Permit CITY OF TIGARD BUILDING PERMIT
$ COMMUNITY DEVELOPMENT Permit#: BUP2022-00261
Date Issued: 11/10/2022
1 IGARE) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 290
Project: Thenell Law Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: TI for existing tenant:Demolition,new partitions,cabinetry, and finishes.
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
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 11/09/2022 $362.69
Occupancy Grp: B Occupancy Load: 13 Demolition
12%State Surcharge-Building 11/09/2022 $43.52
Dwelling Units: 0 Plan Review 10/20/2022 $235.75
Stories: 0 Height: 0 ft Address Fee 10/20/2022 $50.00
Bedrooms: 0 Bathrooms: 0 Address Fee 10/20/2022 $50.00
Value: $19,000 DC Provision Review,COM TI-Ping 11/09/2022 $110.00
Plan Review-Fire Life Safety 11/09/2022 $145.08
Info Process/Archiving-Lg$2.00(over 11/09/2022 $4.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,001.04
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. Specially 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 4,:•e.
r
Call 503.639.4175 by 73 a.m.for the next available inspection date.
This permit card shall be kept in a a spicuous 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 ONLY
City of Tigard ReceivedDate/By. ids �if,.1 /Mr Permit No.: 1Qr� ...vd
13125 SW Hall Blvd.,Tigard,OR 97 Plan Rev ew yyL v'S (7"
' a Phone: 503.718.2439 Fax: 503.59 CEwE® Date/By: /Q� �.. Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris. ® See Page 2 for
Internet: www.tigard-or.gov OCT 20?? Notified/Method f'1 t'( ,}) ,' . , ,Supplemental Information
J 1 9 U 1
��+i,Llea (rt4zc.j t e'.it i I 7-
TYPE OF WQ�]Rhi`d�;11,,,tt�In((t1hi1t-=`� REQUIRED DATA: I-AND 2-FAMILY-DWELLING
0 New construction [J)Delfitlll4tbri"wls(ol 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 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
area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carportq
Suite/bldg./apt.no.:290 Project name:ppe08 pee 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.
'Ff work within 1,366 SF of existing office.Work includes selective demolition, Valuation: $19,000.00
Spwrx i
drywalUmetal studs walls,cabinetry,finish work and painting. Existing i urldieg area: 1,366 square feet
New'6A>}dwgarea: 1,366 square feet
® PROPERTY OWNER ❑ TENANT Number of stones: I
Name:Pacific Realty Associates,LP. Type of construction: 11-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 0 CONTACT PERSON BUILDING PERMIT FEES'
--. (Please refer in fee schedule)
Business name: Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
Contact name:Jacob Gerard
FI,S plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300
City/State/ZIP:Portland,OR 97224 Total fees due upon application:
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
PHOTOVOLTMk SO LAJ PANEL SYSTEM FEES*
E-mail permits@pactrust.com
V , 1 , i, Commercial and residential prescriptive installation of
P , = r i i. C("INT , „i; p!,!' _ t"I', '= roof-to mounted PhotoVoltaic Solar Panel System.
(lil� � P y
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:Jacob erard Date: (0/113/0.0.2'2-- * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits1BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
C
T]GnRD Building Permit Review — Commercial - No Land Use
Building Permit #: 6 tea}-eon,'
Site Address: (29.09 &U ► 44/7 Suite/Bldg#: 290
Project Name: 'en L,t,y) CO
(Name of commercial business occup g the space. If vacant,enter Spec Space.)
Planning Review Proposal: fi C 06 2- Te4'1 IfyrOVerpfrit fit✓ eteu 194flail-Cll ect.
Existing Business Activity i cttvi
Proposed Business Activity: Oi[e
4grVerify site address/suite# exists and active in permit system.
'G ,a River Terrace Neighborhood: ❑ Yes ,r No
,0 Zoning: JAU
,Permitted Use: .-Yes El No ❑ Spec Space
'Located in Floodplain: ❑ Yes ;a-No
Supplemental Floodplain Form Required: ❑ Yes,applicant was notified ❑ No
Received: ❑ Yes ❑ No
�J Confirm no land use required.
J Cf Business License:
Exists: grYes 0 No, applicant was provided a business license.applicaation
Notes: iJO €xf Grib✓ tA)lI1- , no (Rvlot Ike pe✓n rf (�VNcam,
Approved by Planning: ? Date: l° h h 5/ Z
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: /O/14/?) r�1
Site Plans: # /4 "� `-�'JeA,pect�45r
Building Plans: # !II'. f'IC I)✓9 gt.t t)C. .270 arVed
Building Permit#: Enter building etmit#above. GI-4--c (it/ cf+^• Acts
Workflow Routing: DLPt'iiiing ' for ❑ B ,g
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: 0 Building: original permit application, site plans,building plans,engineer and
J beam`cal_cul'ations and trust details,if applicaable,,etc. old t . 7 1 D
Notes: 3�,ITL .70 j� l —1. Lcii..) itiowot old tfu. "pc,Zo /?72-7o
By Permit Technician: Date: db/l4/)r}, �1J.€ "
I:\Building\Forms\BldgPern itRvw_COM_NoLandllse_111819.docx ! t.alv
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 Tax: ❑ Yes ❑ N/A 0 Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A 0 Deferred
Parks SDC: ❑ Yes ❑ N/A 0 Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer: Date:
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BidgPermitRvw_COM_NoLandUse_08162022.docx