Permit CITY OF TIGARD BUILDING PERMIT
` = COMMUNITY DEVELOPMENT Permit#: BUP2021-00275
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/24/2021
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 170
Project: WWEX Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: TI-remodel 1335 sq ft of existing office space.Work include non-bearing walls and doors, plumbing,lighting
,and finishes.All work to meet ADA requirements.
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, 11/24/2021 $423.53
Occupancy Grp: B Occupancy Load: 15 Demolition
12%State Surcharge-Building 11/24/2021 $50.82
Dwelling Units: 0 Plan Review 11/18/2021 $275.29
Stories: 0 Height: 0 ft DC Provision Review,COM New-Bldg 11/24/2021 $218.50
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/24/2021 $169.41
Value: $23,000 Info Process/Archiving-Lg$2.00(over 11/24/2021 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,139.55
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 co f the rules or d ect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: P ittee Signature:
Call 503.639.4175 b 7:00 a.m.for the next available inspection date.
Y P
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 r.- II D I
Commercial RECEIVED FOR OFFICE USE()NIX
Cityof Tigard Reee"ed 7
Date/By: "/G �� j• PermitNo.��PZpZ/-��
Millt 13125 S\0`Hall Blvd.,Tigard,OR 97223 N O V 1 A 2021 Plan Review I ^C 1
Phone: 503.718.2439 Fax: 503.598.1960 L Date/By: I)--ay 2-i Other Permit:
TI GARD Inspection Line: 03.639..4175 CITY N rIGARD Date Ready/By: / // I I lu P® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N ' d/Method: Supplemental Information
TYPE OF WORK EQUIRED 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.
CI1-and 2-family dwelling CZCommercial/industrial Valuation: $
❑Accessory building :I Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12909 SW 68`h Parkway New dwelling area: square feet
City/State/ZIP: Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 170 Project name:WWEX 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: 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 remodel work to 1,335 SF of existing office space.Work incl Valuation: $23,000.00
non-bearing walls and doors,plumbing,lighting,and finishes.All work to meet Existing building area: 1,914 square feet
ADA requirements New building area: 1,914 square feet
® PROPERTY OWNER 0 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
El APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): 27529
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
Phone:(503)624-6300 Fax: :( ) Amount received:
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 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: `E''.L—t f. t L_ within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: November 10,2021 * Fee methodology set by Tri-County Building industry
Service Board.
L:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I l/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i II ■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: BUPZDRJ "00275'
Site Address: /2` OCI S(A) <I(,v>/ Suite/Bldg#: OD
Project Name: Iki NEY
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: //V isr 1 L.
Existing Business Activity: orn/
Proposed Business Activity: w
7 V rify site address/suite#exists and active in permit system.
fiver Terrace
Neighborhood: ❑ Yes 1 No
g:
tted Use: ICJ Yes ❑ No ❑ Spec Space
Id C e firm no land use required.
I
!'I Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: /� d Z�
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: ///O/26Z/
Site Plans: # 3'
Building Plans: # 3
Building Permit#: C-Enter building permit#above.
Workflow Routing: [Planning ❑ Permit Coordinator [34-tuilding
Workflow Sign-off: 1KSign-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: % Date: /04/202/
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_11 1819.docx
Permit ordinator Review
❑ Conditions ` "prior to issuance of building permit
❑ Approved,NOT Relea.sed: 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 ❑
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_111819.docx