irect questions toe. , by calling 503.232.1987 or 1.800.332.2344.
Issued By: i�II A1.40
- Permittee Signature: alv1/...00r-)
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
" Approved plans are required on the job site at the time of each inspection.
Building Permit Application
z CEI
Coni t'1`rcial ioR 01 1 1( 1. t sl:0\I.l
Dl Of Tigard MAR 2 6 c la}` wed /,
laateBy: n id tt Pam -�)7_
114 `J g i
�,a 13125 SW}[all Blvd.,Tigard,OR 97223 CITY OF TIGP [review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 �p��{ /��. 3,a6_11
'a1 g–1
it( A2iI) Inspection Line: 503.639.4175 BUILDING Uj�tBziI1eaeady/By: Luria: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method. l supplemental Information
•
triFq
n, .410—,';'':"$',. n ,.. .: �.a�fe._t „ ` �. <'�.,�; .�* � „, i hest � .. --.4 �..� "'_4444 "i .do-, ': 3/,.ui4::.«a b
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
045 ,,-� � ,. .z, .,. .V.t '.0„.::-..,„ . ,,� ,„f,' r . it ,706, work indicated on this application.
❑ I-and 2-family dwelling Valuation: $
®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
y a '' r t �� IAL` § 'a t 9 �„ § ®ate 4 ,, -°'-,' 'total number of floors:
Job site address:15858 SW Upper Booties Ferry Road New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 97035 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Ideation TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no equipment,materials,labor,overhead,and the profit for the
: 1 * 4 ' i it s 'iY l ' ' work indicated on this application.
Project consists of renovation work to 3,000 SF of existing office and warehouse Valuation: $$25,410.00
space.Work shall include but not be limited to drywall/metal studs,suspended Existing building area: 3,000 square feet
ceilings,doors I frames,and painting.All work to meet ADA requirements. New building area: 3,000 square feet
t .,, -. .' �T a t r , W.fix t 4 %11, Number of stories: I
Name:Pacific Realty Associates,LP. Type of construction: III-B
Address:15350 SW Sequoia Parkway,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
i,,,,',1,,,,,,,'-, , „, littyAte° e " -v :: , _ � �o�,
R pa i t t s `�
.�
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
Contact name:Ryan McGuire
FLS plan review fee(if applicable):
Address:15350 SW Sequoia Parkway,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Phone:(503)624-6300 I Fax::(503)624-7755 Amount received:
E-mail permtts(jpaclrust.com/ryanm@pactrust.com ' � €
�a , ' Commercial and residential prescriptive installation of
a, . „ e s "„�= ,�'�. t •roof-to mounted PhotoVoltaic Solar Panel System.
Business name:Sage Contractors Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:12210 SE 162nd Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Clackamas,OR 97086 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)558-1009 Fax:(503)558-8009 State surcharge(12%of permit fee): $21.60
CCB lie.: 127944 Total fee due upon application: $201.60
Authorized signatu : Alio This permit application expires if a permit is not obtained
A within 180 days after it has been accepted as complete.
Print name:Ryan Guir Date:3/14/19 * Fee methodology set by Tri-County Building Industry
Service Board.
1.1Building\Permitsl13UP-COM PermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
111 I Over-The-Counter (OTC) Building & Fire Protection System Permit
T i c e lZ F) Appointment Checklist
Permit Record#: 6hoada cf_06671
Contact Name: CSS r /e�H r� Phone#: 57/3 '7;c'3 .<It 3y-
Business
yBusiness Name: /41vr u S 7-- Appt. Date/Time: ..7/2,‘„,./2r .. / ; ,.
Site Address: 1 c55i✓ -/ Za.rect SWA- Bldg/Suite #:
Project Name: -g- a-t7N i New Tenant? 0 Yes ❑ No
Project Description: gj obe, S-f` ,e ..,p ' l.✓a re-4664.c,,c____C- "_tom c�.c� ,/.41-14,&//'
/H t'r/$7pc 4 5 u spi- idccl L°&lllitf..1�ze,e9 use,�:/14�(k'7
Existing Use: , r5 ,� New Use: /5' S.�
MMD Required: 0 Yes p.-No Related Record#:
APPLICATION SPECW DepRmATioN '-
GENERAL INFORMATION
Class of Work: 10,1-7- Occupancy Group: 45/A 2 Type of Construction: 3.f
Type of Use: CO, Occupancy Load: !� Oregon Specialty Code: avl/
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: Al Fire Alarms: Al 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: $02' 11/0 ,
$ DC Prov Rvw,COM TI Ping
$ Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ IC- 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ 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: IA 1 $ Other:
Date/Time: $ TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
•
Julie Drinkwater
To: Casey Heaney
Cc: Ryan McGuire; Dick Krippaehne;#Building Permit Technicians
Subject: RE:OTC Requests
Hello Casey
I have scheduled all three OTC appointment per your request.
