Permit (43) CITY OF TIGARD BUILDING PERMIT
III.�"#
COMMUNITY DEVELOPMENT Permit#: BUP2017-00115
13125 SW Hall Blvd.,Ti Date Issued: 05/11/2017
T[ att.0 and OR 97223 503.718.2439 9
Parcel: 2S112DD01601
Jurisdiction: Tigard
Site address: 15755 SW SEQUOIA PKWY
Project: Orthopedics Northwest Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: TI for existing tenant:Adding exam rooms and restroom.
Contractor: JR ABBOTT CONSTRUCTION CO INC Owner: PACIFIC REALTY ASSOCIATES LP
307 SE HAWTHORNE AVE., SUITE 150 ATTN: N PIVEN
PORTLAND, OR 97214 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-597-2036 PHONE: 503-324-6300
FAX: 503-293-2400
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 05/11/2017 $357.00
Occupancy Grp: B Occupancy Load: 132 Permit Fee-Additions,Alterations, 05/11/2017 $5,130.39
Demolition
Dwelling Units: 12%State Surcharge-Building 05/11/2017 $615.65
Stories: 1 Height: ft Plan Review 05/11/2017 $3,334.75
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 05/11/2017 $2,052.16
Value: $815,163 Info Process/Archiving-Lg$2.00(over 05/11/2017 $18.00
11x17)
Metro Const.Excise Tax 05/11/2017 $978.20
Floor Areas:
Total Area: 13160
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $12,486.15
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 cany_of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
11061Wc-
i7II 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 ONLY
City of Tigard $, 1CEIN
Received I�
111111 _ DateB �/ Permit No.: L,
13125 SW Hall Blvd.,Tigard,OR 9.�' 1 �!5
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : -'' ) "t Other Permit: ',� _
T I GAR D Inspection Line: 503.639.4175 pp pper °�!1 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov 1V1H Notified/Method: Supplemental Information
d ' `'� 'i a® 1 4 p [ !� a a=�. .. +- i,-rrt�s tc_„r o —d ,
, ��-_ '"a': ,- -.,'"-- .:.-1.X.- �— ="�x• , 5 P,ez rR -°'... 's,a g, '�2" _ ® i 8 4_ a,eW* h 1 ,� y/'.1rq ' i i' �T�
❑New construction fl 1,j'''''.' 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
�r TT ,, yk, " o s '' — , r work indicated on this application.
ary-
❑ 1-and 2-famil Y wellin dValuation: $
g ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
ham, 414411,1* 11� 'I"I 1, `":,11:-_•.:;t'''::'13� / ! r Total number of floors:
Job site address:15755 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Orthopedics Northwest Covered porch area: square feet
Cross street/directions to job site:Sequoia Pkwy and SW Upper Boones Ferry Deck area: square feet
Other structure area: square feet
t g t o ' f t
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
A, s equipment,materials,labor,overhead,and the profit for the
ate,,, ' "K !`;_Y , �� �i `!yi work indicated on this application.
Renovate space,add exam rooms,add restroom,new shower Valuation: $$815,163.00
Existing building area: 13160 square feet
New building area: 13160 square feet
ft n L® . ,F. 7 , . io,7 ' :,44.4047,z,„ Number of stories: One
Name:PacTrust Type of construction: III-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
aim . . - xq
Business name:PacTrust •_. _ _; ,�_. ;`
Structural plan review fee(or deposit):
Contact name:Leslie Louis
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:
�e
E-mail:lesliel@pactrushcom � ®, e ' �s - ` c�`
' �� r ' -�n i 4 x pg:;! 4Z .9" ,,' ` -'.
,, „ ,, i- � r Commercial and residential prescriptive installation of
_ lf: �� - -± •6.',A-•10, ;.,f�; s „r o roof-top mounted Photo Voltaic Solar Panel System.
Business name:Abbott Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:307 SE Hawthorne Blvd.,Suite 150 Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97214 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)213-4033 Fax:(503)293-2400 State surcharge(12%of permit fee): $21.60
CCB lic.:54656
Q��(� Total fee due upon application: $201.60
Authorized signature: \ '04 1,— • , This permit application expires if a permit is not obtained
V y�f\A 1 within 180 days after it has been accepted as complete.
Print name: L£1 e'i e L n Ul y Date: r'l A 5 O j 1017 * 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
' COMMUNITY DEVELOPMENT DEPARTMENT
T1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: / P / 060
Site Address: { S15 S S W S-e ciAJ o i c^ Pkwj Suite/Bldg#:
Project Name: Q tit o f ,L C s, Nor-kite, v iei
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: a-e.n o tt to K siot.tut, , oda( 'Q Xi rn room I
�otfeJ+ruorn cAr' ,A Shower
Existing Business Activity: U r vl
Proposed Business Activity: 0
71 Verify site address/suite#exists and active in permit system.
71River Terracei Neighborhood: CIYes Al No
7 Zoning: i —
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
pConfirm no land use required.
Business License/.
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: t \ �/��''�— Date: c i i i / 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: // J 5 7
Site Plans: # 4/14
Building Plans: #
Building Permit#: building permit#above.
Workflow Routing: Manning CI Permit Coordinator C't' ding
Workflow Sign off: L��
4 "off for Planning(include notes from planning review)
LT
Route Application Documents: Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:.
By Permit Technician: � Date: 5//i/7
.40
I:\Building\Fonns\BldgPer iitRvw_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:
x
Revision Notice 3: Date Sent to Apphcant
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: ,p,,29.01 7 /
9Contact Name: ,. d-a-cej Phone#: 54,3--— 6 a V!o goo
Business Name: a2,�� — Appt. Date/Time: 5//6 @/,061f;'= /h 7
Site Address: /42/00 � 7g- ✓-�-r/i:. Bldg/Suite #: 4,r
r
r
Project Name: (6112."_- , 10,e,-4.,..12_, _
Project Description: .3:2 t..),:<.,i�- f ,,� ®~'
Existing Use: 0 New Use: _4/
MMD Required: 0 Yes No Related Record#:
GENERAL INFORMATION
Class of Work: A Occupancy Group: 1.1Type of Construction: j ) I.8
Type of Use: Occupancy Load: )3a. Oregon Specialty Code: at) I II.
SPECIFICS
Number of Stories: I 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: 131 1 co 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: V z s 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: $ $ Ti 63
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 it 13 3 , Plan Review,Structural
Up to$4,999 $0.00 ✓'$a,O,a _)6 Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 r./ ' ) 2 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 c-----1 `171r,4,0 Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ er:
,_
Date/Time: $,„` t dit. /5—TOT 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:
15755 SW SEQUOIA PKWY, LAKE
OSWEGO, OR
Record Type: Record ID:
Commercial - Building BUP2017-00115
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor