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Permit
CITY OF TIGARD BUILDING PERMIT 1, ' , COMMUNITY DEVELOPMENT Permit #: BUP2013 -00052 T [GA.RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/13/2013 Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15495 SW SEQUOIA PKWY 140 Project: A Common Thread Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: TI Contractor: DURUS CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES 15806 UPPER BOONES FERRY RD ATTN: N PIVEN LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 320 -8601 PHONE: 503 - 624 -6300 FAX: 503 - 244 -4318 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB TDT - Transportation Development Tax 03/13/2013 $492.00 Occupancy Grp: M Occupancy Load: 52 DC Provision Review, COM TI - Ping 03/13/2013 $67.00 Dwelling Units: 0 DC Provision Review, COM TI - LRP 03/13/2013 $10.00 Permit Fee - Additions, Alterations, 03/13/2013 $797.22 Stories: 1 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 03/13/2013 $95.67 Value: $58,900 Plan Review 03/13/2013 $518.19 Plan Review - Fire Life Safety 03/13/2013 $318.89 Info Process /Archiving - Lg $2.00 (over 03/13/2013 $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 $2,304.97 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 at other applicable law. All work wit be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuanc- or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi - '•n Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You m ay obtain a copy of the rules or direct questions to OUNC by calli •. x.03.2 1987 or 1.: 90.332.2344. / /A Issued By: /I i O / t Permittee Signature: 1/( x( Call 503.639.4175 by 7:00 a.m. for the next available inspe• ion date/ This permit card shall be kept in a conspicuous place on the job site until c • •• • leti • of the projec Approved plans are required on the job site at the time of each inspectio Building Permit Application j� Commercial 1 �1E ]1 Fo12 OFFICE USE ONE \ R eceived Permit No.: : City of Tigard P�' D 066 `J g 2013 Dat i� 13125 SW Hall Blvd., Tigard, OR 97223 -- ` `� 2 0 2013 Plan Re w 0 Phone: 503.718.2439 Fax: 503.598.1960 ntt�� Date/B : 7�[ MI Other Permit: H�i0 AO/ 3 7/5 1! G A R D Inspection Line: 503.639.4175 a n Q 'IHGARD Date Ready i y: kris: ® See Page 2 for Internet: www.tigard- or.gov BO IM.N8ITtIISION Notified/Method: Supplemental Information , - TIIXPE CUF dh'OHK ' REQUIRED iDArFA. i- AND 24FAM LYD DWELLING G ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rotnded to the nearest dollar) of all , pAddition/alteration/replacement ❑ Other: equipment, materials, labor; overhead, and the profit for the t work indicated on this application. ' teVIIEG•OR1Y( OF tCO1 S' tRUCTLON i Valuation: $ ❑ 1- and 2- family dwelling 'Cominercial/mdustrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: " e °. • `' B arrE i O AND CAIVON ; Total number of floors: Job site address: t `So®0 Si) V.1/4Z New dwelling area: square feet City/State /ZIP: - 1 - 1 / - C 7 Garage /carport area: square feet Suite/bldg. /apt. no.: 4 * Project name: A_ ColmMC-A ll Covered porch area square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQiIJ WD DAT "A:cCQQMMERCIAL{USE:CUEdKi1IST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rotnded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the s --- - t 1 . 1. ® top "WOW'. : ',; - . work indicated on this application. '' Y- ,tAA, Ye) �h . I Y(° �'e. -1 F Valuation: $ Existing building area 5 12.1 square feet New building area: c 1 0,1 square feet a; •.' ' 1PROPEI$I`X i©J3'NER . ' , .4 ' [0 T1 N .NT ; , Number of stories: % Name: [( 190kcZYv c.d- Type of construction: d1 0 Address: , s St,o ��} V o `- 06.3..11 Occupancy groups: City/State/ZIP: te� a 4 ,7� 9 Existing: B Phone: (03) 604 (12.30a Fax: ( S ) t ct- -7 7s--- New: APPLICANT . ' _` , l❑ ` I 1 'ri , 7REQN i - $1IID�I l ` . � G iYlER11RT'FEEg ! Business name: 1n Structural plan review fee (or deposit): Contact name: 1(C.