Permit „ CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2021-00268
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2021
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16505 SW 72ND AVE
Project: Pac Trust Business Center Subdivision: None Lot: None
Project Description: Project consist of adding an outdoor concrete patio,covered pergola area,and landscaping.All work to meet ADA
requirements.
Contractor: VANOSDEL CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1057 ATTN: N PIVEN
BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-687-8636 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 11/18/2021 $1,468.35
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/18/2021 $176.20
Dwelling Units: 0 Plan Review 11/04/2021 $954.43
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/18/2021 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/18/2021 $587.34
Value: $160,000 Info Process/Archiving-Lg$2.00(over 11/18/2021 $10.00
11x17)
Info Process/Archiving-Sm$0.50(up to 11/18/2021 $6.00
Floor Areas: 11x17)
Total Area: 0 Metro CET 11/18/2021 $192.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,828.32
Required: Required Items and Reports(Conditions)
1 Special Inspection(see plans)
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: HcLLy V P.Wege, Permittee Signature: Ow Ap -GO-41,0kt
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 a,- l I /1 I zi
Commercial a RECEIVED
14 City ofTigard Received 11/ / au 6UPz02 -0o 8
NOV 01 2021 Date/By: Z PcrmitNo.:
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1 1
0 Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD ate ReadyBy:' � ) luris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO Notified/Methoda l 1 ( 7�� Supplemental Information
1
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/industrialValuation: $ t
0 Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16505 SW 72"Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:pbc196 Exterior Courtyard 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: 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.
Project consists of adding an outdoor concrete patio,covered pergola area,and Valuation: $160,000.00
landscaping.All work to meet ADA requirements Existing building area: N/A square feet
Work is related to approved Minor Mod#MMD2021-00027 New building area: N/A square feet
® PROPERTY OWNER ❑ TENANT Number of stories: N/A
Name: Pacific Realty Associates,LP. Type of construction: N/A
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: N/A
Phone:(503)624-6300 Fax:(503)624-7755 New: N/A
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Realty Associates,LP. (Please refer to fee schedule)
Structural plan review fee(or deposit): J f.4'
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
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:VanOsdel Construction,LLC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)687-8636 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:215976 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 ro Date: 11/1/2021 J * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
INq COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review -- Commercial - With Land U s e
Building Permit #: DP20.21-002643
Site Address: 16 5 o-5 5 W -42"6� 4ct-P Suite/Bldg#: 7
Project Name: ?(J /1--kri-- Ou-S / 5 ( -f,X
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review I ,,
Proposal: 0(11-6lid v CCU k- .194 ut-f/cover- a-v eq/ (cLk 2car)in ,
p Verify site address/suite# exists and active in permit system.
CI River Terrace Neighborhood: ❑ Yes �I No
p.LandUse Case#: M,M V` P 20Jl — 00-0 2'4-
Plans Match Approved Land Use:
p Site Plan ❑ Landscape Plan El Other:
❑ Urban Forestry Plan ❑ Elevation Plan L
G
L Building Height: Maximum Height I.E "J Actual Height -26 t
® Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
XI Business License:
Exists: A Yes ❑ No, applicant was provided a business license application
0 Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes, applicant was notified - ] No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: )l Date: Ci 3/Zi
Revisions (after Building Submittal only) eviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: i//Of402/
Site Plans: # ,3
Building Plans: # 3
Building Permit#: ''Enter building permit# above.
Workflow Routing: [' Planning Engineering 8'Permit Coordinator C�Building
Workflow Sign-off: []'Sign-off for Planning(include notes from planning review)
Route Application Documents: [;:i'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
PAY,��
By Permit Technician: _.of Date: 1f0 202/
I:\Building\Fonns\BldgPennitRvw_COM_W ithLandUse_l 11819.docx
En ineering Review
ZSlope at building pad:
[Z P;FI Permit#: lA
[Conditions "Met"prior to issuance of building permit
Casements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP)
[ ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ®�o
Assess Water Quantity Fee in-lieu: ❑ Yes [ No
LIDA Facility on lot: El Yes Er-No
El NOT Approved by Engineering: Date
Notes:
Approved by Engineering: K, FiS4E17-_ Date: //— —Zz(
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:
ASDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes g N/A
Tigard Trans SDC: El Yes Zi N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: 4.— Date: Il I*ow
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_l 11819.docx