Permit (43) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00355
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/23/2015
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 130
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: TI-Combine space,office demo&rebuild
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW 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: 1118 DC Provision Review,COM TI-Ping 12/23/2015 $88.00
Occupancy Grp: B Occupancy Load: 65 Permit Fee-Additions,Alterations, 12/23/2015 $553.13
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/23/2015 $66.38
Stories: 1 Height: 0 ft Plan Review 12/23/2015 $359.53
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/23/2015 $221.25
Value: $33,002 Info Process/Archiving-Lg$2.00(over 12/23/2015 $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 $1,296.29
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. ATT N: \gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0 10 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 Permittee Signature:
h0�
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 Division
IN Over-The-Counter (OTC) Building Permit
— — Check List
Project Description: 1 l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION,
Class of Work*: T Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: Oregon SpecialCode:
SPECIFICS
Number of Stories: Building Hei ht: Mixed Use:
Number of Dw Units: Number of Bathrooms: I I 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
Side and Setback—Left Side and Setback—Front
Side and Setback—Right Side and 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:
Sp rinkler 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: $ , CO2-1 FEES DUE
$ ' C Prov Rvw,COM TI—Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ rlj!-'?,/-j Plan Review,Structural
Up to$4,999 $0.00 $ 27 Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ C 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 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,sigps,awnings or canopies). °-
I:\Building\Forms\O'1'C_BUP_070115.docx
Buildin2 Permit ApplicatIE&I
Commercial �'�' � �� '%eVTOR OFFICE USE ONLY
ed S Permit No.:
City of Tigard n 6� pReceivate/13y: �u,Qa-o!S
a 13125 SW Hall Blvd.,"Tigard,OR F9�223' 3 2015 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 �y Dale/B : Z ( ther Permit:
gp
a Inspection Line: 503.639.41 g5 �� HGARD Date Ready/B3y. loris: o See Page 2 for
Internet: www.tigard-or.gRUILDING DMSM Notified/Method: I 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
®Add ition/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 ®Commercial/industrial
❑Accessory building ❑ Multi-family i.umi)u'uT bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCA'T'ION Total number of floors:
Job site address: 15115 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP: Portland,012 97224 Czar e/c;iport area: square feet
Suite/bldg./apt.no.: 130 Project name:Spec Vacancy Covcrcd porch area: square feet
Cross street/directions to job site: Redwood Lane and SW 72id Ave. Deck area: square feet
Other structure area: square feet
_ ! : ED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Pci:m,,!-cs'ate based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Combine space,office demo and rebuild. Valuation: $$33,002.00
Lxistin�building area: 6,456 square feet
Nene building arca: 6,456 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: PacTrust T.pe of construction: III-B
Address: 15350 SW Sequoia Parkway#300 acv urnups
City/State/ZIP: Portland,OR 97224 1 '\,.,ur,,:. 11,S-2
Phone:(503)624-6300 Fax:(503)624-7755 Nc,%,: B,S-2
® APPLICANT ® CONTACT I'I:RSON -- BUILDING PERMIT FEES*
/'lease refer to fee schedu
Business name: PacTrust
Structural plan review fee(or deposit):
Contact name: Leslie Louis
1:1,S;I;m review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300 —
"hukal fees due upon application:
City/State/ZIP:97224 —
Phone:(503)624-6300 Fax: :(503)624-7755 Amount received:
�
1 f Ir: OV01.TA1C SOLAR PANEL SYSTEM FEES*
E-mail: Iesliel@pactrusLcom _ __.
:m: s,dcnti:1 prescriptive installation of
CONTRACTOR .-top; i Ph,,;u•dollaic Solar Panel System.
Business name: PacTrust
unit h":(-)sctS o!'roof plan with connection details
aiw fire d.paruncnt ncc•css,along with the 2010 Oregon
Address: 15350 SW Sequoia Parkway#300 Ins! l'oti,,n�j,r cinl%v Code checklist.
City/State/ZIP: Portland,Olt 97224 —� � Teruo fcc(in:�u,: s plan review $180.00
and administrative fees):
Phone:(503)624-63(1(1 Fax:(5(13)624-7755 I h:tr•c(12%of pennit fee): $21.60
CCB lic.: 153913 I i'CC k!,w upon application: $201.60
Authorized signature: // Irrrn a application expires if permit is not obtained
Iso days after it has been accepted as complete.
$ 1 h:•,4!;•sv set by Tri-County Building Industry
Print name:
�- 61\ e, 1_Owi 6 I oC�• r O
1:ABuilding\Permits\13UP-00:�,I 11crmitApp.doc 02/24/2011 I l(1 ;13'1'(11/0?iC � •i "+
City of Tigard
u COMMUNITY DEVELOPMENT DEPARTl\2ENT
Building Permit Review — Commercial - No Land Use
Building Permit #: &L '-LO(Z5-00
Site Address: ISI 1 S So Seawi a. ?6\11• Suite/Bldg#: 130
Project Name: SpP-c, Space)
(Name of cumnurcial business occupying the space If vacant,enter Spec Space.)
Planning Review
Proposal: ;p—� n YoNe,me n+
Existing Business Activit\,: 04(G'C
Proposed Business Activit,: Spe.e_— Same,
❑ Verifv site address/suite# exists and active in permit system.
-9 River Terrace Neighborhood: ❑ Yes No
�Alermltted
oning: Use: Yes 1:1No ❑ Spec Space
Confirm no land use required.
$Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: Date: 12- 12-3 15
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not approved
Revision I ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /2;
Site Plans: #
Building Plans: #
Building Permit#: 2—nter building permit#above.
Workflow Routing: B--Planning Building
Workflow Sign-off: 1�2-S'7n-off for Planning(include notes from planning review)
Route Application Documents: L�1 Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: l� /
By Permit Technician: Date:
1:\Building\Fortes\BldgPennitRvw_COM_NoLandUsc_070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issua e of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Appli t:
Revision Notice 2: Date Sent to plicant:
Revision Notice 3: Date t to Applicant:
❑ SDC Fees Entered: /ash Co"Trans Dev Tax: ❑ Yes ❑ N/A
�\
Tigard'Trans SDC:
El ElN/A
Parks SDC: El Yes ElN/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Bui Iding\Fomes\BIdgPermitRvw_COM—No Land Use_070915.doex
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
15115 SW SEQUOIA PKWY 130, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00355
Jeff Grove
Violation Summary:
Inspector Contractor