Permit CITY OF TIGARD BUILDING PERMIT
= o COMMUNITY DEVELOPMENT Permit#: BUP2022-00234
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/10/2022
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 260
Project: Spec space Subdivision: Lot: 2
Project Description: Remodel work to 2,361 sq ft of existing office space. Work includes demo,suspended ceilings,and lighting.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW 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, 11/09/2022 $487.01
Occupancy Grp: B Occupancy Load: 16 Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/09/2022 $58.44
Stories: 0 Plan Review 09/27/2022 $316.56
Height: 0 ft DC Provision Review,COM TI-Ping 11/09/2022 Bedrooms: 0 Bathrooms: 0 $110.00
Plan Review-Fire Life Safety 11/09/2022 $194.80 value: $28,000
Info Process/Archiving-Lg$2.00(over 11/09/2022 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,172.81
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 fain a co y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 577 7 1//,_Y
-X
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 \ err FOR OFFICE USE ONI,Y
R E E V L.r® Received f t/�' )a)--,
) 'I el �/rA ���(�7
City of Tigard Da[eBy: �/G�_ !_/ P{ / �r"�G,
1.111 It 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie Z
p " 2_Q- Other Permit:
II Phone: 503.718.2439 Fax: 503.598.1960 S E P 2 6 7�7? Date/By: 1 e ® See Page 2 for
Inspection Line: 503.639.4175 Date Ready/By: Jan
TIC.AItI) Internet: www.tigard-or.gov LICY OF TIGARD Notified/Method: I II I f ar C7 Supplemental Information
94III nmlr niviSmn: Evse•( CAS"l DATA:
/1/9 �Cr
TYPE OF WORK REQUIRE A:1-AND 2-FAMILY DWELLING
❑Demolition Permit fees*are based on the value of the work performed.
❑New constructionIndicate the value(rounded to the nearest dollar)of all
® Addition/alteration/replacement ❑ Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
0 1-and 2-family dwelling Z Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder
D Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:260 Project name:260-Spec Vacancy 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.
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.
Valuation: $528,000.00
Project consists of remodel work to 2,361 SF existing office space.Work include
demo,suspended ceilings,and lighting. Existing building area: 2,361 square feet
New building area: 2,361 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
Phone:(503)624-6300 Fax: (503)624-7755 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Meuse refer to fee schedule)
Business name:Pacific Realty Associates,LP. Structural plan review fee(or deposit):
Contact name:Jake Gerard 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 II -, ;-, roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: Pacific Realty Associates,LP. 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 $180.00
City/State/ZIP:Portland,OR 97224 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
q i This permit application expires if a permit is not obtained
Authorized signature: �, x_ within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name:Jacob Gerard Date:9�26�2022 Service Board.
L:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
'PI City of Tigard
q
COMMUNITY DEVELOPMENT DEPARTMENT
= Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: _ i/ti��z--- .-iz),.> -
Site Address: is --7-fSt) `j\)\) Ib 1a Suite/Bldg#: -' 0
Project Name: `8( S'-t-- (\ )
(Name of commercial business occupying the space. If v cant,enter Spec Space.)
Planning Review Proposal: -WC4 �V\� r) U c "P �y vn �"PAAO
C)\-k-e 2,- -0 ( C-5) --fA a sce icy `c( w/ 2
Existing Business Activity: C�;�
Proposed Business Activity: 1 l
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: 1�
Permitted Use: Yes El ❑ Spec Space
Confirm no land use required.
Business License:
Exists: p Yes ❑ No,applicant was provided a business license application� 1�
Notes: . t. 1,1�11I� 'k1( O\* c 'V \Irt - 4, c&l� �fl �Sv/
h0 C yayirp� In U , a\l ( Cyr—'
Approved by Planning: J \A COCI,YCk Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal l/
Original Submittal Date: i /)-
Site Plans: #
Building Plans: #
Building Permit#: 'ET-Enter building permit#above.
Workflow Routing: '❑-Planning li� ator ICJ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: --Cr-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 7 /) >
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_09o72o22.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev T, : ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Pe,i it Coordinator: Date:
Revisions (after Building Sub al only) Reviewer Date
Revision 1: ❑ App .ved ❑ Not Approved
Revision 2: ❑ ' .proved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
1:\Building\Fonns\B1dgPennitRvw COM NoLandUse 08162022.docx