The fee estimates for each of these OTC appointment are listed below. Please add the following fees based on the
number of pages for one plan set:
• Info Process/Archiving-Small $0.50(up to 11x17)
• Info Process/Archiving- Large $2.00(over 11x17)
Ideation
al ue(Contractor)$25,410.00 v Fee Total $1,106.99
Fee Kern Quantity Unit Fees
DC Provision Review.COM TI-Ping 1 Each $98.00
Permit Fee-Additions.Alterations.Demolition 1 Each $464.97
Plan Review-Fire Life Safety 1 Each $185.99
Plan Review 1 Each $30223
12%State Surcharge-Building 1 Each 355.80
Dianna Harrison
alue(Contractor)$52,721.00 v Fee Total $1,729.93
Fee Item Quantity Unit Fees
DC Provision Review.COM 11-Plnq 1 Each $98.00
Permit Fee-Additions.Alterations.Demolition 1 Each $752.04
Plan Review-Fire Life Safety 1 Each $300.82
Plan Review 1 Each $488.83
12%State Surcharge-Building 1 Each $90.24
Spec space
(alue(Contractor)$15,806.00 V Fee Total $786.02
Fee Item Quantity Unit FFees
DC Provision Review.COM 11-Plnq 1 Each $98.00
Permit Fee-Additions.Alterations.Demolition 1 Each $317.06
Plan Review-Fire Life Safety 1 Each $128.82
Plan Review 1 Each $206.09
12%State Surcharge-Buildinq 1 Each $38.05
Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Casey Heaney [mailto:CaseyH@PacTrust.com]
Sent:Thursday, March 21, 2019 3:11 PM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc:Ryan McGuire<RyanM@PacTrust.com>; Dick Krippaehne<DickK@PacTrust.com>;#Building Permit Technicians
<TigardBuildingPermits@tigard-or.gov>
Subject: RE: OTC Requests
Hi Julie,
Please reserve the following appointments:
• Tuesday, March 26, at 10:00am - Ideation
• Wednesday, March 27, at 10:00am ? Dianna Harrison TI
• Thursday, March 28, at 10:00am ? Harrison Vacancy Spec
There is no suite number for Ideation. Each tenant in that building has a separate address.
Are you able to provide a summary of the fees due for each so I can have checks cut prior to the appointments?
Thanks,
Casey Heaney(Dolliver)
Construction Administrative Assistant
PacTrust
15350 SW Sequoia Parkway
Suite 300
Portland OR 97224
2
Main 503.624.6300
Direct 503.603.5434
caseyh(c�pactrust.com
www.pactrust.com
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Thursday, March 21,2019 1:39 PM
To:Casey Heaney<CaseyH@PacTrust.com>
Cc: Ryan McGuire<RyanM@PacTrust.com>; Dick Krippaehne<DickK@PacTrust.com>;#Building Permit Technicians
<TigardBuildingPermits@tigard-or.gov>
Subject: RE: OTC Requests
Good morning Casey
Thank you for your response. Because the scope of work for Routeware includes work in an area of 10,592
square feet, we are unable to schedule an OTC appointment for this project. We can only schedule an OTC
appointment when the area of work is 4,000 square feet or less.
For clarification, we are only able to schedule one OTC appointment per day.
I would be happy to schedule the OTC appointments for the three other projects. These appointment times
are still open.
Please enter the project name next to the desired appointment date and time below.
• Thursday, March 21, at 10:00am
• Tuesday, March 26, at 10:00am
• Wednesday, March 27, at 10:00am
• Thursday, March 28, at 10:00am
I also wanted to ask if there is a suite number associated with Ideation?
Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Casey Heaney [mailto:CaseyH@PacTrust.com]
Sent:Wednesday, March 20, 2019 9:47 AM
3
•To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc: Ryan McGuire<RvanM@PacTrust.com>; Dick Krippaehne<DickKc PacTrust.com>;#Building Permit Technicians
<Tigard BuildingPermits@tigard-or.gov>
Subject: RE:OTC Requests
Hi Julie,
Diana Harrison TI
• Scope Of Work: PROJECT CONSISTS OF REMODEL WORK OF 2,379 USABLE SF OF EXISTING OFFICE
SPACE. WORK SHALL INCLUDE MINOR DEMOLITION, NEW NON-BEARING DRY WALL METAL STUD
CONSTRUCTION, NEW DOORS AND RELITES, NEW CASEWORK, RELOCATED PLUMBING, NEW
ELECTRICAL, ADJUST HVAC, ADJUST SPRINKLERS,AND NEW FINISHES. ALL WORK TO MEET ADA
REQUIREMENTS.
Harrison Vacancy Spec
• Scope Of Work: PROJECT CONSISTS OF REMODEL WORK OF 1,081 USABLE SF OF EXISTING OFFICE
SPACE.WORK SHALL INCLUDE MINOR DEMOLITION, NEW DOORS AND RELITES, AND FINISHES. ALL
WORK TO MEET ADA REQUIREMENTS.
Routeware TI
• Scope Of Work: PROJECT CONSISTS OF REMODEL WORK OF 10,592 SF OF EXISTING OFFICE AND
WAREHOUSE SPACE.WORK SHALL INCLUDE MINOR DEMOLITION, CONVERTING 1,600 SF OF
WAREHOUSE INTO OFFICE, NEW NON-BEARING DRY WALL METAL STUD CONSTRUCTION, NEW
DOORS AND RELITES, NEW CASEWORK, NEW PLUMBING, NEW ELECTRICAL, ADJUST HVAC, ADJUST
SPRINKLERS, AND NEW FINISHES. ALL WORK TO MEET ADA REQUIREMENTS.
Hopefully these scopes are acceptable. If so, please reserve the following appointments:
• Thursday, March 21, at 10:00am
• Tuesday, March 26, at 10:00am
• Wednesday, March 27, at 10:00am
• Thursday, March 28, at 10:00am
Thanks,
Casey Heaney(Dolliver)
Construction Administrative Assistant
PacTrust
15350 SW Sequoia Parkway
Suite 300
Portland OR 97224
4
Main 503.624.6300
Direct 503.603.5434
caseyhpactrust.com
www.pactrust.com
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Tuesday, March 19, 2019 1:08 PM
To:Casey Heaney<CaseyH@PacTrust.com>
Cc: Ryan McGuire<RyanM@PacTrust.com>; Dick Krippaehne<DickK@PacTrust.com>;#Building Permit Technicians
<TigardBuildingPermits@tigard-or.gov>
Subject: RE:OTC Requests
Hello Casey
Thank you for providing additional information about the scope of work. It looks like we might need more
specific information. For example,the scope of work could read, ?Minor demolition, new wall, ceiling, doors,
relites and finishes.?
I also wanted to ask if there is a suite number associated with Routeware, or Ideation?
At this time we offer one OTC appointment each Tuesday, Wednesday, and Thursday, at 10:00am.
Our next available OTC appointments are the following dates/times:
• Wednesday, March 20, at 10:00am
• Thursday, March 21, at 10:00am
• Tuesday, March 26, at 10:00am
• Wednesday, March 27, at 10:00am
• Thursday, March 28, at 10:00am
We will be happy to schedule the OTC appointments as soon as we have more specific information about the
scope of work and the suite numbers.
5
•Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Casey Heaney [inailto:CaseyH@PacTrust.com]
Sent:Tuesday, March 19,2019 11:06 AM
To:Julie Drinkwater<JulieD(a)tigard-or.gov>
Cc: Ryan McGuire<RyanM@PacTrust.com>; Dick Krippaehne<DickK@PacTrust.com>;#Building Permit Technicians
<TigardBuildingPermits@tigard-or.gov>
Subject: RE: OTC Requests
Hi Julie? Please see below in red
I can also send you the plans ahead of time if you need additional information.
For the appointments, is there any possibility of doing more than one per day rather than 4 separate days?
Thanks,
Casey Heaney(Dolliver)
Construction Administrative Assistant
PacTrust
15350 SW Sequoia Parkway
Suite 300
Portland OR 97224
6
Main 503.624.6300
Direct 503.603.5434
caseyh(a�pactrust.com
www.pactrust.com
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Tuesday, March 19,2019 8:49 AM
To:Casey Heaney<CaseyH@PacTrust.com>
Cc: Ryan McGuire<RyanM@PacTrust.com>; Dick Krippaehne<DickK@PacTrust.com>;#Building Permit Technicians
<TigardBuildingPermits@tigard-or.gov>
Subject: RE:OTC Requests
7
• Hello Casey
Please provide us with some more information about the scope of work for the projects listed below. We
have all of the information that we need regarding the scope of work for the Ideation TI.
