Permit (45) CITY OF TIGARD BUILDING PERMIT
1111
• COMMUNITY DEVELOPMENT Permit#: BUP2016-00159
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016
Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16170 SW UPPER BOONES FERRY RD
Project: Jevo Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: TI for new tenant: Demolition,new office build out,break area and fully glazed overhead doors.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
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: IIIB DC Provision Review,COM TI-Ping 05/11/2016 $220.00
Occupancy Grp: B Occupancy Load: 57 Permit Fee-Additions,Alterations, 05/11/2016 $1,190.51
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/11/2016 $142.86
Stories: 1 Height: 0 ft Plan Review 05/11/2016 $773.83
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/11/2016 $476.20
Value: $113,456 Info Process/Archiving-Lg$2.00(over 05/11/2016 $10.00
11x17)
Metro Const.Excise Tax 05/11/2016 $136.15
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,949.55
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: s S P_etmittee Signature:
.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard �'��t) Date/E1 :Received FM Permit No.:, /#:. * # ..
14 1114 . 13125 SW Hall Blvd.,Tigard,OR 9722 (� Plan Review
Phone: 503.718.2439 Fax: 503.598.19 E Date/B : , M A tt Other Permit:
TI G n R D Inspection Line: 503.639.4175 sate•ea.y:y: li3 See Page 2 for
20$ Notified/Method: - /- iy, Supplemental Information
Internet: www.tigard-or.gov MAY
REQUIREDATA: AND 2-FAMILY DWELLING
� `e eu TYPE OFWO .
0 New construction ❑ li
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
''' CATEGORY OP CONSTRUCTION ',
5. work indicated on this application.
dwellingValuation: $
0 1-and 2-family ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms: j
❑Master builder 0 Other: Number of bathrooms:
4 'JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16170 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:NA Project name:Jevo Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry and 72"Ave. Deck area: square feet
Other structure area: square feet
RE(211IIRED DATA;COMMERCIAL-USF CiIIECKLIST
Subdivision: Lot no.: Permit fees*are 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
,541-155;. " _'°-`` ' DESCRIPTION OF WORT, z awork indicated on this application.
r
.
New office reconfiguration including break sink and fully glazed overhead doors. Valuation: $$113,456.00
Existing building area: 6,289 square feet
New building area: 6,289 square feet
' ,, ra.PROPERTY OWNER ' 0 TENANT; ,ti 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,S-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B,S-2
hPPL , . w a,T m;.
. �� ��` ' ICANT �.: _' (�°CONTACT PERSON ,�,rti. ` � :� a'+' 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 -
Total fees due upon application:
City/State/ZIP:97224 -
Amount received:
Phone:(503)624-6300 Fax: :(503)624-7755
E-mail:lesliel@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 Specially 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
X167 within 180 days after it has been accepted as complete.
Print name: ,..e(!(`.6 L O lA(cl Date: Nal 11 , 10(0 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613 T(1 1/02/COM/WEB)
IIICity of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 6410,71,C0-c f,sy
Site Address: /(J ,c k.) Up/2e,-
y des ��ite B dg#:
� y
Project Name: Ve
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �? J /
Proposal: /. �, oZ�i' /Le2c� i /t T j /' �aiO/ �� 7c�
A)/ Gere-c,0,P
Existing Business Activity: Cl'q6re
P/Verify
oposed Business Activity: //
site address/suite# exists and active in permit syste .
ff ver Terrace Neighborhood: ❑ Yes 5No
ning: 1 P
rmitted Use: Yes ❑ No ❑ Spec Space
VC nfirm no land use required.
IIa Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: ,S—iii 1i(e,
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: T/ ////(pj
Site Plans:
Building Plans: #
Building Permit#: LL}-' ter building permit#above.
Workflow Routing: [4lanning ❑ Permit Coordinator l iulding
Workflow Sign-off: E _i ff for Planning(include notes from planning review)
Route Application Documents: J-'Buildtng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: On._..
By Permit Technician: /`L ,d _ ,- Date: 51///G�
/; J
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_0709I 5.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
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
16170 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00159
Chip Barnett
Violation Summary:
Inspector Contractor