Permit CITY OF TIGARD BUILDING PERMIT
111 COMMUNITY DEVELOPMENT Permit#: BUP2021-00088
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/5/2021
T f t;r1 li i) 9 Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY
Project: PacTrust Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Expansion/Alteration of existing building electrical room.
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
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 05/05/2021 $180.17
Demolition
Occupancy Grp: B Occupancy Load: 0
12%State Surcharge-Building 05/05l2021 $21.62
Dwelling Units: 0 Plan Review 04/19/2021 $117.11
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/05/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 05/05/2021 $2.00
Value: $7,000 11x17)
Info Process/Archiving-Sm$0.50(up to 05/05/2021 $6.00
11x17)
Floor Areas: Plan Review-Fire Life Safety 05/05/2021 $72.07
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
•
Garage: 0
Mezzanine: 0
Total $501.97
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: j{oay Va..' De/Wecje Permittee Signature: Ov iAppU,catwn
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 ej-4/Iq.f 21
Commercial RECEIVE . FOR OFFICE USE ONLY
Received C �1 �/� / C)/�
City of Tigard APR 1 4 2021 Date/By:D� ✓�e 024 l Pe mi[NoI�/{/Zl `QU✓
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi
i � Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 111 l
CITY OF TIGARD
TIGARD Inspection Line: 503.639.4175 Date Ready/By: , / ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISI Notified/Method:1 / �( 6- Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLLNG
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOBS SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15333 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name• 228 FI • t ..l a --- P�'T x.-- 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.
Project consists of alteration/expansion of existing building electrical room. Valuation: S$7,000.00
Existing building area: 152 square feet
New building area: 152 square feet
® PROPERTY OWNER ❑ 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: R
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
---- (Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): //if/
Contact name:Dick Krippaehne
FLS plan review fee(if applicable):
A l dres5-1135 quo
Total fees due upon application:
eia Parkway,Suite 300 -
City/State/ZIP:Portland,OR 97224
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
E-mail:permits*pactrust.com 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/ZTP: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: S201.60
Pacific Realty Associates. LP This permit application expires if a permit is not obtained
Authorized signature: B 1 Y�
y: within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: April 14, 2021 1 * Fee methodology set by Tri-County Building Industry
I Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
1111iiii
1 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: aJP202I-000Se
Site Address: 15333 SW Sequoia Parkway Suite/Bldg#:
Project Name: PCC228 Electrical Room
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plaunir Review
Proposal: TI
Existing Business Activity: n/a
Proposed Business Activity: n/a
li] Verify site address/suite #exists and active in permit system.
I River Terrace Neighborhood: ❑ Yes fl No
® Zoning: I-P
03 Permitted Use: ❑ Yes ❑ No ❑ Spec Space
® Confirm no land use required.
nfti Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Ca itA4-0671-1 Date: 4/15/2021
1
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
$uildiuk Permit Submittal
,,/� /�
Original Submittal Date: ai./'T/2021
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit# above.
Workflow Routing: L'Planning ❑ Permit Coordinator Er—Building
Workflow Sign-off: [ -"Sign-off for Planning(include notes from planning review)
Route Application Documents: kBuiiding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / �,
By Permit Technician: �,//0 Date: P4/,5/LO2/
I:\B ui(ding\Forms\B IdgPemiitRvw_COM_NoLandUse_111819.docx
• t Coordinatot J evieti
D Conditio " et"prior to issuance of building permit
❑ 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 toe .. 'cant:
❑ SDC Fees Entered: W • o Trans Dev Tax: ❑ Yes ❑ N •
igard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to -. .e Permit
. .roved by Permit Coordinator: Date:
1:1Bu it ding\Forms113ldgPermitRvw_COM_NoLandUse_111819.docx