Permit CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2021 00045
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/1/2021
T t t;A R Ty g Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 198
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Demo walls,doors,frames. Painting,electrical distribution,lighting
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
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: IIB Permit Fee-Additions,Alterations, 02/25/2021 $225.80
Demolition
Occupancy Grp: B Occupancy Load: 14 12%State Surcharge-Building 02/25/2021 $27.10
Dwelling Units: 0 Plan Review 02/17/2021 $146.77
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/25/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/25/2021 $90.32
Value: $9,106 Info Process/Archiving-Lg$2.00(over 02/25/2021 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $598.99
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.
Issued By: 1� r1 )al ' -`{, Permittee Signature: OV\ CAPP t iC,� ! "
1\ 11 UV V l/�JCall 503.639.4175 by 7:00 a.m.for the next available inspection date. 6
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 _ z,(g 2
Commercial N/O��IS�UIIG JPd1a11f1�
(IH V JIl JO A.1I° Received
City of Tigard Date/By: ZI 11\Z\—., „,..))�� Permit No.:gVP _Uvo 4 S'
o'" 13125 SW Hall Blvd.,Tigard,OR 97223 ll0l 9 0 83.E Plan Review
t a of Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639.4175 ^ Date Rcad B 0 See Page 2 for
Internet: Lme. gard-or.gov a 9 AI J_ )•"' Notif d/Mctho 1� Supplemental Information
���...111 �r v
TYPE OF WORK REQUIRE DATA.1-AND 2-FAMILY DWELLING
❑New construction I ❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 198 Project name:pcco241-198 Spec 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 2,003 SF existing office space.Work includes selected demo of Valuation: $9,106.00
existing nonstructural walls,nonstructural drywall/metal studs walls,doors/ Existing building area: 2,003 square feet
frames,painting,electrical distribution,and lighting New building area: 2,003 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: II-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
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
— (Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
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*
E-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 lie.: 153913
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.
Print name:Robert Bu rot / Date: 2/4/2021 —1 * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
21612i
City of Tigard
d COMMUNITY DEVELOPMENT DEPARTMENT
11111
r 1 c A R o Building Permit Review — Commercial - No Land U s e
Building Permit #: CAP 2 7 — 000 y 5--
Site Address: ASS Sit) ,,,_ p,i.,,,b, Suite/Bldg#: j____90
Project Name:
l glove -90 ce
(Nary e of commcrciil business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ij/ rJk9VL ,742,- g e -Si
Existing Business Activity: CACI-_
Prop ed Business Activity: e QS e�
Verify site address/suite# exists and active in permit syst7d.
MI ::ver Terrace Neighborhood: E Yes Lid No
;oiling: /
Vy. rmitted Use: ❑ Yes ❑ No I]d' Spec Space
V Confirm no land use required.
AI lausiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
4;eApproved by Planning: — ,- �_i_ Date: ,0/.2/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 2 I $' Z,\
Site Plans: #
Building Plans: # 3
Building Permit#: 2' Enter building permit# above.
Workflow Routing: Q Planning `—' P c Qr i* V Building
Workflow Sign-off: 2r 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: 40.\\- vGn e Weoye Date: Z 1 ►1 ' Z,\
( \ I:\Building\Fonns\BIdgPermitRvw COM No1.,andUse 111819.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 Applic,. t:
Revision Notice 2: Date Sent to App:cant:
Revision Notice 3: Date Sent to ' .plicant:
❑ SDC Fees Entered: Wash Co ans Dev Tax: ❑ Yes ❑ N/A
Tigard Prans SDC: ❑ Yes ❑ N/A
Park DC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Co. dinator: Date:
1:\Building\Forms\B1dgPennitRvw_COM_NoLandUse_111819.docx