Permit 1111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00236
Date Issued: 12/7/2020
T I G Ail T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DC00701
Jurisdiction: Tigard
Site address: 15989 SW 72ND AVE
Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 39
Project Description: Landlord work prior to TI:Demolition of walls,finishes,ceiling,plumbing,and mechanical equipment.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE:
FAX: 503-624-7755
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 12/04/2020 $164.96
Demolition
Occupancy Grp: B Occupancy Load: 36
P y P y12%State Surcharge-Building 12/04/2020 $19.80
Dwelling Units: 0 Plan Review 12/03/2020 $107.22
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/04/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 12/04/2020 $4.00
Value: $6,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $397.98
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
t 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: �,�.4y�\ .)Arr.n.. O 7 Permittee Signature: �1 pc(tCfi
t, 11uv" �J 1�. JtG 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 '3-11 Jl toi
Commercial p�-(y_ {[_gyp�// Q��T)y� �r/� 7,�/
City of Tigard 9 R ^ S a DatRece/By:Bya �I�7 �� Qt f/GL/2DM2 6
Permit No.:
III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
111 2020 Date/ kg"By: Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 NOV 16 y J'J—d —010 /
Inspection Line: 503.639.4175 Date Ready/By: 3 „Alm' El See Page 2 for
TIGARD Internet: w CITY
OF IIGARD Notified/Method: 9 A 1'lai Supplemental Information
(BU n4F' r r1 / .,,-,.,, ,,'✓� tit!„ -rt--
TYPE Of WORK REQUIRED DATA:I-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
�' i 1 '1, t-n work indicated on this application.
CATEGORY OF CONSTRUC3 I` i,,: s
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15989 SW 72"Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:3obp214 V leanup f �pi 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 WORIu + `,_', work indicated on this application.
Project consists of demo of non-structural walls,finishes,ceilings,plumbing, Valuation: $6,000.00
HVAC,etc.in 3,405 SF of existing,vacant space. Existing building area: 3,405 square feet
New building area: 3,405 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
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: A-2
Phone:(503)624-6300 Fax:(503)624-7755 New: A-2
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
-- (Please refer to fee schedule
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): r
Contact name:Robert Bumcrot
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Amount received:
Phone:(503)624-6300 Fax: :(503)624-7755
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
F.-mail:permits@pactrust.com
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 lic.: 153913 Total fee due upon application: $201.60
p14 us Ewmepra0 ea tor.
Authorized signature: Robert BUfTlCfflt�w* m.orv-a�e.nau,�� This permit application expires if a permit is not obtained
:_a,1,F0I4+I 161242.12 O9tlV within 180 days after it has been accepted as complete.
Print name:Robert Bumcrot Date: 11/16/2020 * 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
111 el COMMUNITY DEVELOPMENT DEPARTMENT
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: bap202b-0/9Z3(o
Site Address: 15989 SW 72nd Ave Suite/Bldg#:
Project Name: Vacancy Cleanup
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
PlarollaR Review
Proposal: TI
Existing Business Activity: VACANT
Proposed Business Activity:
1 Verify site address/suite# exists and active in permit system.
IN River Terrace Neighborhood: D Yes lt7 No
X] Zoning: I-P
a Permitted Use: ❑ Yes ❑ No NI Spec Space
1KIl Confirm no land use required.
nrli Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Ptro^(WG Date: 11/17/2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
$uildirr Petrhit Subrxlittal
Original Submittal Date: /,,/4./202 0
Site Plans: # 3
Building Plans: # 5
Building Permit#: le-Enter building permit# above.
Workflow Routing: 1-Planning ❑ Permit Coordinator fir-Building
Workflow Sign-off: k"Sign-off for Planning(include notes from planning review)
Route Application Documents: [3 Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
i -
By Permit Technician: ----- '' ' Date: // /7 2020
I:\B uilding\Forms1B ldgPermitRvw_COMNoLandUse_1118I 9.docx
-• •t CbordijiatorRevieW
❑ Conditio " ci"prior to issuance of building permit
❑ Approved,NO - , ased: ,
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli .
Revision Notice 3: Date Sent toe .. cant:
❑ SDC Fees Entered: W- o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to '. .e Permit
roved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_I I I819.docx