Permit CITY OF TIGARD BUILDING PERMIT
11,11
COMMUNITY DEVELOPMENT Permit#: BUP2021-00108
Date Issued: 6/9/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 400
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work prior to TI:Demolition,new walls,doors, relites and lights.
Contractor: PACIFIC CREST STRUCTURES INC Owner: GK TRIANGLE CORPORATE PARK III LLC
17750 SW UPPER BOONES FERRY RD SUITE ATTN KBS REALTY ADVISORS
190 P O BOX 28270
DURHAM,OR 97224 SANTA ANA, CA 92709
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Ig Permit Fee-Additions,Alterations, 06/09/2021 $674.35
Demolition
Occupancy Grp: B Occupancy Load: 30 12%State Surcharge-Building 06/09/2021 $80.92
Dwelling Units: 0 Plan Review 05/07/2021 $438.33
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/09/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/09/2021 $269.74
Value: $45,000 Info Process/Archiving-Lg$2.00(over 06/09/2021 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,570.34
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oft Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
1-(o-1,Ly I/arvnP.wvgP 0vvAPPUCCE ,on
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ,_ . - 21
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Date/BReceivedy: .0/05 , iii Permit No.:,B0PZ021*-00l0$
I : ° 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 9 2011 Pan Rev ew r'1 'oZ
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: v ) Other Permit:
Inspection Line: 503.639.4175 Date Ready/By:
TIGARD / 0 See P e t for
Internet: www.tigard-or.gov CITY OF TIGARD N.RS -.rd.,.
�- � �,�� � a (� Supplemental Iuformatioa
BUILDIN DIVI I � _ ,
TYPE OF WORK 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 D 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 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13221 sw 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:400 Project name:1 tIIE-400i P - G ca'd�� Covered porch area: square feet
Cross street/directions to job site:Project located north of SW Oak Street, Y Deck area: square feet
South of Hampton St,West of 66ih Avenue and I-5 Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Work to include Valuation: $tbd '15, WO
Demolition,new walls,doors,relites and lights Existing building area: 3,023 square feet
New building area: 1909 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:CBRE Type of construction: I-B
Address:14520 5th AVE,Suite 1700 Occupancy groups:
City/State/ZIP:Seattle,WA 98101 Existing: B
Phone:(206)292-6023 Fax:( ) New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit): J '13
Contact name:Sarah Winegar /
Address:1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:swinegar@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Pacific Crest Structures Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Rd,Suite 190 Solar Installation Specialty Code checklist.
City/State/ZIP:Durham,OR 97224 Permit fee(includes plan review $180 00
and administrative fees):
Phone:(503)968-8949 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:T 6�7 tfa/q�
s ` •� Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�- i within 180 days after it has been accepted as complete.
Print name:Sarah Winegar Date:4/28/21 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: BUP202( -0010G
Site Address: 13221 SW 68th Parkway Suite/Bldg#: 400
Project Name: T3 Suite 400 TI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Platipirw Review
Proposal: TI
Existing Business Activity: Office
Proposed Business Activity: Office
r Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: 0 Yes E No
E Zoning: TMU
IA Permitted Use: 0 Yes N No 0 Spec Space
M Confirm no land use required.
® Business License:
Exists: 0 Yes ] No,applicant was provided a business license application
Notes:Approved by Planning: IAMAI
Date: 5/4/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Btrildhig Pero-lit Strbrt}ittal
Original Submittal Date: 00r9/20
Site Plans: # 3
Building Plans: # 3
Building Permit#: [VEnter building permit# above.
Workflow Routing: IL-Planning 0 Permit Coordinator C1-Building
Workflow Sign-off: 2"—Sign-off for Planning(include notes from planning review)
Route Application Documents: B'Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: Dc/e5/.202f
1:\Building\Forms\BldgPermitRvw_COM_No LandUse_111819.docx
't Crbotdrilaot$eview
❑ Conditio ` et"prior to issuance of building permit
❑ Approved,NO •ased: •
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: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to •_ 'ePermit
. .roved by Permit Coordinator: Date:
1:1Building\Fonns\BldgPermitRvw_COM_NoLandUse_111819.docx