Permit n CITY OF TIGARD BUILDING PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: BUP2013 00051
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/13/2013
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 100
Project: Language Line Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Interior Offices TI
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 892 -0066 PHONE:
FAX: 503 - 892 -0067
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee - Additions, Alterations, 03/13/2013 $902.64
Demolition
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 03/13/2013 $108.32
Dwelling Units: 0 Plan Review 03/13/2013 $586.72
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 03/13/2013 $361.06
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 03/13/2013 $8.00
Value: $72,600 11x17)
DC Provision Review, COM TI - Ping 03/13/2013 $67.00
DC Provision Review, COM TI - LRP 03/13/2013 $10.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,043.74
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 Notifi 1' - Those rules are set forth in OAR
952 - 001 -0010 OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calli : 03.232.1 • :00.332.2344.
Issued By Permittee Signature: ( �'�
Call 503.639.4175 by 7:00 a.m. for the next available inspe on date.
This permit card shall be kept in a conspicuous place on the Job site until co • • letio • • the project.
Approved plans are required on the job site at the time of each inspection.
Inspections Required for Permit No.: t t U d?O / 3 - 0005"
IVR Permit Permit Permit Description IVR Permit Per Permit Description
Code Type Code Type
01 BUP Building — structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re -Roof
05 MST Master — residential combination 11 CMS Commercial Manufact. Structure
06 PLM Plumbing 12 SFM Single- Family Manufact. Structure
✓ Reg Insp n Code
Inspection Description J R n Code Ins Inspection Description
Inspection p p Inspection p p
Building (structural) inspections Electrical inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough -in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
235 Shear walls /anchors 135 Low voltage
240 Exterior sheathing 140 Sign installation
242 Interior shear walls 145 A/C or heating unit circuit
245 Firewall 150 Hot tub /spa/pool
250 Roof nailing 195 Misc. inspection
255 Wtr proofing basement walls 199 Electrical fmal
260 Tilt -up panel
265 Masonry Mechanical inspections
270 Reinforcing steel (rebar) 605 Post/beam mechanical
275 Framing 610 Gas line
280 Insulation 615 Mechanical rough -in
285 Drywall nailing 620 Hydronic piping
287 Suspended ceiling 625 Duct work
289 Approach/sidewalk 630 Fire damper
/295 Misc. inspection: 635 Smoke detector shutdown
V 299 Final inspection 640 Exhaust hood
695 Misc. inspection
Fire Protection System inspections 699 Mechanical final
905 Sprinkler underfloor /slab
907 Sprinkler hydro test Plumbing inspections
910 Sprinkler rough - in/test 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
Site Work inspections 340 Storm drain
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection
420 Sprinkler supply lines 399 Plumbing fmal
495 Misc. inspection
498 Grading final Sewer inspections
499 Final inspection 505 Sanitary sewer
585 Misc. inspection
Erosion Control inspections 599 Final inspection
750 Initial erosion control
755 Regular erosion control Manufactured Structure inspections
798 Final erosion control 805 MFG - Structure grading/footing
810 MFG - Structure set -up
I: \Building \Inspection Cards \AOP Insp Card By Case\ InspCard_All_070112 899 MFG - Structure final
Building Permit Application
Commercial FOR OFFICE USE ONL1 •
City of Tigard RECEIVE"' AJ� Received Q
}�, }� 3 AN Permit No.: / 0 ( ' v(o 5
'•J • g DateB
® S50 Hall Blvd., TF3. 97223 M AR 2 013 Plan Review l�
: IN - Phone: ax: 50: 503.718.2439 Fax: 503.598.1960 6 DateB : Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready : y: Jung /s ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: 3 (p/I 3 (' (..0 Supplemental Information
.
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❑ New construction ❑ Demolition Permit fees" are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
►i Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
<. . , i �j t — } '47 r sr k a� 411 et7T1+ work indicated on this application.
i" ' ^'" �1 4 ;914 as � ° � � S . C O �d0 ¢ 0 :1. l � i ti 1
Valuation: $
❑ 1- and 2- family dwelling 'Commercial industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
1 � -' o 5,02,--47x43.,,-777,-..• I ! o Y tl u r Y , o f "4` K'' Total number of floors:
�S'Sr Si,.. 14' ,�� a, , �;:. k:�+ � r rE;c 2 u !
Job site address: 1 \\S 6t,,J Sere) Q la. QtiLtA 1.( New dwelling area: square feet
City/State /ZIP: 1 l a_ ,- k o-,2_. 9 7 u Li J Garage /carport area: square feet
Suite/bldg. /apt. no.: \OQ' I Project name: 11 Valk. L
(„� wKit, Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
a o I MO '` (e(ki ! l T- s Irt.>ti . �cl F '9 tl 1�
Subdivision: I Lot no.: Permit fees" are based on the value of the work performed.
Tax map/parcel Indicate the value (romded to the nearest dollar) of all
no.: equipment, materials, labor, overhead, and the profit for the
..,a. y' 3 • '' ',�'r ' - ?.4c-„�,,_• 7� x rs x •7�" K r ',,"'"Y+.; � rF �i,- •tzr,..,,m,
IA:MT i , -,.•5) �1 1�t I+?'n``��„(i0 �� + # '� w� ), r�'r - + S. i ��� Ar work indicated on this application.
>4�41'iL +S 7:-1...:Sti �^ .+> , -?,., 1 ads 4_ a a. 4-.. u l @iii,Qk= ,.,.1''1W2). cn l 'x. 1
t Y\\- Qilro-le- D -1.-1 Valuation: $ �Z ( (J
Existing building area f3140 square feet
New building area: 8/ t4.0 square feet
Vx > - a o a � ;. # r y +I� 4 ' Number of stories: 2
� fic „S' t i _ y --..._� y.". —� ,., , ... �T� d' n = ,._. j am... " :
Name: k -Tiv Czbl— Type of construction: 111 _ 6
Address: I S" SW ` CAC- Occupancy groups:
1 City/State /ZIP: �ar . (712- a s-7224 Existing: TS
Phone: w /
) ( .. UL30a Fax: I ) la2 * -7755 New:
14) -... ': t i _ b y: t l'? i v s 1 s r3.T..k ' , mss '"""'' ,: lr ira -7 - -
hY . .. 11 ." , �C •G,'s`.-d ..A9 �I r J . r + ^' - vY S `t ? `; ®; C O 1 k . i (@ln' 10 0 \ ' `t � , a' •' itIfJ y '- "••' 1 1 l e, . ; ( ,r ! ' c l � I .l'J t ^1� 5 � r f s i ,
�%sa'� = •,: . -, §z'�2' - 'r. . mss_ -z ::;t<:i•^ ,��si. .2..3u s . 1 - 9 J . z r r� 'u . tea 3 } : M
Business name: < a�v� (L l ?1, 3�€ , -.s u "v
Structural plan review fee (or deposit):
Contact name: e N/1e�V 1 Y � �
U FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
( ) Amount received:
Phone: (S53) WA-10 I Fax:
E -mail le- • 1 AA # Q .� *2ze . , _ ` 2 • ,.zr -.
prescriptive and residential tive installation of
X 7 1 ,: rte ' 3 � ' W`F l i . �r t rtt4: -ills ll P p
i h- r- "W., --" �' ; �3s Ca .. 1A1;C, , 0 �..c a ut..', -.. v 2,..' :
e.lise`� - .2: ''R P Y
�;, ; �j roof -to mounted Photovoltaic Solar Panel System.
Business name: 0 `60,,c‘ Co,A6, V CA - (a/1 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: 7 Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) ,1l-' Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: (1,€)70/ 0 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: nrw- Date: 3 � � " Fee methodology set by Tri County Building Industry
�. Service Board
•
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440 -4613T(11 /02/COM/WEB)
. CITY OF TIGARD FEE AND PAYMENT HISTORY
Q 13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
TIGARD
BUP2013 -00051 - 15115 SW SEQUOIA PKWY 100, TIGARD, OR 97224
Revenue Payment
Fee Description Account Number . Fee Amount Invoiced Paid Date Paid Method Receipt # Due
Permit Fee - Additions, Alterations, 230 -0000 -43104 $902.64 $902.64 $902.64
Demolition
12% State Surcharge - Building 100 -0000 -24001 $108.32 $108.32 $108.32
Plan Review 230 -0000 -43106 $586.72 $586.72 $586.72
Plan Review - Fire Life Safety 230 -0000 -43108 $361.06 $361.06 $361.06
Info Process /Archiving - Lg $2.00 (over 230 - 0000 -43135 $8.00 $8.00 $8.00
11x17)
DC Provision Review, COM TI - Ping 100 - 0000 -43112 $67.00 $67.00 $67.00
DC Provision Review, COM TI - LRP 100 -0000 -43117 $10.00 $10.00 $10.00
Totals for Fees $2,043.74 $2,043.74 $0.00 $2,043.74
Receipt # Payment Method ' Check # Payor: Receipt Date Receipt Amount
Total Payments: $0.00
Balance Due: $2,043.74
•
Building Division
a
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: ( , ( , ( , P / 3 - ObO 7
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: j Occupancy Group: Type of Construction:
*Type of Use: 607A Occupancy Load: 4 f0 Oregon Specialty Code: 2fi(0
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ . GOO FEES DUE
$ Cr") DC Prov Rvw, COM TI — Ping
• $ 411411 DC Prov Rvw, COM TI —LRP
DC Provision Review'Fee for COM TI $ '�Q'Z_, A Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ j '32 -12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 'Z Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 6 , oa, Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ ; Z ) 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. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 20 FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
1: \ Building\ Forms \ OTC-BUP.docx 07/01/2012
Building Division
D evelopment Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit o: ISAA4 1 ! �� gl Expedited Review
Project Name: L ` (/
Site Address: S' , ?) 4 Suite/Bldg #: ,
Plans Routed: / /
Original Plan Submittal Date: 5 / 4 //.3 Routed By:
1st Revision Submittal Date: Routed By:
2 ° 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 on if approved.
Planning Review (contact at (503) 718Mor @tigard- or.gov)
Proposal: M
Zoning
Permitted Use Yes LJ No ❑
Land Use Required: Yes ❑ No Lff
Notes:
V Approved ❑ No Ap roved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building:
1: \CURPLN\Masters\Development Code Provision Review\DCPR_COM NoLandUse.doc Rev. 01/16/13
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
15115 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
05/23/2013 00:00
BUP2013-00051
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
15115 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
05/23/2013 00:00
BUP2013-00051
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
15115 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
03/29/2013 00:00
BUP2013-00051
FAIL
Low voltage approval needed ELR2013-00065
Violation Summary:
Inspector Contractor