Permit (2) CITY OF TIGARD BUILDING PERMIT
i Ills COMMUNITY DEVELOPMENT Permit#: BUP2021-00043
Ti(;A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/22/2021
Parcel: 2S 101 AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 400
Project: FDIC Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: TI for new tenant: Demolition,new walls,suspended ceilings,and doors.
Contractor: WALEN CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
PO BOX 2267 ATTN: N PIVEN
WILSONVILLE,OR 97070 15350 SE SEQUOIA PKWY#300
TIGARD,OR 97224
PHONE: 503-718-7934 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 02/17/2021 $520.07
Occupancy Grp: B Occupancy Load: 28 Demolition
12%State Surcharge-Building 02/17/2021 $62.41
Dwelling Units: 0 Plan Review 02/08/2021 $338.05
Stories: 0 Height: 0 tt DC Provision Review,COM TI-Ping 02/17/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/17/2021 $208.03
Value: $72,000 Info Process/Archiving-Lg$2.00(over 02/17/2021 $10.00
11x17)
Permit Fee-Additions,Alterations, 09/27/2021 $375.04
Floor Areas: Demolition
Total Area: 0 12%State Surcharge-Building 09/27/2021 $45.00
Accessory Struct: 0 Plan Review 09/27/2021 $243.77
Basement: 0 Plan Review-Fire Life Safety 09/27/2021 $150.01
Carport: 0 Info Process/Archiving-Lg$2.00(over 09/27/2021 $8.00
Covered Porch: 0 11x17)
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,063.38
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: Haug VaA,,,D2 V/2ge, Permittee Signature: 01A,Appt,ix.44-i..0-vt,
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.
FOR OFFICE USE ONLY—SITE ADDRESS: c1/�I/.1
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your protect.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
It _ Transmittal Letter
T I t;n it D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Branden Taggart DATE i _. •
DEPT: BUILDING DIVISION
SEP 92021
FROM: Richard J.Krippaehne
CITY OF TIGARC
COMPANY: Pacific Realty Associates,LP. BUILDING DI :
PHONE: 503-624-6300 By:—
EMAIL: permits@pactrust.com
RE: 12909 SW 68th Parkway,Suite 400 BUP2021-00043
• (Site Address) (Permit Number)
ppc082 400-Spec
(Project name or subdivision name and lot number)
r„ ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. 1 Revisions: A-1-A-5
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):Permit application for additional scope
REMARKS: The original scope was for speculative work in a vacant space. Owner now has a tenant with specific improvement requirements,
so updated plans are necessary. Valuation Is for additional scope. Plumbing requirements(break room sink)remain unchanged. Owner is switching from
Centrex as general contractor to Waallen Construction(Oregon CCB#223805).
ik t
n< e FOR OFFICE USE ONLY
Routed to Permit Technician: Date: ° -, -,�i _ :� ) Initials:
Fees Due. fl Yes ■ No Fee Description: Amount Du
mounntDu :
1--fet
*,t 3ai,�t� a� °`Y den, t� ,=i(�,:- • �- � —i
00 -p —7or , q07/1L „fa. $ ,ZY3 77 lo trv-rt.i
$ 150.of Felix AR.
e
Special %
Instructions: \�� XkCi.2R
"Reprint Permit(per PE):, Yes "';;,No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_073 I 20.doc
(fl t - St-t .. 5 / - yL , j- t' cat: bc 41E444
Building Permit Application T -Q
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVEDReceived {}7 p ) (� /j/][f
Date/By: 1 W Permit No.: �Q4 J i Y`� 3
''s 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rview4 4941,
�
m F, Phone: 503.718.2439 Fax 503.598.1960 SEP 9 2021 Date/By: l...2...i. 2) Other Permit:
Inspection Line:g503.639..4175 Date Ready/By: dr/ Juris: 0 See Page 2 for
Internet: www.ti and-or. ovNotified/Method: SupplementalInformation
(,IT`(OF TIGARD
tUI DING DIVISION ;I ,t,t,c atker
i
TYPE OF W REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demoli Permit fees*arc based on the value of the work performed.
I ,f4s'�'> Indicate the value(rounded to the nearest dollar)of all
el Addition/alteration/replacement CI Other: ✓✓ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS RUC't a' work indicated on this application.
Valuation: $
,, ❑ 1-and 2-family dwelling ElCommercial/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:12909 SW 68th Parkway New dwelling area: square feet
City/State/ZIP: Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:400
10 Project name:ppc082 FDIC Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIIECKLIS'f
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
k, 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 work to 4,758 rentable SF of existing,vacant office space.Work incls. Valuation: $72,000.00 - i
selected demo of existing nonstructural walls,nonstructural drywall/metal studs Existing building area: 4,758 square feet
walls,suspended ceilings,doors/frames,painting,elect,distr.&lighting New building area: 4,758 square feet
1 PROPERTY OWNER ❑ "1 L NANT Number of stories: 1
4164..Name:Pacific Realty Associates,LP. Type of construction: I1-B
Address:15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
,` `Phone:(503)b24-G300 Fax:(503)624-7755 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING:PERMIT FEES*
''',I
(Please refer force seltudpta)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
—Contact name:Dick Krippaehne --.--- —..__....._._.. _._..._____...,
FLS plan review fee(if applicable):
1--,,,Address:15350 SW Sequoia Parkway,Suite 300 —
6kCity/State/ZIP:Portland,OR 97224 Total fees due upon application:
r
t,e'1 Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:permits@pactrust.com PlIOTOVOI,TAIC SOLAR PANEI.SYSTEM FEES*
Commercial and residential prescriptive installation of
02 CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
J Business name:Walen Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9740 SW Wilsonville Rd,Suite 230 Solar Installation Specials Code checklist,
City/State/ZIP:Wilsonville,OR 97070 Permit fee(includes plan review 5180.00
and administrative fees):
Phone:(503)718-6680 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:223805 Total fee due upon application: S201.60
Pacific Realt Associates, L P
Authorized signature: This permit application expires if a permit is not obtained
By: •`•i within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: August 30, 2021 * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\PermitslBUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1(20121
City of Tigard
!PI q COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - N o Land Use
TIGARO
Building Permit #: (5UP2O21-coo 43
Site Address: 12909 SW 68th Parkway Suite/Bldg#: 400
Project Name: PPC082-400 Spec
h (Name of commercial business occupying the space. If vacant,enter Spec Space) efH?1 RCJ S:WJ
c�K
I'lannirag Revzew ft,,r, u d * 1Lm
Proposal: TI
1-"
sze
Existing Business Activity: n/a
Proposed Business Activity: O F
Xl Verify site address/suite# exists and active in permit system.
1 ® River Terrace Neighborhood: ❑ Yes J No
N El Zoning: TMU
® Permitted Use: 0 Yes 0 No Gi Spec Space
® Confirm no land use required.
a f iA Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Q
- - Approved by Planning: 4Date: 2/1/2021
Revisions (after Building Submittal only) Reviewer Date
4 Revision 1: ,i Approved El Not Approved 9k 3 fv-z
tie Revision 2: ❑ Approved CI Approved
�'� Revision 3: ❑ Approved ❑ Not Approved
.8trildirw Permit Submittal
Original Submittal Date: 08/2S/ Z/
Site Plans: # 3
Building Plans: # 3
Building Permit#: P"Enter building permit#above.
Workflow Routing: ,.Planning 0 Permit Coordinator ®'Building
Workflow Sign-off: (-Sign-off for Planning(include notes from planning review)
Route Application Documents: Ca--Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 492/68A Q
1Tuildina\formsABIdePermitRva COM Nol.andt Ise 111819.docx
't Coordinator Review
O 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:
0 SDC Fees Entered: W o Trans Dev Tax: 0 Yes 0 N
igard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
O OK to t e Permit
roved by Permit Coordinator: Date:
as
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