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Permit (13) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00264 TUG R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/21/2016 . Parcel: 2S112DD01600 Jurisdiction: Tigard Site address: 15575 SW SEQUOIA PKWY 130 Project: BFit Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: TI for new tenant to Tigard: New 20,544 sq.ft.health club. Contractor: CUMMING CONSTRUCTION INC A CORPORATION O Owner: PACIFIC REALTY ASSOCIATES 1483 EAST 3850 SOUTH ATTN: N PIVEN SAINT GEORGE, UT 84790 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 435-656-8433 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 09/21/2016 $4,539.95 Demolition Occupancy Grp: A-3 Occupancy Load: 536 12%State Surcharge-Building 09/21/2016 $544.79 Dwelling Units: 0 Plan Review 09/01/2016 $2,950.97 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/21/2016 $357.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/21/2016 $1,815.98 Value: $700,000 Info Process/Archiving-Lg$2.00(over 09/21/2016 $22.00 11x17) Metro Const.Excise Tax 09/21/2016 $840.00 Floor Areas: Total Area: 20520 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $11,070.69 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No 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: — -• u'tee Signature: 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. 1 Building Permit Application Commercial x1 t '' �? ' `R' FOR OFFICE USE ONLY City of Tigard Received DateB . ( Pemnt No.: eke, i 6_0 , to o q 13125 SW Hall Blvd.,Tigard,OR 97223 _ Plan Rev'w ►- ti 7( �-�rri is Phone: 503.718.2439 Fax: 503.598.196aj�:r ��!�� Date/By: i' � �tic, Other Permit:�mO „t t Inspection Line: 503.639.4175 kk � 11CJ to 2for �x,'C T 1 G A R D P Date Rea }d 7Ry: L� �(� Juris: G�l' C s I See Pagefor Internet: www.tigard-or.gov � • ''R Notified/Method: ` .�� f—f'Ca Supplemental Information UM 40/hilVikifE .. . 14)" `v ,4 REQUiREiAriVi i A 'D 2 AmEiLYbWE1,Lir, ❑New construction ❑Demolition Permit fees*are based on the"value of the work performed. Indicate the value(rounded to the nearest dollar)of all j Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the" i : work indicated on this app 1. t. �.i .. i0,. . Cfoz ArEG©R OF"C4N 4TIFTi N » moi. � ',,,' ❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ IDAccessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: Y z Total number of floors: ` �� JUB SITE INFORM/M.)I A D LOCA ., ,� Job site address: IgG/5 SW S E( .uo i A p{e-AA)`( cut /30 New dwelling area: square feet City/State/ZIP: n6-,6,121:7, OR q Tz .4- Garage/carport area: square feet Suite/bldg./apt.no.: i-30 Project name: $F(r PACIFIC ag GF_NTtI . Covered porch area: square feet Cross street/directions to job site: Deck area: square feet ‘Nr ' ..,&VO i A J' + Svc L'pp�fz E3O6NP.c Other structure area: square feet PEP-42=fP.v `,� fifil EiI UATA tC©A I elgiWCIlECicLIAT " Subdivision: Lot no.: LOT P14 Permit fees*are based on the value of the work performed. Tax map/parcel no.: 2 S i r'= �� �� Indicate the value(rounded to the nearest dollar)of all ` , equipment,materials,labor,overhead,and the profit for the t AE5 T2IT'TiUN OF/WURK /" � 4 work indicated on this application. • INGL�-1.--t\ L, 2O, 544 SF N-E,ALTn-I u..vE. 7 Z, IN Valuation: $ 1 c.' G,-=, Existing building area: 5square feet 32 SF P,u1Lbi t - IN ✓XiSTNGUSfN✓SSr,ARK., New building area: 2sl square feet � ❑PRURT OWNER v !T- ` y 5x.' Number of stories: Name: 13P t I-t�- Co N i 1✓. KOSKA Type of construction: ( t,j ii Address: 12(5 LAu-L -n2 E Lt`! • 4k.2O6) Occupancy A 3 — 8, p y groups: City/State/ZIP: CA 12-LS BAP, C A 12 d 1 i +� � Existing: Phone:(3,O) 2.S. 412b Fax ( ) a �✓ New k''''':':: Ato;40 : . 'e..".". -,'1,1%, 66*,.:A "P]+1„ QN iii '� Btjil;RiNG�ERNIIT. S,*0 - 1 Business name: , {Pleus�reirtojesc edulej " MA GK ..N2-1 Structural plan review fee(or deposit): Contact name: A N i4 i MO LIEN I Address: I Ca,'S S t< WAT�� m -4-100 FLS plan review fee(if applicable): City/State/ZIP: pop....TLA Kt E>, 6 12- /42.i+ Total fees due upon application: ) S� `l Phone:(5'073) 224 . 5Oel Fax::( ) Amount received: Email ")toy tVO�Ai SO >�AL SST�M FES F Commercial and residential installation of --,0';''A':' ,'"." :0, 6.iiWi?AGx II .5," 4 roof-top mounted PhotoVoltaic Solar Panel System. Business name: G Submit two(2)sets of roofplan ]v^WL'1A �..5fi✓K L.t•; ,,,•• i Le) c" with connection details Address: �/ _ and fire department access,along with the 2010 Oregon 7 ? 3 z• 1 . i) `J. Solar Installation Specialty Code checklist. City/State/ZIP: 4:.4 zv, tA kid 7 c( v Permit fee(includes plan review $180.00 and administrative fees): Phone:(4 3.i) U S(,, _, ;F 3 j Fax:( y 3s) (,, (7 S t-147 7 State surcharge(12%of permit fee): $21.60 CCB lic.: S 3 1't 3 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: (?,r t (.,riela ;,, L ,,. Date: !l l i I U,„ * 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) 11 sit Building Division Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 ,- 1 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ T I G A R D Building Permit Review — Commercial - With Land Use Building Permit #: atp,20 j &—00026 iJ6, Site Address: /SS-7S— .gkj iiok atcy,Suite/Bldg#: --71-87,- Project 7 "Project Name: 6F/Is7L (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: --7-7/ ii -eitin, VerifY site address/suite# exists and active in permit system. It�J.'ver Terrace Neighborhood: ❑ Yes ❑ No Ig Use Case#: MN 1oQ� u P1anatch Approved Land Use: Site Plan �ikandscape Plan ❑ Other: O1Jrban Forestry Plan O1 kevation Plan „ ^� Building Height: Maximum Height Z--/S— CI / Actual Height � S1ti II' nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issua/nc 12 Business Licen�s . Exists: V Yes ❑ No,applicant notified to obtain business license 0Public Facilities Improvement(PFI)Permit: � Required: ❑ Yes,applicant was notified 12 No Applied For: ❑ Yes El No,stop intake Notes: Approved by Planning: /��;;°� Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved El Not Approved Building Permit Submittal Original Submittal Date: c/i///6; Site Plans: ## Building Plans: # Building Permit#: nt-e-r�building permit#above. , .- .�-— Workflow Routing: eiTanrung CI Engineering Cf Perm. it Coordinator ft Building Workflow Sign-off: f for Planning(include notes from planning review) Route Application Documents: wilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: le 2.41401 /74 a.. C/A/".-S.5 Cc`✓Yr. c��✓ By Permit Technician: Date: ___14/6, /(v I:\Building\Forms\BldgPennitRvw COM WithLandUse 070915.docx r ..r Engineering Review Slope at building pad: PFI Permit#: Conditions "Met"prior to issuance of building permit 6 Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: ,Li Date: 67,4 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit 0 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: 0 Yes ►:1 /A Tigard Trans SDC: 0 Yes /A Parks SDC: 0 Yes /`'' 1'/A OK to Issue Permit /� J/ � Approved by Permit Coordinator: Date: / S4' I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 070915.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: DA R DEPT: BUILDING DIVISION . NOV 2 2016 FROM: G 1414qk cknt v on. COMPANY: S 6,Sk✓� c-{` ovt BUILDING DIVISION PHONE: 3 S %6 L - y q "7 RE: l 5 S 7 S 5 w Sec( o ✓� 1 tau P 2.016, - b b l -t (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s) of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Z Other(explain): F Wlo n,sni r REMARKS: Routed to Permit Technici Date: 4 J En I I I I ME EIB A01 Fees Due: ■ Yes Li'No Fee Descri stion: Mtai2261111 Special Instructions: Re•rint Permit •er PE : ❑ Yes ❑No ❑ Done A I•licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15575 SW SEQUOIA PKWY 130, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Building BUP2016-00264 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor