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Permit
CITY OF TIGARD BUILDING PERMIT 111111 * COMMUNITY DEVELOPMENT Permit#: BUP2015-00067 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2015 Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 200 Project: CNA Insurance Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT Project Description: New conference room,training room,and break room. Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES 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 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Ilg DC Provision Review,COM TI-Ping 03/19/2015 $75.00 Occupancy Grp: B Occupancy Load: 135 DC Provision Review,COM TI-LRP 03/19/2015 $11.00 Permit Fee-Additions,Alterations, 03/19/2015 $630.27 Dwelling Units: 0 Demolition Stories: 4 Height: 0 ft 12%State Surcharge-Building 03/19/2015 $75.63 Bedrooms: 0 Bathrooms: 0 Plan Review 03/19/2015 $409.68 Value: $40,556 Plan Review-Fire Life Safety 03/19/2015 $252.11 Info Process/Archiving-Lg$2.00(over 03/19/2015 $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 $1,461.69 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 1.800.332.2344. Issued By: Permittee Signature: - .51 all 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 Commercial 1014 Of FH A%I SI:0\1.1 City of Tigard RE CF iv' Date/13 : �,_ / • 13125 SW Hall Blvd.,Tigard,OR 97223 1�1J Plan Revie t � s Other . Phone: 503.718.2439 Fax: 503.598.1960 DateB,,,A ,.©� T I G A R D Inspection Line: 503.639.4175 MAR 19 2015 Date Re. :�: See Page 2 for Internet: www.tigard-or.gov Notified/Method: 11 41j j Supplemental Information TYPE OF WORK, A 'L t REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑iiiAlitlt t • 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. ❑ 1-and 2-family dwelling I ommercial/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: 12 0 vl SW &at l i^r•4, � it4 ZOO New dwelling area: square feet City/State/ZIP: or+. 6‘061 � q1 22 3 Garage/carport area: square feet • Suite/bldg./apt.no.: 1.0 0 Project name: C N A I nyt1 rq„�j Covered porch area: square feet Cross street/directions to job site: /fir S V A Deck area: square feet Caner V T v W (/t M St• Other structure area: square feet And Ste/ & $ 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 f�DEESCRIPTION OF WORK work indicated on this application. 1, Ner11 CiO1'I'T_VrI 04�i 1'�d 'fra1(�in9 Valuation: $ Li 0, 5 50 `•Q 8 h GvYe a r0�1�1� Existing building area:'1,1 t 3(1•b square feet 11�� New building area: ( a1I aq (4,square feet PROPERTY OWNER ❑ TENANT Number of stories: 1. Name: ?A err./v 4 j Type of construction: 11 — g Address: ` 5 3 5 0 5y4 54 Q y 01 A^ p�J 14 't '3 0 Occupancy groups: /2 City/State/ZIP: pl�rf I CM d / W. _I 1 `1.hI 1 Existing: es Phone:(5b3) 6 s.,4 - 103 d o Fax:(50b) a' �1 -11� New: "APPLICANT "CONTACT PERSON BUILDING PERMIT FEES* Business name: p older v vf (Please refer to fee schedule) q_I` l y Structural plan review fee(or deposit): Contact name: �t 5`L W� G FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Phone:( ) Fax: :( ) Amount received: • E-mail: [-e('` re l i c 1.r u -1 .CGW1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of t CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: f2p(GTY 0 0,1'' Submit two(2)sets of roof plan with connection details ` 1111 and fire department access,along with the 2010 Oregon Address: 5 t t• a 401 G 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.: ' /�V°/I I�3 Total fee due upon application: $201.60 Authorized signature: u`! . (??.j•4' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Leslie I,0 U l y Date:M arch I0 2015* Fee methodology set by Tri-County Building Industry / Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) City of Tigard IN • COMMUNITY DEVELOPMENT DEPARTMENT ■ T[G A R D Building Permit Review — Commercial - No Land Use Building Permit #: AV,2 315--{X%X,`] Site Address: /Q 90 9 So 40841 AL/Lit Suite/Bldg#: cQC2C Project Name: �1V/T' // gGfia1 Ge_ (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: % CP ,�¢4t) Co7 re/iLe /7 3rh� -1-70--i n i /Dew, Existing Business Activity: C+P Pro y osed Business Activity: Q' CQ V Verify site address suite#exists and active in erm' s stem. fY P Y N[ib 'vet Terrace Plan District ❑ Yes V No FA oning: MILE IV V rmitted Use: Yes ❑ No ❑ Spec Space nfirm no land use required. Business Licens Exists: Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: Date: ,5 f 7—t ' 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: y/qh Site Plans: Building Plans: # Building Permit#: der building permit#above. Workflow Routing: Nanning ❑ Permit Coordinator Q—Baitding Workflow Sign-off: off for Planning(include notes from planning review) Route Application Documents: U.-Mg—ding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: 07-7. By Permit Technician: f �� Date: ,....V./9//.> I:\Building\Forms\Bl dgPermitRvw_COM_NoLandUse_030415.docx L 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\Fonns\3ldgPermitRvw_COM_NoLandUse 020415.docx 1N Building Division Over-The-Counter (OTC) Building Permit l'WARD Check List Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: , Occupancy Group: Type of Construction: Type of Use**: Occupancy Load: 16f' Oregon Specialty Code: at 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: tee -_, 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: J�,,..� Total Project Valuation: $ J,�J .J�j FEES DUE $ s, •11C Prov Rvw,COM TI—Ping $ I 4110110 DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI (effective 7/1/2014) $ ' 3 Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ _ 12%State Surcharge Up to$4,999 $0.00 $0.00 $ 4 arj Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ Plan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ 41'.altlet 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: $ 14-C7` ggi 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_B U P_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 12909 SW 68TH PKWY 200, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2015-00067 Chip Barnett Violation Summary: Inspector Contractor