Permit CITY OF TIGARD BUILDING PERMIT
= COMMUNITY DEVELOPMENT
Permit#: BUP2021-00053
1 GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/10/2021
T
Parcel: 2S101AD03200
Site address: 12909 SW 68TH PKY 100 Jurisdiction: Tigard
W
Project: Quadient TI
Subdivision: WEST
ND HEIGHTS
Project Description: Remodel 1779 usable af/1980 rentable of existing office space.Includes demo of structuralPOR Lwalls,non structural Lot: 9-25, PT
walls,nonstructural drywall/metal studs walls,suspended ceilings,doors/frames,painting,elc.dist..lighting&
plumbing.
Contractor: CENTREX CONSTRUCTION INC
8250 SW HUNZIKER RD Owner: PACIFIC REALTY ASSOCIATES
TIGARD, OR 97223 ATTN: N PIVEN
15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-0443 PHONE
FAX: 503-620-6692
Specifics:
Type of Use: COM Description Date
Amount
Class of Work: ALT Type of Const: llg Permit Fee-Additions,Alterations, 03/09/2021 $438.74
Occupancy Grp: B Demolition
Occupancy Load: 12
Dwelling Units: 0 12%State Surcharge-Building 03/09/2021
Stories: 0 Plan Review $52.65
Height: 0 ft 02/24/2021 $285.18
Bedrooms: 0 DC Provision Review, COM TI-Ping 03/09/2021
Bathrooms: 0 Plan Review $175.50
-Fire Life Safety 03/09/2021 $175.50
Value: $23,405
Info Process/Archiving-Lg$2.00(over 03/09/2021
11x17) $4.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,059.07
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:
\ `�� Permittee Signature: rs, I .l
Call
175 by 7:00 a.m.for the next available inspection date. 1 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
Commercial RECEIVE I FOR OFFICE.USE.ONLY 2
City of Tigard Mt Received
FEB 18 ZOZI Da eBy: �� ?lam/ ;,....or
J
P Permit No.: p� ���r3
13125 SW Hall Blvd.,Tigard,OR 97223 lan
Phone: 503.718.2439 Fax: 503.598.1960 DateBReviw Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Readyy: By: 1 ld See Paget for
Internet: www.ligazd-or.gov BUILDING DNISIONotified/M od:
i Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLLNG
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-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 Total number of floors:
Job site address: 12909 SW 68`"Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 100 Project name:Quadient 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 1,779 usable SF/1,980 rentable SF of eisting office space.Incl.select Valuation: $23,405.00
demo of existing nonstructural walls,nonstructural drywall/metal studs walls, Existing building area: 1,779 square feet
suspended ceilings,doors/frames,painting,elect.dist.,lighting,&plumbing New building area: 1,779 square feet
® 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
p y groups:
City/State/ZIP:Portland,OR 97224
Existing: B
Phone:(503)624-6300 Fax:(503)624-7755
New: B
®APPLICANT ❑CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Realty Associates, LP. (Please refer to fee schedule)
Contact name:Richard J.Krippaehne Structural plan review fee(or deposit): 205,/B
Address: 15350 SW Sequoia Parkway,Suite 300 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97224 Total fees due upon application:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:permits@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Centrex Construction Inc Submit two(2)sets of roof plan with connection details
Address:8250 SW Hunziker Street and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)684-0443 Fax:( ) )
State surcharge(12%of permit fee): $21.60
CCB lie.:56358
Total fee due upon application: $201.60
Authorized signature: Pacific Realty Associates, L.P. This permit application expires if a permit is not obtained
By: 2- _.( (L within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: 2/17/2021 * Fee methodology set by Tri-County Building Industry
Service Board,
I:\Building\Permits1BUP-COM PemtitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
1•
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C .
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 13(,lp20Z/-000.5-3
Site Address: /,299 9 ,_T1l✓ & i 11 7_ Suite/Bldg#: /((;
Project Name: �-/ Ll04Po7L
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tl n0if) 7Tpodi ,71--
Existing Business Activity: C+%/C e
Proposed Business Activity:
`�
Verify site address/suite# exists and active in permit sysst '.
V
er Terrace Neighborhood:
❑ Yes 1IQ No
��tung: '��
arlyern fitted Use: UQ Yes ❑ No ❑ Spec Space
UK t firm no land use required.
t!Q Business License:
Exists: 0 Yes IJd'No, applicant was provided a business license application
Notes:
Approved by Planning: Date: ___ .2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: # 54VOL/
Site Plans:
Building Plans: # 3
Building Permit#: [1--Enter building permit#above.
Workflow Routing: W,Tlanning ❑ Permit Coordinator E! iuildin
Workflow Si off: O'" g
�- 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: Date:
j91.6 „XL
1:1Building\Forms1BldgpermitRvw_COM_NoLandUse 111819.docx
Permit Coordinator ' 'ew
❑ Conditions"Met"prior to issua'ce of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to . iplicant:
Revision Notice 2: Date Sent . Applicant:
Revision Notice 3: Date Se to Applicant:
❑ SDC Fees Entered: Was, Co Trans Dev Tax: ❑ .es ❑ N/A
T .rd Trans SDC: ❑ Yes ❑ N/A
arks SDC: D Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit oordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_I 1 1819.docx