Permit CITY OF TIGARD BUILDING PERMIT
111 COMMUNITY DEVELOPMENT Permit#: BUP2021-00105
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2021
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 320
Project: Riverside Homes Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Remodel work to 1,922 usable sf/2,189 rentable 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: 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, 05/18/2021 $487.01
Demolition
Occupancy Grp: B Occupancy Load: 13 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: $28,000 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: Holly V v Ve 1VeG.e Permittee Signature: Ovt IppUtlan c
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 --di(2-1
Commercial RECEIVES FOR OFFICE USE ONLY
C of Tigard Plan Received /' /� 'fit
DateB DT �] �� Permit No.: P�u�QO/a�
• 13125 SW Hall Blvd.,Tigard,OR 97223R lOZyviiii
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permir.
TiGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea By: 0//' 1wl.f- ® See Page 2 for
Internet: www.tigard-or.gov Notif /Method:5`� -' If7 '" Supplemental Information
BUILDING DIVISION J
d,,,j --TYPE •OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*arc 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.
❑ I-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION 1' 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.:320 Project name:Riverside Homes 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remodel work to 1,922 usable SF/2,189 rentable SF of existing office space.Work Valuation: $28,000.00
includes selected demo of existing nonstructural walls,nonstructural drywall/ Existing building area: 1,922 square feet
metal studs walls,plumbing,doors/frames,painting,elect.distr.,lighting New building area: 1,922 square feet
El PROPERTY OWNER ❑ TENANT Number of stories: I
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 scheJalel !.
Business name:Pacific Realty Associates,LP. 6s4
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
E-mail:permits@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
'ii , ti Commercial and residential prescriptive installation of
";:'I'.).;3 CONTRAGrPR Ft 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 crot Date: 4/26/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
lding\Permits\HUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
III •
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: B61)2021-00/0 5
Site Address: 15350 SW Sequoia Pkwy Suite/Bldg#: 320
Project Name: Riverside Homes
(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
CI V fy site address/suite#exists and active in permit system.
'ver Terrace Neighborhood: 0 Yes ILI No
111 Zoning: I-P
❑ Permitted Use: U Yes U No U Spec Space
❑ Confirm no land use required.
❑ Business License:
Exists: ❑ Yes 0 No, applicant was provided a business license application
Notes:
Approved by Planning: �� �ix�✓ 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: Q4t/27/2Z/
Site Plans: #
Building Plans: # 3,
Building Permit#: El—Enter buildin permit# above.
Workflow Routing: Planning U w
Permit Coordinator ilding
Workflow Sign-off: 12 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 trust details,if applicable,etc.
Notes:
By Permit Technician: —,11:07Li 4.7r-, Date: d/7/Z9/ 2/
I:1Building\Forms\BldgPemritRvw_COM_NoLandUse I 11819.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 Applicant
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applica r :
❑ SDC Fees Entered: Wash Co Trans R-v Tax: ❑ Yes ❑ N/A
Tigard Trans S DC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinato Date:
I:\Bui I ding\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx