Permit s q CITY OF TIGARD BUILDING PERMIT
IN It '• COMMUNITY DEVELOPMENT Permit#: BUP2015-00291
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2015
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16290 SW UPPER BOONES FERRY RD
Project: PacTrust Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: TI for new tenant:New offices,walls,doors,and exterior entry.
Contractor: ALEGIS CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES LP
6900 SW ATLANTA ST SUITE 110 ATTN: N PIVEN
PORTLAND, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-427-6065 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 10/13/2015 $351.00
Occupancy Grp: B Occupancy Load: 209 Permit Fee-Additions,Alterations, 10/13/2015 $1,516.67
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/13/2015 $182.00
Stories: 1 Height: 0 ft Plan Review 10/13/2015 $985.84
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/13/2015 $606.67
Value: $167,700 Info Process/Archiving-Lg$2.00(over 10/13/2015 $20.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,662.18
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 Notif o - es 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 cal g 5,1.800.332.23••.
Issued By: er nature: -
40111-../.•.......-., ....,...,...I.'".---- ' S.AIIIIIIIIIIIPIlldlllO..
OAP 639.4175 by 7:00 a.m.for the next available ins.ectio e.
This permit card shall be kept in a conspicuous place on the job site unti •m.leti•• •f the . eject.
Approved plans are required on the job site at the time of each inspection. .
Building Permit Application . _...`' . .- ' . ‘. ; . .r .. .. , -_. .
Commercial FOR OFFICE USE ONLI'
City of Tigard �rGewe'° D Vea id Pemrit No.: 6 _ /5=# , , 1
13125 SW Hall Blvd.,Tigard,OR 9722{► Plan Review !t!� 18 4 ,—�Other Permit Men�� S— �y,d 3(
Phone: 503.718.2439 Fax: 503.598.1960 1 3 VNS Date/By: / et
Inspection Line: 501639.4175 OCJ 1 Date Ready/By: H See Page 2 for
T 1 G A R D Internet: www.tigard-or.gov At) Notified/Method: o Supplemental Information
a - �,�� OF 11GA 10 k�{ ; ' �- ,qua '-a- ..;e,
+a�' r%l� l'.`hF.a'ii .�uyiG�- �.-�,.3.�,r£ l� l� y :. ` _ ,� ® t 1i"" 1 `\!.`
, N c"A kl - .. a4 -, _:::,2�&•'sk-ar. .� ei".ek1i+` m ,`V`.e i., _c�+�,ic€" tie--:E,_ -,, •� u.Ve Y ..,a. t-.,.._,•w-i�_alid...- :...•:,7.--72.21.-4:-
❑Demolition Permit fees*are based on the value of the work performed.
❑New construction Indicate the value(minded to the nearest dollar)of all
►mil Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
c 2 y r s Ss. Y x a{i S K r r,y3.9 . 1, work indicated on this application.
'':fir iLfa'�Fc;4„t�T'> '•'.ltii. -�t, ><� rsr._ 4.... Valuation: S..
❑ 1-and 2-family dwelling CommercialTindustrial
Number of bedrooms:
[:1 Accessory building
Multi-family .
❑Master builder
❑other: .. .Number of bathrooms:
- '(''1 - �j` 1;.a }!3l^�V << ' ilk,;‘, Total number-of floors:
,,n f New dwelling area: square feet
Job site address: t l_f/2't Q . L. .) ' L1OO►' es. r•City/State/ZIP: pl,y, o . I 24' Garage/carport square feet. .
1 Covered porch area: square feet .
Suite/bldg./apt.no.: 3 -- -Project name: 0,n •S.�c„� �Ye1�t1��( -
Cross street/directions to job site: V ' J Deck area: square feet
Other structure area: square feet •-
r
Subdivision: . I.Lot no.: Permit fees*are based on thevalue of the work performed. . :'
-' :' Indicate the value(minded to the nearest dollar)of all
Tax map/parcel no.: - - - - ' • :equipment,materials,labor,gverfiead;and the profitfor the
•ti e/reOlfagfi 5 •:wocic indicated on this.spplreatipti,- , .- _,...:
/ . Valuation: $ t 1.2 )7c- •
• ti, eA -I L nib �� 1w �1 \'�ti R\a. -
V ; • Existing building area Q $3- square.fcet
-- yveAA.) -e.,,,4 AtAe:AO'Ne- : •o_erkirj • . New building area: Q square feet •
s` ' lumber of stories: .-
Name: /OILTYi)C,� . • . - of construction: • . -
• Type nstru•Address: ST/S-0 a� :.0 4 J,QtG.r'.PFD' Occupancy groups:•'City/State/ZIP: faT.K!`�. 461.. . "1:! ' . y •..{,' .' Existing: B :1��� �,.. •
Phone w4) Y 0 Fax: } [ ""i ! New a _ .
