Permit CITY OF TIGARD BUILDING PERMIT
11/
=. COMMUNITY DEVELOPMENT Permit#: BUP2021-00164
T(G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/2/2021
Parcel: 2S112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5
Project Description: TI for existing tenant:Converting existing interior pool and equipment rooms into a new exercise room,lounge
area,activity area,and storage room.
Contractor: CM COMPANY Owner: PACIFIC REALTY ASSOCIATES LP
431 W MCGREGOR DR PO BOX 58990
BOISE, ID 83705 SEATTLE,WA 98138
PHONE: 208-384-0800 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 07/29/2021 $1,377.75
Occupancy Grp: R-1 Occupancy Load: 30 Demolition
12%State Surcharge-Building 07/29/2021 $165.33
Dwelling Units: Plan Review 07/09/2021 $895.54
Stories: Height: ft DC Provision Review,COM TI-Ping 07/29/2021 $274.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 07/29/2021 $551.10
Value: $145,000 Info Process/Archiving-Lg$2.00(over 07/29/2021 $42.00
11x17)
Metro CET 07/29/2021 $174.00
Floor Areas: Tigard CET-Non-Residential-Admin 07/29/2021 $58.00
Total Area: Tigard CET-Non-Residential-AH 07/29/2021 $1,392.00
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $4,929.72
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: HollyVq v Dew wege Permittee Signature: 0V1iA ppu C(L CTt i
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 r ,
Commercial FOR OFFICE. USE ONLY
City of Tigard Received7 ) Permit No.: �{j' �y�
11111 r'° 13125 SW Hall Blvd.,Tigard,OR 972 DatcBy: r� f//� )..W)
g Ei V E Plan Rcvicw
Phone: 503.718.2439 Fax: 503.598.1 ��J DatcBy: 7.. 1 2 Other Permit. /0 ),,,� l
) '1
TIGARD Inspection Line: 503.639.4175 Date Ready /� ris: Sec a('age 2 for 7
Internet: www.tigard-or.gov jUti 2 8 71A1 Notified/Method. 7 �/,J 4f7) Supplemental Information
TYPE OF WORKin
T1GAH� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction
❑ tIVEDING D1VISlaN 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 ®Commercial/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: 15686 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:Marriott Hotel Renovation 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.
Convert existing interior pool and associated equipment rooms into new exercise Valuation: $145,000.00
room,new lounge area,new activity area,and new storage room.Includes new Existing building area: 60498/Exist.Work Area:2,500 SF
finishes,fixtures,furniture,plumbing,mechanical,and electrical New building area: 60498/New Work Area:2,500 SF
''? ,; ® PROPERTY OWNER ❑ TENANT Number of stories: I
l; Name:Pacific Realty Associates,LP. Type of construction: V-1Hr Sprinkler
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: A-3/R-1
j Phone:(503)624-6300 Fax:(503)624-7755
New: A-3/R-1
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
r Business name:Pacific Realty Associates,LP.
Structural plan review Fee(or deposit):
,.#.. Contact name:Dick Krippaehne
ddress: 15350 SW Sequoia Parkway,Suite 300-311 FLS plan review fee(if applicable):
VP
ity/State/ZIP:Portland,OR 97224 Total fees due upon application14it
0311. i D
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:CM Company,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:431 W McGregor Drive Solar Installation Specially Code checklist.
City/State/ZIP:Boise,ID 83705 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(208)384-0800 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:62774
Total fee due upon application: $201.60
Pacific Realty Associates, L.P. Thispermit application expires if a permit is not obtained
Authorized signature: PP p
By; re. C.-/ fL L., within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: June 28, 2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
11111 N COMMUNITY DEVELOPMENT DEPARTMENT
TIGARn Building Permit Review — Commercial - No Land Use
Building Permit #: 4s,i/o al_.( 11
Site Address: 15686 SW Sequoia Parkway Suite/Bldg#:
Project Name: Marriot Hotel
(Name of commercial business occupying the space. if vacant,enter Spec Space.)
PJ I ir -Rellie147
Proposal: TI- Convert pool to other amenity space
Existing Business Activity: Commercial lodging
Proposed Business Activity: Commercial lodging
® Verify site address/suite # exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes n No
® Zoning: 1-P
II Permitted Use: ® Yes ❑ No ❑ Spec Space
® Confirm no land use required.
® Business License:
Exists: ® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: OeiDate: 6/29/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
8uildir Permit-Submittal
Original Submittal Date: &/ /a1
Site Plans: #
Building Plans:
Building Permit#: er building permit#-above. �--
Workflow Routing: ring [ 1'ermtt Coordinator L`�'Butlding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: E.--Su i ing: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: —7 1 tj
I:\Building\Forms\B1dgPermitRvw COM NoLandUse_I11819.docx
•t Coordinator_Review
❑ Conditio " let"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 to > .. cant:
❑ SDC Fees Entered: W o Trans Dev Tax: 0 Yes ❑ N
igard Trans SDC: 0 Yes ❑ N/A
Parks SDC: 0 Yes ❑ N/A
❑ OK to •. I e Permit
• . i roved by Permit Coordinator: Date:
I:\Building\Fonns\B1dgPermitRvw_COM_NoLandUse_111819.docx