Permit CITY OF TIGARD BUILDING PERMIT
712 ' COMMUNITY DEVELOPMENT Permit#: BUP2017 00242
TI GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2017
Parcel: 2S113AD01800
Jurisdiction: Tigard
Site address: 16650 SW 72ND AVE B12
Project: JOHNSTONE SUPPLY Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1
Project Description: TI for existing tenant:Adding walls in existing office.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
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: IIB DC Provision Review,COM TI-Ping 08/30/2017 $91.00
Occupancy Grp: B Occupancy Load: 52 Permit Fee-Additions,Alterations, 08/30/2017 $271.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/30/2017 $32.57
Stories: 1 Height: 0 ft Plan Review 08/30/2017 $176.43
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/30/2017 $108.57
Value: $12,233 Info Process/Archiving-Lg$2.00(over 08/30/2017 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $686.00
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 • • - es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . � u'ttee Signature: VI/ ) �
all 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 r-; r Received } j Permit No.: / •
13125 SW Hall Blvd.,Tigard,OR .-Atau DateB : i 3 /17
` %—
Plan Review G Other Permit:
Phone: 503.718.2439 Fax: 503.5 8.1960 Date/B : 0 — 3 0— )7 t II
T I G ARD Inspection Line:g 03 .63 4175 �U{ Date Ready/By: ® See Page 2 for
Internet: www.ti and-or. ov AU U!! Notified/Method: 017 A, ill Supplemental Information
ry
i }
,— 8 --..,1;440,0_".,-:-.4-z 7,47.4,--,-.7..;,,,,I,. 4Y i 9}t ,,,4i,,,--'7..:-1,1:4,,-,.,;,;. :m.; '> P`iC 11 )f/A , x �A !I 77I
.
❑New construction �� '1Permit 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
= A y ' tit*I ?ION kk f '9work indicated on this application.
�� � _ „ K
ID1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
'":.?,4,00,-,SITE 11 F'ORIMIATI Fi AM) oCNT(poi '. Total number of floors:
Job site address:16650 SW 72"Ave. New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 6/2 I Project name:Johnstone Supply 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
Subdivision: I 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 allk equipment,materials,labor,overhead,and the profit for the
,,`:7,47',,--t*:": �fl 177...:1,14.1#!,:'t'-:i ` fE )V,-;' N f` ` 1 fi ' *,,its , a ti �t' work indicated on this application.
Added walls in existing office Valuation: $$12,233.00
Existing building area: 78035 square feet
New building area: 78035 square feet
°' 4 OPERTY OWMR 4" m k
'g-ta AAN�T if Number of stories: One
Name:PacTrust Type of construction: II-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
AP'LI A ? 'n ►4 CO'14rA' 'ERSO "r" ,_ 13-E-'—'al iIT kE * li ',m.'r
Business name:PacTrust 4;, '' " {')'erlcerrettiaMotietid
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 � B® .
pPiO Tii Y�E-mail:lesliel@pactrust.com if&----4,i4;
_ ,k, , „l
r�, �J �. k r� 1 ,pP� k :J Commercial and residential prescriptive installation of
J': -� CONT1 ACT ,�
..�. � �^ ,� � ., � �r.. .. � � �" ,ca, roof-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: \,....r 4.•( , VO D 5 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: L.ecr'i t KIIAk S Date: U U . ?�8t'2,01 * Fee methodology set by Tri-County Building Industry
9 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T 1 GA RD Building Permit Review — Commercial - No Land Use
Building Permit #: /t /7-Wy
Site Address: f ( Cosp aN Suite/Bldg#:
Project Name: t loh nsto 54 pP\•�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -r.
Existing Business Activity: k Y U kflCJ SONIC ex. c-Kw�
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
,32t River Terrace Neighborhood: ❑ Yes - No
Zoning: 1-
Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: t,I1) `Z Date: 0 l'3b 111
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: rf �y i 7
Site Plans: # /V/4-
Building
j!Building Plans: # 3
Building Permit#: 2.,E4Vier building permit#above.
Workflow Routing: manning CI Permit Coordinatorg
Workflow Sign-off: lgn-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: r/'P
r ,
By Permit Technician: — Date: 1(730/r 7
I:\Building\Fonns\BldgPermitRvw_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:
Revision Notice 3: Date Sent to Applicant:
❑ 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
IL ot
■ Over-The-Counter-(OTC) Building& Fire Protection System Permit
-r I C,A E:n Appointment Checklist
Permit Record#: /h,O/-2— ,,
Contact Name: `l cL Ci'�id ccco Phone#: .7- 6g q-fa 30 0
Business Name: a�v oc.a,P" Appt. Date/Time: �( j@ /0:00
Site Address: / ,4, bj 7 ,Ade Bldg/Suite#:
Project Name: _I ' 6,,,,L,- yak r ' - Q- New Tenant? 0 Yes /76 No
Project Description: I ,/,/ / &pea& 4,... " he !�
L- ii.e
( ' n aa- -�' 1. --Q i. , c' Om lL
Existing Use: et S S New Use:
MMD Required: 12 Yes No Related Record#:
GENERAL INFORMATION
Class of Work: A) T Occupancy Group: [i is%2, Type of Construction: 1)—
Type of Use: Occupancy Load: a Oregon Specialty Code: Z,O )
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: 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: 1/ C 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: $ /o'� a 3 3 �, G - ,
DC Prov Rvw,COM TI—Ping
$a 71 : 4; Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ A a. S 7 12%State Surcharge
Project Valuation $ 176 _ y 3 Plan Review,Structural
Up to$4,999 $0.00 $ i O , $ 7 Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ 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 $ Metro Construction Excise Tax
. $ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 6 $ C •---"* TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx