Permit (32) CITY OF TIGARD BUILDING PERMIT
'1 ' COMMUNITY DEVELOPMENT Permit#: BUP2023-00150
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/30/2023
Tit ,1 A f� 9 Parcel: 2S 112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 200
Project: Spec Space Subdivision: Lot: 2
Project Description: Landlord work prior to TI: Demolition, new partitions,suspended ceiling,doors, and lighting.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner:
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, 08/30/2023 $1,045.71
Occupancy Grp: B Occupancy Load: 25 Demolition
12%State Surcharge-Building 08/30/2023 $125.49
Dwelling Units: 0 Plan Review 08/21/2023 $679.71
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 08/30/2023 $8.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $92,000 Tenant Improvements in Existing 08/30/2023 $430.00
Development
Plan Review-Fire Life Safety 08/30/2023 $418.28
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,707.19
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: Permittee Signature:
all 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
CI of Tigard •eceived
`J b RECEIVE �ateBY: /a't�/) 102,ee623--VULN)
IN u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie ! !!! 1
Z. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 AUG et t 2023 Date Ready/By: r J / �� W^5 S See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ``�'`J)46' / A. Supplemental Information
r=..^T1;^�.Lon. qY /�I�'1,`..1: 9. I. lbrr
TYPE OF WORK-i ,u Ctlta. 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/replacement E Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑Accessory building ID Multi-familyNumber of bedrooms:
❑Master builder ❑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.:200 Project name:pcco24l-200-Spec i i�S/.Sey�!p, Covered porch area: square feet
Cross street/directions to job site: �'� Gv--` 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.
^ R Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: ,*, ( �.}—1J4C' 1 t.t1-70 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OP WORK work indicated on this application.
Remodel work to 5,607 SF of office and common area space.Work includes select Valuation: $92,000.00
demo of existing nonstructural walls,nonstructural drywall/metal studs walls, Existing building area: 5,607 square feet
suspended ceilings,doors/frames,electrical distribution,and lighting New building area: 5,607 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: V-B Sprinklered
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 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 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:Robert Bumcr Date: 8/18/2023 * Fee methodology set by Tri-County Building Industry
Service Board.
is\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB)
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
■
TIG
n a D Building Permit Review — Commercial - No Land Use
.. �. ..
Building Permit #: A.,/�,�vy3-0v15 )
Site Address: i 53S ) Slit] Se/Qom Pwi Suite/Bldg#: 206
Project Name: f ctvvf1 — Pc coV-1 t Oct
� spec wo✓Y.
(Name of commercial business occupying the space. I vacant,enter Spec Space.)
Planning Review
Proposal: Demo m '1c1' VtOV1 • load 1.eG(A`l vottas/ fait 1i , iitS?wU r&.W carpet-
5 6 in Sf
Existing Business Activity: of fic
Proposed Business Activity: ,mil spec /vaca14t
,Verify site address/suite#exists and active in permit system.
,"River Terrace Neighborhood: ❑ Yes ‹.-No
XZoning: [_
Permitted Use: ❑ Yes ❑ No ear Spec Space
,L7 Confirm no land use required.
Business License: .th
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes: fda e)(,-( d'r' Wdf(<-.
Approved by Planning: " --- Date: es/2{ 2 3
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: V/42?
Site Plans: # /„
Building Plans: # 3
f T
Building Permit#: der building permit#above.
Workflow Routing: [ Ping In'7l emiit Coordinator cl--BTrir '
Workflow Sign-off: g
n-off for Planning(include notes from planning review)
Route Application Documents: i ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ' - Date: 2r04 /1.7
1:lBuilding\FormslBiagPermitRvw_COM_NoLandUse 09072022.docx
Enginee Review
❑ Slope at buil.; g pad:
❑ PFI Permit#:
❑ Conditions "Met"pr s to issuance of permit
❑ Easements (encroachme , ser engineering conditions of approv. • plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facih''
Assess Water Quality Fee in-lieu: ❑ Yes 5 No
Assess Water Quantity Fee in-lieu: ► -s ❑ No
LIDA Facility on lot: % Ye ❑ No Add Fee: ❑ Yes 0 No
❑ NOT Approved by Engin- • ng: Date
Notes:
Approved b 'ngineering: Date:
Revisi. s (after Building Submittal only) Reviewer Date
evision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
.Z SDC Exemption ❑ Applied for ❑ Received Does not apply
,Flees Entered: Wash Co Trans Dev Tax: ❑ Yes ,N/A ❑ Deferred
pe� j Tigard Trans SDC: 0 Yes V' /A ❑ Deferred
ST —1 Parks SDC: ❑ Yes �N/A ❑ Deferred
Cr1M LIDA Fee: ❑ Yes /A /1
L1�j _ _ (�f��n Date: 5 !�3
�OK to Issue/Approved by Permit Coordinator: i! V"
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:1Buil ding\Fonns\Bld gPerm itRvw_COM_NoLandUse_08162022.docx