Permit (9) CITY OF TIGARD BUILDING PERMIT
1,1
II . COMMUNITY DEVELOPMENT Permit#: BUP2022-00198
T f GA la f 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/15/2022
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 210
Project: Peck Rubanoff&Hatfield,PC Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Tenants expanding by 2,177 into adjacent space.
Contractor: VANOSDEL CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES L P
PO BOX 1057 ATTN: N PIVEN
BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 360-687-8636 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/11/2022 $729.45
Occupancy Grp: B Occupancy Load: 15 Demolition
12%State Surcharge-Building 08/11/2022 $87.53
Dwelling Units: 0 Plan Review 08/08/2022 $474.14
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/11/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/11/2022 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 08/11/2022 $8.00
11x17)
Address Fee 08/15/2022 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,750.90
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 OA 99552-0011--0090. You may o ain a copy of the rules or direct questions to OUNC by calling 503.232.1987398 or 1.800.332. ,
ip
Issued By: e"�ll'/ Permittee Signature: 0�" -J
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 RECEIVED
Commercial G G.Q FOR OFFICE USE ONLY
8 2q?7 Received
City of Tigard �� y. Permit No.:f a' •
�f ce
INDate/B I la —C t'"
a 13125 SW Hall Blvd.,Tigard,OR 97223 ? A��
_ C�lY OF 1�G Plan Rcvicu�+ �O ��
Phone: 503.718.2439 Fax: 503.598.1960 LNG DIVISION
Date/By: Q —� ' Other Permit.
TIGARD Inspection Line: 503.639.4175 �U��.� tc ReadyBy: / - luris: See Page 2 for
Internet: www.tigard-or.gov �Naotificd Method: / f �� Supplemental Information
z/r .ate
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.
❑ 1-and 2-family dwelling ®Commercial/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: 12909 SW 68'Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:210 Project name:PttiI-H r e jet,, l l 104GL6 Covered porch area: square feet
Cross street/directions to job site: 4 /-f ? % fic Deck area: square feet
`�� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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 2,177 SF existing office.Tenant is taking portion of 5,706 SF Valuation: $50,000.00
�CQ
vacancy,leaving 3,226 SF space to lease to other.Work incl.nonstructural dry- Existing area: 2,177 square feet
wall/metal studs walls,doors/frames,elect.distribution/lighting,break room Newbri{+d,+>}g�rea: 2,177 square feet
Z PROPERTY OWNER ❑ TENANT Number of stories: I
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
Phone:(503)624-6300 Fax:(503)624-7755 New: B
Z APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit): &j'7L-f i 1-4
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:VanOsdel Construction,LLC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)687-8636 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:215976
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:8/8/2022 * 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)
Casey Heaney
From: Oscar Contreras <OscarC@tigard-or.gov>
Sent: Wednesday, June 29, 2022 11:50 AM
To: Casey Heaney
Cc: Ron Tesch; #CD PoD; #Building Permit Technicians
Subject: RE: Address Application - ppc082 Suite 210
Hi Casey
I have completed your address application. Your new addresses will be available in our system tomorrow morning.
Please note there is an address fee of$50 which will be invoiced by a permit technician or planner on duty.The fees
must be paid before the permit can be issued and we release your new addresses to our regional partners. You will be
contacted with an invoice and instructions on how to pay the fee at the appropriate time during permit processing.
Please note this may vary depending on permit and project type. If you have questions, please contact the Building
Department (tigardbuildingpermits@tigard-or.gov) or the Planner on Duty (tigardplanneronduty@tigard-or.gov).
Thanks,
DIVEROscar Contreras
He!"t#irnlHis
1 EQUITY & E7neenng Tech I[
1 i om , _ ,,_ ..„., , ,r,ov
NC USI ' ' '''-'
13125 SW Han 6gvd
4r1,4 t,4 Togard,OR 97223
From: Casey Heaney<CaseyH@PacTrust.com>
Sent: Wednesday,June 29, 2022 9:20 AM
To: Oscar Contreras<OscarC@tigard-or.gov>
Cc: Ron Tesch<RonT@PacTrust.com>
Subject: Address Application - ppc082 Suite 210
Good morning Oscar,
I would like to apply for a new suite number at our ppc082 property, located at 12909 SW 68'h Parkway. We are splitting
suite 230 and need to create a new suite 210 for a new tenant that will be moving in. Attached please find the application
with a full space plan showing the new suite. We understand that the fee will be due when we apply for the building
permit.
Please review and let me know if you have any questions or issues with our request.
Thanks,
Casey Heaney
Construction Administrative Assistant
1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
111
TIGARD Building Permit Review — Commercial - No Land Use
0
Building Permit #: aci17) _ 0;_)) 9j g S VW
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cry
Site Address: 1 PCP S INt 0p tv -' Suite/Bldg#: 2 J c0 p j1,.PS5
Project Name: ?o oTj i( -T1 = ie
(Name of commercial business occupying the space. If vacant,enter Spec Space.) CW
Planning Reviews t
a
Proposal: 10.Q.—p %C�, 'fgonn 1 . -{1 ni-f iCtill j j
Cs0 haY1S)(*.CCU OTO
Existing Business Activity: Q
Proposed Business Activity: o 0 D
L i Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes ❑ No
43 Zoning: "i U
N Permitted Use: yl Yes ❑ No ❑ Spec Space
s7, Confirm no land use required.
It :usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes: ty/ iV)C- C' 1 YID C Y\ UP
Approved by Planning: \4 %ilO [ Date: (C ..CI -70-2->
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: s-�1(/a a1
Site Plans: # (T
Building Plans: # 3
Building Permit#: .11h Enter building permit#above.
Workflow Routing: ..Planning Permit Coordinator P Buildin
g
Workflow Sign-off: V'Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 1 .1.A.,(1 Date: �lg��0
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ .proved,NOT Released: Date:
Notes:
Revisions (after Buildin: ubmittal only)
Revision Notice 1: L4. te Sent to Applicant:
Revision Notice 2: Date :.t to Applicant.
Revision Notice 3: Date Sent t• 4 .pli . t:
❑ SDC Fees Entered: Wash Co Tr.' Dev ❑ Yes ❑ N/A
Tigard T ,ns SDC: ❑ Yes ❑ N/A
Park DC: \ 'es ❑ N/A
❑ OK to Issue Permit
Approved by Permit •ordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx