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CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00095
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/9/2022
Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15812 SW UPPER BOONES FERRY RD
Project: Sleep Metrics Subdivision: None Lot: None
Project Description: Interior TI: Remodel existing office&warehouse. Work to include construction of office,copy,&break room in
existing office portion,and non structural drywall, metal studs walls,ceiling tile&lighting replacement,doors,and
frames.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY TRUST
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, 05/06/2022 $619.25
Occupancy Grp: B Occupancy Load: 16 Demolition
12/o State Surcharge-Building 05/06/2022 $74.31
Dwelling Units: 0 Plan Review 04/18/2022 $402.51
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 $247.70
Value: $40,000 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 $1,461.77
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 m obtain a cop f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: Permittee Signature: Cee.--
Qr Alp&- �
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
CommercialI FOR OFFICE USE ONLY
Cityof Tigard APR 18 2022 Received l 4.1e,
w 1312SW Hall Blvd.,Tigard,OR 97223 Date/By: 41�d7�y , .6 4.Y )4-'-a'�/ (,�
Plan Rcvicw 1 /
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF�(IGA L DateBy: .a.pR.,� Other Permit:
T1GAR.D Inspection Line: 503.639.4175 Date Read B luris. Ea See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISiOh N died/Method: tit / i/ 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
Z 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 El
❑Accessory building 0 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: 15812 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP:Lake Oswego,OR 97035 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:bleep Metrics 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.
Remodel work to 3,750 SF existing oftice/wrhse.Includes construction of offices Valuation: $40,000.00
and copy/break room in existing office portion.Includes nonstructural drywall/ Existing building area: 3,750 square feet
metal studs walls,ceiling tile/lighting replacement,doors/frames,elect.dist. New building area: 3,750 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Pacific Realty Associates,LP. Type of construction: Il-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
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Realty Associates,LP. (Please rejerta fee schedule
Structural plan review fce(or deposit):
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
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/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 lic.: 153913
Total fee due upon application: $201.60
Authorized signature: ._ -/7 /":,) This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Robert B9tcrOt Date:4/18/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
:14 ® COMMUNITY DEVELOPMENT DEPARTMENT
- GAR TiGARD Building Permit Review — Commercial - No Land Use
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Building Permit #:
Site Address: �5g( Sof ()/?Q,/' ref/2 uite/Bldg#:
Project Name: ke. e -� 5
(Name of comm_rcial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: P.010Gt.I t .IS V9 �r (-€ (C Vt5kr UC{-c?)tr1 lHrCt'.S/ fPc/Ned G14
1Ao tA5'Fv.U fat K. d d y vt.°'ct(( -etc.
Existing Business Activity: (Y'T"( C -
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes lz l No
[41 Zoning.
(� Permitted Use: Yes ❑ No ❑ Spec Space
I4 Confirm no land use required.
Business License:
Exists: , Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: I m ✓'A d Date: it/(é)/z{J2 Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
P 1•.4,,t . .,.t>f l fi # F i N a Y t.'n7$+A. :'; $t 8t; tgid VO t J$AfACK,Ri R ei llSkw
Building Permit Submittal
Original Submittal Date: `G l! O- Z 2
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: ifPlanningilding
Workflow Sign-off: 'ff- Sign-off for Planning(include notes from planning review)
Route Application Documents: _-9 Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: AtZDate: .)_—Z
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx