BUP2022-00215 H111111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00215
Date Issued: 9/19/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 200
Project: Walen Construction Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: Demo and remodel work to 12,783 sq ft of existing office space. Converting 2860 sq ft back to warehouse,and
addition of overhead ceiling,and doors in the loading dock area.
Contractor: WALEN CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP
20915 SW 105TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-718-6680 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 09/19/2022 $2,072.35
Occupancy Grp: B Occupancy Load: 112 Demolition
12%State Surcharge-Building 09/19/2022 $248.68
Dwelling Units: 0 Plan Review 08/24/2022 $1,347.03
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/19/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/19/2022 $828.94
Value: $260,000 Info Process/Archiving-Lg$2.00(over 09/19/2022 $22.00
11x17)
Metro CET 09/19/2022 $312.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,265.00
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 i ay obtain a c y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/'Issued By: Permittee Signature: (1Cl_--cT
)////4-1 //)
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 F1ECEIVE FOR OFFICE USE ONLY
City of Tigard AUG 2 4 2022 Date'ved
By �-2.2_ /' �,, a),2—� S
111111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGABD Date/By: y Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Read B Juds: 0 See Page 2 for
pDIVISIO` y y
Internet: www.tigard-or.gov BUILDING '.otified,Method Supplemental Information
TYPE OF WORK REQUIRED HATA:I-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.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
['Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16655 SW 72"a Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Walen Construction 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.
Demo and remodel work to 12,783 sf of existing office space.Approx 2,860 SF of Valuation: $260,000.00
space will be converted back to a whse area.Work also includes the addition of Existing building area: 12783 square feet
overhead coiling doors in the loading dock area of the tenant space. MMD2022-00028 New building area: 12783 square feet
►« PROPERTY OWNER ❑ TENANT Number of stories: 1
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/A-3/S-1
Phone:(503)624-6300 Fax:(503)624-7755 New: B/A-3/S-1
►72 APPLICANT ❑ 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
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 PANELSYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:Walen Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9740 SW Wilsonville Rd,Suite 230 Solar Installation Specialty Code checklist.
City/State/ZIP:Wilsonville,OR 97070 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)718-6680 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:223805 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 Bume of Date: 8/24/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:A Building,Permits\BUP 'OMPermitApp.doe 02/24'2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIIv COMMUNITY DEVELOPMENT DEPARTMENT
II
Building Permit Review — Commercial - With Land Use
TIGARD
Building Permit #: _ 00Z3---
Site Address: UO 2SS S1o1 7ntd Ave Suite/Bldg#: '9\00
Project Name: \MAeV\ CO,A5 C i' \ t .
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review �{�
Proposal: 12 t` Th S ' ffi(I, t ‘ ) C t -34b0 s -iv 11�OlNcn lol1i )
,i ,tau 2_ okte( '&)d 0l oc/I- CLOTS a ' r 1 (awtl.
!1 erify site address/suite#exists and active in permit system. Za4e.
1 ''vet Terrace Neighborhood: El Yes41--:No
❑ and Use Case#: /N 7i�i!.
ans Match Approved Land Use:
hZ.Site Plan ❑ Landscape Plan ❑ Other:
❑ Urban Forestry Plan l'Elevation Plan
Building Height: Maximum Height Z-IS' Actual Height 3Z rft'
IQ Conditions Met: 1'Ik ❑ Prior to Submittal ❑ Prior to Permit Issuance
13usiness License:
Exists: , Yes ❑ No,applicant was provided a business license application
76.Public Facilities Improvement(PFI)Permit:
Required: ❑ Yes,applicant was notified No Applied For: ❑ Yes El No,stop intake
Notes:
Approved by Planning: Date: P(7Z4(0-2...-
Revisions (after Building Subm al only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 2w/ -
Site Plans: #
Building Plans: #
Building Permit#: /Cr— ter building permit#above.
Workflow Routing: Planning eering --Permit Coordinator wilding
Workflow Sign-off: /LJ Sign-off for Planning(include notes from planning review)
Route Application Documents: Bilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: —"mate: a 6,A2_
_ ....----(‘--Z
I:\Building\Forms\BldgPermitRvw COM_WithLandUse_111819.docx
r
Engineering Review
lizSlope at building pad: A
"PFI Permit#: �y�p
1
LJ Conditions "Met"prior to issuance of building permit Will
Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) NM
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Y No
Assess Water Quantity Fee in-lieu: ❑ Yes ^Y.No
LIDA Facility on lot: ElL�Yes ' No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes: -1:01.c.441- J+41f4 ete141" 44.1-
Approved by Engineering: �i'te, -1 Bv124-4-. , Date: otsiZAZ-
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
MkConditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
ZSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /N/A
Tigard Trans SDC: ❑ Yes ,Z N/A
Parks SDC: ❑ Yes )2I/ N/A
LIDA Fee: ❑ Yes / N/A
OK to Issue Permit
Approved by Permit Coordinator: PrrDate: a t (2o
7,2
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