Permit (89) INCITY OF TIGARD BUILDING PERMIT
N. COMMUNITY DEVELOPMENT Permit#: BUP2018-00230
T GAfa D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2018
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 100
Project: Pacific star Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: TI for existing tenant:Office remodel and a new wall.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
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: IIIB DC Provision Review,COM TI-Ping 08/14/2018 $98.00
Occupancy Grp: Occupancy Load: 236 12%State Surcharge-Building 08/14/2018 $38.05
Dwelling Units: Plan Review-Fire Life Safety 08/14/2018 $126.82
Info Process/Archiving-Lg$2.00(over 08/14/2018 $6.00
Stories: Height: ft 11x17)
Bedrooms: Bathrooms: Plan Review 08/14/2018 $206.09
Value: $15,444 Permit Fee-Additions,Alterations, 08/14/2018 $317.06
Demolition
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $792.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: ire-t. ...7
C --- rrnittee Signature: `( '' r
ail 03.639.4175 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 iiii E ITE , 1(,111 1)F F lC L 1 ;+L ONLI
�eueA��ea
Cityof Tigard , `` PemntNo
" 13125 SW Hall Blvd.,'I'i Tigard,OR 97223 t?atctti ; ���� .,.
1 g PI ir,kiuie�av �� .. '" 1
Phone: 503.718.2439 Fax: 503.598.1960 A�i ' I. 4 ? j Other Penna:
"1`ICtAltr? Inspection Line: 503.639.4175 4 Date Ready/tiy: lynx S5 See Page 2 f r
Internet: www.tigard-or.gov CITYri "TI,GAR Noufie_dMethal f Supplemental Information
71-PE OF' 4, - , °w ` REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*arc 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
'" "� µ� "� W work indicated on this application.
CATEGORY OF CONSTRUCTION
Ell 1-and 2-family dwelling Valuation: S
®Commercial/industrial
Number of bedrooms:
ElAccessory building 1:11 Multi-family
El Muster builder El Other: Number of bathrooms:
JOB SITE INFORM ATION AND LOCATION Total number of floors:
Job site address: '(5 y®Ai 1 + tap New dwelling area: square feet
City/State/ZIP: 'III L I4- Garagc/carport arca: square feet
Suite/bldg/apt.no 4(CO Protect name: o 0 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:C-OMMERCIAIAsI GtJECIaJST
Subdivision: 1 Lot no.. Permit fees*are based on the value of the work performed:-
-
erformed Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.n
__...... ___: equipment,materials,labor,overhead,and the profit for the
DESOUrrION OF WORK work indicated on this application.
Valuation: S
__-r rA0 tLtc
t . dlt _
0rftC6v. __11.,1-44
Existing building area: 2„3I 5 1 1 square feet
._.. New building area: Z 3,5)` square feet
® PROPERTI' OWNER ❑ TCNA ST Number of statics:
Name:PacTrusl Type of construction:
Address: 15350 SW Sequoia Parkway#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: .0 F.41 S-'1,-
Phone:(503)624-6300 Pax.(503)624-7755
New: �, F. a �j-Z
® APPI.IC,AN I El (.UNTACI PERSON BUILDING PERMITFEEs*
iffittiO de Idle**
Business name:Pactrust rrserirar
.. �. . Structural plan review fee(or deposit):
Contact name:Leslie Louis ._ ._._..... ..
FLS plan review tee(if applicable):
�
Address: 15350 SW Sequoia Parkway#300 __ ,Total fees due upon application:
( ttv/State/1.IP: Portland,OR 97224 -5--.. --_._
_ Amount received:
L Phone :(503)624-6300 Fax::(503)624-7755 ._.: . __
PHO1ON OLTAle SOL AR PANLL SAKI M FEES'
E-mail:lcshet!npae trust.com
—— -- — � — Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Pac'frust Submit two(2)sets of roof plan with connection details
_ _ ..- - ----•- and lire department access.along with the 2010 Oregon
Address: 15350 SW Sequoia Parkway#300 Solar Insml/rrlion,Spec/a/Ctt'Code checklist.
Permit fee(includes plan review
C m/Stale//.II': Portland,OR 97224 administrative_ -- and admtstrative fees):
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee): $21.60
C C'B lie.. 153913 t_.
_�. -- ___........... ....... _.. _......w..._.-....,,._. .__.,.". _._.._��..... ....,F.... �.,.:....,._, i fetal Ice due upon application' $201.60
\u14,:ind signature: Leer ( This permit application expires if a permit is not obtained
V Q Ly within IRO days after it has been accepted as complete.
Print nmr. I ` I)i+c ' Fee ntethodolog.set h�Tri-County Building lndustrc
Lre�10 ®�� a � �At1� Sct,ice Baard.
I:••Building+Pennitsl811P-COM PennitApp.doc 02/11/2011 440-161 3Tt I I/l(?/C't),\1/11[131
City of Tigard
III 111 COMMUNITY DEVELOPMENT DEPARTMENT
I
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 'z/✓„,264_jcRye,
Site Address: /5,,)55 yw,A loh,r,/ir -J Suite/Bldg#: /oi.
Project Name: chLa'
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ .e,V(0jj 71e41,24471--�
Existing Business Activity: c2`?4 „(J
Prop d Business Activity: //
Verify site address/suite#exists and active in permit syst
.ver Terrace Neighborhood: ❑ Yes No
0192/Zoning: 1—P
ermitted Use: ❑ Yes ❑ No ❑ Spec Space
(firm no land use re ' ed.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: )// /'1 j
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: oF//i/jr
Site Plans: # _i.b___
Building Plans: #
Building Permit#: er building permit#above. ��------
Workflow Routing: L arming o ator 12 -1.ildtng
Workflow Sign-off: f 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: f-
By Permit Technician: Date: IS—A- i'
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only) r'-
Revision Notice 1: Date Sent to,A6plicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Seiit to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by ermit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx