Permit (21) q
CITY OF TIGARD BUILDING PERMIT
Permit BUP2016 00271
COMMUNITY DEVELOPMENT
T f GRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 290
Project: Fairway America Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for existing tenant:Demolition only.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
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
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 09/13/2016 $90.00
Occupancy Grp: B Occupancy Load: 39 Permit Fee-Additions,Alterations, 09/13/2016 $256.22
Dwelling Units: 0 Demolition
12%State Surcharge-Building 09/13/2016 $30.75
Stories: 3 Height: 0 ft Plan Review
Bedrooms: 0 Bathrooms: 0 09/13/2016 $166.54
Plan Review-Fire Life Safety 09/13/2016 $102.49
Value: $11,284 Info Process/Archiving-Lg$2.00(over 09/13/2016
$4.00
11x17)
Floor Areas:
Total Area: 3823
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $650.00
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 erules odirect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: l r1
Permittee Signature: j��� v"' ��I f ,r
//6 1/V.L.
:9, 0 .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card sf—all 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 Received
- `J g t y :;t :j '� Permit No.: 4� T
13125 SW Hall Blvd.,Tigard,OR 972 ""� ul� " Date/B _di
,11111 g Plan Revie ��� �l
Phone: 503.718.2439 Fax: 503.598.1960 Date/B �� Other Permit:
T I GA R D Inspection Line: 503.639.4175 S r P 1 3 2016 Date Rear// ice ® See Page 2 for
Internet: www.tigard-or.gov �' Notified/Method: ! it/6 a'- h Supplemental Information
{,', INIi5 T EO:A[" ,' 1 ; 04.70P-074,1114 ,:#5.:'
i * G4 u
5
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this a lication.
�TEG;OR Cjp Ol'IS1 iC CTCO 1'-,M m pP
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
1:1Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
+IQB S11 INFO1 A,TIO ANj LOCATIOI _r Total number of floors:
ll_
a� � . � �e ,, � ��� �.�„�q a rWt
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:290 Project name:Fairway America,LLC Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Pkwy and SW Redwood Lane Deck area: square feet
Other structure area: square feet
> f(1ti D04 s M1 rGA 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
"� , ESCRIPTIO ,,SOF Wo,PT 7 `' work indicated on this application.
N
Major demolition Valuation: $$11,284.00
Existing building area: 3,823 square feet
New building area: 3,823 square feet
M►®® ' OPERT '`oV :4 r E,y ,; iL.i TE11AI ; Number of stories: 3
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 Fax (503)624-7755
New: B
a „;`�”�1*PLICAN ''''T''''''-;' ►o, CONTACT PERSCII F. .�" , BuILTITNG P 12 L�r r.
Business name:PacTrust 4 "re erta'e ksrlr uk ' "
t7' l Je )w
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:
I'IIOTOVL'TI.(SOI4A1 j* 4ST ;
E-mail:lesliel@pactrust.com �f�,, 1,. r� y
" " � �GONCTR i Commercial and residential prescriptive installation of
_,. - -f ,: R r 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
and administrative fees): $180.00
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: VCAN (
T This permit application expires if a permit is not obtained
J within 180 days after it has been accepted as complete.
Print name: L'eS It'e \ OVv1 y Date: 1/121 2010 * 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
111111
0
COMMUNITY DEVELOPMENT DEPARTMENT
, ,CARD Building Permit Review — Commercial - No Land Use
Building Permit #: c )/6 tA) 7 C
Site Address: (o(a 5 0 S v,/ ((M/o O d( L vl . Suite/Bldg#: 'LA 0
Project Name: t;rwot) Ay 1 ri CG LL G
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: I1'1-E[.r1'L3 0-e/ryi O
Existing Business Activity: 1140 Ofri OiYl q-e y ui!( rhp -
Proposed Business Activity: !
aVerify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes /7 No
Zoning: I _ P
4zPermitted Use: CIYes ❑ No ElSpec Space
2 Confirm no land use required.
Business License:
! Exists: ❑ Yes El No,applicant notified to obtain business license
Notes:
Approved by Planning: lI 0i47-4i1 el le
Date: 7/ /3/ /1.
Revisions (after Building Submittal only)
Reviewer Date
Revision 1:
❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: 9/j
Site Plans: # //a
N�`
Building Plans: # 3
Building Permit#: a—Enter building permit#above.
Workflow Routing: gl—Pi'a'nin ❑ Permit Coordinator
Workflow Sign-off g ding
Sign-off for Planning(include notes from planning review)
Route Application Documents: g: original permit application, site plans,buildingplans,
beam calculations and trust details,if applicable, etc. engineer and
Notes: 6%G
By Permit Technician: „,, _:41,1114w1411”"
Date: it/3/4,
I:\Building\FormskBldgpermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
ElApproved,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 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
0 OK to Issue Permit
Approved by Permit Coordinator:
Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
ElCity of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist Y
Permit Record#: Paa/y—OO 7/
Contact Name:
Lt_s pc_ 4, ' Phone#: SZ
Business Name: ib C7- S.fc ,
Apo t. Date/Time: A-,. ~ � �
SiteArl�irPcs• � /�
Project Name: Bldg/Suite #: ! co
Project Description: a b` ' `
r!ry✓d r ode rr yn.)if*\c"l -- 7-.2._ *r- etc:'I-4',1 eA ct,"1-
Existing Use: 6
MMD Required: 0 Yes — New Use:
Related Record#:
IIIIIMIIIMIIIIIIMMIIIIIIIIIIIIIIIIMMIIIMIIIMMIIMIIIIIIMIIIIIIMIIIII
GENERAL INFORMATION
Class of Work: I Z I O
Occupancy Group:
Type of Use: I Type of Construction: I
Occupancy Load: Oregon Specialty Code: „`%
SPECIFICS
Number of Stories: I '�; Building Height:
Number of Dw Units: I Mixed Use: I
Number
of SQ FT-SCHOOL CET Number of Bathrooms: I I Number of Bedrooms:
OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure:
Basement: Covered Porch:
Garage: Deck:
Total Square Footage: Z± Carport:
SETBACKS Mezzanine:
Sideyard Setback-Left i Sideyard Setback-Front
Sideyard Setback-Right I Sideyard Setback-Back I
CONSTRUCTION I
Exterior Walls: Openings Protected:
S: N. Firewall Separation:
N: S: Occupancy Separation:
W:
REQUIRED ITEMS E. W: Access.Parking Spaces:
Fire Sprinklers: 4 Fire Alarms:
Sprinkler Type: Smoke Detectors:
Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required:
Hazard Group: Parapet:
_ Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ C(,2 4 .c
$ r�4 #4,,, DC Prov Rvw,COM TI Ping
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 71.0.:2, '-rmit Fee-Add,Alt,Demo
Project.Valuation $ •� 12/o State Surcharge
to $0.00 $ t7 !. elan Review,Structural
Up to -$74,999 $ 0! /it j Plan Review,Fire Life Safety
$90.00 $ 4 as Info Proc/Arch,-$149,999 $224.00 /Arch,Lg(over 11x17$2.00)
$150,0007 ,0and r $357.00 $$ Info Proc/Arch,Sm(up to 11x17$0.50)
Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff $ Other:
$ Other:
Date/Time:
$ ca),COTOTAL FEES DUE
I:\Building\Forms\OTC BUP_FPS_070116.docx