-�a� im e �V 1 Y , FLS plan review fee (if applicable): Address: Total fees due upon application: City/State /ZIP: ( ) 7 h1-, ( ) Amount received: Phone: TlJ Fax:: , � - � � E -mail: 0. IP 0iiikai elDIAR'PANEL,SINITEI1t1 +YEa* Y ..1 -- . . v �� .1 Commercial and residential prescriptive installation of - <CLOP]�RP1'�'Q'S)8 ,: ,:-'..,„_. , ..t , ,. .. , `'r roof -top mounted Photo Voltaic Solar Panel System. Business name: 3)u ,ro e u Ch6sn Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee (includes plan review $180.00 w ^�� and administrative fees): � Phone: ('S % 3./0 �� Fax: (� 1 (�, 1 State surcharge (12% of permit fee): $21.60 l CCB lic.: Q6 ' '� ' ..pl 1• Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 06 ... (V" Date: 2-12, I G * Fee methodology set by Tri -County Building Industry e� Service Board I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 613T(11 /02/COM/WEB) Building Division 1� I 31 Over- The - Counter (OTC) Building Permit TlcnRp Check List Project Description: 71 &a J(J /3 - 01,193 - )--- APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: ALT Occupancy Group: jtk V Type of Construction: 2i3 *Type of Use: COZ k. Occupancy Load: '52— Oregon Specialty Code: 20( 0 SPECIFICS Number of Stories: f 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: Yr Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ 5 j ! 3 , CU FEES DUE $ h7, CO DC Prov Rvw, COM TI — Ping $ 1 O , CO DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ 7`(7 Z2 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 615-, (, 12% State Surcharge Up to $4,999 $0.00 $0.00 $j, ("I Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ ';f t Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ (p 13D Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admire Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ (f )1a.97 TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo; END = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. L \ Building \ Forms \OTC - BUP.docx 07/01/2012 'PI Building Division Development Code Provision Review T I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: ( 01 P ao 13' 0.0.06-, a Expedited Review Project Name: A CoEtHdlJkQ_iA- Site Address: 1 5 9 5 (-D ScQuo i RKluy , Suite /Bldg #: 0 Plans Routed: Original Plan Submittal Date: , . 8" i 3 Routed By: ( 1" Revision Submittal Date: g' / 5 Routed By: 2nd Revision Submittal Date: Routed By: 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 approved. Planning Review (contact Iin i. — at (503) 718 -2 ? /or Al ills @tigard- or.gov) Proposal: Ir EIoQ I VYI proie:wilts t9 01 CC oclFrk• lq-(M i I I/c, -c Zoning HP Permitted Use Yes E( No ❑ Land Use Required: Yes GY No ❑ Notes: I MtY4� �00tTI(01�vv rP/� G1M ri�lolln/r a (Aft, -f fiv i f1 �l <0 in / [i __ / / �ilbri / / 2 / 3 • /! A pproved (Not p r ved ❑ DCPR Not Required — No DCPR Fees Due Date Routed to Building: :// 3 I: \CURPLN\Masters\Development Code Provision RevievkDCPR_COM_NoLandUse.doc Rev. 01/16/13 Il City of Tigard ° TDT — COUNTYWIDE TRANSPORTATION DEVELOPMENT TAX TIGARD Rate Calculation Worksheet 64'801013 _vaOsc APPLICANT P.6ii_ Rei9/- TY DATE 7 /, ; " 3 MAILING ADDRESS / 5 3 S ,5W c5ga tto t � 4 y PREPARE H CITY / ZIP / PHONE 7j-,,,,, 1.72.1..-4/ PLANS CHEC j .R 0) 3 - 000 3 TAX MAP # S i Z b j d PROJECT TITLE // �J a � SITUS # ADDRESS y FORMER USE(S) U CODE UNITS X RATE _� I DESCRIPTION /NOTES l it () �i x 1 Cv r6 I F =7 3 3 2- . `� / 3 G�rce Ka ,O i `e-C x = � x = x = TOTAL TDT, FORMER USE(S) FPROPOSED USE(S) ' U CODE UNITS X RATE _� DESCRIPTION /NOTES / Tat Si x172. ?4 _ r7 , v' x cQJS g9C-7 3'v x 36 K.7 - ( 369 evT1. reAt%eZ x = � rW 2r- ��o , 4P/cE o TOTAL TDT, PROPOSED USE(S) /J 3 7 / 5 4 • u .se --- vi � Lz90 , LESS TOTAL TDT, FORMER USE(S) - 3 i. 0 3 2 ' TDT INCREASE /(DECREASE) 1 .4q ' ' ' SE =TDT DUE) PAYMENT METHOD CASH /CHECK 4FE ne�� CREDIT 1v2/�J E - C L D Pic.E ° GOD jFE S/ 3 '-TGDc7 Yr. (C BANCROFT AGREEMENT % 7 - C-EAI `Re ;79' = 7a0 9VF (PROMISSORY NOTE) 5 %906';-= 7 3 Ed5 DEFER TO OCCUPANCY ` f. 3E-5 o l 5 : C I /OFS /CD /FORMS /TDT Rate Calculation Worksheet.indd (Rev. 4/22/09) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15495 SW SEQUOIA PKWY 140, TIGARD, OR, 97224 Commercial - Building 299 Final inspection 03/29/2013 00:00 BUP2013-00052 FAIL Lo voltage approval needed Bond low voltage rack Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15495 SW SEQUOIA PKWY 140, TIGARD, OR, 97224 Commercial - Building 299 Final inspection 04/10/2013 00:00 BUP2013-00052 PASS - C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15495 SW SEQUOIA PKWY 140, TIGARD, OR, 97224 Commercial - Building 299 Final inspection 04/10/2013 00:00 BUP2013-00052 PASS - C of O Violation Summary: Inspector Contractor