Permit (101) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00236
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 08/23/2017
"A g Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 800
Project: Millenium Building Services Subdivision: None Lot: None
Project Description: TI for existing tenant:Office and warehouse remodel,and a new break room.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALITY ASSOCIATES LP
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE 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: IIIB DC Provision Review,COM TI-Ping 08/23/2017 $361.00
Occupancy Grp: B Occupancy Load: 77 Permit Fee-Additions,Alterations, 08/23/2017 $2,048.19
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/23/2017 $245.78
Stories: 0 Height: 0 ft Plan Review 08/23/2017 $1,331.32
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/23/2017 $819.28
Value: $255,445 Info Process/Archiving-Lg$2.00(over 08/23/2017 $16.00
11x17)
Metro Const.Excise Tax 08/23/2017 $306.53
Floor Areas:
Total Area: 7718
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,128.10
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 .• - .e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature: e
. 1503.639.4175 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 TigardRECEIVED
Received 115A � Permit No. '
Ill � 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rewew� ,-.%
Phone: 503.718.2439 Fax: 503.598.193 Date/B //N.',
AM Other Permit:
TIGARD
Inspection Line: 503.639.4175 H J G 2 3 2017 Date Ready. Sufis:
Q See Page 2 for
Internet: www.tigard-or.gov Notified/Method: , Ar f . Supplemental Information
CITY OF f IGARD
I," , ... ,I'. r '}I :'qumE► "rAii i AMU D' 1 LI?46V'
0 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
1R'!Y OP' CO, iei: TION ,,,," work indicated on this application.
; ,� ' .. Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ElMulti-familyNumber of bedrooms:
1=1Master builder 0 Other: Number of bathrooms:
d€IB 1�_1NFt113AT1O e '�D L(1itA1(wl h a Total number of floors:
Job site address:7204 SW Durham Road#800 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:800 Project name:Millenium Building Serv. Covered porch area: square feet
Cross street/directions to job site:SW 72°"Ave.and SW Upper Boones Ferry Deck area: square feet
Other structure area: square feet
1•QUID D 4 C*MERCtAL CKLIBT
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 ..voc TIQN MF W R work indicated on this application.
Office and warehouse remodel,new break room. Valuation: $255,445
Existing building area: 7,718 square feet
New building area: 7,718 square feet
1kO iRTY OWN IC _, �', a ❑'TE `f 7;i: ,,a 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,S-2
a AF= CANT 'fl i a a= f 'GQ ACF PI1R O z__`' 1 � � ','BU1Lo.irrk PERSMIT. 'EEA
r ii, { aSe> rio eeiet*dine)
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
E-mail:lesliel@pactrust.com
PHOTQT p AIOa QI A- -a- ' 'S- - .. *M ',
CQN'1Y.11U _� ,:. Commercial and residential prescriptive installation of
a, ,. ,.,, f 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 $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: � "v " V I C \ Q w(�9 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: f A1 \ t:IA j Date: a 41 )J. 2.017 * Fee methodology set by Tri-County Building Industry
"� �l Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
:114 'I COMMUNITY DEVELOPMENT DEPARTMENT
111
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: 8wP t)i 7—th)A;'
Site Address: �� Sh) c i,ir- ie Suite/Bldg#: /F3 0
Project Name: /1i ui nni uja&_- ,ic/l n ,---Cei-v/62 Q
(Name of commercial business occupying thypace. If vacant,enter Spec Space.)
Planning Review 1/ _ > J , , l
Proposal: / ��> 'Mill } /1,� 'XY-�`�/f�y- kDc�a'',C t° 7-t7�t ?4715
L?J Verify site address/suite# exists and active in permit syste .•
r' �' 'ver Terrace Neighborhood: ❑ Yes LJ No
Pand Use Case#: 4110oA- ' U, '('
lan atch Approved Land Use:
7 Site Plan Pi 11andscape Plan they:
DI. rban Forestry Plan 10 levation Plan �p
Building Height: Maximum Height / ' Actual Height Y,R/j`
V °'onditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issua
[VA Business Lice e: VVVVVV
Exists: Yes ❑ No,applicant notified to obtain business license
4Wublic Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified No Applied For: El Yes ❑ No,stop intake
Notes:
Approved by Planning: _ _ A, A Date: 0, 23
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: , 7
Site Plans: #
Building Plans: # v
Building Permit#: [a.-V°nter building permit#above. ,�, ����
Workflow Routing: ❑ 1'T ning ❑ Engineering 1=1Permit Coordinator r�t3uttding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: Or L,.-
By Permit Technician: „„,-/gz.„....._e____ .” Date: i`ii-3 f 7
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 060116.docx
Engineering Review
El Slope at building pad:
El PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
El Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes El No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes El No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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: El Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
E l OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw COM WithLandUse 070915.docx
11 q City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Tic ;\R1) Appointment Checklist
Permit Record#: ' 4. G
Contact Name: ��
Ii _• Phone #: .15753-&a-41-10300
Business Name: L „�c9- Appt. Date/Time: WA', a azih
Site Address: 7:00Z/ - ua f a.,...,t Bldg/Suite#: foo
Project Name: `r' L.9.12_.>Z i u 6c 9 Jt�New Tenant? Nr Yes 0 No
Project Description: .,, App a-t(2,,_0, ,'5 , 1,,,,„44 , ,,),,,,,y,
Existing Use: C, New Use: ( At' ttit 44.A
MMD Required: es 0 No elated Record#:
APPLICATION SPECIFIC-INP TION
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction: 3 e
Type of Use: J 'i�� Occupancy Load: 17 _ Oregon Specialty Code:
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: ‘ O 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: $ 2 c *.gym ,,_ c. ,r,+�� . .` -
$ oi, ,c� ,DC Prov Rvw,COM TI—Ping
$ I'fi AL, ref Permit Fee—Add,Alt,Demo
do
DC Provision Review Fee for COM TI(effective 7/1/2017) $ •,W ) 12%State Surcharge
Project Valuation $ 1 lan Review,Structural
Up to$4,999 $0.00 $ ,..i iiir`I elan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ ((c).CIM Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ r3 Ob.,SJIetro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ .1 , 'OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx