Permit (30) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00042
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 100
Project: Pacific Star Communication Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: TI for existing tenant:New demising wall and demolition.Tenant is moving expanding into adjacent suite.
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: DC Provision Review,COM TI-Ping 02/04/2016 $88.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 02/04/2016 $271.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/04/2016 $32.57
Stories: 0 Height: 0 ft Plan Review 02/04/2016 $176.43
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/04/2016 $108.57
Value: $12,390 Info Process/Archiving-Lg$2.00(over 02/04/2016 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $681.00
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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: Signature:
Cal .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 thejob site at the time of each inspection.
Building Permit Application 2�
Commercial V` eDIntel
r. Received 4
City of Tigard � Date/B 7 Permit No.: y
13125 SW Hall Blvd.,Tigard,OR 9 4 Z 6 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 � c� Dat
e/B : Other Permit:
a Inspection Line: 503.639.4175 P�V Date Read Jur ® See Page 2 for
Internet: www.tigard-or.gov C, f �F��� t�� Notified/Method: Supplemental Information
TYPE OF 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.
❑ 1-and 2-family dwelling ®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: 15055 SW Sequoia Parkway,Suite 100 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 100 Project name:Pacific Star Communicatio Covered porch area: square feet
Cross street/directions to job site:SW Upper Booties Ferry and SW 72°d Ave. Deck area: square feet
Other structure area: square feet
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
DESCRIPTION OF WORK work indicated on this application.
New demising wall,minor demolition. Join large suite with smaller suite. Valuation: $$12,390.00
Existing building area: 23511 square feet
New building area: 23511 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: III-B
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B,F-1,S-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B,F-1,S-2
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PacTrust Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name:Leslie Louis
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300
City/State/ZIP:97224 Total fees due upon application:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:lesliel@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:PacTrust Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15350 SW Sequoia Parkway#300 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee): $21.60
CCB tic.:153913 Total fee due upon application: $201.60
Authorized signature: 13' � W s This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Q Date: F * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Perrnits\BUP-COM PerrnitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
City of Tigard
71 7 COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD
Building Permit Review — Commercial - No Land Use
Building Permit #: 13i-t�'Aiiy-IX-x�k.)-
Site Address: 15 n SS S w' S`e c' c.1 rk"J Suite/Bldg#: 10 O
Project Name: P C`lG (-1 (- SI-C4 f C-0MV' l uni ca h ohs
(Name of commercial business occupying the space. If vacant,enter Spec Space)
Planning Review
Proposal: I:h l or T
Existing Business Activity: M 6vcaz�
Proposed Business Activity: C. vy1 �(� 0
/Verify site address/suite# exists and active in permit system.
,LTJ River Terrace Neighborhood: ❑ Yes '1z No
/Z Zoning. C
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date:
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:
Site Plans: #
Building Plans: # _
Building Permit#: Q-Efiter building permit#above.
Workflow Routing. mining ❑ Permit Coordinator u ng
Workflow Sign-off: - ff for Planning(include notes from planning review)
Route Application Documents: � l g: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 1
By Permit Technician: _ JP Date: g14 /
I:\Building\Fonns\BldgPertnitRvw_COM_NoL.andUse_070915.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occu anc Grou T e of Construction: r
Type of Use**: Occu anc Load: Oregon S ecial Code:
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
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:
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:
$ DC Prov Rvw,COM TI—Ping
$ 7 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 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: $ +1 ,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_BUP_070115.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
15055 SW SEQUOIA PKWY 100, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00042
Jeff Grove
Violation Summary:
Inspector Contractor