Permit (177) CITY OF TIGARD BUILDING PERMIT
1 COMMUNITY DEVELOPMENT Permit#: BUP2018-00268
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2018
A I=.t� g Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 100
Project: Precoa Subdivision: None Lot: None
Project Description: Minor demolition and construction of(6)offices and(2)boardrooms.
Contractor: PACIFIC CREST STRUCTURES INC Owner: GK TRIANGLE CORPORATE PARK III L
17750 SW UPPER BOONES FERRY RD SUITE ATTN KBS REALTY ADVISORS
190 P O BOX 28270
DURHAM, OR 97224 SANTA ANA, CA 92709
PHONE: 503-968-8949 PHONE: 503-980-1729
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IA DC Provision Review,COM TI-Ping 09/20/2018 $243.00
Occupancy Grp: B Occupancy Load: 301 Permit Fee-Additions,Alterations, 09/20/2018 $1,287.15
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/20/2018 $154.46
Stories: 0 Height: 0 ft Plan Review 09/20/2018 $836.65
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/20/2018 $514.86
Value: $129,351 Info Process/Archiving-Lg$2.00(over 09/20/2018 $12.00
11x17)
Metro Const.Excise Tax 09/20/2018 $155.22
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,203.34
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 m obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: .'�. „f rmittee Signature: s
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 RECEIVED FOR OFFICE CSE 011.1
City of Tigard pp Eew
111 ill qZ010 613125 SWHall Blvd. Tigard,OR 97223 J E 2
C Phone: 503-718-2439 Fax: 503-598-1960_ �' 20- i� Related Permit:
Inspection Line: 503-639-4175 ` { y Date/B
T"I C A R D p C I 0 Y O F a I CIAR Date Ready/By: Jur;s: See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling lig Commercial/industrial Valuation: $
Accesso Number of bedrooms:
0 ry buildin g ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i 3 Z 2 l %W (.$ Par kw Al Sa.1-e. 100 New dwelling area: square feet
City/State/ZIP: 'r';c«r i I 0/ €17 2 Z 3 Garage/carport area: square feet
Suite/bldg./apt.#: /o0 Project name: pre tog( r- ptia se 2 Covered porch area: square feet
Cross street/directions' to job site: / Deck area: square feet
Sw ma es"119+0"` g U. ."(1)
TO $W V e'laK W y Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. g
Te- 'aK1 .r..,prave a...e.,'f- Valuation: $ Z. { 3s
'.,,�s^ f ! Existingbuildingarea: square feet
r�11��1Y7ts cip � f. �_� f . v� ` t'uS�UG�dO �t (�� q
l 49 J 0 f-1. C r f$ (z1 004,a rUo,"4. 5, New building area: square feet
1E PROPERTY OWNER 0 TENANT Number of stories:
Name: e7 g 7 4 N 5k. Gd(p v r4 ft Ark i i I 1 I.LC Type of construction:
Address: t3 2 LI sw 6 S 4" /kwy Occupancy groups:
City/State/ZIP: 7. 5 A"it OR.. q?Z 3 Existing:
Phone:($o3) goo- (129 Fax:( ) New:
APPLICANT �+ CONTACT PERSON BUILDING PERMIT FEES*
Bus' ss name: % .—4.i5 K c.e 'o ra ,j t N� ��l (�,L(' ale
ase relertofeeschedutri
Structural plan review fee(or deposit):
ntact name: ee'f 1 peof.{Orl ' fee A/ E'S�14.4, 143)e.
Address: if 2.l St., (p'f`- Ave_
✓✓ FLS plan review fee(if applicable):
�J r1-4-4.-11-4-4.-1o fLp/� a,T�v Total fees due upon application:
City/State/ZIP: O - T
Phone:(S03) g$0 . Fax:
7 2.� ( ) Amount received:
E-mail: b e f s y • }e a c0,4 e c b✓'e. * coot-.
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name: P4 G/A e- CI I S 1- , 'f YM LTv r6St Si.c . Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1-7/ (0 $'w 1/a,.✓e0oett S Peeey 4/q 0 Solar Installation Specialty Code checklist.
City/State/ZIP: 4r kG kA, 0€2 9 7 ZZPermit fee(includes plan review
Phone:(50� �D e 9 yq Fax:( ) � and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60
CCB Lic.: b 4. 9 ,S Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
y'V C
Print name: SC 5 Date: q/ Zp//$ * Fee methodology set by Tri-County Building Industry
`! Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11111 " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done, 221 `s.
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 30, b G �Z."—
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
._ Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ul Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal #of Plans
(Includes new, additions and alterations) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire &Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
I
City of Tigard • BUILDING DIVISION
ill ■
° Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: /6u AZO!r"-O6716
Contact Name: Lcirirc Glace Phone #: s-- z)-6 7 5(7
�� ���"c
Business Name: ,-e i�. aca�f A tpp . Date/Time: �/ /
j/4 `t /J,cJ
Site Address: /la?, 5w G VI Bldg/Suite #: //e V
Project Name: ./9/e—Cal New Tenant? ❑ Yes ,,,tf No
Project Description: t6,u/• ,�,yy� ° j �,"4/ di-wa Ii> , / �a ,.
Existing Use: / New Use: /9
MMD Required: ❑ Yes o Related Record#:
i' Iii "G�w� , 1 N .MAI'�, 7T ,if�} Y1 'l
4,� .,i v. s��,la. ',�5. . �#,. v, �l �P;k s 1V,iNc. �4v,.-.'-lit-IL `'l� ��.,�xi
GENERAL INFORMATION
Class of Work: A l Occupancy Group: 43Typeof Construction: --6�,
Type of Use: Al f Occupancy Load: .3d 1 Oregon Specialty Code: Z3 14,
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: 7� Fire Alarms: Smoke Detectors:
Sprinkler Type: r 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: $ J a 9 13 3"-) '?'-'' �I . 4 t t Ar .. ��'cx. .NF�e" fv
In -
$ ..ti.-3_ DC Prov Rvw,COM TI–Ping
$ /a,g 7 a Lg.. Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2018) $ ),5 y. y C, 12%State Surcharge
Project Valuation $ G cc' Plan Review,Structural
Up to$4,999 $0.00
$5,000-$74,999 $ J 4., $c, Plan Review,Fire Life Safety
$98.00 $ j ]_ _ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ ) 6-'c.ap,. Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 3.4.30.3L-TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_o70118.docx
« 4
Samuel Copelan
Subject: Steve Close @ Pacific Crest Structures; 13221 SW 68th Pkwy Suite 100; Precoa; (503)
530-6787
Location: CR_-_3_Permit_Center
Start: Thu 9/20/2018 10:00 AM
End: Thu 9/20/2018 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR 3 Permit Center
Call Handling Mode 2: 2
TI for existing tenant: Demolition of conference room and adding offices.
STEVE CLOSE
,Cf,"
Vice President
PACIFIC CREST STRUCTURES, INC. CCB#66915
General Contractors
17750 SW Upper Boones Ferry Rd. PH(503)968-8949
Suite 190 FAX(503)598-6658
Durham,Oregon 97224 CELL(503)530-6787
wwwpacificcrestweb.com stevec@pacificcrestweb.com
1
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
111
T1cnRD Building Permit Review — Commercial - No Land Use
/
Building Permit #: /J kp),(/G (�
. - �'o�
---
Site Address: 13221 SV Cri\ Ill Suite/Bldg#: 100
Project Name: c)(1-10 CIL
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review .l� I f t
Proposal: Ti eX;3 ty i4^ pt : 04,0,0 i�i-1N at: enc is of C61 .re(t 1-:,:m (j44 aid i J Q XLel
1l,,
Existing Business Activity: (i r1 ct
n
Proposed Business Activity: 0c-Ci tk.
W erify site address/suite#exists and active in permit sys_tee .
I3 River Terrace Neighborhood: ❑ Yes LSI No
Ly' Zoning: T h v, .
ermitted Use: Yes ❑ No ❑ Spec Space
�onfirm no land use required.
1]d Business License:
Exists: LYes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: VCJ-._JDate: 1-1--6--t g
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: 7,zoi(r
Site Plans: #
Building Plans: #
Building Permit#: \r nter building permit#above.
Workflow Routing: "1.' Planning ettrxt it Building
Workflow Sign-off: •P 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: / w
By Permit Technician: ,�4.. 4h/, `,/All. /.4i:&"".` Date: •)-__1 _
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 App:cant:
Revision Notice 2: Date Sent to % .plicant:
Revision Notice 3: Date Sent • Applicant:
❑ SDC Fees Entered: Was• Co Trans Dev Tax: ❑ Yes ❑ N/A
gard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe •'it
Approved b 'ermit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 100, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00268
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor