Permit n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00046
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/10/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 350
Project: BPM Northwest Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for existing tenant:Demolition,wall construction,and relocating door.
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:
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: 1113 Permit
Provision Review,COM TI-Ping 02/10/2016 $88.00
Occupancy Grp: B Occupancy Load: 33 Permit Fee-Additions,Alterations, 02/10/2016 $347.48
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/10/2016 $41.70
Stories: 3 Height: 0 ft Plan Review 02/10/2016 $225.86
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/10/2016 $138.99
Value: $17,250 Info Process/Archiving-Lg$2.00(over 02/10/2016 $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 $848.03
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:
�C� 1PW3---J
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 Division
Over-The-Counter (OTC) Building Permit
Appointment Check List
Building Permit #: Appointment Date:
Site Address: Bldg/Suite #:
Project Name:
Project Description: — �
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record #:
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Ty e of Use**: Occupancy Load: Oregon Specialty Code: d
SPECIFICS
Number of Stories: Budding Hei ht: Mixed Use:
Number of Dw Units: Number of Bathrooms: 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 S nnklers: 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 2
$ DC Prov Rvw,COM TI—Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/l/2015) $ 12%State Surcharge
Project Valuation $ CL—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
Building Staff. $ Other:
Date/Time: $ ,� 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;DFM=demo;NEW=new;
O'IR=other use for fences,decks,retaining walls,signs,awnings or canopies).
L•\Building\Forrns\OTC_BUP_020916.docx
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #: r14P0?01(p—CX)0W-
Site Address: �6SO -sW Itedwooa( Ln• ##3to Suite/Bldg#:
Project Name: _ gpm No'-01wei*
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TL
Existing Business Activity: �,yYY�Mo/G ctJt-`QGLi(I Mz) C0 Cin pj e i h (/--e
Proposed Business Activity: (,yA,oloro_tkk/ Q 6(54_U
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: El Yes No
..
Zoning: J
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: `1�1�^'`— /aGC Date: ZV
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
Site Plans: #
Building Plans: #
Building Permit#: Inter building permit#above.
Workflow Routing: E5Vfanning ❑ Permit Coordinator B" ufldding
Workflow Sign-off: C�?"Si—goff for Planning(include notes from planning review)
Route Application Documents: L�Yl lding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: d�
By Permit Technician: � - Date: p
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_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:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Building Permit Application
Commercial
Received
City of Tigard `��j DateB : Permit No.:
13125 SW Hall Blvd.,Tigard,OR 9 0 Plan Review
Phone: 503.718.2439 Fax: 503.� 10\14 Date/B : (c) Other Permit:
,
a Inspection Line: 503.639.4175 ,O Date Ready ., Jur s ® See Page 2 for
Internet: www.tigard-or.gov CA�O� Notified/Method: AaSupplemental Information
TYPE OF W ` G, f REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction o ition 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.
❑ l-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:6650 SW Redwood Lane#350 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:350 Project name:BPM Northwest Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry-SW Sequoia Parkway 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.
Demolition,one new wall with relocated door/relite,carpet and paint. Valuation: $$17,250.00
Existing building area: 3291 square feet
New building area: 3291 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name:PacTrust Type of construction: II-B
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)624-6300 Fax:(503)624-7755
New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Please refer to fee scketlale
Business name:PacTrust
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 lic.:153913
Total fee due upon application: $201.60
Authorized signature: ( � This permit application expires if a permit is not obtained
V~ V- G1 within 180 days after it has been accepted as complete.
Print name: .eCf e C7 u(y Date: �, z * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
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
6650 SW REDWOOD LN 350, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00046
Chip Barnett
Violation Summary:
Inspector Contractor