Permit Building Permit Application 6—'1/B tic,
Commercial RECEIVED FOR OFFICE USE ONLY
- City of Tigard RECEIVED 1/ Received �j) 7 �,n 7
SEP 0 8 2020 Date/By.
Za2a .off Pe mil No. PL OF ( G�J
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 9'a9-12)..Q _If Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TiGARD Date Ready/By: lurk Rf See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:to/p i/3a war J Supplemental Information
TYPE OF WORK'. REQUIRED DATA:1-AND 2-FAM1LY DWELLING
0 New construction 0 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
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ I-and 2-family dwelling 7 Cotmnercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16101 SW 72"Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 135 Project name:Tiland/Schmidt 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.
Remodel work to 2,852 SF of existing office space.Work includes selected demo Valuation: $42,670
SY'at-C...
of existing nonstructural walls,nonstructural dywall/metal studs wall,doors& Existing b�i4diug area: 2,852 square feet
frames,painting,lighting.All work to meet ADA requirements New bgea: 2,582 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Pacific Realty Associates,LP. Type of construction: III-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224
Existing: B
Phone:(503)624-6300 Fax:(503)624-7755 New: B
® APPIJCANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
Contact name:Ryan McGuire
Address:15350 SW Sequoia Parkway,Suite 300 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
G PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com
tG L('..
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 30 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 tic.: 153913 Total fee due upon application: $201.60
Authorized signature: 1111%
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ryan McG Date: - /. * Fee methodology set by Tn-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
i III City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: B U,P2420-- 00204
Site Address: \lc IN SA -72 five- Suite/Bldg#: \ 35
Project Name: Ti \Ulv o ci l id+ T I .
(Name of commcr al business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: t i
Existing Business Activity: 0{{-i c
Proposed Business Activity: C> j (a.,
Verify site address/suite# exists and active in permit system. , hataka,S .ft�
River Terrace Ng iborhood: 0 Yes ❑ No
Zoning: 1 — V.
4 Permitted Use: X' Yes 0 No 0 Spec Space
Confirm no land use required.
71 Business License:
Exists: Yes 0 No, applicant was provided a business license application
Notes:
Approved by Planning: f Date: q(2.1 ['2?
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 409,08-202d
Site Plans: # 3
Building Plans: # ,3
Building Permit#: Ea-Enter building permit#above.
Workflow Routing: al/Planning ❑ Permit Coordinator [Building
Workflow Sign-off: al/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: Date: O9 2Z-2O2b
I:\Building\Forms\BldgPcrmitRvw_COM_N otandUse_I 118 I9.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: 1111111111
,I:111111I
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic. :
Revision Notice 2: Date Sent to . cant:
Revision Notice 3: Date Sen • Applicant:
❑ SDC Fees Entered: •s Co Trans Dev Tax: D Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes E N/A
❑ OK to Issue 'ermit
Approved by Permit Coordinator: Date:
1:1Building\Forms\BldgPermitRvw_COM_NolandUse_1 11819.doc x