Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00107
Date Issued: 5/9/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD00200
Jurisdiction: Tigard
Site address: 15618 SW 72ND AVE
Project: Apex Subdivision: None Lot: None
Project Description: Remodel 5,013 sf of existing office space to include:new doors and frames and removing(1)wall to enlarge
breakroom.
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: IIIB Permit Fee-Additions,Alterations, 05/06/2022 $895.11
Occupancy Grp: B Occupancy Load: 37 Demolition
12%State Surcharge-Building 05/06/2022 $107.41
Dwelling Units: 0 Plan Review 04/20/2022 $581.82
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/06/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/06/2022 $358.04
Value: $72.000 Info Process/Archiving-Lg$2.00(over 05/06/2022 $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 $2,060.38
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- 090. You may.Stain a co the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
5-?c;•C
,(ram .�/ `Issued By: / �': Permittee Signature: �( 2a 5 7L
Call 503.639.4175 by7:00 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
Commercial FOR OFFICE USE()NIA
INCity of Tigard RECEIVE u atcBed I .�C �� 1 Permit No.: �L I�rAC cal yC ���'' (�
" 13125 SW Hall Blvd.,Tigard,OR 97223 y ll
9.
• g Plan Review •�
: ' Phone: 503.718.2439 Fax: 503.598.1960 APR 2 0 2022 Date/By: -3—'1.2.•- Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: 0See Page 2 for
Internet: www.tigard-or.gov C,ITY OF"I CARD No'led/Method. 7/i Supplemental Information
-i 111 flis,ir r'tl!iC V')N
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
a, ❑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.
dwelling Valuation: $
❑ 1-and 2-family ®Commercial/industrial
❑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: 15618 SW 72"d Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Apex' 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: 1 Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remodel work to 5,013 SF of existing office and warehouse space.Work includes Valuation: $72,000.00
new doors and frames,enlarging break room,and finishes. Existing building area: 5,013 square feet
New building area: 5,013 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: I
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-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B/S-2
E 4M0x4 ®,APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Realty Associates,LP. (Please refer to fee schedule)
Structural plan review fee(or deposit): �i3 I. `6,_
Contact name:Robert Bumcrot
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Phone:(503)624-6300 Fax: :(503)624-7755 Amount received:
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/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:Robert Bu crot Date:4/20/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
City of Tigard
ligr COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
0. .y?tir� " : W ",ruraN.6,,,, r u.Fdi' tttr :d+ 'Y.:a a°:}EtK:r±,Io- heft '3 F% ' 4.tiuN ri_
Building Permit #: NUp 1 -- GGlG
r)
Site Address: 1' I (p% S W -12/2(A- Suite/Bldg#:
Project Name: Taccfu - " -1-1 CApeic
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review m,,,��'� PP A
Proposal: V()(y1OOtk l 1,k;CA ''kip l 01 '2 E - [Pn S -e,,)ci j f`)/ [7r�i'Cc 4
WOE Yl D USQ `scxk.a2,.
Existing Business Activity: ‘f" CQ
Proposed Business Activity: o` Ce.,
161 Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes i7 No
Zoning. I —
Permitted Use: ` l Yes ❑ No ❑ Spec Space
`4 Confirm no land use required.
NV":usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
y Notes:
i Approved by Planning: e_ -ijk\e LDate: 4-"�0-- ,,,
1 Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
..,, ,,PIN-,7,, , -< E• , « . 4
Building Permit Submittal
Original Submittal Date: y/a Ora D,
Site Plans: # n/'j.}
Building Plans: # 3
Building Permit#: Enter building permit#above.
Workflow Routing: 2-Planning ❑ Permit Coordinator ErBuilding
Workflow Sign-off: 2—Sign-off for Planning(include notes from planning review)
Route Application Documents: I:aBuilding. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: 4‘-sY) Date: 1-11/9,.1 14_
1
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx