Permit (8) ,,
A CITY OF TIGARD BUILDING PERMIT
.. . COMMUNITY DEVELOPMENT Permit#: BUP2016-00221
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2016
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 14945 SW SEQUOIA PKWY 180
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: TI-Minor demo,new carpet,paint and lighting.
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: 503-624-6300
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: lig DC Provision Review,COM TI-Ping 07/07/2016 $90.00
Occupancy Grp: B Occupancy Load: 24 Permit Fee-Additions,Alterations, 07/07/2016 $438.74
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/07/2016 $52.65
Stories: 1 Height: 0 ft Plan Review 07/07/2016 $285.18
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/07/2016 $175.50
Value: $23,420 Info Process/Archiving-Lg$2.00(over 07/07/2016 $6.00
11x17)
Floor Areas:
Total Area: 2347
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,048.07
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 r 'res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1-0010 through OAR 952- -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I sued By: et. ,-L.,,7// i Permittee Signature: VAW1/4 (,N " " d"�v \\\,`_ �_ . V`lidX
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 Permit Application = 7
Commercial FOR OFFICE USE ONLY
Cityof Tigard u _ j i ; Received /
g DateB 7 �`�/ Permit No.: e dl�
114
13125 SW Hall Blvd.,Tigard,OR 97223 PlanReview
Phone: 503.718.2439 Fax: 503.5981960. DateB : %1 alitli, Other Permit:
T I G ARD Inspection Line: 503.639.4175 Date Rea.' Juris: ® See Page 2 for
Internet: www.tigard-or.gov ,f: Notified/Method: Supplemental Information
1 �� ll' ki`Y1y' `i, WrORK �} '' ����,e� '; i IR BriTAl AND
❑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
SORRY' OPt TRtkwo� work indicated on this application.kA •--''''''"'`'-r-- d
El1-and 2-family dwelling Valuation: $
®Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
El Master builder 1:1 Other:
Number of bathrooms:
rr JOJy i lmoi 8 i oc i 0 ,, - Total number of floors:
Job site address:14945 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:180 Project name:Spec Office Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Parkway and SW Cardinal Lane Deck area: square feet
Other structure area: square feet
ll I i A O I 1 L 4 l 4
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
4. Y � x '� ESC l ki�'o ;*O �`i- " , li t 0 . work indicated on this application.
,. ; ,, •.•, I , ,,, • Mt n or d eim 4 J r evki Valuation: $$23,420.00
ca ra alt1 Ci P al n i Al A t1 9tit n1 Existing building area: 2347 square feet
New building area: 2347 square feet
mow. `.� b4P4�1i 1!
G [ r N 1 0 41 Number of stories: 1
-,V , � r . vi ,� _ a._3 ai a ., ,i;a, m i�, ,. . .rz , ,4
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
AFax:(503)624-7755 New: B
9® A CAT = ,114 _ 1 'P�fW A O1 _ rB i Eit
iS ,
Business name:PacTrust (� /e�ttr tui
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:
rBoTovQurAIcF$QLAR S1 sv $
Email lesliel@pactrust corn ,.._�,er : 't b
�, w[r „ r � , Commercial and residential prescriptive installation of
i ��,- cUl ,,,,*4,.-, , n� e�� 1 1--,77�. , ' 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
Total fee due upon application: $201.60
Authorized signature: V4AThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �961t (ti \,,9 0,1 0 Date: J U`,q , 2.0 I p * Fee methodology set by Tri-County Building Industry
�J f Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 2 III
U '
SiCity of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Bari ao I t o—002-9-1
Contact Name: Phone #: 3- 4994{(0 306
Business Name: Po_c_71-4-L.L.A.k Appointment Date: 7/7 Z :e"PM
Site Address: 14q 44S .12.-ity-04....."._.) 14,v- L_A Bldg/Suite #: I V)
Project Name: .„t P b,A _ o-CIL-
Project Description: lav clic_
Existing Use: New Use:
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: ptr Occupancy Group: Type of Construction: ]
Type of Use: j (A, Occupancy Load: Oregon Specialty Code: '24"j(
SPECIFICS
Number of Stories: t 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: 2,. ./c7 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: 1-(, 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: $ 42-51A2i, CO
$ , DC Prov Rvw,COM TI–Ping
$ )74.. Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 2.411,5. 12%State Surcharge
Project Valuation '\ $ d �� Plan Review,Structural
Up to$4,999 $0.00DO J $ 75, ---0PlanReview,Fire Life Safety
$5,000-$74,999 '.:: 94• $ 0 i d• Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220:.96' $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $3&-1-1113— $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ { p4. 7 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx
City of Tigard
111 a COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: -7SL, I) ,c ()/
Site Address: 1194 S SW c-ecioi 4 Suite/Bldg#: l c3 0
Project Name: Spa, 0 r G7 Le.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review II
Proposal: M j n Of CkOX 1 t3 , AAA/ Carpef-- / 190 l�7 t-/ O1 r cl.
J i&1 t-0?
Existing Business Activity: 0 C'GI
Proposed Business Activity: 0 (C
C2Verify site address/suite#exists and active in permit system.
"River Terrace Neighborhood: ❑ Yes ❑ No
VZoning:
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
)zr
Confirm no land use required.
.B—mess License: & G
Exists: 111 Yes No,applicant notified to obtain business license
Notes:
7
Approved by Planning: Alb' 1�+��. �--- 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: 7 7 (
Site Plans: # 3
Building Plans: #
Building Permit#: LI Enter building permit#above.
Workflow Routing: "Planning ■ 44i •. E�1-. • 2/Building
Workflow Sign-off: "Sign-off for Planning(include notes from planning review)
Route Application Documents: 2Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 7A_—
/ ✓
By Permit Technician: _
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060 1 16.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