Permit (48) CITY OF TIGARD BUILDING PERMIT
71
1 COMMUNITY DEVELOPMENT Permit#: BUP2016-00246
TIGAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2016
Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15889 SW 72ND AVE
Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: TI for new tenant:Demolition,new restroom,and new breakroom.
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
Type of Use: COM Date Amount
DC Provision Review,COM TI-Ping 08/10/2016 $90.00
Class of Work: ALT Type of Const: IIIB
Permit Fee-Additions,Alterations, 08/10/2016 $575.17
Occupancy Grp: B Occupancy Load: 28
Dwelling Units: 0 Demolition
12%State Surcharge-Building 08/10/2016 $69.02
Stories: 2 Height: 0 ft
Plan Review 08/10/2016 $373.86
Bedrooms: 0 Bathrooms: 0
Plan Review-Fire Life Safety 08/10/2016 $230.07
Value: $35,830 Info Process/Archiving-Lg$2.00(over 08/10/2016
11x17) $8.00
Floor Areas:
Total Area: 6166
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,346.12
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.
1 ff pqq
Issued By:
` Permittee Signature:
_a
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 /io
Commercial FOR OFFICE USE ONLY
City of Tigard Received 1
.74 13125 SW Hall Blvd.,Tigard,OR 9722 ,3 •i v DateB : /� Permit No.:
} ,.w �� �!/�
Phone: 503.718.2439 Fax: 503.598.19 `
" DateBPlanRevie"w A t Other Permit:
T I G A RD Inspection Line: 503.639.4175 Date Ready/By:
Internet: www.ti ard-or. ov 0 ) I Y o' 4' Supplemental See Pent 2 Informationnr
g g MI 4 j.t Notified/Method: l/ f
"aph ripm
'
o New construction ❑D� l '.: 1 Permit fees*are based on the value of thew k performed.
L Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑ ier
r equipment,materials,labor,overhead,and the profit for the
' _ uA, � 4..s it y SAW r; W + ,piPpp: �'
y � � work indicated on this application.
Ltii
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
rB9 � fICf �it lO4TI " a
Total number of floors:,a ,_ n
Job site address:15889 SW 72nd Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:15889 Spec _ r Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry Rd.an SW 72"Av
Deck area: square feet
Other structure area: square feet
eI
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
9� � � � equipment,materials,labor,overhead,and the profit for the
_ "' . .,„:may, = _ CR'11 Ii-iu_ i�4Ri ; tt `,- N �5 tta A`; work indicated on this application.
s . ,- . 4Z**,:
Demolition,new finishes,added restroom and break room. Valuation: $$35,830.00
Existing building area: 6,166 square feet
New building area: 6,166 square feet
Number of stories: 1
Name:PacTrust
Type of construction: III-B
Address:15350 SW Sequoia Parkway#300
Occupancy p y groups:
City/State/ZIP:Portland,OR 97224
Existing: B,S-1
Phone:(503)624-6300 Fax (503)624-7755
New: B,S-1
°m® �#PP�TC _ 001I C ' ItSI BTI DIN�Ir 1 I,f ` - , Z
Business name:PacTrust °Ee4
Contact name:Leslie Louis Structural plan review fee(or deposit):
Address: 15350 SW Sequoia Parkway#300 FLS plan review fee(if applicable):
City/State/ZIP:97224 Total fees due upon application:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
ipt
E-mail:lesliel@pactrust.com O Q I'Q � °'mos4,41 ,
1: Tf�j12 ,�t ,*,ialml * , � Commercial and residentialprescriptive
installation of, a _ AA_ gCOGi_lWI 'rA % ,
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
Phone:(503)624-6300 and administrative fees):
Fax:(503)624-7755
State surcharge(12%of permit fee): $21.60
CCB lie.:153913
Total fee due upon application: $201.60
Authorized signature: W Y—t , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L e S t & Date. u I 10 i'Z U(b * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 6/4/9070/6—000/.../6
Site Address: 159g9 S'of 12 "6` el Suite/Bldg#:
Project Name: 1 - 0 ci sp c_
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Demo v).ew C;Y) iS'ht i , A0ct.- rntvta.,v, 6(°ctk
V'00 elf,' '
Existing Business Activity: ti0 VYl/Yt T.i�JL,
Proposed Business Activity: CO rt) r'Y1 '`Gt.
Verify site address/suite#exists and active in permit system.
XRiver Terrace Neighborhood: ❑ Yes X.No
Zoning: f — i'
XPermitted Use: Yes ❑ No ❑ Spec Space
CVConfirm no land use required.
(Business License: Al 9 f 61 V1+-
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: � L - ,... Date: 6/10/ 1 to
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Thy/�/
Site Plans: # 4, .
Building Plans: ##
Building Permit#: nter buil ding permit#above.
Workflow Routing: a-Punning ❑ Permit Coordinator g
Workflow Sign-off: E"Sign-off for Planning(include notes from planning review)
Route Application Documents: l ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: V76
-.04111111111110
By Permit Technician: Date: 'Y/Wit/
I:\Building\Forms\B1dgPermitRvw_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 CosTrans Dev Tax: C] Yes CI N/A
Tigard Trans SDC: El Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPernutRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
'II Over-The-Counter (OTC)C) Building & Fire Protection System Permit
< < l> Appointment Checklist
Permit Record#: 40aD 110-00.1y&
Contact Name: C,&.SG!E 1-0et-iS Phone #: �0..3-Coa!/-4.300
Business Name: /Off$/Fi /e679-4,-7-ie ,,f—SSC, Appointment Date: ef//®�/(o re9,00
Site Address: /S d '&y S7a e=e-- f-- Bldg/Suite #:
Project Name: S of _
Project Description: .2)6i j0 l,U-TE-7Gie,e, A/ 'W ,rNes'fk—S� 'i Ao /24E5772-earl
g .ege-,9.4 n00ey
Existing Use: New Use:
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: NA Occupancy Group: Type of Construction: `3
Type of Use: Occupancy Load: �g Oregon Specialty Code: r�
SPECIFICS C`�
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 Foota e: 1 hb 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: te,e, 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: $ '6O-1- �c-
$ , • ( DC Prov Rvw,COM TI—Ping
DC Provision Review Fee for COM TI(effective 7/1/24315)/ $ 1 : 7 Permit Fee—Add,Alt,Demo
$ ,d"6-- 12%State Surcharge
Project Valuation $ , S_ 'lan Review,Structural
Up to$4,999 $0.00 $ ill, i diPlan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ ° i PO Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00
$150,000 and over $ Info Proc/Arch,Sm(up to 11x17$0.50)
$357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ I4,I AL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15889 SW 72ND AVE, TIGARD, OR, 97224
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
B U P2016-00246
Inspector:
Jeff Grove
Contractor