Permit (3) CITY OF TIGARD BUILDING PERMIT
''- COMMUNITY DEVELOPMENT 1111
Permit#: BUP2019 00341
f
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2019
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 190
Project: Integrity Medical Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for existing tenant: Demolition and office reconfiguration.
Contractor: SAGE CONTRACTORS INC Owner: PACIFIC REALTY ASSOCIATES
12210 SE 162ND AVE ATTN: N PIVEN
CLACKAMAS, OR 97086 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI-Ping 12/18/2019 $102.00
Occupancy Grp: B Occupancy Load: 35 Permit Fee-Additions,Alterations, 12/18/2019 $393.11
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/18/2019 $47.17
Stories: 0 Height: 0 ft Plan Review 12/18/2019 $255.52
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/18/2019 $157.24
Value: $20,525 Info Process/Archiving-Lg$2.00(over 12/18/2019 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $961.04
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: n Permittee Signature: � ^ .:..�-? ______i
" 6:6-11 503.639.4175 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
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVED Received Permit No.: i
g Date/B i ilii /'i� ,„,a,
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1961EC 1 8 2019 DateB : , M -4 Other Permit:i
TI c n R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.ti and-or oV Notified/Method: a
g g CITY OF TdU�RD ! T1 ts►,s _ Supplemental Information
TYP1 a REQUU W DATA:I-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:190 Project name:Integrity Medical TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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.
Project consists of remodel work to 3,442 SF of existing office space.Work incl Valuation: $20,525
4r'c-L
selected demo of existing non structural walls,non structural drywall/metal Existing-benMi ig.area: 3,442 square feet
studs walls,doors/frames,painting,elec distribution,lighting. New bolding ea: 3,442 square feet
® PROPERTYINER ❑ TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: II-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP: Portland,OR 97224 Existing: B
Phone:(503)624-6300 Fax:(503)624-7755 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
Contact name:Roberty Bumcrot
Address: 15350 SW Sequoia Parkway,Suite 300 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97224 Total fees due upon application:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com "
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sage Contractors Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:14785 S.Lotus Lane Solar Installation Specialty Code checklist.
City/State/ZIP:Oregon City,OR 97045 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 lic.: 127944 Total fee due upon application: $201.60
Authorized signature: 4 � �^ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
mlcrot Date: j�I q * Fee methodology set by Tri-County Building Industry
Print name:Robert Bu1 i Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 0/4/094l‘-f00( i t i
Site Address: �6S0 SW \ctit malt Lo,,t Suite/Bldg#:
Project Name: 1'\J ( 7/
(Name of comitiercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: p, J1-
Existing
1-
Existing Business Activity: 0
Proposed Business Activity: 0
[_ Verify site address/suite# exists and active in permit syst�e '.
[ /po�'ver Terrace Neighborhood: ❑ Yes 4J No
ring: 1-1°
g Permitted Use: Ly'Yes ❑ No ❑ Spec Space
Lam'Co firm no land use required.
Ey t i'Business License:
Exists: [ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: CLy/ Date: 11-tr-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: /a /1 f f�/01
Site Plans: # j�/,1.
Building Plans: # '3
Building Permit#: [ .nter building permit#above.
Workflow Routing: ning El Permit Coordinator ❑ Building
Workflow Sign-off: [ S' -off for Planning(include notes from planning review)
Route Application Documents: [T Wig: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ��d, ..„,Amor" Date: 1,,,1//5/it"
I:\Building\Forms\BldgPermitRvw_COM_No LandUse_111819.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: ❑ Yes 0 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 111819.docx
Branden Taggart
From: Branden Taggart
Sent: Tuesday, December 10, 2019 7:56 AM
To: Casey Heaney
Cc: #Building Permit Technicians
Subject: RE: Over the Counter Request (2)
Attachments: Branden Taggart2.vcf
Hi Casey,
The fees for the Integrity Medical TI are listed below without the archiving fees. I checked with Tom, and he is willing to
complete an OTC appointment tomorrow at 2:00 p.m. if you can meet then. Please let me know if you would rather
move this appointment to tomorrow.
