Permit (161) CITY OF TIGARD BUILDING PERMIT
< COMMUNITY DEVELOPMENT Permit#: BUP2016-00324
t t GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2016
Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15883 SW 72ND AVE
Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Minor demo,new door configuration and new finishes.
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: IIIB DC Provision Review,COM TI-Ping 11/16/2016 $90.00
Occupancy Grp: B Occupancy Load: 16 Permit Fee-Additions,Alterations, 11/16/2016 $377.90
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/16/2016 $45.35
Stories: 2 Height: 0 ft Plan Review 11/16/2016 $245.64
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/16/2016 $151.16
Value: $19,820 Info Process/Archiving-Lg$2.00(over 11/16/2016 $6.00
11x17)
Floor Areas:
Total Area: 3523
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $916.05
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
952-0 -0010 throuigh o•R 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.
Iss ed By: �r �--C� Permittee Signature: L ecA Q' 10v4
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
Commercial v y+i k�' �/r L FOR OFFICE USE ONLY
.A_d r j v '1 t.4 A;,. •Received
City of Tigard Date/B : Ilmi A Permit No.: 4 �l —co 32 4
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 N O V 1 2016 Date/13 : d' Ira.Other Permit:
T 1 G A RD Inspection Line: 503.639.4175 Date Ready a y: .. Juris: H See Page 2 for
Internet: www.tigard-or.gov7 /g a I. Notified/Method: Supplemental Information
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❑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
,j "� o. � T7 ��+ � work indicated on this application.
"i N !:. i 4i 0,7,-,,,v7.--,•,,„„„„„„„„, -,,,,,„,,•,, � ,t +-,,,4,,,,,,, ,,,- --a-,]:',04::101-m:-e l�ii '� sir•, v r ..
1:11-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
tR � �F W I Ioiu i l I0 ae,. A
� " Total number of floors:
r@Y as ,r .V-' Kas [6?< _ * xN y
Job site address:15883 SW 72.d Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:3obp215-15883 Spec Covered porch area: square feet
Cross street/directions to job site:72°d Ave.and SW Upper Boones Ferry Rd. Deck area: square feet
Other structure area: square feet
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
r� �" am y � o a r � r � ,
equipment,materials,labor,overhead,and the profit for the
5 ;;v: *�� jai , D I o * �•, -I work indicated on this application.
Minor demolition,door reconfiguration,new finishes Valuation: $19,820
Existing building area: 3,523 square feet
New building area: 3,523 square feet
411k-N',', ''
_1 'u' °t +P iT%j "R " i y ," i ,; Number of stories: 2
Name:PacTrust Type of construction: III-B
Address:15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B,S-2
Phone:(503)624-6300 Fax (503)624-7755
''''''I''''"'4 New:
B,S-2
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rrtr�,' , `'`. '' ''''e a#w 4 i+ a _ "I �yx # C it ._ ' i
Business name:PacTrust
Structural plan review fee(or deposit):
Contact name:Leslie Louis
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300
Total fees due upon application:
City/State/ZIP:97224
Amount received:
Phone:(503)624-6300 Fax: :(503)624-7755
® },0C 7 I
E-mail:lesliel@pactrust.com 4 : ��� � wn it,i - „
{ Commercial and residential prescriptive installation of
6T 1 " u� roof-topmounted 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: �/"\,�'.(AA-0( This permit application expires if a permit is not obtained
/Gr within 180 days after it has been accepted as complete.
Print name: �.ey(1 J.- Q u I y Date: N tiV,It 2.61b * 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) 01
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: Pao/4,-60 3 2-91
Contact Name: 1- se.../e-' L e)a/S' Phone #: 502 _A a 5,1—4 3 Uv
Business Name: ,49- 7—S r Appt. Date/Time: ,r/4//C, ,'o-
/� /(a e %Ot
Site Address: , /5 -f,3 J. 9 X02 `=�V Bldg Suite
Project Name: SPEC -r#1,9� E
Project Description: rf/nfae .4-67y04,./7140.AV, .6e,p,.e. ,P£C'On/i ,-(4., -9-70 /17e-z()
Existing Use: 01)�j ( New Use: ....-5-'9i'
MMD Required: 0 Yes , NNTo Related Record#:
GENERAL INFORMATION
Class of Work: ;" Occupancy Group: t
Type of Construction:Type of Use: Occupancy Load: Oregon Specialty Code: 2 4
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: 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: l 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: $ t11:33f/
$ Ao• ,ei DC Prov Rvw,COM TI—Ping
$ In Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ ' ' 12%State Surcharge
Project Valuation $ A A Plan Review,Structural
Up to$4,999 $0.00 $ (ini 1 Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ t r SAP Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $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: $ of(d TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
illh
■ COMMUNITY DEVELOPMENT DEPARTMENT
: 1111
T 1 cA Ro Building Permit Review — Commercial - No Land Use
Building Permit #: ,P ao t 1,—co 32V
Site Address: I S $ 3 Ste/' 12 "a U Suite/Bldg#:
Project Name: Spec g &l c
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tv)4C,rfu-- I ni i n O,r cI.Q.M u Cl n c ru. J
door cion G►7-v rc1 i1".0 c)
Existing Business Activity: Go rr)(Ye-e-(,t ea,
Proposed Business Activity: (O Y17 -t,U Ga_
Vg Verify site address/suite# exists and active in permit system.
12 River Terrace Neighborhood: ❑ Yes 'In No
,Z] Zoning: i — T
xPermitted Use: I2f Yes GI No El Spec Space
Confirm no land use required.
business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ,471 l t %.- -___ Date: 11 / lb / iV
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: ii /(Q 1/
Site Plans: # 3
Building Plans: # 3
Building Permit#: .2Enter building ermit#above. ,
Workflow Routing: 9-Planning oor ' G�< uilding
Workflow Sign-off: cl -off for Planning(include notes from planning review)
Route Application Documents: [ Buil Wig. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 7-6)
By Permit Technician: 61 ). C2r�' Date: /(4///
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 Submitt . ly)
Revision Notice 1: Date Sent to" '.licant:
Revision Notice 2: Date Sent to Applica .
Revision Notice 3: Date Sent to A.. cant:
❑ SDC Fees Entered: Wash . Trans Dev Tax: ❑ Yes A
'igard Trans SDC: ❑ Yes Q N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue rmit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NolandUse 070915.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15883 SW 72ND AVE, TIGARD, OR, 97224
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
BUP2016-00324
Inspector:
Chip Barnett
Contractor