Permit (35) ipqCITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2023-00137
Date Issued: 8/2/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 350
Project: RiskPoint Subdivision: Lot: 2
Project Description: TI for new tenant:Demolition,new partitions,suspended ceiling,doors,and lighting.
Contractor: SAGE CONTRACTORS INC Owner: PACIFIC REALTY ASSOCIATES
14785 S LOTUS LANE ATTN: N PIVEN
OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Tenant Improvements in Existing 08/02/2023 $123.00
Occupancy Grp: B Occupancy Load: 30 Development
Dwelling Units: 0 Permit Fee-Additions,Alterations, 08/02/2023 $842.40
Demolition
Stories: 1 Height: 25 ft 12%State Surcharge-Building 08/02/2023 $101.09
Bedrooms: 0 Bathrooms: 0 Plan Review 08/02/2023 $547.56
Value: $65,000 Plan Review-Fire Life Safety 08/02/2023 $336.96
Info Process/Archiving-Lg$2.00(over 08/02/2023 $10.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,961.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Yes 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 C-•er. 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. . or 1.800.332.2344.
...---Z:e. :2
Issued By: ✓�% _ / ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp: date. II
This permit card shall be kept In a conspicuous place on the job site u i completion of 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 RECEIVE II eceived t�
aaeB : L/lmm
® • 3125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ��C�l�>�7/��
Phone: 503.718.2439 Fax: 503.598.1960 AUGq Dannte/B : Other Permit:
Inspection Line: 503.639.4175 U 2 2023 Date Ready/By:
TIGARD Y o See Page nr
Internet: www.tigard-or.gov Notified/Method: 6 r ea Supplemental Information
eiTV�!' -1,."` re (le -)'�.�
TYPE_ OF WORK' �1 REQUIRED DATA: 1-AND 2-FAMILYDWELLING
❑ 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.
❑ 1- Valuation:
and 2-family dwelling ®Commercial/industrial
$
ElAccessory building El 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:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt,no.:350 Project name:pcco241-RiskPoint 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 p work indicated on this application.
Remodel work to 3,292 SF of existing offcie space.Work Includes selected demo Valuation: $65,000.00
of existing nonstructural walls,nonstructural drywall/metal studs walls, Existing building area: 3,293 square feet
suspended ceilings,doors/frames,electrical distribution,and lighting New building area: 3,293 square feet
tEl PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Pacific Realty Associates,LP. Type of construction: II-B Sprinkler
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:Jacob 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
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:permits@pactrustwm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sage Contractors Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 14785 S.Lotus Lane Solar Installation Specialty Code checklist.
City/State/ZIP:Oregon City,OR 97045 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)558 1009 Fax:( State surcharge(12%of permit fee): $21.60
CCB lie.: 127944
Total fee due upon application: $201.60
Authorized signatu 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: 7/25/2023 ` Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB)
City of Tigard
III _ COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: Z P14 �v.J /3 7
Site Address: i rSS� S'1LJ Se-p.iJ Di A 1r'' ' - uite/Bldg#: ' S
Project Name: 1 .0?1JT lNSUQA.n2t AP✓ISoRc, (--LC
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: !lkirC (OR T T.
Existing Business Activity: t iC 6
Proposed Business Activity: O02—
site address/suite#exists and active in permit syte�
Terrace Neighborhood: ❑ Yes LJ No
17 LXP tted Use: Yes ❑ No E Spec Space
nfirm no land use required.
Business License:
Exists: ❑ Yes o, applicant was provided a business license application
Notes: O OXTr1Qtc1Q tn»k ,56.4 - Jt9 6F X. Miln21Ok_
121H— v tLB. /- /
Approved by Planning: Date: 2/ZFZ3
Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: AO—
Building Plans:
Building Permit#: n building permit#above.
Workflow Routing: Tanning ❑ Permit Coordinator G0"13nilding
Workflow Sign-off: Sit, -off for Planning(include notes from planning review)
Route Application Documents: Ii :uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /J/ `�
By Permit Technician: �%j. v" „ , Date: //21/4),3
I:)Building\Form s1Bl dgPe rm i tRv w_C OM_NoLandUse_09072022.docx
• eering Review
❑ Slope at b . .ad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issua -- of permit
❑ Easements (encroachments)per engine- -. conditions of approval and plat (not typical on SDR/CUP)
El Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes El No
Assess Water Quantity Fee in-lieu: El Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No >dd Fee: 0 Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
O Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
O Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: El Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
El OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building Forms BldgPermitRvw_COM_NoLand Use_08162022.docx
City of Tigard • BUILDING DIVISION
'. Over-The-Counter (OTC) Building & Fire Protection System Permit
T IGARD Appointment Checklist
Permit Record#: yyo dr?a3'-W i 3'7
Contact Name: -Seel( , dye, Phone #: ( ty—(03L, )
Business Name: �okr^?- y Appt. Date/Time: g)��%j
Site Address: /}'-3.3-7) J.t,J y,,,2� 1og Bldg/Suite#: 3�
Project Name: ier ��,1„/+ !T New Tenant? 0 Yes 0 No
Project Description: Cb334.11_
Existing Use: se New Use: R
MMD Required: 0 Yes D-1115 Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: A) r Occupancy Group: Type of Construction: U,. 13
Type of Use: A Occupancy Load: 30 Oregon Specialty Code: 2. yz,..
SPECIFICS
Number of Stories: ) Building Height: ) Mixed Use: / V
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: V1 Cif Fire Alarms: Y Smoke Detectors: �
Sprinkler Type: \/ Alarm Type: Protected Corridors: )
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ GS ,,Cklil: sL- FEES DUE
$ ) ( Prov Rvw,COM TI—Ping
$ t Fee—Add,Alt,Demo
Tenant Improvements in Existing Development $ f 0 • pg. 12%State Surcharge
Project Valuation 11 y 7 . 6 Plan Review,Structural
Up to$4,999 $0.00 $ 3 cm,. q .,PIan Review,Fire Life Safety
$5,000-$74,999 $123.00 $ j o • 00 Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $307.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $489.00 $ Metro CET(over$100,000)
$ School CET(new square footage)
$ Tigard CET($50,000 or more)
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff: $ Other:
Date/Time: $ ) TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS 012523.docx 1C (p j - 0 i