Permit CITY OF TIGARD BUILDING PERMIT
`' g COMMUNITY DEVELOPMENT Permit#: BUP2022-00070
Date Issued: 4/6/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 455
Project: Spec Space Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Remodel work to 3,944 sf of existing vacant office space.Work includes selected demo of existing nonstructural
walls and 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: Permit Fee-Additions,Alterations, 04/05/2022 $542.11
Occupancy Grp: B Occupancy Load: 31 Demolition
12%State Surcharge-Building 04/05/2022 $65.05
Dwelling Units: 0 Plan Review 03/24/2022 $352.37
Stories: 0 Height: 0 ft Address Fee-per lot/suite(up to first 20) 03/24/2022 $50.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/05/2022 $110.00
Value: $32,400 Info Process/Archiving-Lg$2.00(over 04/05/2022 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,127.53
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: Permittee Signature:
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 3)1S J22
Commercial RECEIVE_ FOR OFFICE USE ONLY
City of Tigard MAIL 15 2012 ReceiveDateBya0 2/ 2e --
Permit No.:bUP2O22-00070
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review( ' I
_' Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: l'y ether Permit:
Inspection Line: 503.639.4175 Dace adyBy: (i itw
TIGARD +3UILDING DIVISION` ....2___
� T el See Page 2 for
l�Internet: www.tigard-ocgov tt d cthod: Supplemental Information
TYPE OF WORK REQU fl T T'A:I-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 ®Conunercial/industrial Valuation: $
❑Accessory building 0 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 681h Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:455 Project namot-ppe00 5 Spec �.'/�4_^ Covered porch area: square feet
Cross street/directions to job site: `� Deck area: square feet
Other structure area: square feet
05V ACOd) F02 #J 'i sulre 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 remodel work to 3,944 SF of existing vacant office space. Valuation: $32,400.00
Work includes selected demo of existing nonstructural walls and lighting. Existing building area: 3,944 square feet
New building area: 3,944 square feet
® 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:( ) New: B
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(P7euse refer to fee schedule)
Business name: Pacific Realty Associates,LP.
Structural plan review fee(or deposit): L/.t.,i. 37
Contact name:Ryan McGuire
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::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com
4,�- n �=n „ _ t6 ,I„ Commercial and residential prescriptive installation of
I' ;` 1 tr Jif,-, ' ,. 1�Fy i, j,
�, _ , � , ' =,� _«, ' it. - v�+I ,,,, 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:Ryan McGuire Date: 3/7/22 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
ir-
City of Tigard
IIII COMMUNITY DEVELOPMENT DEPARTMENT
T1cnuD Building Permit Review — Commercial - No Land Use
i.
Building Permit #: ZUP2b22 070
Site Address: 7.104, g(A) 6,041/4 w7 Suite/Bldg#: 1155
Project Name: ?EC Q 6 2 —" dpe-C 74cQ_
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ���r �� �`��A �
Proposal: QviA., �- ft 3( 1 cSF bf 5P e .
ti
Existing Business Activity: Spc.4 sraGe
Proposed Business Activity:
pVerify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes n No
Zoning. 'r/v b u
7 Permitted Use: fRf Yes 0 No ❑ Spec Space
pConfirm no land use required.
Business License:
Exists: fa Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: A .4' Date: 3/f 7 ZZ
Revisions (after Building Submittal only) Reviewer 6 Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 0315/202.2—
Site Plans: #
Building Plans: # 3
Building Permit#: ErEnter building permit# above.
Workflow Routing: R.—Planning 0 Permit Coordinator la Building
Workflow Sign-off: ❑rSign-off for Planning(include notes from planning review)
Route Application Documents: O'Building: original permit application, site plans, building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4?1,--
Date: 1//1CJ22—
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
411
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:
Cl 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:1Building\Forms\BldgPermitRvw_COM NoLandUse_111819.doox