Permit CITY OF TIGARD BUILDING PERMIT
Ilt COMMUNITY DEVELOPMENT Permit#: BUP2021-00224
Date Issued: 10/14/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15822 SW UPPER BOONES FERRY RD
Project: Spec Space Subdivision: None Lot: None
Project Description: Remodel 2600 sf of existing office/wrhse.Work incl.demo existing nonstructural walls,drywall/metal studs walls,
doors/frames,painting,elect,dist,lighting.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY TRUST
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND,OR 97224 15350 SE 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: Permit Fee-Additions,Alterations, 10/14/2021 $767.10
Occupancy Grp: B Occupancy Load: 26 Demolition
12/o State Surcharge-Building 10/14/2021 $92.05
Dwelling Units: 0 Plan Review 09/29/2021 $498.62
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/14/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/14/2021 $306.84
Value: $55,000 Info Process/Archiving-Lg$2.00(over 10/14/2021 $6.00
11x17)
Tigard CET-Non-Residential-Admin 10/14/2021 $22 00
Floor Areas: Tigard CET-Non-Residential-AH 10/14/2021 $528.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,330.61
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: N Vav D&W e Permittee Signature: N
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 ,. . Arp 2
Commercial RECEIVE FOR OFFICE USE O l.v
City of Tigard I1ECEI1/ED Received art 2'? 2D2/ PcrmitNo.: P 2te/3 '
a 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 2 2 2021 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1O• J3'2.J ) Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TiGARD Date Ready/By: ® See Page 2 for
Intemet: me:gard-or.gov No /Method: 0 ' Supplemental Information
BUILDING DIVISION
TYPE OF,WORK '.` ,x REQUIRED DATA:I-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 El 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 ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15822 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 97035 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:2obp173-15822 Spec 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 2,600 SF of existing office/wrhse,shell mods,&minor site alterations Valuation: $55,000.00
Work incl.demo existing nonstructural walls,drywall/metal studs walls,doors/ Existing building area: 2,600 square feet
rames,painting,elect.dist,lighting,exterior concrete.Apprvd MMD2021-00031 New building area: 2,600 square feet
Ei PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: III-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B/S-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B/S-2
121 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pacific Realty Associates,L.P.
Structural plan review fee(or deposit):
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:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
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: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:( ) 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 Bu c Date: 9/22/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
R
Tlc7ARD Building Permit Review — Commercial - With Land Use
Building Permit #: J f JQJ/- 0022*
Site Address: 66V2- 5i,J 0 prer EcoNs Feir.. At. Suite/Bldg#:
Project Name: 5fbu al e
(Name commercialbusiness occupying the space. If vacant,enter Spec Space.)
Planning Review r (1
Proposal: f evvi 7ife10 SF ore— e l&NiVIol 0 E I�'2_ -1-a O- i`c 2/Aftty 2 h a ul.,
s oa‘,e, I sew 4AM p 21221 —0603( foe. c1f41(
C3 Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ^ CI Yes [j No
C, Land Use Case#: /1 Ai 9 Z-. Z,1 - coe,3
F ] Plans Match Approved Land Use:
lI Site Plan ® Landscape Plan ❑ Other:
❑ Urban Forestry Plan ❑ Elevation Plan t
IFBuilding
e�/Height: Maximum Height 116 Actual Height kro v,v„ye
Conditions Met: El to Submittal . Prior to Permit Issuance
pBusiness License:
Exists: ❑ Yes 71 No, applicant was provided a business license application
APublic Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: 4.,� /f � Date: 4 7.-3
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: 0/.y�2,
Site Plans: #
Building Plans: # 3
Building Permit#: [W Enter building permit# above.
Workflow Routing: 0 Planning Engineering i t Permit Coordinator CeBuilding
Workflow Sign-off: V Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations an. details,if applicable, etc.
Notes:
By Permit Technician: /j% Date: N/N
I:\Building\Forms\BldgPermitRvw COM_WithLandUse 111819.docx
Engineering Review
Slope at building pad: 2%
L'PFI Permit#: vj A.
GT Conditions "Met"prior to issuance of building permit H/4
[ /Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP)
IE/Water Quality/Quantity Facility: �/
Assess Water Quality Fee in-lieu: ❑ Yes L1 No
Assess Water Quantity Fee in-lieu: ❑ Yes ErNo
LIDA Facility on lot: ❑ Yes 'No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 7IghZ;kGy Date: 9/25/202I
Revisions (after Building Submittal only) �� Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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 Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes / N/A
Parks SDC: ❑ Yes 7 N/A
f, 71 OK to Issue Permit
Approved by Permit Coordinator: 167erA
Date: o ( frzr&i
I:\Building\Fonns\BldgPennitRvw_COM_W itbLandUse_I 118 19.docx
Building Permit Application . . AP 2
Commercial RECEIVE[ FOR OFFICE;USE ONLY
City of Tigard DateeBya41ZR 2D21 - Pen itNo.. P2O2� , '
• . 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 2 2 2021 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit.
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: � ® See Page 2 for
Internet: www.tigard-or.gov Notified Method: I T- Supplemental Information
BUILDING DIVISION
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 ❑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: $
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15822 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 97035 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:2obp173-15822 Spec 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 2,600 SF of existing office/wrhse,shell mods,&minor site alterations Valuation: $55,000.00
Work incl.demo existing nonstructural walls,drywall/metal studs walls,doors/ Existing building area: 2,600 square feet
rames,painting,elect.dist,lighting,exterior concrete.Apprvd MMD2021-00031 New building area: 2,600 square feet
et PROPERTY OWNER ❑ TENANT Number of stories: I
Name:Pacific Realty Associates,LP. Type of construction: III-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B/S-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B/S-2
El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
1 (Phase refer to feeschedule) ..
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): Tfg(p2
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
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com
Commercial and residential prescriptive installation of
CONTRACTOR 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:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 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 Bu c Date: 9/22/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)