Permit CITY OF TIGARD BUILDING PERMIT
311 COMMUNITY DEVELOPMENT Permit#: BUP2015-00012
Date Issued: 01/27/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DD00200
Jurisdiction: Tigard
Site address: 15500 SW 72ND AVE 100
Project: Spec Space Subdivision: 1994-006 PARTITION PLAT Lot: 2
Project Description: TI to demo interior offices and conversion of 1 restroom to ADA and finishes
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE:
FAX: 503-624-7755
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 01/27/2015 $75.00
Occupancy Grp: B Occupancy Load: 33 DC Provision Review,COM TI-LRP 01/27/2015 $11.00
Permit Fee-Additions,Alterations, 01/27/2015 $767.10
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 01/27/2015 $92.05
Bedrooms: 0 Bathrooms: 0 Plan Review 01/27/2015 $498.62
Value: $54,300 Plan Review-Fire Life Safety 01/27/2015 $306.84
Info Process/Archiving-Lg$2.00(over 01/27/2015 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,760.61
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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.. A.,•,:'- 1:-.--, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Uhl,/otification - er. 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 OUN • calling 50 : or 1.800.332.2344.
ou
Issued By/C C. 7— Permittee Signatu e: g.—.11111P-
Call
503.639.4175 by 7:00 a.m.for the next availabl: inspec ion
This permit card shall be kept in a conspicuous place on the job sit: ntil •ompletio • = • •ect.
Approved plans are required on the job site at the time of each inspection.
Building Permit ApplicatitL' CEI 1�1'x.1 , .', , ., . ,•
Commercial ltL FOR O(-FICE t SE ONLY
City of Tigard J P AN 2 7 2015 Received
Date/By: PermitNo /D�/ D���
' 13125 SW Hall Blvd.,Tigard,OR 9223 Plan Review
Phone: 503.718.2439 Fax: 503 L r / l)'o Date/By: 2� �� Other Permit
�[ 1 1 jAI%JI Date Rea�y/B kris 21 See Page 2 for
T 1 G A R D Inspection Line: 503.639.4175 Y•
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: - -1-1/ Supplemental Information
l f 1 1 1" O1 V i.,,:!: I r;{QI, 31 i.-4ZI.rgt 9 r) �i)?y!r. ui),\. i)\y.fciti,IN“,
❑New construction ❑Demolition Permit fees'are based on the value of the work performed.
Indicate the value(minded to the nearest dollar)of all
►�i Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: S
❑ 1-and 2-family dwelling 'Commercialfmdustrial
❑Accessory building
❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
).:: a 1 ;)-�) a `!1t" dt: S1 rlr "-
Total number of floors:
Jobysite address: 15.SO't 5 1J Z 2)%- 4 New dwelling area: square feet-
City/State/ZIP: Ti _i/ ag-- 972-2-'4 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: j2w 2„(31 1 6--'
l e-- T I Covered porch area square feet
Cross street/directions to job site: 1 00 Deck area: square feet
Other structure area: square feet
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
t, 1'';;a(∎, (, 1;i; work indicated on this.-. lication.
D fi•^%4 1✓1 k v I Gtr O!-Nt'L c / COYI vei-6 rW t t,1 Valuation: $ S` .30-t)
to A-o4 n'/1 tat s Existing building area , g square feet
i. New building area: 4407 7 square;feet
-a; a .,, ,, Number of stories: 1.
Name: laLTr'v c.. ' Type of construction: v. „
Address: I S3S-a S v O t - 9V...1.0-1/ Occupancy groups: i a-
City/State/GIP: 6,2_ 5722 Existing:
Phone: qr or ((2300 Fax:( ) , -77S3-
17 New: SG1.4wt.Q_,
Business name:
Structural plan review fee(or deposit):
Contact name: K.- % \ V' 61/4;t FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP: ,,���II�
( ) 7-I Q TT I Amount received:
Phone: Fax: ( )
E-mail: Y. • I 6 Q Q . _,•�^
•` A Commercial and residential prescriptive installation of
'"i, 1 .: t ) '1' roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 1�&I-1(Q S k Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation S.•c/al Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
t3' and administrative fees :
Phone:( ) I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lit.: i S3C-1 / /y// Total fee due upon appication: $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: ( • Fee methodology set by Tri-County Building Industry
� A 'K� Date: 7i7 Service Board
r•‘n..:1a:...,tch..,,,:r.xar rnrnnn Permit Ann floc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
w COMMUNITY DEVELOPMENT DEPARTMENT
■
1. �, D Building Permit Review — Commercial - No Land Use
Building Permit #: QuPaOIL 00 0/Z,
Site Address: ISC Do S w -7 ..d Suite/Bldg#: I DD
Project Name: 1^- Pal Corpora-4c- C'e..lt-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: _ 0 .;r 4eii j alAs ^Ad Cortyers;on 0-C elc i S
Existing Business Activity:
Proposed Business Activity: cG _no pru(ds-e..cL LLk —So oCrict S43.1
.1
Verify site address/suite #exists and active in permit system.
Zoning: 1 — P
Permitted Use: / Yes ❑ No 1 Spec Space
9-c Confirm no land use required.
Notes: Ones.. 46144 is icierk-r4 e and if Changes ALL c Leali a ice .(-
ts'1 (( r-t-h •ii •P. 04-d i-luvic 1 per mi+S.
Approved by Planning: ektA4, 0 . Date: -a 7- 15
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
0.2 ,/s ( 7c
Site Plans: # \\
Building Plans: # 2
Building Permit#: AEnter building permit#above.
Workflow Routing: Planning ❑ Permit Coordinator r--Building
Workflow Sign-off: &Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
?rzir
By Permit Technician: A�b�rj/I i Date: w
I:�BuiIding\Forms\BldgPermitRvw COM NoLandUse_071514.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Bui lding\Fonns\BldgPertnitRvw_COM_NoLandUse_071514.docx
5111111 Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description: t
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: _ _ Occupancy Group: Type of Construction:
Type of Use**: r„l Occupancy Load: d'12 Oregon Specialty Code: .04_
SPECIFICS
Number of Stories: ( Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms: 1
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: Lib ' j Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ FEES DUE 1
$ lip.a r 0 DC Prov Rvw,COM TI—Ping
$ d DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ . r Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Z,• 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ A ! ' Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ %f Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ ld3Q") Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ ( , , I, TOTAL FEES DUE
�V Iv
*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_070114.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15500 SW 72ND AVE 100, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00012
Chip Barnett
Violation Summary:
Inspector Contractor