Permit CITY OF TIGARDIII BUILDING PERMIT
= COMMUNITY DEVELOPMENT Permit#: BUP2021-00276
r /" Date Issued: 11/29/2021
Ti(I A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 q� 100.
�1„ Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 145
Project: Avanti Marketplace Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: TI-remodel 104 sq ft existing office space.Work includes selective demolition,acoustic ceiling tile,
doors/frames,and painting.5/5/22: REPRINT to change suite number from 155 ro 145.
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, 11/29/2021 $149.75
Occupancy Grp: B Occupancy Load: 1 Demolition
12%State Surcharge-Building 11/29/2021 $17.97
Dwelling Units: 0 Plan Review 11/16/2021 $97.34
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 11/29/2021 $218.50
Bedrooms: 0 Bathrooms: 0
Info Process/Archiving-Lg$2.00(over 11/29/2021 $2.00
Value: $5,000 11x17)
Address Fee 01/24/2022 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $535.56
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: "Li.F Permittee Signature: cj �-i �Lp ��_
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. tom,/J�%�
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.
CITY OF TIGARD BUILDING PERMIT
: COMMUNITY DEVELOPMENT Permit#: BUP2021-00276
Date Issued: 11/29/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 155
Project: Avanti Marketplace Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: TI-remodel 104 sq ft existing office space.Work includes selective demolition,acoustic ceiling tile,
doors/frames,and painting.
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, 11/29/2021 $149.75
Occupancy Grp: B Occupancy Load: 1 Demolition
12%State Surcharge-Building 11/29/2021 $17.97
Dwelling Units: 0 Plan Review 11/16/2021 $97.34
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 11/29/2021 $218.50
Bedrooms: 0 Bathrooms: 0
Info Process/Archiving-Lg$2.00(over 11/29/2021 $2.00
Value: $5,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $485.56
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 re ' yytr ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 52-001-0090 ou y obtain a c the ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
t
Issued By: /6/..je-;..
Permittee Signature: c r
/j7iA
Call 503.639.4175 by 7:0 a.m.for the next available inspection date. �� / N!
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
13)' 11 0 21
Commercial I FOR OFFICE USE ONLY
Cl of Tigard RECEIVE . Received 1 L 202 �7/ /� /
Date/By: 1/ /;� Permit No.: ��ZI�IJQZ7lO
14 i r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 NOV 1 0 2021 Date/By: J I_� ' a<t '!�� Other Permit:
f 1 GA KD
Internet: www.tiand-or. ov
Inspection Line: 503.639.4175 Date Ready/By: / I 7ur ® See Page 2 for
g g CITY Oh I IGARD Noti /Method: % 1 a' 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.
ElI-and 2-family dwelling ElCommercial/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: 12909 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 155 Project name:Avanti Marketplace TI 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 work to 104 SF existing office space.Work includes selective Valuation: $5,000.00
ace.,
demolition,acoustical ceiling tile,doors/frames,and painting. Existingb,ilding area: 104 square feet
New 1-up li a: 104 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
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*
Business name:Pacific Realty Associates,LP. (Please refer to fee schedule)
Structural plan review fee(or deposit): , ?
Contact name:Dick Krippaehne
Address: 15350 SW Sequoia Parkway,Suite 300 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Amount received:
Phone:(503)624-6300 Fax: :( )
E-mail:permitsgpactrustcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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
Pacific Realty Associates,L.P.Authorized signature: This permit application expires if a permit is not obtained
By: (I-'L.- within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: 11/9/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
0
T �� D Building Permit Review — Commercial - No Land Use
IBuilding Permit #: .3U172-021-00274s
Site Address: 12909 S(i\J ( µ' l x Suite/Bldg#: %�,:'—
Project Name: NWT I IV Pic Uc
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /A1C2 T.I
Existing Business Activity: C7‘
Proposed Business Activity:
/yerify site address/suite#exists and active in permit system.
!Q River Terrace Neighborhood: ❑ Yes I No
@'Z g: TM 0
ermitted Use: IQ Yes ❑ No ❑ Spec Space
VJ Confirm no land use required.
Business License:
Exists: ❑ Yes E No,applicant was provided a business license application
Notes:
Approved by Planning: Date: b 2
7P/A--- _
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved E Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ///0/2OZ/
Site Plans: # B
Building Plans: # 3
Building Permit#: Iv-Enter building permit#above.
Workflow Routing: Planning ❑ Permit Coordinator C9'Building
Workflow Sign-off: [-Sign-off for Planning(include notes from planning review)
Route Application Documents: 'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: v�J/ Date: //6/24::)2"i
I:\Building\Fonns\B1dgPermitRvw COM_NoLandUse_l 11819.docx
Permit Coordinator Review
Conditions"Met"prior to issuance of building permit
❑ roved,NOT Released: Date:
Notes:
Revisions (after Buil.'' Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: D ate Sent to Applicant:
Revision Notice 3: D. .• Sent to Applicant:
❑ SDC Fees Entered: Wash C. rans Dev Tax: ❑ Yes ❑ N/A
Tigard Tran DC: ❑ 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