Permit CITY OF TIGARD BUILDING PERMIT
11
COMMUNITY DEVELOPMENT Permit#: BUP2022-00037
Date Issued: 2/15/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16535 SW 72ND AVE
Project: All Structures Subdivision: None
Lot: None
Project Description: Interior demo and reconstruction work to 4,904 sqft.of existing office.Work shall include selective demo,
drywall/metal studs,doors/frames,and other finish work.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
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, 02/14/2022 $827.34
Occupancy Grp: B Occupancy Load: 33 Demolition
12%State Surcharge-Building 02/14/2022 $99.28
Dwelling Units: 0 Plan Review 02/08/2022 $537.77
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/14/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/14/2022 $330.94
Value: $63,000 Info Process/Archiving-Lg$2.00(over 02/14/2022 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,915.33
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through
hhtOAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �►�1'�I(1 ) (bctt. Permittee Signature: Or ece�cc0-$;1`,�
�[� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. c��
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
6-z 2 2
Commercial FOR OFFICE,USE ONLY
City of Tigard RECEIVED Received^ h�,� �y �y'���
IIIa 13125 SW Hall Blvd.,Tigard,OR 97223 Dan Re V // Permit No r<���
111 g Plan Revie Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 FEB 0 2 2022 Date/By: a' ) 'e1,a
TIGARD Inspection Line: 503.639.4175 Date Ready/By:: /, ��� Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD tified/Met�.;� L` �G Supplemental Information
BUILDING DIVISION f .%
TYPE OF WORK REQU D 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.
❑ l-and 2-family dwelling CZm Comercial/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: 16535 SW 72°d Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:All-Structure Eng TT 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.
Project consists of selective demo and reconstruction work to 4,904 SF of exist Valuation: $63,000.00
office.Work shall include selective demo,drywall/metal studs,doors/frames, Existing building area: 4,904 square feet
painting,and other finish work. New building area: 4,904 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: 11-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)624-6300 Fax:( ) New: B
€ ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): 1.77
Contact name:Robert Bumcrot
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::(503)624-7755
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/ZTP:Portland,OR 97224 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(503)624-6300 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 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 Bu rot Date: 2/2/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: .2—
Site Address: /(4,5-3.5- S(A.) - Z nnlitSuite/Bldg#:
Project Name: k1,L- cT JC7-u•e , Efl(0it E6-p1+vim r
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Or16)21OQ
Existing Business Activity:
Proposed Business Activity: -1C-e,
,�erify site address/suite# exists and active in permit system.
. 1 Ri er Terrace Neighborhood: ❑ Yes g7 No
EL.-Zoning: -
'eftnitted Use: Yes ❑ No ❑ Spec Space
lar Confirm no land use required.
IA ❑ Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: / Date: 2/ /Z 2
Revisions (after Building Submittal o y) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal ,,
Original Submittal Date: d yU O22
Site Plans: # `.
Building Plans: # 3
Building Permit#: CV/Etenter building permit# above.
Workflow Routing: Rillanning ❑ Permit Coordinator 37/guilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: LVuilding: original permit application,site plans,building plans,engineer and
beam calculations trust details,if applicable,etc.
Notes: d
By Permit Technician: Dateca 22'
I:\Building\Forms\BldgPermitRvw COM NoLandUse 111819.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:
?_t
I:\Building\Fomis\B1dgPermaRvw_COM NoLandUse_111819.docx