Permit a CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00179
Tf ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/24/2020
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Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15895 SW 72ND AVE 220
Project: Hair Club For Men Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Tenant improvement to expand 864 sf into adjacent space. Scope of work includes demolition of interior walls,
non-structural drywall/metal stud walls,doors/frames, paint,electrical distribution,plumbing and lighting.
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 Permit Fee-Additions,Alterations, 08/24/2020 $834.87
Class of Work: ALT Type of Const: IIA Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 08/24/2020 $100.18
Dwelling Units: 0 Plan Review 08/17/2020 $542.67
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/24/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/24/2020 $333.95
Value: $63,700 Info Process/Archiving-Lg$2.00(over 08/24/2020 $6.00
11x17)
Metro CET 08/24/2020 $76.44
Floor Areas: Tigard CET-Non-Residential-Admin 08/24/2020 $25.48
Tigard CET-Non-Residential-AH 08/24/2020 $611.52
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total S2,633.11
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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.
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Issued By: tare-Signature:
Ca 0 . 39.4175 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
iZCEI1�ED
Commercial FOR OFFICE USE ONLY
City of Tigard JUL 3 0 2020 Da Yd 1//y/zo 4510
Permit Nof uP240.213 s- C1
dory
• 13125 SW Hall Blvd.,Tigard,OR 972?3, Plan Review
Phone: 503.718.2439 Fax: 503.598.I r Y OF TIGARD Date/By: g- 18 a,Q Other Permit:
TIGARD Inspection Line: 503.639.4175 ail!.nING DIVISION Date Ready/By: /�/ luris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:C/O/l 41( Supplemental Information
-1'I I/tit-- /�y ,J
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ['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.
and 2-family dwelling Valuation: $
❑ I- ®Commercial/industrial
0 Accessory building El Multi-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15895 SW 72"d Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:220 Project name:Hair Club for Men TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
, REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Tenant occupies 3,468&will expand into adjacent 864 SF space.Minor remodel I Valuation: $63,700.00
Existingbuildingarea: 4,332 square feet
work throughout space.Work incl.demo existing nonstructural walls,nonstruct- q
ural drywall/metal studs walls,doors/frames,paint,elect.dist,plmb,lighting New building area: 4,332 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Pacific Realty Associates,LP. Type of construction: III-B
Address: 1.5350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP: Portland,OR 97224 Existing: B
Phone:(503)624-6300 Iax:(5031624-7755 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee.schedule)
Business name:Pacific Realty Associates,LP. `
Structural plan review fee(or deposit): sy,3.t tP
Contact name:Ryan McGuire
Address:15350 SW Sequoia Parkway,Suite 300 FLS plan review fee(if applicable):
City/State/ZIP: Portland,OR 97224 Total fees due upon application:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:permits@pactrusLcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:Pacific Realty Associates,LP. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15350 SW Sequoia Parkway,Suite 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 lie.: 153913 Total fee due upon application: $201.60
� "' i This permit application expires if a permit is not obtained
Authorized signature: f .r. t� within 180 days after it has been accepted as complete.
Print name:Matthew H.Oyen % Date: _ * Fee methodology set by Tri-County Building Industry
v/ 7 7cJ Service Board.
I:\Building\Permits\BtJP-COM PermitApp.doc 02/24/2011 440-4613T(1I/02/COM/WEB)
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'PI . City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T l c n R D Building Permit Review — Commercial - No Land Use
Building Permit #: Gulf? Zo 26 P 00 ► 7 9
Site Address: \5 8q5 SA) 72t ( - Suite/Bldg#: 21 rr
Project Name: -1-}Gilr CI* -;ar Mevn
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: "t'", 1 .
Existing Business Activity: C> - (J
Proposed Business Activity: Atp
Ek Verify site address/suite#exists and active in permit system.
.River Terrace Neighborhood: ❑ Yes ,ems No
tg Zoning: 1—P
Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
tXf Business License:
Exists: .gl Yes 0 No, applicant was provided a business license application
1 Notes:
Approved by Planning: >'N Date:g( /20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7/j0/Ze,
Site Plans: # 3
Building Plans: # -3
Building Permit#: Er-Enter building permit#above.
Workflow Routing. (Planning 0 Permit Coordinator llding
Workflow Sign-off: :1-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: / S-1.4"_k_ (ct-4— Date: c// 47/
I:\Building\Forms\BldgPermitRvw_COM_NoLandUsc_I 1 1819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: ' Date:
Notes:
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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 Appli t:
❑ SDC Fees Entered: Wash CoTra,. ev Tax: ❑ Yes ❑ N/A
Tigard Tr. s SDC: 0 Yes ❑ N/A
Parks C: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coot 6 nator: Date:
1:\Building'Forms\BldgPermitRvw_COM_NoLandUse_111819.docx