Permit NI CITY OF TIGARD I r BUILDING PERMIT
S COMMUNITY DEVELOPMENT Wfit9Aall Permit#: BUP2015-00054
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2015
T t�" Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 260
Project: Real Asset Portfolio Management LLC Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI-New office space,flooring&break room. 3/30/15,reprinted to change contractor.
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: 503-624-6300
FAX: 503-892-0067
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 03/05/2015 $75.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: 19 DC Provision Review,COM TI-LRP 03/05/2015 $11.00
Permit Fee-Additions,Alterations, 03/05/2015 $542.11
Dwelling Units: 0 Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 03/05/2015 $65.05
Bedrooms: 0 Bathrooms: 0 Plan Review 03/05/2015 $352.37
Value: $32,943 Plan Review-Fire Life Safety 03/05/2015 $216.84
Info Process/Archiving-Lg$2.00(over 03/05/2015 $6.00
11x17)
Floor Areas: Misc Administration Fee 03/30/2015 $45.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total 51.313.37
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. ATTE .II N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0010 through c•R 952-001-0090. You may obtain a copy of the rules or direct questionsrto OUNC b •Y 13 . 987 or 1.800.332.2344.
sued By: / ' Permittee Signature: • „ kJ.
Call 503.639.4175 by 7:00 a.m.for the next available inspection e.
This permit card shall be kept in a conspicuous place on the job sit' • • ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard • COMMUNITY DEVELOPMENT DEPA TEIVEP
N ■ Re quest for Permit Action
MAR 3 dp 2015
I , , i. I , 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
—i l 1 Oi I IVHrtU '
TO: CITY OF TIGARD BUILDING DIVISION ,
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223 ,
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPerrnits@tigard-or.gov
FROM: X Owner ❑ Applicant ❑ Contractor ❑ City Staff
Check(l one
REFUND OR Name:
INVOICE TO: (Business or Individual) Pa 4:1;ev`{-— L,,U e L av i5
Mailing Address: 15190 5W 55Q1,IdjA El(Wti #7300
City/State/Zip: jor}1 and r q i 7.21
PhoneNo.: 6039) 024-0O2,00
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
❑ CANCEL/VOID PERMIT APPLICATION.
❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
gr REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit).
Permit#: ' I' 2015— 00054
Site Address or Parcel#: 1r7 3 rj 0 SW ce Q u o j ay P kw l W 2. ( 0
Project Name: (7.toil /4c4ae Poo j 0 M lm-f.. LLC
Subdivision Name: (°(°%(0'ON 5 ?4y4 i evt PI A+ Lot#: 2...
EXPLANATION: �DI/m U 8 WA-fie 0i C4 Y 10 11 of T rrsI 01,50Y1
y 1'
Signature: ,1 W ti 4 Date: M Arai 211 2 o 15'
Print Name: L-eg11 G Lou 15
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
IOIZ iIIIt Il ',I t)". I1
Route to Sys Admin: Date By Route to Records: Date By
Refund Processed: Date By Invoice Processed: Date By
Permit Canceled: Date By Parcel Tag Added: Date By
I:\Building\Forms\RegPernv tAction_092314.doc
y q CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2015 00054
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2015
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 260
Project: Real Asset Portfolio Management LLC Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI-New office space,flooring&break room
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE: 503-624-6300
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 03/05/2015 $75.00
Occupancy Grp: B Occupancy Load: 19 DC Provision Review,COM TI-LRP 03/05/2015 $11.00
Permit Fee-Additions,Alterations, 03/05/2015 $542.11
Dwelling Units: 0 Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 03/05/2015 $65.05
Bedrooms: 0 Bathrooms: 0 Plan Review 03/05/2015 $352.37
Value: $32,943 Plan Review-Fire Life Safety 03/05/2015 $216.84
Info Process/Archiving-Lg$2.00(over 03/05/2015 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,268.37
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
952-01 •• 0 throu• *AR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ssued By: / 4 1YYY'"�""
lII
Permittee Signature: t!"' -
���
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 ,.CERTED
Commercial FOR OFFICE USE ONLY
' Received /j
City of Tigard ' ' 6 205 �p Permit No.:
III
- Date/B :. /`> /'�D/5'(Jt6 j
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie - ®
Phone: 503.718.2439 Fax: 503.( . ) r /� U Date/B : ,����/� Other Permit:
Inspection Line: 503.639.4175 t wAnll Date Read " 7. James Fifl See Page 2 for
TIGARD Internet: www.ti g ar .d-or.g ov BUILDING DIVISION-
Notified/Method: Supplemental Information
TYPE OF WORK 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 Q"Commercial/industrial 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: I t, jly p 5\rJ S eau 0 I'm PEcw H• tr 24,0 New dwelling area: square feet
City/State/ZIP: P6W! 4.I Olyltil , A q1 2 2,L " Garage/carport area: square feet
Suite/bldg./apt.no.: 2„ 4P t Project name: P- 'cl I A ygeT f o,e f f j rl 0 Covered porch area: square feet
Cross street/directions to job site: Moto a ooftevi-I', V l.(i Deck area: square feet
ail K.61 '-iv'l 4179411-a I2d. A vy i Avi !fir• Other structure area: square feet
Ovid 901 V*at 0)0 n e5 FeiYrt1 Pd REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l 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: $ 77 2., 9 Li 3
D► -e 61 C\ Y-DO✓1l Existing building area: I i$l 7 square feet
2/PROPERTY building area: I s 5 7 square feet
v(J PROPERTY OWNER ❑ TENANT Number of stories: v e e-
Name: pQJGTV V r'!t Type of construction: I 1_B
Address: 15.b () 5161 GJe r)U 0 a rkW 41-226 0 Occupancy groups: e
City/State/ZIP: Foy-11 wi a ,'[O1 91 �2,1.-I Existing: q G�Q c� u1dr6
Phone: Q 11 o O Fax:
(5 3)_,/(p2y -(p �✓• (5!)3_)/(02'-E--]"75 New: �'
lJ APPLICANT LY CONTACT PERSON BUILDING PERMIT FEES*
Business name: l oi,-5.,„I-- (Please refermleeschedul�
Structural plan review fee(or deposit):
Contact name: L• '4' I^& U°IAA 6
FLS plan review fee(if applicable):
Address: I s 3 g 0 6v4 se Qu Ui 0 F(cw�. 4 3 00
City/State/ZIP: i�/i-`A4,pj CV_ L1 1 22l.} Total fees due upon application:
Amount received:
Phone:(503) 02.'4-(0 500 Fax: :(5(13) (0I'( -115
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
esl1e 1 @ P61 c+y',of:cowt
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connection details
������=�f�V um and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: /5 3 (7/ Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 61/, i ��C� Date: march 5, 2.0(S" * Fee methodology set by Tri-County Building Industry
,J����� Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
■ City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: t.lP,90/1f -G'059
Site Address: g35‘ o c vv SQ QUo i ct pLw 61 # 26o Suite/Bldg#: 2 °
Project Name: Peal A sr-e+. Po r-- 1 ra Ynal n c,v.vn.a,-I{ U---C-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: NQ V oFL, c..¢. S IOC)U2./ moo "vn , k'rec,,u. rooel-,
Existing Business Activity: Cony r v on Le/v1.$C. ■ r>veei (-rYtz rt{3 / a C t..Q S
Proposed Business Activity: 0c.'-{ L2
Verify site address/suite #exists and active in permit system.
—B—River Terrace Plan District ❑ Yes %No
Zoning: P
)21" Permitted Use: gi Yes ❑ No ❑ Spec Space
7 Confirm no land use required.
XBusiness License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Mnpy“Z� 13 ,1 o AQ_e,.... Date: 3/5/1 s
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: ..3/ //5-
Site Plans: # 3
Building Plans: # Z
Building Permit#: Enter building permit#above.
Workflow Routing: T Planning or Building
Workflow Sign-off: g!'c 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:
By Permit Techn ian: Date:
I:\BuildingWorms\BldgPermitRvw_COM_NoLandUse 03041 5.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
❑ Approved,NOT Released: Date:
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:
1:\Building\Forms\BldgPerrnitRvw_COM_NoLandUse 020415.docx
Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: k
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occu.anc Grou.: Type of Construction:
T j.e of Use**: WM, Occu.an Load: -/ Ore:.n S.ecial Code: T_m
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:
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: $ 04 FEES DUE
$ `Qt's DC Prov Rvw,COM TI–Ping
$ I aro DC Prov Rvw,COM TI–LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ •FAI Permit Fee–Add,Alt,Demo
Project Valuation Planning LRP $ et 4- 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ , Review,Structural
_
$5,000-$74,999 $75.00 $11.00 $ ,is 'Ian Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ b 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: $ OTAL 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 070114.docx