Business name. ( i . . ... - .Structural plan review fee(or deposit):Q.." w r p ( eP ):
Contact name: 1C1:j 1;
FLS plan review fee('if a4-..--
Total fees due upon applteah�
City/State/2iP: :•.
.
��{i Amount received:
E-mail: - at e c•Y A :Commercial and residentiatpres1iptiveins el>ation:0 -
roof-top mounted Photo Voltaic;SSolar Panel System.
. Submit two(2)sets of roof plan with connection details
Business name' �\.%S 1 W. 1 U C !'1..'- .• and fire department access,along with the 2010 Oregon
•Addr ss: le s Q Q ,>6%) ,-/t 41 1—. 6 -II t:/ Solar Installation Specialty Code checklist.
Permit fee(includes plan review S 180.00
City/StateIZlP: /N.�piJ�t 17ZZ� •
l and administrative.fees):
Phone:( �) 't 27 (&OAS' Fax:(�3 4 27 LeO(QLQ State surcharge(12%of permit fee): 521.60
CCB lie.: 11 I (Lk io Total fee due upon appication: S201.60
This permit application expires if a permit is not obtained
Authorized signature: ® within 180 days after it has been accepted as complete.
' �® I * Fee methodology set by Tri-County Building Industry
Print name: ,k..e� I Date: (l (3/1E— Service Board
. ..n A411'•r11„n'),('noA/UiP1).
_ " Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: T
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: ( T-"C Occupancy Group: Type of Construction: '2
Type of Use**: e :'4i, Occupancy Load: Oregon Specialty Code: 6c_
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:
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: $ ��7 t FEES DUE
$ ""3 j c lDC Prov Rvw,COM TI—Ping
$ .,t Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ / 12%State Surcharge
T
Project Valuation $ C � Plan Review,Structural
Up to$4,999 $0.00 $ ' Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ Cj Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ (- 2-,Ie 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;
O'IR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070115.docx
City of Tigard
III • • COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land Use
00 1
Building Permit #: t ,20(5-cv29/
Site Address: /(0,290 , apiaer &ones Suite/Bldg#:
Project Name: c r n S';h ->°
(Name of&Amer cial business occupying the space. If vacant Spec Space.)
Planning Review I Q
Proposal: 7./, /26 ) 16,4.,7z-- c/10� "cX4, k r- S'/O4kQ//// e sCr
400r-, •
k Verify site address/suite#exists and active in permit syste .
! .ver Terrace Neighborhood: ❑ Yes No
►,7_, and Use Case#: �/flj/J'b(Qp/- COOS /
W Plan atch Approved Land Use: ,
�/Site Plan Lt}' Landscape Plan ❑ Other:
!t_W/grban Forestry Plan MAlevation Plan
Building Height: Maximum Height IJ Actual Height
.nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
IG Business Licen
Exists: Yes ❑ No,applicant notified to obtain business license
ajqublic Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified 0 No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: N ,ii, Date: /Oh Si 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: /10//VI
Site Plans: # AM/-
Building Plans: # 3
Building Permit#: n�ter building permit#above.
Workflow Routing: arming ❑ Engineering Cl Permit Coordinator B B>I'ing
Workflow Sign-off: sign for Planning(include notes from planning review)
Route Application Documents: wilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: O-TZ
By Permit Technician: �r �. �,� _ Date: /d//3//j
1:\Building\Forms\BldgPeimitRvw_COM_W ithLandUse_070915.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: El Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
•
(:\Building\Forms\BldgPennitRvw_CO M_W ithLandUse_0709I 5.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
16290 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00291
Chip Barnett
Violation Summary:
Inspector Contractor