Permit (21) CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2016 00232
1—WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2016
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 170
Project: Napier Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: TI for existing tenant:Modifying(2)offices and adding casework.
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 Permit Fee-Additions,Alterations, 07/14/2016 $377.90
Class of Work: ALT Type of Const: IIIB Demolition
Occupancy Grp: B Occupancy Load: 31 12%State Surcharge-Building 07/14/2016 $45.35
Dwelling Units: 0 Plan Review 07/14/2016 $245.64
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/14/2016 $90.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/14/2016 $151.16
Value: $19,567 Info Process/Archiving-Lg$2.00(over 07/14/2016 $4.00
11x17)
Floor Areas:
Total Area: 3015
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $914.05
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 rutea or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
C
Issued By: J -- Si•nature:
......„1.-z -___"„...., ....._ ___ 7
— \51.4(iLl \PliUdiV)
C•1 x'.63` 5 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 t *: FOR OFFICE USE ONLY
City of Tigard .t ^" Received 7 Permit No.: i
- '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReSrew-`. f��
Phone: 503.718.2439 Fax: 503.598.1960 4 211G! Date/B �' IK Other Permit:
TIGARD Inspection Line: 503.639.4175 JUL + Date Reay ® See Page 2 for
Internet: www.tigard-or.gov Notified/Methd: rni1oing. Supplemental Information
TYPE OF WOR . . `_° IEQUIRED DA'D'A-I=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 ElMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB STI'E INFORMATION AND LOCATION Total number of floors:
Job site address: 15115 SW Sequoia Pkwy#170 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 170 Project name:Culshaw and Company,LLC Covered porch area: square feet
Cross street/directions to job site: 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.
— Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION'OF WORK work indicated on this application.
Minor demolition and change to two offices,added casework Valuation: $$19,567.00
Existing building area: 3,015 square feet
New building area: 3,015 square feet
® PROPERTY OWNER 0 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
Phone:(503)624-6300 Fax:(503)624-7755 New: B
E 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:
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 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: ULMAA This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L es I l & L 0 A fy Date:dv% 11 2.0 b * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
NI Ill .
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: etig?0,(tp—Gx),
Site Address: /5/) ' k,�,� Nay. Suite/Bldg#: /97)
Project Name:
1 iddeu 1 X (Z6'inpaft,(Name of commercial business occupy g . If vacant,enter Spec Space.)
Planning Review
Proposal: T J e ' q n,
Existing Business Activity: x'74:7 S.�
Proosed Business Activity: #Verify site address/suite# exists and active in permit system.
ver Terrace Neighborhood: ❑ Yes ❑ No
►. oning: /'P
Vyermitted Use: 0 Yes ❑ No ❑ Spec Space
C firm no land use required.
Business License:
Exists: Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: Date: • /? /i9/1(e-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7&/(4+
Site Plans: # /V/
Building Plans: #
Building Permit#: l �En�t r building permit#above.
[C�
Workflow Routing: ISlanning ❑ Permit Coordinator lal-" lding
Workflow Sign-off: off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: v" Date: /y/L,
110 46'
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\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
1111 II a
Over-The-Counter (OTC) Building & Fire Protection System Permit
f 1,, \r l) Appointment Checklist
Permit Record#: //q ' a/6gcLaa
Contact Name: ci- Phone #: _ –,a !3aG
Business Name: '07� -- Appointment Date: 7 ,y vZ:00r91)1
Site Address: /57/5 . --,) . - w A., Bldg/ cite #: /70
Project Name: _ /_ _ ,_..L-
Project Description: -,i, 6 _ _ !—
is
Existing Use: New Use:
MMD Required: ❑ Yes ❑ No Related Record#:
APPLIC !.0 INFORMATION
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction:
Type of Use: t Occupancy Load: `oOregon Specialty Code: - A
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: 7--i(. 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 ti.
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: $ \'1 r.4.-51,7
DC Prov Rvw,COM TI Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ,` 12%State Surcharge
Project Valuation $ ''-.VIM Plan Review,Structural
Up to$4,999 $0.00 n 00 $ Plan Review,Fire Life Safety
$5,000-$74,999 7� eo $ A atJ`r_ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $229:60' ,924' $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $3a4-btr' 35-)Pa $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ tit,L�TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.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
15115 SW SEQUOIA PKWY 170, TIGARD, OR,
97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00232
Chip Barnett
Violation Summary:
Inspector Contractor