Permit CITY OF TIGARD BUILDING PERMIT
P a. '-- COMMUNITY DEVELOPMENT Permit#: BUP2013 00287
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/26/2013
Parcel: 2S 113AD01900
Jurisdiction: Tigard
Site address: 16630 SW 72ND AVE B10
Project: Bridgeport Distributing Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: TI:Expanding warehouse for existing tenant.
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
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: IIIB DC Provision Review,COM TI-Ping 11/26/2013 $174.00
Occupancy Grp: S-1 Occupancy Load: 130 DC Provision Review,COM TI-LRP 11/26/2013 $26.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 11/26/2013 $1,287.15
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 11/26/2013 $154.46
Bedrooms: 0 Bathrooms: 0 Plan Review 11/26/2013 $836.65
Value: $130,000 Plan Review-Fire Life Safety 11/26/2013 $514.86
Info Process/Archiving-Lg$2.00(over 11/26/2013 $8.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 11/26/2013 $156.00
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,157.12
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 enter. 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 ctng 50 , 21987 or 1.800.332.2344.
c
Issued By: �� e -=_Sig atur=-‘�/ / ` L"
■
�
!
Ca' A
�'�•'. .y 7:00 a.m.for the next avai •.e inspe lion date. i
This permit card shall be kept In a conspicuous place on the job site until,completion of a project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Commercial AEC1'ET FOR OFFICE USE ONLY
City of Tigard Date/B :
't 13125 SW Hall Blvd.,Tigard,OR 97223 —44111116:0111 ' '
g S Plan Review � �
Phone: 503.639.4171 Fax: 503.598.19�t}QV �� 2013 Date/B : � Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready ty: II See Page 2 for
Internet: www.tigard-or.gov C TY O 1 iGA U Notified/tvtethod: Supplemental Information
TYPE OF 1%RIC 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.
Valuation: $
❑ I-and 2-family dwelling Commercial/industrial
❑ 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: 11QLP St.). -�Z h`+ AVM New dwelling area: square feet
City/State/ZIP:'A:it,ea-LA D t 002,2-1-4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name ALtCgpept D5T. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
_ IL
-12. OD 1 b‘J2A13444-V1 \ 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.
\ Valuation: $ `i O t 000
Dp`r lC� j�r.tmo�.��V AG MMt GLG.�.-RO�
1- ' , \ AL)Lk5 . L`G T t Existing building area:5313'7 square feet
V`,� �T' New building area: square feet
Le PROPERTY OWNER ❑ TENANT Number of stories: I
Name: PacTrust Type of construction: in B 5QR.1,1 kusagp
Address: 15315350 SW Sequoia Pkwy.,Suite 300 Occupancy groups:
City/State/ZIP:,Portland,OR 97224 Existing: $/5.Z
Phone:(503)624-6300 Fax:(503)624-7755 New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: �� W1L�V licensed with the Oregon Construction Contractors Board
Yunder ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy 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 Fax: :(503)624-7755
E-mail:l'ya n Pactrust.com
'! CONTRACTOR
Business name: A_Trt Dl�10 00rvs-rauC-C-Ic,n1 BUILDING PERMIT FEES*
Address: 5 32.0 d c ql e_l" 'Lan (Please refer to fee schedule)
City/State/ZIP: poky-i-Vv\a c "Z —�Z-2-C Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Phone:(5o3) ?-7 (dc Fax:( )
CCB lie.: pig-77G .- Total fees due upon application:
1 t Amount received:
Authorized signature: /
�.. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
print name: hor, G� l'� Date: //'2/ !3 * Fee methodology set by Tri-County Building Industry
��F ` I f Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
Building Division
:1111111 .
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ND! -.-oo) 7 l (` Expedited Review
Project Name: Co E 102i LT/&)a
Site Address: 11-tit 3 c S w -7 p #t 2, Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: 11 0.4// 3 Routed By:
1St Revision Submittal Date: 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 I I m at (503) 718-2-N Oor -h m @tigard-or.gov)
Proposal: Inf riot demolidion and -h?rnr+ improvemen+ +o expand existing
Wareouse Use.
Zoning L
Permitted Use Yes No ❑
Land Use Required: Yes ❑ No
Notes:
12 Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building: 1112611.S
l:\CURPLN\Masters\Development Code Provision Revie■ADCPR_COM_NoLandUse.doc Rev.01/16/13
114 ° •
Building Division
Over-The-Counter (OTC) Building Permit
TtGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: M--1 Occupancy Group: t Type of Construction:
Type of Use**: A Occupancy Load: Oregon Specialty Code:
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 � I
Fire Sprinklers: (11 .5 Fire Alarms: Smoke Detectors:
Parapet: l Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ MD OM CO FEES DUE J
/ $ q4,„„, DC Prov Rvw,COM TI—Ping
$ 6, OD DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ die iffr ermit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ i ,,,(9/7 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ f s Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ I ,00 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: $ ,)16j 7,12-TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16630 SW 72ND AVE B10, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
2014-04-01 00:00:00
BUP2013-00287
PASS - C of O
Violation Summary:
Inspector Contractor