Permit CITY OF TIGARD BUILDING PERMITit#: BUP2022-00263
i * Perm
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2022
TIGARD 9 Parcel: 2S 101 AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 410
Project: Summit Real Estate TI Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT
Project Description: Remodel 1,915 sq ft including,demo,new walls,suspended ceiling,doors/frames electrical and lighting.
•
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: IIB Permit Fee-Additions,Alterations, 11/14/2022 $498.03
Demolition
Occupancy Grp: B Occupancy Load: 13 12%State Surcharge-Building 11/14/2022 $59.76
Dwelling Units: 0 Plan Review 10/24/2022 $323.72
Stones: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/14/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/14/2022 $199.21
Value: $29,000 Info Process/Archiving-Lg$2.00(over 11/14/2022 $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 $1,196.72
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ir'.6 Permittee Signature: r5—C G �t'a -.17
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 FOR OFFICE USE ONLY
Received ty7 (�/�
City of Tigard Date/By: (G Gov. ga. 4. Permit No.: )to ,�/a j
r'1Eil 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � L
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: !O-. _6'22`�J Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: l Jun% 63 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: I Supplemental Information
1.,,
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.
dwellingValuation: $
❑ 1-and 2-family El
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12909 SW 68th Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:410 Project name:Summit Real Estate 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: 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 1,915 rentable SF of existing office space.Work shall include Valuation: $29,000.00
selected demo of existing nonstructural walls,nonstructural drywall/metal studs Existing building area: 1,915 square feet
walls,suspended ceilings,doors/frames,electrical distribution,lighting New building area: 1,915 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
Phone:(503)624-6300 Fax:(503)624-7755
New: B
® APPLICANT ❑CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Pacific Realty Associates,LP.
Structural plan review fee(or deposit): '�1, 7 1.
Contact name:Robert Bumcrot
FLS 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
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 lie.: 153913 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
r�,1 �f rf within 180 days after it has been accepted as complete.
Print name:Robert crot Date: 1 0/24/2022 * Fee methodology set by Tn-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 l/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
e Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: Z0.92022—OD`2.(o3
Site Address: I 251 pck SW Ain 'PY-wA Suite/Bldg#: q 10
Project Name: & A- I"PO\ II
(Name of commercial business occupying the space. if vacant,enter Spec Space.)
Planning Review �{�
Proposal: �f c7 C e ---}. D m cel nD G4.JQd tP
Existing Business Activity: '/ ,) /�
Proposed Business Activity: (��`` �\ C�
IdVerify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes ieNo
A Zoning ki
311) Permitted Use: 1 Yes ❑ No ❑ Spec Space
EP Confirm no land use required.
OK( Business License:
�r Exists: 0 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: C11\U Date: ID. 24` 7„,-Z-.
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved El Not Approved
Revision 2: 0 Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: l U/Av/Aa
Site Plans: #
Building Plans: # 3
Building Permit#: IV- Enter building permit#above.
Workflow Routing: E Planning ("Permit Coordinator Ck3'Building
Workflow Sign-off: S1—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: /W. Q`ocl t` \ Date: J c/774'i ,.
C\Building\Forms\BldgPen iitRvw_COM_NoLandUse_09072022.docx
Permit Coordinator Review
filjt Conditions "Met"prior to issuance of permit
❑ Approved, NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
7 SDC Exemption ❑ Applied for ❑ Received 7 Does not apply
/Fees Entered: Wash Co Trans Dev Tax: El Yes N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes 7N/A ❑ Deferred
Parks SDC: ❑ Yes X N/A ❑ Deferred
LIDA Fee: ❑ Yes / N/A
❑ OK to Issue/Approved by Permit Coordinator: 1 - Date: \OI2 ,/ZNL
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_COM_No LandUse_08162022.docx