08-August (3) 1.14---
CITY OF TIGARD BUILDING PERMIT
11 COMMUNITY DEVELOPMENT Permit#: BUP2023-00146
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/30/2023
Parcel: 2S 113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE, STE#135
Project: Tiland-Schmidt Subdivision: None Lot: None
Project Description: TI for existing tenant: Expansion into adjacent space. Includes demolition of demising wall and partitions.
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: IIB Permit Fee-Additions,Alterations, 08/30/2023 $347.48
Occupancy Grp: A-4 Occupancy Load: 33 Demolition
12%State Surcharge-Building 08/30/2023 $41.70
Dwelling Units: 0 Plan Review 08/14/2023 $225.86
Stories: 0 Height: 0 ft Tenant Improvements in Existing 08/30/2023 $123.00
Bedrooms: 0 Bathrooms: 0 Development
Value: $18,000 Plan Review-Fire Life Safety 08/30/2023 $138.99
Info Process/Archiving-Lg $2.00(over 08/30/2023 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $881.03
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: ...._75)r____„.... Permittee Signature:
Call 503.639.4175 by 7: .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 ONL Y
City of Tigard Received
�J Date/By: ',4' i if Permit No.: 1314 r3-001 -.
III a 13125 SW Hall Blvd.,Tigard,OR 97 p Plan Review /
• . Phone: 503.718.2439 Fax: 503.598 9 ��jEI M ��""++' Date/By: • J G - Other Permit:
I I G A It ll Inspection Line: 503.639.4175 Date Ready/By. l t"r;s_ I HI See Page 2 for
Internet: www.tigard-or.gov AUG 14 2023 Notified Method: /� lei � ��/1 Supplemental Information
,x?Te/r
Yc'�rnr
TYPE OF WOIttry OFTIGAR I lU41Ar i,i viiti 11!YELLING
❑New construction DiNtilDiNG DIVISION Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alterationlreplacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUt°1J<ON 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: 16101 SW 72nd Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:135 Project name:pbc191-Schmidt Expansion Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
11RED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Existing tenant currently occupies 2,852 SF&will expand into the adjacent Valuation: $18,000.00
2,023 SF w/minor remodel work in expansion space.No work in existing space. Existing building area: 2,023 square feet
Work in expansion sapce includes selected demo of existing nonstructural walls. New building area: 2,023 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Pacific Realty Associates,LP. Type of construction: III-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 [] CONTACT PERSON BUILDING PERMIT FEES*
.- - (Please refer to fee schedule)
Business name: Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
Contact name:Dick Krippaehne
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
lI .,, II) d ,,, j _ �+ Commercial and residential prescriptive installation of
'r - ,tl j t ,, rl Oli„ I _ :„ 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
qcra: G t!:R-rt.444s-t4" 5 I- '.
Authorized signature: I This permit application expires if a permit is not obtained
iZ 7 f � within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: EP `b.E-`'ZD7i3 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits1BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
111 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ����2-3l414,
Site Address: /(r21 DI SW 32_ND AT_ Suite/Bldg#: 1 S—
Project Name: Jkri Or Ai2Ctii ten i C__,
(Name of commercial business occupying the space. if vacant,enter Spec Space.)
Planning Review
Proposal: -rt.
Existing Business Activity: O (SIeM 7 )
Proposed� Business Activity: t reric ( ftih orA if gym')
1Cl Verify site address/suite#exists and active in permit system.
❑ r Terrace Neighborhood: 0 Yes ❑ No
(J n1ng: 1 P
CJ P tted Use: es ❑ No 0 Spec Space
Co no land use required.
Afriusiness License:
Exists: 2�Yes ❑ No,applicant was provided a business license application
Notes: txpAroiNgc, i NtU SUIT pvcr 1 T)4M 1 y ReMU/I N, A am t!i ti6
Suii 0 / ( . ,D��-17CR121 G'L L+u"
Approved by Planning: - Date: g/(t(/Zrj
Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
In � /NJ
Site Plans: # tt/
Building Plans: # 3
Building Permit#: r building permit#above.
Workflow Routing: L�1'fanntrtg LT1'ermit Coordinator ding
Workflow Sign-off: ae' Sign-off for Planning(include notes from planning review)
Route Application Documents: Lding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: Oljbi
I:1BuildingForms1B1dgPermitRvw COM_NoLandUse 09072022.docx
En •neen'ng Review
❑ Slope . . .uilding pad:
❑ PFI Permit %
❑ Conditions"Met' : or to issuance of permit
❑ Easements (encroach ;its)per engineering conditions of approval and plat(not on SDR/CUP)
❑ Water Quality/Quantity Fa. 'tr.
Assess Water Quality Fee in-:-u: ❑ Yes ❑ No
Assess Water Quantity Fee in-lie ❑ 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 Su tttal only) Re c er Date
Revision 1: ❑ Appr ed ❑ Not Approved
Revision 2: ❑ proved ❑ Not Approved
Revision 3: Approved ❑ Not Approved
emit Coordinator Review
Conditions "Met"prior to issuance of permit
Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
DC Exemption ❑ Applied for ❑ Received Does not apply
ees 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/
OK to Issue/Approved by Permit Coordinator: w 1 \Vw Date: `(52.`Z
Revisions (after Building Submittal only) Reviewer
Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:1Build ing\Forms\BldgPerm itRvw_COM_NoLandU se_08162022.docx