Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00104
Date Issued: 5/19/2021 •
T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 198
Project: CRA Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Remodel 2,003 sf of existing office space.Work includes selected demo of existing nonstructural walls,
nonstructural drywall/medal studs wall,doors/frames, painting,electrical distribution and lighting
Contractor: VANOSDEL CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 1057 ATTN: N PIVEN
BATTLE GROUND,WA 98604 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-687-8636 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: B Permit Fee-Additions,Alterations, 05/18/2021 $487.01
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 05/18/2021 $58.44
Dwelling Units: 0 Plan Review 04/29/2021 $316.56
Stories: 0 Height: 0 ft DC Provision Review,COM TI -Ping 05/18/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/18/2021 $194.80
Value: $27,800 Info Process/Archiving-Lg$2.00(over 05/18/2021 $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 $1,165.81
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: }foU,yVaw De„wage Permittee Signature: Ovv Opp
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- 4 2'1 2-
Commercial FOR OFFICE USE ONLY
City of Tigard DECEIVE ' Receivedc/29 iZ Jo
• Date/Fly: ' '� Pcrmi[No.:�U �^� 4
13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 7 2021 Plan Revie a
® ' J J
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: J J .- J J Other Permit:/
TIC A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyByo: /• arts: (a See Page 2 for
Internet: www.ligard-or.gov Notified thod: S ( /� N `' Supplemental Information
BUILDING DIVISION
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.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:198 Project name:CRA 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 2,003 SF of existing office space.Work includes selected demo Valuation: $27,800.00
of 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 ❑ TENANT Number of stories: l
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
Ncw: B
® APPLICANTS - 0 CONTACT PERSON BUII.DNG PERMIT FEES*
Business name:Pacific Realty Associates,LP. (Plebse re(erPofee scheduf�
Structural plan review fee(or deposit): 1,• 6
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@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:VanOsdel Construction LLC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604 Permit fee(includes plan review $180.00
and administrative tees):
Phone:(360)687-8636 Fax:(360)687-7677 State surcharge(12%of permit fee): $21.60
CCB lie.:215976 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 crif Date: 2/27/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-COM PermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
s 111
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: B U f 2021- DO/-0g
Site Address: 15350 SW Sequoia Pkwy Suite/Bldg#: 198
Project Name: CRA
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T.I. new tenant
Existing Business Activity: Office
Proposed Business Activity: Office
V: •fy site address/suite#exists and active in permitstem.
lill ''vet Terrace Neighborhood: ❑ Yes L'J No
li Zoning: I-P
❑r Permitted Use: U Yes U No U Spec Space
❑ Confirm no land use required.
❑ Business License:
Exists: 0 Yes Q No,applicant was provided a business license application
Notes:
Approved by Planning: :Aj, Date: 4/28/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Q�/z ,Zoi/
Site Plans: #
Building Plans: #�y
Building Permit#: Enter buildingermit# above. a-
Workflow Routing: Planning Permit Coordinator l� Building
Workflow Sign-off: Q�S�ign-off for Planning (include notes from planning review)
Ll
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculat oo. and trust details,if applicable,etc.
Notes:
By Permit Technician: ,f/ ii Date: 0�.34.0
I:1Building\For ns\BldgPermitRvw_COM_NoLandUse_11 I819.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 • .plicant:
Revision Notice 2: Date Sent tc Applicant:
Revision Notice 3: Date Se to Applicant:
❑ SDC Fees Entered: Was, Co Trans Dev Tax: ❑ Yes ❑ N/A
T.:. d Trans SDC: ❑ Yes ❑ N/A
arks SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permi oordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx