Permit •
CITY OF TIGARD BUILDING PERMIT
', COMMUNITY DEVELOPMENT Permit #: BUP2013 -00168
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013
Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 120
Project: Precoa Subdivision: VARNS ACRES Lot: 9
Project Description: Interior TI for new walls, doors and casework.
Contractor: PACIFIC CREST STRUCTURES INC Owner: GK TRIANGLE CORPORATE PARK III L
17750 SW UPPER BOONES FERRY RD SUITE BY THOMSON REUTERS INC
190 ATTN: MEGAN DOWLING
DURHAM, OR 97224 PO BOX 130174
CARLSBAD, CA 92013
PHONE: 503 - 968 -8949 PHONE:
FAX: 503 - 598 -6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 07/09/2013 $70.00
Occupancy Grp: B Occupancy Load: 42 DC Provision Review, COM TI - LRP 07/09/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 07/09/2013 $767.10
Demolition
Stories: 5 Height: 0 ft 12% State Surcharge - Building 07/09/2013 $92.05
Bedrooms: 0 Bathrooms: 0 Plan Review 07/09/2013 $498.62
Value: $55,000 Plan Review - Fire Life Safety 07/09/2013 $306.84
Info Process /Archiving - Lg $2.00 (over 07/09/2013 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,752.61
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 1.8 A 332.2344.
Issued By: Permittee Signature: Cl ....
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. I�l
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 NOOII�SII I AUONIglin .! FOR OFFICE USE ONLY
- - " 9LL O kLID Received j.� /�
City of Tigard Deters 7 g Permit No,Bu/> , do /61) iliPm ° 13125 SW Hall Blvd., Tigard, OR 97223 E1OZ 6 0 f C Plan Review
• Phone: 503.639.4171 Fax: 503.598.1960 Date/B INV WM Other Permit
T I G A R D Inspection Line: 503.639.4175 Date Rea . Rea mitur ® See Page 2 for
Internet: www.tigard - or.gov a�A T` Notified/Method: Supplemental Information
TYPE OF WORK 11 REQUIRED DATA: 1- 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.
•
❑ I - and 2- family dwelling ® CommerciaUindustrial 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: Triangle III, 13221 SW 68th Parkway New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
_ _ Suite/bldgiapt. no.: 120 name: Precoa 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.
Interior Tenant Improvement Valuation: $55,000.00
Work to include new walls, doors, and casework. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: GKTriangle Corp Park III LLC, do CB Richard Ellis Type of construction: I -B
Address: 101 SW Main Street, Suite #245 Occupancy groups:
City /State/ZIP: Portland, OR 97204 Existing: B
Phone: (503)295 -5555 Fax: (503)295 -1169 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE •
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Jane Catalano licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave Suite 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228-1285
E -mail: jcatalano@grpmack.com
CONTRACTOR
Business name: Pacific Crest Structures, Inc. BUILDING PERMIT FEES*
Address: 17750 SW Upper Boones Ferry Rd., Suite 190 (Please refer ro fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP: Durham, OR. 97224
FLS plan review fee (if applicable):
Phone: (503) 968 -8949 Fax: (503) 598 -6658
CCB lic.: 66915 Total fees due upon application:
Amount received:
Authorized signature: • 1 • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jane Catalano ( Date: 07 /09/2013 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(I1 /02/COM/WEB)
•
Building Division
Over- The - Counter (OTC) Building Permit
T l G n p Check List
Project Description: —TT
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: .�L Occupancy Group: Type of Construction:
*Type of Use: & Occupancy Load: Z Oregon Specialty Code: 20(n
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: 1! Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ FEES DUE
(,
$'7 o DC Prov Rvw, COM TI — Ping
$ e DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ WA?) Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ " 05 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 't. .,] (Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ /1 �I Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ 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: �j J W C � . `-' Oth
Date /Time: $ T ✓ OTAL 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.
I: \Building \Forms \OTC - BUP.docx 07/01/2012
lig Building Division
Development Code Provision Review
T t G n R D Commercial Projects - No Associated Land Use Case
Building Permit No: ..0U/ /3 - 04/ 6 ? PP Expedited Review O iL
Project Name: , CO /9
Site Address: /'3 .2,2 / S43 6 ce i ®%� y Suite /Bldg #: L
Plans Routed:
Original Plan Submittal Date: 7/9//3 Routed By:
1st Revision Submittal Date: Routed By:
2n 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 / G? e at (503) 718 -02. ��qor @tigard- or.gov)
Proposal: i(4 -' / —'Iov �e t3 (AI / /.s .vac C �u� Q a� VeuAw i or- 0,5e-
Zoning �
Permitted Use Yes No ❑ —/
Land Use Required: Yes ❑ No M'
Notes:
LEI .z roved ❑ No roved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: /' 7$ q
I: \CURPLN\Masters\Development Code Provision Review\DCPR COM NoLandUse.doc Rev. 01/16/13