Diana Harrison TI
• Scope Of Work: Project consists of remodel work of 2,379 SF usable and 2,781 SF rentable of existing
vacant office space. Work shall include but not be limited to drywall/ metal studs, suspended ceilings,
doors/frames, and painting. All work to meet ADA requirements.
Harrison Vacancy Spec
• Scope Of Work: Project consists of remodel work of 1,081 SF usable and 1,264 SF rentable to existing
vacant office space. Work shall include but not be limited to drywall/metal studs, suspended ceilings,
doors/frames, and painting. All work to meet ADA requirements.
Routeware TI
• Scope Of Work: Project consists of remodel work to 10,592 SF of existing office and warehouse space.
Work shall include but not be limited to drywall/metal studs, suspended ceilings, doors/frames, and
painting. All work to meet ADA requirements.
Here is a list of submittal items needed for an OTC plan review appointment:
• Building permit application completed including address
• (3) copies of construction plans/floor plans
• Contractor identified on the permit application
• Funds to pay for all permit fees at the appointment.
Our next available OTC appointments are the following dates/times:
• Wednesday, March 20, at 10:00am
• Thursday, March 21, at 10:00am
• Tuesday, March 26, at 10:00am
• Wednesday, March 27, at 10:00am
• Thursday, March 28, at 10:00am
Thank you and please let us know what OTC appointment dates works best for each individual project.
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Casey Heaney Finailto:CaseyH@PacTrust.com]
Sent:Thursday, March 14, 2019 5:29 PM
8
•To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Branden Taggart<brandent@tigard-or.gov>
Cc: Ryan McGuire<RvanM@PacTrust.com>; Dick Krippaehne<DickK@PacTrust.com>
Subject:OTC Requests
Good afternoon,
We have 4 projects that I would like to schedule over the counter permit appointments for. Here?s the project breakdown:
pcc241 ? Diana Harrison TI
Pacific Corporate Center?pcc241-150
15350 SW Sequoia Parkway, Suite#150
Portland, Oregon 97224
Type II-B
Scope: All interior TI work; no exterior work
Value: $52,721
pcc241 ? Harrison Vacancy Spec
Pacific Corporate Center? pcc241-190
15350 SW Sequoia Parkway, Suite#190
Portland, Oregon 97224
Type II-B
Scope: All interior TI work; no exterior work
Value: $15,806
pbc196? Routeware TI
PacTrust Business Center? pbc196
16525 SW 72nd Ave
Portland, OR 97224
Type: Ill-B
Scope: All interior TI work; no exterior work
Value: $84,584
2obp173? Ideation TI
Oregon Business Park?2obp173
15858 SW Upper Boones Ferry Road
Lake Oswego, OR 97035
Type: III-B
Scope: All interior TI work; no exterior work
Value: $25,410
Can you please let me know what dates/times you have available?
9
•Thanks, .
Casey Heaney(Dolliver)
Construction Administrative Assistant
PacTrust
15350 SW Sequoia Parkway
Suite 300
Portland OR 97224
10
Main 503.624.6300
Direct 503.603.5434
caseyhpactrust.com
11
www.pactrust.com
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules ?City General Records Retention Schedule.?
12
City of Tigard
11/1 N COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
,u,
Building Permit #: W/ oi ?2-
Site
Address: 15? 5' S w u g°i2 QooY1f2j Suite/Bldg#:
Project Name: -T oe c, by v- €-rr (2_4.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T S 1-ni-eX1 o r Y`21'1 ov cA•k1c.
Existing Business Activity: No CAft n 9A
Proposed Business Activity: It i i
7 Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes An No
Al Zoning: 147
CPermitted Use: [if/Yes ❑ No ❑ Spec Space
VConfirm no land use required.
yi Business License:
Exists: ❑ Yes 121'No,applicant notified to obtain business license
Notes:
Approved by Planning: ('4 1��-- �� Date: 3 12-fo / I GJ
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 / l��
Original Submittal Date: 5 s
Site Plans: #
Building Plans: #
Building Permit#: O nter building permit#above.
Workflow Routing: `► Planning • %: Building
Workflow Sign-off: ► Sign-off for Planning(include notes from slam-ling review)
Route Application Documents: ki Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: /.�Aii )4 i4411 I Date: 3 /260 77
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 'pplicant:
Revision Notice 2: Date Sen "o Applicant:
Revision Notice 3: Date >-nt to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: El Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue P, mit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoIandUse 070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15858 SW UPPER BOONES FERRY RD, LAKE April 30, 2019 at 9:48:47 AM
OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Building BUP2019-00072
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor