Permit (69) CITY OF TIGARD BUILDING PERMIT
11111 "
COMMUNITY DEVELOPMENT Permit#: BUP2017-00255
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2017
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 350
Project: Cornett,PC Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Minor office demolition and expansion of 333 sf into adjacent space to create(3)new offices.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW 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 09/20/2017 $91.00
Occupancy Grp: B Occupancy Load: 23 Permit Fee-Additions,Alterations, 09/20/2017 $271.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/20/2017 $32.57
Stories: 3 Height: 0 ft Plan Review 09/20/2017 $176.43
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/20/2017 $108.57
Value: $12,567 Info Process/Archiving-Lg$2.00(over 09/20/2017 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $684.00
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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature:
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 E �� "' FOR OFFICE U SE ONLY
City of Tigard Received a
Date/B �� `9�r Permit No.I/`
- 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 0 2017 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 9'O•Q' 17 , Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY '; TIGARD�'G, Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING �55 Notified/Method. Supplemental Information
DIVISia _
❑New construction El 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
� a a ' work indicated on this application.
El1-and 2-family dwelling ►1 Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
S'SITE I$I?ORMATION i'AND:LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Pkwy,Suite 350 New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:290 Project name:Cornett,PC Covered porch area: square feet
Cross street/directions to job site:SW Sequoia Pkwy and SW Redwood Lane 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
equipment,materials,labor,overhead,and the profit for the
�� " " ,z work indicated on this application.
Minor office expansion Valuation: $$12,567.00
Existing building area: 2,556 square feet
New building area: 2,556 square feet
Number of stories: Three
Name:PacTrust Type of construction: II-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:zi- B
Q 1/WCt iiiiik _ 1 ILI}IN IEEE*
Business name:PacTrust `a"ti
`" .ti a�selteduIe)
Structural plan review fee(or deposit):
Contact name:Leslie Louis
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway#300
City/State/ZIP:97224 Total fees due upon application:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
I' OTf) fLT1I.AI * YS
E-mail:lesliel@pactrust.com
Commercial and residential prescriptive installation of
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
\�N
Authorized signature: `69 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: VC6f Date:Gj 20 LO\-1 * 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
IIIl COMMUNITY DEVELOPMENT DEPARTMENT
■
T1caRD Building Permit Review — Commercial - No Land Use
ik,
Building Permit #: c,€/.6), 2 p/7 -- del,;?_
Site Address: /, SLt) PGCe9ba Pi/0 Suite/Bldg#: 3
Project Name: ll e--6
\
Project �rI22 T�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal:P E-Y/30.9i►CXI Sf.Cd--c ,r— -r-x),k-2 —404-i--
Existing Business Activity: . V
Pro sed Business Activity:
Verify site address/suite# exists and active in permit syst1
BI)0' ver Terrace Neighborhood: ❑ Yes ( No
PI rung. 1_p
IV Permitted Use: Yes El No ❑ Spec Space
❑ nfirm no land use re uired.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /1 l �\. ..,t.— Date: / / i0/ I'7
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: F/7,1/ 7
Site Plans: # '
Building Plans: # 3
Building Permit#: `-t'J Enter building permit#above.
Workflow Routing: planning ❑ Permit Coordinator Building
Workflow Sign-off: j2- Sign-off for Planning(include notes from planning review)
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: G' lam' Date: 00//7
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 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_07091 5.docx
I
4t'cZ.,
City of Tigard • BUILDING DIVISION C--
.1111
Over-The-Counter (OTC) Building & Fire Protection System Permit
T l c,n Iz r) Appointment Checklist
Permit Record#: eiAo2,/ 7—pp.,2? 5'S'
Contact Name: L E$c, - LD GL Ls Phone #: j2-G .1-4 So o
Business Name: P,4 77itS/ Appt. Date/Time: 0,07 @ l0,0z,
Site Address: /S`350�'iJ-SE-aup/,i Ati491 Bldg/Suite #: 35-d
Project Name: C o/Z,NE-7T -3-n-. - i New Tenant? 0 Yes No
Project Description: J`9i,/d R. G&77o1.../770A J, 77,-4.6- - iVc'k1 C9/5 /e --s, 333 SF
E ,41JJSio,v /,v7--e 6eET/T j/lite. ,
Existing Use: etF�-10E-- New Use: eilj7 Cz-
MMD Required: 0 Yes lir No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: Q Occupancy Group: 13 Type of Construction: ))- 8
12)Type of Use: Occupancy Load: a 3 Oregon Specialty Code: p".o)
SPECIFICS
Number of Stories: 3 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: 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: $ AZA 5h 7 =fEE.S
$ 91 DC Prov Rvw,COM TI-Ping
$ a_7 Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) ,j $ 12%State Surcharge
Project Valuation 3�` $ ,7 6 43 Plan Review,Structural
Up to$4,999 $0.00 $ I 0 8 . S 7 Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ 1.1. .-- 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: $/._�.�st; TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx & 6 it' sir