Permit CITY OF TIGARD BUILDING PERMIT~ COMMUNITY DEVELOPMENT Permit#: BUP2022-00193
Date Issued: 8/15/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 190
Project: Mintun Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Remodel 4,092 sq ft of existing office space,including demo and construction of nonstructural walls,suspended
ceilings,door,and frames.
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: I IB Permit Fee-Additions,Alterations, 08/11/2022 $1,000.53
Occupancy Grp: B Occupancy Load: 47 Demolition
12%State Surcharge-Building 08/11/2022 $120.06
Dwelling Units: 0 Plan Review 08/03/2022 $650.34
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/11/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/11/2022 $400.21
Value: $86,000 Info Process/Archiving-Lg$2.00(over 08/11/2022 $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 $2,453.14
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 rth, n OAR
952-001-0010 through OA 52-001-009/O�You
7ay obt/aiii a ccoo(}�y of the rules or direct questions to OUNC by calling 503.232.1987 or 344.
Issued By: ��A�v� ( ! -fi Permittee Signature: ��
�`-^" //ll// --
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 /�
Commercial j A a / I FOR OFFICE,USE ONLY
City of Tigard JUL 2721722 Date/By:eived 7 ' % U�
13125 SW Hall Blvd,Tigard,OR 97223 Plan Revie`�'
_ Phone: 503.718.2439 Fax: 503.598.1(sY OFr I ,�:rlt i' Date/By: r Q Other Permit:
at, y
Inspection Line: 503.639.4175 Date Ready By: Juris: Ia See Page 2 for
TIGAND Internet: www.tigard-or.gov ' ILDING DIVISIC itcd/Method: ZX Supplemental Information
'TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replaccmcnt ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
[II 1-and 2-family dwelling ®Corntnercial/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: 12909 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 190 Project name:Mintun Media TI 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: I 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 4,092 SF of existing office space.Work shall include but not be Valuation:gp $86,000.00
limited to selected demo of existing nonstructural walls,construction of ExistiSgngtl area: 4,092 square feet
nonstructural walls,suspended ceilings,doors/frames,elect.dist.,lighting Newltriil no area: 4,092 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
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/A-3
Phone:(503)624-6300 Fax.(503)624-7755 New: B/A-3
0 APPLICANT D 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
Total fees due upon application:
City/State/ZIP:Portland,OR 97224
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com
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 tic.: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, c t Date: 7/27/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BU'-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
illv COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGAKD Building Permit Review — Commercial - No Land Use
Building Permit #: 6090-1--49/73
Site Address: t2.91 09 S1k) (per... •VY- J1 Suite/Bldg#: (I 0
Project Name: P1i A'tV A Media
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: keAVIOOteA 4092 t 1 elxislivl 1C(1 4 -
Existing Business Activity: C.e
Proposed Business Activity: L�
)gaerify site address/suite#exists and active in permit system.
El River Terrace Neighborhood: El Yes K No
jZoning: —WU
/Permitted Use: J" Yes El No ❑ Spec Space
)Confirm no land use required.
❑ Business License:
Exists: El Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 7I Z 7 I ZZ
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: 7i 7/�
Site Plans:Building
Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: TPlanning ertm or ,Building
Workflow Sign-off: --Er 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: Date: 77,4 7i
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_l 11819.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 ' .plicant:
Revision Notice 2: Date Sent t. Applicant:
Revision Notice 3: Date Sen o Applicant:
❑ SDC Fees Entered: Wash ' o Trans Dev Tax: ❑ Yes 0 N/A
T'•,. dTrans SDC: ❑ Yes ❑ N/A
arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit 'oordinator: Date:
1:1BuildinglForm s\BldgPermitRvw_COM_NoLandUse_1118 19.docx