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Permit (8) CITY OF TIGARD BUILDING PERMIT R..", COMMUNITY DEVELOPMENTIIII Permit#: BUP2018 00187 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2018 T[Ca�jt'C� 9 Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 460 Project: Staples Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT Project Description: TI for new tenant: Full height walls for IT room. Contractor: ARJAE SHEET METAL CO, INC. Owner: PACIFIC REALTY ASSOCIATES 8545 SE MCLOUGHLIN BLVD. ATTN: N PIVEN PORTLAND, OR 97222 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-231-7717 PHONE: FAX: 503-230-4888 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 06/19/2018 $91.00 Occupancy Grp: B Occupancy Load: 35 Permit Fee-Additions,Alterations, 06/19/2018 $464.97 Demolition Dwelling Units: 0 12%State Surcharge-Building 06/19/2018 $55.80 Stories: 0 Height: 0 ft Plan Review 06/19/2018 $302.23 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/19/2018 $185.99 Value: $25,308 Info Process/Archiving-Lg$2.00(over 06/19/2018 $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 $1,105.99 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 obta'. -== - -- -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r— Issued By: Permittee • - ure: e` vv I{ (i Alliir 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 TigardRECEt r71) Received / Date/By: /�( t j� Permit No.: /4 )t -7 13125 SW Hall Blvd.,Tigard,OR 97223 9 n18 / I 4 d p Plan Review ' I. Phone: 503.718.2439 Fax: 503.598.1960,I kJ N 1 ' Date/By: Other Permit: 6=l 9-J � � ��ci�ts'�c : yrl Inspection Line: 503.639.4175 Date Ready/By: ` Jurts: TIGARD y s Y Y: % f RI See Page2for Internet: www tigard o[gov f',rry F 9 I G AR Notified/Method: C/l d� r t Supplemental Information (�"-- . .. S ;. = , OF"ORT ww = . --r „EQV1R 'Ali „_„-;,„.,_,...,..„,,,,,,,„-„Al,1YWE4 : 1 l ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. .uk Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the re+e A i `i x y p i- work indicated on this application. ” ,11 ., M ,ce:4 v a t` ex17 i!1, 4G ; Valuation: $ ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: �E '10,-52',,''''t.7",I. a it Sri no e'A'T'I ijA ' 6' Total number of floors: Job site address:12909 SW 68"'Pkwy,Suite 460 New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Staples Covered porch area: square feet Cross street/directions to job site:SW 68th Pkwy and SW Hamilton 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 or, materials, and equipment, Iab ,overhead, profit for the the r RIPTT< W �w�'' , a work indicated on this application. Full height walls at IT room Valuation: $25,308 Existing building area: 3,512 square feet New building area: 3,512 square feet 11:r " _ s 7 ooh �- . L == = t .aa41� ,u�' _ "'7 'E 1 Number of stories: Four - 6 it .�7�� —42ad,. �..3g Name:PacTrust Type of construction: II-A 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 ac irk �, T'2 moo , � leri + n.fie' i ., as=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:Portland,OR 97224 Phone:(503)624-6300 Fax::(503)624-7755 Amount received: E-mail:lesliel@pactrust.com 0TAT --,%1':( ` gki ,nn a0i * � t4 4g- r , ` � i s x � i '��� � i Commercial and residential prescriptivetive installation of , t :n a . .�� „, ,7":„'t„,7:!;:74.4.4.. , ,,, ,f4A �f, ,,, 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 r Authorized signature: A \,,, v_Apyq y This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: L 1°0 I(. , I.,a v 4 Date: d We J-2_0( * 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 • BUILDING DIVISION II Over-The-Counter (OTC) Building & Fire Protection System Permit T I c n R n Appointment Checklist Permit Record#: /7‘,4Aj/f- Cv/17 Contact Name: 4-5 /E' 1-O u/S Phone #: 5o3 -9 3 -(F.V 1 Business Name: ,'° c. 7724A-C7- Appt. Date/Time: (,/9/// 6 /O.'ov /fry Site Address: /a290?SA) 6,-/d.-P�cJ y Bldg/Suite #: $ Project Name: S772ct-E-C New Tenant? J Yes 0 No Project Description: /=-Lt`t_ /74-&-/6 T AM-t is "9-7- 27^ /2.0 c iel - Existing Use: 0/'-if Com— New Use: c;, /.CE MMD Required: 0 Yes K)No Related Record #: APPLICATION SPECIFIC;INFOit1 ATIQN GENERAL INFORMATION Class of Work: NT Occupancy Group: liType of Construction: J )— A Type of Use: LS Occupancy Load: 3 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: 1,i-r,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: $ ,,P 5; 3 0 cP 1400701.7A $ q ja DC Prov Rvw,COM TI—Ping $ y Li , 7 7 Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2017) $ 4-. ; • 12%State Surcharge Project Valuation p . __ Plan Review,Structural Up to$4,999 $0.00 $ • • 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: $ , J p s-.9 g TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070117.docx Front1 DSTS Subject: Leslie Louis, Pac Trust, 503-403-8442, 12909 SW 68th Pkwy, Suite 460, Staples Location: CR 3 Permit Center Start: Tue 6/19/2018 10:00 AM End: Tue 6/19/2018 11:00 AM Recurrence: (none) Meeting Status: Meeting organizer Organizer: -Building_OTC Resources: CR 3 Permit Center Project Name: Staples — New tenant Existing Use: office New use: office Scope of work: new full height walls at IT room Valuation: $25,308 1 City of Tigard ligq COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: ,06,,P jir 00 tS7 Site Address: 12-1 Oct SW 684- Pkwy Suite/Bldg#: (-16O Project Name: Aft -S (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review I Proposal: Ne`,, 'CIAlIt��q�i' 1 11s 41- IT W,I1s eR rink kir- s eleS. 7k° cv;)1 Sb.P Dict Cl ti • ;1•—1 & IX-1j Sit re- &n.C;rn�� -1\4 All Cit4A e OR r4lir',.- Existing Business Activity: O. iCe — Proposed� Business Activity: Q � ' [ Verify site address/suite#exists and active in permit syste . 'ver Terrace Neighborhood:- � ❑ Yes IV No 7forung. [ �V is ermitted Use: Yes ❑ No ❑ Spec Space ' gill Confirm no land use required. R.'Business License: ^/ Exists: El Yes [ l No,applicant notified to obtain business license Notes: Approved by Planning: LIOM.a. Date: 6-1(f-1 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 6/i t/fir Site Plans: # Building Plans: # Building Permit#: Ei<nter building permit#above. Workflow Routing: 8'151anning El Permit Coordinator Ging Workflow Sign-off: [L} S-off for Planning(include notes from planning review) Route Application Documents: ceding. original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: (J By Permit Technician: Xgo.„4...., 42.....---- 2.-----____ ___ Date: 67,q/ I:\Building\Forms\BldgPermitRvwCOM 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