Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 00028
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2011
Parcel: 2S112DC00500
Jurisdiction: TIGARD
Site address: 15887 SW 72ND AVE
Project: Knouf Investments Subdivision: OREGON BUSINESS PARK III Lot: 40
Project Description: TI - office build -out, new ADA restroom.
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
5320 SW DOVER LN 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97225 PORTLAND, OR 97224
PHONE: 503 - 892 -0066 PHONE: 503 - 624 -6300
FAX: 503 - 892 -0067
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 02/03/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 02/03/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 02/03/2011 $842.40
Stories: 2 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 02/03/2011 $101.09
Value: $65,000 Plan Review 02/03/2011 $547.56
Plan Review - Fire Life Safety 02/03/2011 $336.96
Info Process /Archiving - Lg Sheet (over 02/03/2011 $6.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,907.01
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 a • • - ith approved plans, This permit will expire if work is not started within 180 days of issuance, or 'f work is sus•ended for more the 180
days. NTION: Oregon -,law - • uires you to follow the rules adopted by the Oregon Utility Notification Cent- Those es . - set forth in OAR
952 -' • -0010 through OAR 952 -• .1-00* may obtain a copy of the rules or direct questions to OUNC by calling 503.232 • • • r 1.80 32.2344.
Is- ued By: / Perm ittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspe ion d r
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 OFF1cF. t SE OM.)
City of Tigard ) 3 2011 nausea Per mit No.: 4 , // Cb--4.,.
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan WAS Review—
t ] � Other Permit:
■
Phone: 503.718.2439 Fax: 503.598.1960 ( DateB : 4 �y
T I G A It l) Inspection Line: 503.639 VI� 0 S IO N Date Ready turiS ® See Page 2 for
Internet: www.tigard - or.gov r+I 11I S11 Y Notified/Meth Supplemental information
TYPE OF WORK REQUIRED DATA I- AND 2- FAMILY DWELLING
❑ Demolition Permit fees* are based on the value of the work performed.
❑ New construction Indicate the value (rounded to the nearest dollar) of all
a Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRU N work indicated on this application.
❑ 1- and 2- family dwelling m
omercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: _/ . g g 7 � 0 �� New dwelling area: square feet
City/State /ZIP: !L� �f Y/ Garage /carport area: square feet
Suite/bldg. /apt. no.: rPro ct name: e` r � J U - ,- P^ , 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: I 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 WOR ' WORK ' ; ' - work indicated on this application.
(1 --= C
2 / JJ% 0 , Valuation $ , e'
AiC A n , /1 �� 5 , fo Existing building area: s quare feet
J New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction: ,J) N
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City/State /ZIP: Portland, OR 97224 Existing: J r'
Phone ( 503 624 6300 Fa " ( 503 ) 624 7755 New
r *,u;.a` Via. .6. g ^.- t r s . 0 1c.�z -
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Dennis Pagyti under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy. , Suite 300 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 I Fax: : ( 503 ) 624 - 7755
E -mail:
Business name: /?2 11��/ „ i n, a:/".....1 4^ J RUII. DING PERMIT FEES*
Address: Jam' / . N : (Please refer to fee schedule,, , : . x .
Structural plan review fee (or deposit):
City/State /ZIP:
FLS plan review fee (if applicable):
Phone:( ) Fax:( )
CCB lie.: Total fees due upon application:
Amount received:
Authorized signature:
L2 •-- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: / k1 N e S G-1:1,1,, Date: 'Z /�� }/ I * Fee methodology set by Tri-County Building industry
Service Board.
I:\Building\Permits\BUP -COM PennitApp.doc 09 /09/10 440- 4613T(l I /02/COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ .dD d
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
• Building Division
Development Code Provision Review
T i c n it o Commercial Projects - No Associated Land Use Case
Building Permit No: Po 10 ` ` " snoop ❑ Expedited Review
Plan Submittal Date:
To the Applicant:
• If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if if approved.
Planning Review (contact 0 h at 503 -718 -a'a �orr ,40 ' @ tigard- or.gov)
❑ Zoning T Permitted Use Yes CI No ❑
❑ Land Use Required: Yes ❑ No T" (explain below)
Notes: atm a/at •i$ art � /AGM' Pa'kAj ri.1 (new WO
L`s Approved ❑ Not Approved Date: re. 4 3,
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: ACURPLN