Fee Cat F F Metecchac1020,525A0 vi Fee Total 504
1-51)15
Date F item WOO gag Em Slats Adhis1ed
Assessed
0 121 19 vita P r Tl f, f Each $102
C� 00
NEW
0 12/10)2D19 Penne Fee•Aftens Renew Dern 1 Each 9311 NEW
0 12'1 1519 Plan kettleW-FeteSailkt Each $157.24 NEW
0 1V1 19 DaNvei Each $25.53 NEW
1741 19 1 Slate Sur e.8 t Each 7,17 NEW
Thank you,
Branden Taggart
II
City of Tigard
Senior Permit Technician
Attp Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandentf'tigard-or.you
From: Casey Heaney<CaseyH@PacTrust.com>
Sent: Monday, December 9, 2019 4:46 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc:Julie Drinkwater<JulieD@tigard-or.gov>; Branden Taggart<brandent@tigard-or.gov>
Subject: Over the Counter Request (2)
Caution! This message was sent from outside your organization.
Hello to All,
1
I'd like to schedule an over the counter appointment for the following project:
Pcco240— Integrity Medical (existing tenant—alterations within space)
Pacific Corporate Center
6650 SW Redwood Lane, Suite 190, Portland, OR 97224
Scope:
DERCK' OF WORK
Project conSEstt of re 4 4*el work to 3,442 SF ofexisting office slum Work incl
selecteddemo ofexistE non structural walls, non structural dryisal r�nct l
studs walls,doors/frames, painting,etre distribution„ titin
Valuation: 520$25
Existing lin area: 3,442 squ feet
New building 3,442 square feet
Number f mimics: 1
Type of construction: Il-
Occupancy grows:
Existing:
New:
You'd mentioned that an appointment is available tomorrow at 2 PM for our second OTC (related to suite 160 vacancy
OTC). Can you please confirm?
And when you have a chance, can you please also provide a fee summary?
Thanks,
Casey Heaney (Dolliver)
Construction Administrative Assistant
PacTrust
15350 SW Sequoia Parkway
Suite 300
Portland OR 97224
Main 503.624.6300
Direct 503.603.5434
caseyh(pactrust.com
www.pactrust.com
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
2
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."
City of Tigard • BUILDING DIVISION
w
' Over-The-Counter (OTC) Building & Fire Protection System Permit
T I G A R D Appointment Checklist
Permit Record#: 9 i 42611-0u 3'l j
Contact Name: Phone #: ,3i)6 63do
��
Business Name: , ,`.% t77- Appt. Date/Time: X02 /g/I7 a,&"
Site Address: 165—D Sv �, r tpl irk) Bldg/Suite #: /'7o
Project Name:✓) mel'
, ,G.e{{ New Tenant? ❑ Yes A No
Project Description: J,' .ems, 41.9)Le_ ree,.vv., ..-„,--)i'd,...),
Existing Use: e New Use: ,
MMD Required: ❑ Yes "No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION _
Class of Work: itT Occupancy Group: IS Type of Construction: -B
Type of Use: Occupancy Load: 2 S— Oregon Specialty Code: 1)..( 5-C. c'4
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: 34L 1 . Accessory Structure: Covered Porch:
Basement: J 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: ,L9j Fire Alarms: Smoke Detectors:
Sprinkler Type: y 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: $ )6 1 5;5— FEES DUE
$ 1 0-2,„,„„0":" DC Prov Rvw,COM TI—Ping
$ 3,13, I( Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI-Effective 7/1/2019 $ 41 , I1 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ /5-7, a Li Plan Review,Fire Life Safety
$5,000-$74,999 $102.00 $ Le,pc, Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $254.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $406.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ ,� Other:
Date/Time: $ q'(st .b(l TOTAL FEES DUE
I:\Building\Forms\OTC_B U P_FPS_070119.d o cx