Permit CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit #: BUP2013 -00105
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2013
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 140
Project: A Common Thread Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Installation of 5" aluminum /plexiglass faced LED internally illuminated pan channgel letters & units
Contractor: BEAVERTON NEON Owner: PACIFIC REALTY ASSOCIATES
17250 SW AUGUSTA LN ATTN: N PIVEN
BEAVERTON, OR 97006 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 649 -1544 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee - Additions, Alterations, 05/14/2013 $195.38
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 05/14/2013 $23.45
Dwelling Units: 0 Plan Review 05/14/2013 $127.00
Stories: 0 Height: 0 It Info Process /Archiving - Sm $0.50 (up to 05/14/2013 $1.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $7,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $346.83
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 Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198777 or 1.800.332. 344.
Issued By: �7 /) !' Permittee Signature: ���'/
Call 503.639.4175 by 7:00 a.m. for the next available inspectio date. 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 .e(eZ/ k)em —
Commercial RECEIVED F OR,OIFICE USE ONLY
City of Tigard RECEIVED Date/By:
1 & (( Permit No.: &A f P aol 3 -0 0 (05
q lig I3 I25 SW HaII Blvd., Tigard, OR 97223 Plan Review p
' 111 - MAY pg 2013 ��`\�, � (
Date/By: ',Other Permit: % �-uj 3 -0 (
Phone: 503 -718 -2439 Fax: 503 - 598 -1960
T I G A k D Inspection Line: 503 -639 -4175 Date Read 7 At Ed See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notifed/Met /B 17 3 Supplemental Information
BUILDING DIVISION C w( rev
TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING
New construction ❑ 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.
El I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /S'/' 5. 4/, S,t pk t9y. .4 / YO New dwelling area: square feet
City /State /ZIP: 'r JJqA ,,.. 22 ( , Q 2 9 72 z y Garage /carport area: square feet
Suite/bldg. /apt. no.:#/ 9 Project name: A e iii ",, a At Ii, rCcx d 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 72_0 0 ., 00
X. - ..l /G 01 s #+ 4 / .,u y, /f /exi cep
Z..19 k ct / /,/ // .�7 /tn+�'t;rna pAri CIA q c- / Existing building area square feet
Lae- e M vt . T-S New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: p c TrrA S -I- Type of construction:
Address: /530 j, J , Se7U a I )°le u✓ , / ,�"'a C! Occupancy groups:
City /State /ZIP: �
, ,,� V / /1 L R 17 2 f Existing:
Phone: () ` Z ti - 630e Fax: ( )
New:
gi APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: gQOC vc�� � IA review refer (or deposit):
osit): schedule)
Structural plan review fee (or deposit):
Contact name: G,.. /A' // ,e. I S
7 FLS plan review fee (if applicable):
Address: /72 i S. i . AL iu. S-fg, � .
" _�r� Ole ,76 ° G
/ Total fees due upon application:
City /State /ZIP:
g 1,6"...4-a O '^ r
Phone: (503) 6Y 1 ,s y Fax:: (f t?) gyg _ G 2 Amount received:
-
E -mail: l rC) b J e � N c h , 0 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J J Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: v P- N�0 N . Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: /72„3-0 1 yd A.� N s_f � L , . Solar Installation Specialty Code checklist.
City /State /ZIP: gee-, vei H , o ie g7(3O 6 Permit fee (includes plan review $180.00
/ and administrative fees):
Phone: (533) 6 qq - / t( Cf Fax: (T03 ) V— 6 Z 0? State surcharge (12% of permit fee): $21.60
CCB lic.: b J t 6 / .41i4 _5 C{'— J-13 CGS Total fee due upon application: $201.60
Authorized signature: ) ( 1 1 f I This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Print name: �� y Ai , A,,,,/,,...., Date: 5 - 6 - /3
j Service Board.
I:\ Building \Permits\BUP_COM_PermitApp.doc Rev. 12/11/2012 440 -4613T(I 1/02 /COM/WEB)
III _ ° 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: $
(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 Rev. 12 /11/2012
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
06/12/2013 00:00
BUP2013-00105
PASS - C of O
Violation Summary:
Inspector Contractor