Permit CITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2019-00127
T IG AR p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2019
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 190
Project: Harrison vacancy Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Demolition of(1)wall and relocating ceiling lights.
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-892-0066 PHONE: 503-624-6300
FAX: 503-892-0067
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 06/11/2019 $317.06
Demolition
Occupancy Grp: B Occupancy Load: 49 0
12/o State Surcharge-Building 06/11/2019 $38.05
Dwelling Units: 0 Plan Review 05/16/2019 $206.09
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/11/2019 $98.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/11/2019 $126.82
Value: $15,806 Info Process/Archiving-Lg$2.00(over 06/11/2019 $2.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $788.02
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:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This pennit 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.
1 Building Permit Application
vo" £."1 cali 1 IECEIVE ►—. 1()R(H l It 1. 1 `,1""()NoN
Tigard P:
of Tia d
II "� 1312S SW Hall Blvd.,Tigard,OR 97223 MAY 1 6 2019 Plan Review Q Other Permi
11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: c .- o ` ) 7 `
Ins ection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: G 'oris: 0 See Page 2 for
IIt•Aul> p
Internet: www.tigard-orgov BUILDING DIVISIO /tified/Metfiod / / Supplemental Information
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> .a .�� ���: B.. .• e�- t.,k,3�� .,.,.,.,. ,,,tea•, �= _-i.❑New ❑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
) work indicated on this application.
�sFs.
❑ 1-and 2-family dwelling ®Commercial/industrial
Valuation: S
ElAccessory building 0 Multi-family Number of bedrooms:
Master builder ❑Other: Number of bathrooms:
W �a 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.:Ste.190 Project name:Harrison Vac./190 Spec Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
0 i ,0? , t 1 Wit, t ST
Subdivision: L,ot 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
r' , work indicated on this application.
, �'„ �%.n.Y 6� .�:ea. - rte -, !/�-'04%4 ^4aw ..
Project consists of remodel work of 1,081 SF usable and 1,264 SF rentable to Valuation: $15,806.00
existing vacant office space.All work to meet ADA requirements. Existing building area: 1,081 square feet
U . [�(, t New buildingarea: 1,081 square feet
s uar
i
,� ami.' �� a; ', 4gti„ _ �� Number of stories: I
Name:Pacific Realty Associates,LP. Type of construction: II-B
Address: 15350 SW Sequoia Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(5113)624-6300 Fax:(503)624-7755 New: B
C name:Pacific
o , ..Cmc � �, l' ti• ::..e/i-� •� _3. o?
Businessacific Realty Associates,LP. � ��
Structural plan review fee(or deposit):
Contact name:Ryan McGuire
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 Phone:(. )
503 624-6300 a 503)624-7755 4
1 receive * "
E-mail:permits@pactrust.com com/ryanm®pactru stcom
w -F Commercial and residential prescriptive installation of
's911;;;;:j
`ii''''':"4"'''* - roof-to mounted PhotoVoltaic SolarPanel System.
Business name:Matthew Olson Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5320 SW Dover Lane Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97224-1025 Permit fee(includes plan review $180:00
and administrative fees): ,
Phone:(503)892-0066 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:198796el"'
ii.
Total fee due upon application: $201.60
Authorized signator< „ This permit application expires if a:permit is not obtained
within 180 days after it has been accepted as complete.
Print name;Ryan M.Ade Dat 3/14/19 * Fee methodology set by Tri-County Building Industry
ti� Scrvicc Bum&.
1:lBuilding\Permits\BUP-COM PemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
e COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c n R D Building Permit Review — Commercial - No Land U s e
Building Permit #: J 1(/ 2'O(' -(27
Site Address: /C-.2S'� tc) S-e te&u 147 Suite/Bldg#: l9(_)
Project Name: Poe-7711d--
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /J l
Proposal: / /U r GJ t2*� r s' - ee C�
U -
Existing Business Activity: deA7Le
Proposed Business Activity: pe ice
Verify site address/suite# exists and active
ain permit syste
a'ver Terrace Neighborhood: CI Yes No
ning:
1-A
Vyermitted
-A
rmitted Use: ❑ Yes ❑ NoL/J Spec Space
firm no land use required.
[1d Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: OiI 49
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: 5-1/ 7/
Site Plans: #
Building Plans:
Building Permit#: nter building permit#above.
Workflow Routing: lanning ❑ P oordinator uilding
Workflow Sign-off: RrSign-off for Planning(include notes from lammng review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �Cg'°4
fr4.17Ar D ate: s�l6���
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "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 Applic.
Revision Notice 3: Date Sent to Ap. :cant:
❑ SDC Fees Entered: Wash Co Tr, s Dev Tax: ❑ Yes ❑ N/A
Tigard T .ns SDC: ❑ Yes ❑ N/A
Par :'SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit oordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx