Permit CITY OF TIGARD BUILDING PERMIT
111 = . COMMUNITY DEVELOPMENT Permit#: BUP2021-00044
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/22/2021
T I t ;t I.(� g Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 14945 SW SEQUOIA PKWY 180
Project: Lewis&Van Vleet Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: TI-work includes demo of nonstructural walls,drywall/metal studs walls.
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
TUGARD, 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, 02/17/2021 $73.61
Demolition
Occupancy Grp: B Occupancy Load: 23 12%State Surcharge-Building 02/17/2021 $8.83
Dwelling Units: 0 Plan Review 02/08/2021 $47.85
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/17/2021 $29.44
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/17/2021 $6.00
Value: $1,100 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $165.73
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: \1-3W/'‘D Permittee Signature: or\ G o•,-31,
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 at_ i 28 21
Commercial �j a FOR OFFICE USE ONI.Y
illRECEIVED Date/By 1Z a0 2� i� euJ2o21-II •.•
Cityof Tigard Permit No.:
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 JAN 2 8 1021 Date/By: a )�^�' J Other Permit:
TIGARD Inspection Line:g503.639g.4175 Date ReadyBy: A/! / I luris: ® Pee Page 2 for
Internet: www.ti and-or. ov CITY OF I A RD ified/Method: -TI Supplemental Information
TYPE OF WO V I fE f t 1 - . REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrialValuation: $
Number of bedrooms:
ClAccessory building ❑Multi-family
El Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14945 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 180 Project name:Lewis&Van Vleet 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: 1 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 2,347 SF of existing office space.Work includes selected demo Valuation: $1,100.00
of existing nonstructural walls and nonstructural drywall/metal studs walls Existing building area: 2,347 square feet
New building area: 2,347 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Pacific Realty Associates,LP. Type of construction: 11-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
S APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Realty Associates,LP. (Please refer to fee schedule)
Structural plan review fee(or deposit): i -85
Contact name:Robert Bumcrot
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300
City/State/ZIP:Portland,OR 97224 Total fees due upon application:
Amount received:
Phone:(503)624-6300 Fax: :(503)624-7755
E-mail: permits@pactrustcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CON'fRACTOR roof-top mounted Photo Voltaic 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 tees):
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
DlgOaily sired by Robert Bumcrot This permit application expires if a permit is not obtained
Authorized signature: Robert Bumcrot"a+kP lE,;°i2 ,V21:r::,—.
Due2o2,e0,C
271513.12 oeoo within 180 days after it has been accepted as complete.
Print name:Robert Bumcrot Date: 1/27/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
1/28'21
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 n R D Building Permit Review — Commercial - No Land Use
Building Permit #: :r UP2Oz t-(xj042-1.
Site Address: 14945 SW Sequoia Parkway Suite/Bldg#: 180
Project Name: Lewis & Van Vleet TI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plannirh JJeviety
Proposal: TI
Existing Business Activity: Office
Proposed Business Activity: Off1Ce
1 Verify site address/suite # exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes ] No
E Zoning: I_P
EN Permitted Use: ® Yes ❑ No ❑ Spec Space
® Confirm no land use required.
Business License:
Exists: IX Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ATIMDate: 2/1/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
iluildiuk Permit Submittal
Original Submittal Date: 411/22/2jl
Site Plans: # 3
Building Plans: # 3
Building Permit#: [P Enter building permit# above.
Workflow Routing: Z.-Planning ❑ Permit Coordinator I —Building
Workflow Sign-off: 0--Sign-off for Planning(include notes from planning review)
Route Application Documents: Q.--Building: original permit application,site plans,building plans, engineer and
beam calculations and t st details,if applicable, etc.
Notes:
By Permit Technician: Date: .0 __ ._
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
Coordinator.Reviety
❑ Conditio " et"prior to issuance of building permit
O Approved,NO : •ased: D .
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 to : .. cant:
❑ SDC Fees Entered: W. o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: 0 Yes ❑ N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to •. se Permit
. .roved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx