Permit (8) iiiCITY OF TIGARD BUILDING PERMIT
- COMMUNITY DEVELOPMENT Permit#: BUP2017-00070
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2017
T A � Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15824 SW UPPER BOONES FERRY RD
Project: Spec Space Subdivision: None Lot: None
Project Description: New break room and fixtures in existing room,modified office.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY TRUST
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE 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 03/28/2017 $90.00
Occupancy Grp: B Occupancy Load: 14 Permit Fee-Additions,Alterations, 03/28/2017 $393.11
Demolition
Dwelling Units: 0 12%State Surcharge-Building 03/28/2017 $47.17
Stories: 1 Height: 0 ft Plan Review 03/28/2017 $255.52
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/28/2017 $157.24
Value: $20,800 Info Process/Archiving-Lg$2.00(over 03/28/2017 $6.00
11x17)
Floor Areas:
Total Area: 3179
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $949.04
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
952-001-00 h 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.
Issu By: Permittee Signature: / ��'" A.k VI
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 FOR OFFICE; USE ONLv
City of Tigard " Received
- Permit No.:
13125 SW Hall Blvd.,Tigard, 173 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 • / Date/B : wry' R ��they Permit:
T I G A R D Inspection Line: 503.639.4175 2 a '=1'' Date Ready Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
1 ' t " t 1 • i
wi14'. ,19m.. _ �
❑New construction 537*:1 ❑Demolition Pe it'
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
' ti ��` work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ __
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
�� ..
It � 11'6i I ® 'our
r r Total number of floors:
Job site address:15824 SW Upper Boones Ferry Rd. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 15824 Spec Office Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry Rd and SW Sequoia Deck area: square feet
Other structure area: square feet
1 ! flat 1 a -
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
r"rt h 3� 6 r r „ work indicated on this application.
New break room and new fixtures in existing room,modified office Valuation: $$20,800.00
Existing building area: 3,179 square feet
New building area: 3,179 square feet
. _ 44 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,S-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B,S-2
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
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
ar
E-mail:lesliel@pactrust.com ", _ yr, 4 rrkk, :.k
Commercial and residential prescriptive installation of
roo-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
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: y�`/1/�e 9 This permit application expires if a permit is not obtained
\fiwithin 180 days after it has been accepted as complete.
L€Lee L d tit(S M t Gh Z7r 2bl7 * Fee methodology set by Tri-County Building Industry
Print name: Date:
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
INCOMMUNITY DEVELOPMENT DEPARTMENT
I
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: 1 S S 2 y S W it eP13001e3 C-errtt Suite/Bldg#•
Project Name: I S'82 9 Spec 0 -Q
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: N 2w brro 1.t roc)c'y t c-; x ry rt j KYR°cc' 41 e<( (G I-, CSL
Existing Business Activity: 0 C(4 co_
Proposed Business Activity: D CC-I CL,
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes /0"No
71 Zoning: , — p
Permitted Use: Yes ❑ No ❑ Spec Space
p`Confirm no land use required.
/tJ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 7 A.9-1--"----, 1^ Date: / 2-- `)--' / I -7
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: g�7
Site Plans: #
Building Plans: # 3
Building Permit#: C-Enter building permit#above.
Workflow Routing: [Planning .2'Building
Workflow Sign-off: 0--- ign-off for Planning(include notes from planning review)
Route Application Documents: ❑'iuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: ��
By Permit Technician: C, . i Date: /
, asp
I:\Building\Forms\BldgPerniitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Release : Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to A.•;cant:
Revision Notice 2: Date Sent t. •pplicant:
Revision Notice 3: Date S. t to Applicant:
❑ SDC Fees Entered: 'lash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Iss ermit
Approv•d by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.docx
illi City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
[ t, Appointment Checklist
Permit Record#: j O9 / 7 7O /
Contact Name: %� �-° Phone#: 6d3— 6.`�'-�0 3ec
Business Name: pA,�/r -- n Appt. Date/Time: 3/&k ) f0:oO
Site Address: /A90 9 ew Co 3 P!(w Bldg Suite#: /50
Project Name: "D _ c'�Q
Project Description: GCJ,-e, . 44n ,,, e,,.y
Existing Use: New Use:
MMD Required: 0 Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: T— Occupancy Group: '''.*•` Type of lConstruction: 6_ij
Type of Use: C� Occupancy Load: t. -- Oregon Specialty Code: 20 Ar_
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: 3(7Cf 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: 5: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: te. � _ 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: $
(°5.5, 5 i(q $ DC Prov Rvw,COM TI—Ping
/ $ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ 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: $ 94/!• ®9 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15824 SW UPPER BOONES FERRY RD, LAKE May 11 , 2017 at 2:14:44 PM
OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Building BUP2017-00070
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor