Permit (3) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2023-00047
'EGAR.E9 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/22/2023
Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15353 SW SEQUOIA PKWY 190
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Landlord work prior to TI: Demolition,new walls and restrooms.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES LP
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
Type of Use: COM Description Date Amount
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 05/22/2023 $674.35
Occupancy Grp: B Occupancy Load: 57 Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/22/2023 $80.92
Stories: 0 Plan Review 04/12/2023 $438.33
Height: 0 ft
Bedrooms: 0 Bathrooms: 0 Tenant Improvements in Existing 05/22/2023 $123.00
Development
Value: $45,000 Plan Review-Fire Life Safety 05/22/2023
$269.74
Info Process/Archiving-Lg$2.00(over 05/22/2023 $12.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,598.34
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 require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 01-009 . You m obtain a eepy of e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: &""'
Gr7�/j�
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
Cityof Tigard11 Received
g Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223ECEIVE , DateBy: •/�' �, — t��i , �. ��t'iT�
Plan Review
[1
ErII
Phone: 503.718.2439 Fax: 503.598.19 Date/By: y' ) ) —Z3 Other Permit:
T IGARD Inspection Line: 503.639.4175 Date ReadyBy: mds: li>J See Page 2 for
Internet: www.tigard-or.gov APR 1 2 2023 NytifiedMeth� I
� Supplemental Information
TyI'E OF WORliGI O I ARD
REQUIRED DATA:1-AND 2-FAMILY DWELLING
t�1 .�1 lG DIVISION
❑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-and 2-family dwelling ElCommercial/industrial Valuation: $
CIAccessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15353 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 190 Project name:pcc227-190 Spec r
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.
New restrooms for 8,527 SF existing office space relinquished by adjacent tenant Valuation: $45,000.00
Work incl.selected demo of existing nonstructural walls,construction of non- Existing building area: 8,527 square feet
structural dryywall/metal studs walls,elec.distr.,lighting alterations New building area: 8,527 square feet
.
® PROPERTY OWNER 0 TENANT Number of stories: I
Name:Pacific Realty Associates,LP. Type of construction: III-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
1;APPLICANT 0 .CONTACT PgRSOiV
:,•BUILDING PERMITFEES*
Business name:Pacific Realty Associates,LP. fPleiase:r8jsr'tofeesrhedrrkl
Structural plan review fee(or deposit):
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:
Phone:(503)624-6300 Fax::(503)624-7755 Amount received:
E-mail:permits@pactrust.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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
and administrative fees): $180.00
Phone:(503)624-6300 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: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 Bu crot Date: 4/12/2023 * Fee methodology set by Tri-County Building Industry
Service Board.
L•\Building\Permits\ P-COM PermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
111111
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: BOP W23_ O6)O1'1~7
Site Address: I ''S Cud g?&21171A `-f'1t / Suite/Bldg#: ?(
Project Name: , I C .
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1--- ' / /Nirr r 012_ orlcy
Existing Business Activity: O j Cl
Proposed siness Activity:a"
Verify site address/suite# exists and active in permit system.
❑ ,iver Terrace Neighborhood: ❑ Yes L•YNo
,, 'ng: I— P
Pe `tted Use: E.—Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License:
Exists: ❑ Yes No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 1/2 /3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Lil
Site Plans: # 2,
Building Plans: # 4 .
Building Permit#: ` nter building permit#above.
Workflow Routing: ' lanning 2rFermit Coordinator e Building
Workflow Sign-off: n/S'ign-off for Planning(include notes from planning review)
Route Application Documents: 1r Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 4161 Date: t// Z3
I:\BuildingTonns\BldgPennitRvw COM NoLandUse 09072022.doex
Engineering Review
❑ Slope at'building pad:
❑ PFI Permit •
❑ Conditions "Met' .rior to issuance of permit
❑ Easements (encroac' ' ents) per engineering conditions of approval and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity .cility:
Assess Water Quality Fe- •n-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ 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
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 ❑ Deferred
Tigard Trans SDC: ❑ Yes /N/A ❑ Deferred
Parks SDC: ❑ Yes / N/A ❑ Deferred
LIDA Fee: ❑ Yes N/A
OK to Issue/Approved by Permit Coordinator: Date: 41 [21 2,0Z'6
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\B1dgPermitRvw_COM_NoLandUse_08162022.docx