Permit ,i CITY OF TIGARD BUILDING PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: BUP2016 00220
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2016
Parcel: 2S 112 DC00500
Jurisdiction: Tigard
Site address: 15895 SW 72ND AVE 100
Project: Consolidated Supply Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: TI for new tenant: Office modifications and(1)new demising wall.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOJA 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 07/07/2016 $90.00
Occupancy Grp: B Occupancy Load: 50 Permit Fee-Additions,Alterations, 07/07/2016 $317.06
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/07/2016 $38.05
Stories: 2 Height: 0 ft Plan Review 07/07/2016 $206.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/07/2016 $126.82
Value: $15,470 Info Process/Archiving-Lg$2.00(over 07/07/2016 $4.00
11x17)
Floor Areas:
Total Area: 4944
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $782.02
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: ,/.%�� _.cs". Permittee Signature: VICLU L°\AA:41
Z/ al • .•39.4175 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 . :.,' i FOR OFFICE USE ONLY
r,5
a, Received /_
City of Tigard Date/By: �� -� Permit No.: a P � **a)- 0
- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,/
Phone: 503.718.2439 Fax: 503.598.1960 : M e ./'1 i, Date/By: r 7 7 1� Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: / El See Page 2 for
Internet: www.tigard-or.gov ti`" Notified/Method: 7 //, �� Supplemental Information
!C 1 ;it i ' r It, :44%0.0 R lIliktl 1 r i/.r A FLYDWELLING, .
❑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
�'� `' O R work indicated on this application.
`7 _ 1', t''1 I ' (1Ii t TRUC"TI+C1N '_
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
I=1Accessory building 1=1 Multi-family Number of bedrooms:
ID Master builder I=1 Other:
Number of bathrooms:
FIlf Nfi Jon E = R A d °l CA ItT'{ - 3�A Total number of floors:
r ,M4-244.1-,-..,-,-W:',-,,-,!
Job site address:15895 SW 72"Ave.,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:Consolidated Supply Co. Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry Rd. Deck area: square feet
Other structure area: square feet
ii UIRR) :A7 At C.O14 MERE .--v 64 IST ti,
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2.__S1�2.-D C.O Indicate the value(rounded to the nearest dollar)of all
�� � lam �� s� �
equipment,materials,labor,overhead,and the profit for the
(4N r > ' 6 !LF�QI _ 'x a� work indicated on this application.
New demising wall and change to one interior office Valuation: $$15,470.00
Existing building area: 5690 square feet
New building area: 5690 square feet
?.4 N[ 61:7" il 'i T QW ER =' ❑ TENANT Number of stories: 2
Name:PacTrust Type of construction: III-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
AAt�A1� >CAN ` ,al.,,,,,,,,, i , ONIA c * - , * s "t tT iYi
c S k1,,, ,t. fi , , = ,,ti ct7ret � `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
-PHIO`rQ VOLT1 C SOLAR P NEL S`STEM IFI *
�� q� Commercial and residential prescriptive installation of
o `°` Cr RCTOR z z�' „�, , ,,, ,�, „ . , . 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 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
\lia.40‘
/(`��1/�,( Total fee due upon application: $201.60
Authorized signature: " cThis permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
Print name: 1,. ey (A G ‘,...01Ais G Date: J mi�,t 7 'L 11)0 * Fee methodology set by Tri-County Building Industry
0 1 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T T G A R D Building Permit Review - Commercial - No Land U s e
Building Permit #: 4,� : �e
Site Address: t 5 S SvJ `1z Suite/Bldg#: 'DO
Project Name: CMDIldaL
'
(Name of commercial business occu 5ying thespace. If vacant,enter Spec Space.)
Planning Review
Proposal: fl rvrAti �crntstvi� Nf'T. t -to oni tate-nor v f F-
Existing Business Activity: Lp
Proposed Business Activity: Ce
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: I-I>
.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: kVA Date: 1'1 if Le
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:
7 /
Site Plans: # i Icy:
Building Plans: #
Building Permit#: building permit#above.
Workflow Routing: man r g ❑ Permit Coordinator ceding
Workflow Sign-off: Si for Planning(include notes from planning review)
Route Application Documents: uildtng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: t�--
By Permit Technician: v' ._.. _'Date: ,�/,/ ►
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.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\Fonns\B1dgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
III Over-The-Counter (OTC) Building & Fire Protection
System Permit
{> Appointment Checklist
Permit Record#: u-f?2r-ot -60,
Contact Name: C t- Phone #: J7j 3-(�gc� ogee)
Business Name: y Appointment Date: 7'7 ) /o;ap,�t 1
Site Address: 15895 7 P..1'1,41-)1✓ Blcfg/Suite #: /95-
Project Name: 0e-+ -A -p��J _
Project Description: 4 bt da.."..., N.- 1"s ue�Q O P J-
Existing Use: "1-3 New Use: 6.
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: T Occupancy Group: B Type of Construction: '
Type of Use: Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: -7.—.-- 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: [ A- 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: 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: $ ---
IA-�
$ .r% *di —
DC Prov Rvw,COM TI Ping
$ 3 Ot, Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(ef • 1/2015) $ cli /r 12%State Surcharge
Project Valuation $ PlanReview,Structural
Up to$4,999 $0.00 $ ,�5.,;,„,e_,2_plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 4-,eliTh Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$14 ' 9 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 A d over 351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
e ther:
Building Staff: $ Oth_ •
Date/Time: $ `78Z,2TOTA .FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx