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Permit CITY OF TIGARD BUILDING PERMIT 711 :'' COMMUNITY DEVELOPMENT Permit#: BUP2018 00002 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018 Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16165 SW 72ND AVE Project: CCK Restaurants Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: TI for existing tenant:Minor interior demolition and remodel. Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY 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 01/10/2018 $91.00 Occupancy Grp: B Occupancy Load: 53 Permit Fee-Additions,Alterations, 01/10/2018 $789.69 Demolition Dwelling Units: 0 12%State Surcharge-Building 01/10/2018 $94.76 Stories: 0 Height: 0 ft Plan Review 01/10/2018 $513.30 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/10/2018 $315.88 Value: $58,000 Info Process/Archiving-Lg$2.00(over 01/10/2018 $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 $1,810.63 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 obtai - •• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. -7 Issued By: Pt=rmittee Signature: 'L- e 11 ow (1 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 1 FOR OFFICE USE ONLY y City of Tigard ""' 14f= Vii Received ���„r Date/B : I t Permit No.:i 0 c. 11111 "I 13125 SW Hall Blvd.,Tigard,OR 9722 9 A Plan Review Phone: 503.718.2439 Fax: 503.598.1960 y i ' 1 ZQ�a Date/B : I - 1 Q' is, - ii Other Permit: T I G A RD Inspection Line: 503.639.4175 a t-q �s," Date Ready/By: See Page for Internet www.tigard-or.gov tt i e; 1- . otified/Method: liglin Supplementall Information r. � k � ,f A" Iry "'Tr �i� . �, „ ft's „. ice. ' :'",. c" U� llE11 i ! 1 a ! ! ,- I ft l ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Z Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ''''''4 n w T � O cq o -tet - 4 A , work indicated on this application.- , ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: ;,�u E',o ���1 1 Total number of floors: Job site address:16165 SW 72o"Ave. New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:CCK VaeWtter5 ,,.> . + Covered porch area: square feet Cross street/directions to job site:SW Boones Ferry and SW 72"Ave. r ""� Deck area: square feet Other structure area: square feet 1i ilIT4 - 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 ��e �, equipment,materials,labor,overhead,and the profit for the .m1. 1` C ©N o17 WOR ---,'-',1, --:,J,'''''',.:,:= 4 work indicated on this application. Minor interior office remodel Valuation: $$58,000.00 Existing building area: 11056 square feet New building area: 11056 square feet #1,i1M16,--',ii: TS' OW £` m 1' - cr 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,S-1 Phone:(503)624-6300 Fax (503)624-7755 New: B,S-1 sT ,ego ,fi �gr 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 .PH(TO 1 -r tc: 1�AI uB c41�TI'Re1,CI©R Commercial and residential prescriptive installation of ! _: 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: Lek •e V 0 \Att., This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: v_e9tA.e \,% At y Date: J All• , t) 20 0 * Fee methodology set by Tri-County Building Industry t Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard 111 ■ r COMMUNITY DEVELOPMENT DEPARTMENT T1cARo Building Permit Review — Commercial - No Land Use Building Permit #: ,/ 9 v¢. r cj oav Site Address: X11 6 s'J 72:1,' 4 , Suite/Bldg#: Project Name: P.. 1 114i- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review � p p Proposal: h.A.- at:.ciA1i'a,,� r\. (\_,r ;;fii all it teN tt. P bf.d`f ti -LL IC f tu'tty CA, -[10„,]-,dc,,,, ,, S�i.c, 4, 31,-„,i L t1.t&P^h t4/� Existing Business Activity: 0 4Yi1t. 4- VI4.njtc,ttie Proposed Business Activity: 01' i14 t kn/o"`n',tilt 1/Verify site address/suite# exists and active in permit syst . C' River Terrace Neighborhood: ❑ Yes L No Cid oning: I`P , ermitted Use: CI Yes CI No CI Spec Space L1Y Confirm no land use required. i r �)�1'w+ lit +rt !�t,s,ii �4 (;l t4. kir �9V G4%. 1v k i} 'Aui'1i- 1 Bustness Lacen�e: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: -e--titC6), L Date: 1-10-1g 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: //� /i Site Plans: # Building Plans: # — Building Permit#: __nter building permit#above. Workflow Routing: g•li anning ❑ Permit Coordinatording Workflow Sign-off: ai-Scp, -off for Planning(include notes from planning review) Route Application Documents: uilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: a Date: f I:\Building\Forms\BIdgPermitIlvw_COM_NoLandUse_060116.doex 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\BIdgPermitRvw_COM_NolandUse_070915.docx City of Tigard • BUILDING DIVISION 1111 ■ ■ Over-The-Counter (OTC) Building & Fire Protection System Permit T I(,n Ez n Appointment Checklist , Permit Record#: QGL/oolo/Y--a)0001 Contact Name: G ES L/E Z-0 a/S Phone #: Business Name: ,4 L 77214S r Appt. Date/Time: i/f0/i e /O,ova il/i Site Address: /6/45 54-t-3 72 w nI/c` Bldg/Suite #: Project Name: 5/06-C. ,5/307-Lc New Tenant? ❑ Yes ❑ No Project Description: /-1in/02 /N7-6-7Zid2 4 ,SOL/ 77p/./ f /2-6riDo G r Existing Use: C CC/ff/f2efftluc New Use: 5q"iE MMD Required: ❑ Yes No Related Record#: APPLICATION SPECIFIC;INFORMATION GENERAL INFORMATION Class of Work: Occupancy Group: 13 Type of Construction: ))J Type of Use: Occupancy Load: SZ Oregon Specialty Code: DP 1 LF 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: ,I/ 046,, 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: NieS 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: $6.1 j 000 I, PEES DUE $ DC Prov Rvw,COM TI—Ping $ 1 ---&C) .A 9 Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2017) $ q .76 12%State Surcharge Project Valuation $ 413 , A 0 Plan Review,Structural Up to$4,999 $0.00 $3 1,5- , $g Plan Review,Fire Life Safety $5,000-$74,999 $91.00 $ 6 -- 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: $1 8 1 O , 63 TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070117.docx Dianna Howse From: Leslie Louis <LeslieL@PacTrust.com> Sent: Wednesday,January 03, 2018 12:13 PM To: Branden Taggart; #Building Permit Technicians Subject: Over the Counter Permit Appointment Hi Branden, I would like to schedule an over the counter permit for the following prect at your convenience: Pbc194-CCK Vacancy (no tenant, clean up space to show to future tenants) Pacific Business Center—pbcl94 16165 SW 72nd Ave. Portland, OR 97224 TypeU|'8 Scope: Minor demolition, minor office remodel Value: $58,000 Existing use—office and warehouse New use—office and warehouse No tenant Please let me know if you need any other information. Thank you, Leslie Louis I Pacific Realty Associates,LP"PacTrust" I construction manager 0>503+624+6300|F>503+824+7755|C>503+403+8442 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If nequested, e-mail may bodiodo. edtoanother party unless exempt from disdoau/eunder Oregon Public Records Lavv. E-mails are retained by the City of disclosed in compliance with the Oregon Administrative Rules ''Qty General Records Retention Schedule." 1 Frontl DSTS Subject: Leslie Louis, Pac Trust, 503-624-6300 - 16165 SW 72nd Ave., Spec Space Location: CR=_3_Permit_Center Start: Wed 1/10/2018 10:00 AM End: Wed 1/10/2018 11:00 AM Recurrence: Weekly Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM Organizer: -Building_OTC Call Handling Mode 2: 2 Pbc194-CCK Vacancy(no tenant, clean up space to show to future tenants) Pacific Business Center—pbc194 16165 SW 72nd Ave. Portland, OR 97224 Type III-B Scope:Jvlinor demolition, minor office remodel Value: $58,000 Existing use—office andarehouse i 5r4 i f I 44 S` T New use—office and warehouse No tenant City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16165 SW 72ND AVE, TIGARD, OR, 97224 March 6, 2018 at 9:19:10 AM Record Type: Record ID: Commercial - Building BUP2018-00002 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor