Permit q CITY OF TIGARD BUILDING PERMIT
s COMMUNITY DEVELOPMENT Permit#: BUP2021-00269
Date Issued: 11/24/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503,718.2439 Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 140
Project: Spec Space Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: Remodel work to 1,676 sq ft of usable AF/1,865 sq ft rentable space of existing office space. Work includes
selected demo of nonstructural walls,nonstructural drywall/metal studs walls,plmbg,doors/frames,paint,
electrical distribution,lighting.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES L P
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: IIB Permit Fee-Additions,Alterations, 11/23/2021 $423.53
Occupancy Grp: B Occupancy Load: 15 Demolition
12%State Surcharge-Building 11/23/2021 $50.82
Dwelling Units: 0 Plan Review 11/04/2021 $275.29
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/23/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/23/2021 $169.41
Value: $23,000 Info Process/Archiving-Lg$2.00(over 11/23/2021 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,035.05
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: Hat,(,y Vc+w Dr Weg2 Permittee Signature: Qvtw Ap-plica,h1.0-vu
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 G- L 1 /1 12.1
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard +� Received
///D4/ ZOZ/ �1f Permit No.:Jp���269
- w 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 0 1 2021 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J J. . —.�. ) Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date RcadyBy: / / / luris: ® See Page 2 for
Internet: Line:gard-or.gov BUILDING DIVISION No' d/Method: 6 Cl Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction El 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. l
Valuation: $
0 I-and 2-family dwelling ElCommercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
El 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 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 140 Project name:ppc082-140Spec 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: 1 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 work to 1,676 usable AF/1,865 rentable SF of existing office space. Valuation: $23,000.00
Work includes selected demo of nonstructural walls,nonstructural drywall/metal Existing building area: 1,676 square feet
studs walls,plmbg,doors/frames,paint,electrical distribution,lighting New building area: 1,676 square feet
Z PROPERTY OWNER ❑ TENANT Number of stories: I
Name:Pacific Realty Associates,LP. Type of construction: II-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)624-6300 Fax:(503)624-7755 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): 76-07
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: :( )
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 Bumcrot Date: 1 1/1/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM ermitApp.doc /24/2011 440-4613T(II/02/COM/WEB)
City of Tigard
COMMUNTTY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6 i1/g,)U,2/-0e2 6.7
Site Address: t 4 q 5t i ( T7i-k pk,,dy Suite/Bldg#:
Project Name: . C-e_
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Re 'ew
Proposal: / (AY 6 -6Gl v -(frty Q ` !1/,C--e rt-6(/, A vvo-S
^b. P I wl, b,/ �,6fl r s1 I`�L44-, , -ed-r
Existing Business Activity:
Proposed Business Activity: c p „ �
ZPVerify site address/suite#exists and active in permit system.
River Terrace Neorhood:_ El Yes � No
Zoning: //����//��V UU
r. Permitted Use: ® Yes ❑ No ,N' Spec Space
i, Confirm no land use required.
'fl business hicense:
Exists. es o,app can wa
Notes:
Approved by Planning: ( Date: 1 3 PC 2 /
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: ///(f/.2.du
Site Plans: # J?
Building Plans: #
Building Permit#: F'Enter building permit# above.
Workflow Routing: 11.."Planning ❑ Permit Coordinator Er-Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: CI 1.13uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: Date: I1/d4/2491
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_l 1 1819.docx
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 ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx