Permit CITY OF TIGARD BUILDING PERMIT
3 COMMUNITY DEVELOPMENT Permit#: BUP2022-00071
T(G AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/6/2022
Parcel: 2S113AA00500
Jurisdiction: Tigard
Site address: 16112 SW 72ND AVE 818
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: PT A&F
Project Description: Removal of 5,060 existing office,w/construction of 1,800 sf new office w/in an existing 12,000 sf space.Work
include demo of nonstructural walls and drywall/metal stud walls,suspended ceilings,doors/frames,electrical
distribution.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
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: IIIB Permit Fee-Additions,Alterations, 04/05/2022 $1,075.83
Occupancy Grp: B Occupancy Load: 75 Demolition
12%State Surcharge-Building 04/05/2022 $129.10
Dwelling Units: 0 Plan Review 03/24/2022 $699.29
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/05/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/05/2022 $430.33
Value: $96,000 Info Process/Archiving-Lg$2.00(over 04/05/2022 $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 $2,618.55
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 copy of the rules or direct questions to OUNC by calling 5503.2321987 or 1.800.332.2344.
/� Wv
Issued By: � - Permittee Signature:
y �
all 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 0- 3 1leI2-2.
Commercial RECEIVED FOR OFFICE USE ONLY
Received mg
City of Tigard Date/By: ✓ Permit No +1 r L✓ L 1
1e 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 6 2022 Plan Revic
II • Phone: 50.5.718.2439 Fax: 503.598.1960 Date/By: -y • Other Permit:
1.1 G A it u Inspectio4 Line: 503.639.4175 CITY OF TI GARD atc ReadyiBy: / L/� �/t l El See Page 2 for
L
Internet: www.tigard-or.gov BUILDING DIVISIOIvI— Notified/Method G6 j f � Supplemental Information
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.
Valuation: $
❑ 1-and 2-family dwelling ®Cormnercial/industrial
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑ Other: Number of bathrooms:
t r 1j 11,11 11; 1I0 1 i viii4plygi ,INFORMATION AND LOCATION Total number of floors:
Job site address: 16112 SW 72""Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:4.obpl48-l64.0 Spec Syp __ 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 1 j' r1 riA I ,, _.� work indicated on this application.
Removal of 5,060 existing office,w/construction of 1,800 SF new office w/in an Valuation: $96,000.00
existing 12,000 SF space.Work incl.demo of nonstructural walls,nonstructural Existing building area: 12000 square feet
drywall/metal studs walls,suspended ceilings,doors/frames,elect.distribution New building area: 12000 square feet
®-PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: III-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B/S-I
Phone:(503)624-6300 Fax.(503)624-7755 New: B/S-1
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
Contact name:Robert Bumcrot
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300
City/State/ZIP:Portland,OR 97224 Total fees due upon application:
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
E-mail:permits@.pactrustcom 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.
Permit fee(includes plan review
City/State/ZIP:Portland,OR 97224 $180.00
and administrative fees):
Phone:(503)624-6300 Fax:( ) State surcharge(I 2%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 Bu erot Date: 3/16/2022 * 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
•
7111
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - Igo Land Use
h
Building Permit #: EVS}zoz2 co:D7 (
Site Address: 4((Zr SLAT 2- Alk /kJ&Q. Suite/Bldg#:
Project Name: -CiKC S �
(Name o commend business occupying the space. If vacant,enter Spec Space.)
Planning Reviewrr)"' �' ���� C(� n Q,�� ���
Proposal: J0�,y1A G �116 0 f F �1 l�`�L Cov1 S�-d'trc.��I� aP'N{,t ) I See 5 F. a nr
/vl. I2 OOU SF 5 ?cl.E,e. zu S t,l�b,,q . at wits/ 11)14,t-N.I9 ( dodrs -PJ-e.
Existing Business Activity: c G . 12 �p,e_ ! I
Proposed Business Activity: UU
Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: El Yes hl No
E Zoning. "" c'
MPermitted Use: Yes ❑ No ❑ Spec Space
Lib Confirm no land use required.
pBusiness License:
Exists: ❑ Yes 0 No,applicant was provided a business license application
Notes: /
Approved by Planning: A-Q 1 Date: 3/ ( Z02�
Revisions (after Building Submittal only) Reviewer 666 Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: )3/[o/2022
Site Plans: # 3
Building Plans: # ?�
Building Permit#: ,,_,�n�ter building ding permit#above. �
Workflow Routing: Lld' Planning 0 Permit Coordinator [ Building
Workflow Sign-off: R.-Sign-off for Planning(include notes from planning review)
Route Application Documents: wilding. original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 03/2q/2Z
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: 0 Yes El 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.docx