Permit CITY OF TIGARD BUILDING PERMIT
1111 �. COMMUNITY DEVELOPMENT Permit#: BUP2019 00342
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2020
Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY, STE# 100
Project: Spec space Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Demolition and addition of walls,ceiling,doors,frames,in office and restrooms facilities.
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: 503-624-6300
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 01/07/2020 $857.46
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: B Occupancy Load: 113 12%State Surcharge-Building 01/07/2020 $102.90
Dwelling Units: 0 Plan Review 12/19/2019 $557.35
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 01/07/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/07/2020 $342.98
Value: $66,369 Info Process/Archiving-Lg$2.00(over 01/07/2020 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,972.69
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 01-0090. You ay obtain a co f the es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: .. Permittee Signature: C Q4 -
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 RECEIVE FOR OFFICE USE ONLY
Cityof Tigard Received
Date/By: l P [ (yd��a //ram L2 J
III 4 131 SW Hall Blvd.,Tigard,OR 97223 DEC 19 2019 Plan Review / ��� 1/Ul`lzL / �s
Phone: 503.718.2439 Fax: 503.598.1960 I Other Permit:
OF TIGARD Date/By: �'3 1 9
C 1 G A R D Inspection Line: 503.639.4175 CITYto Ready/By: J luris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO ified/Method• •Z- if 7 de Supplemental Information
r
I� \y TYPE OF WORK ''' 4 REQUIRED DATA-•1-AND 2yFAMI•LY 11•WELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate thevalue(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CQNSTRUdON work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
i. w .JOBISITlE" OR•'IATION AND LOCATION Total number of floors:
Job site address:15333 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:pcc228-SpecOffice 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.
Remodel&demo work to 11,247 SF existing office.Work incl.demo of existing Valuation: $66,369.00
walls,ceilings,lighting,&RR facilities.New walls,ceilings,lighting,&RR Existing building area: 11247 square feet
facilities.Constr.incl.metal studs,suspended ceilings,doors/frames,paint New building area: 11247 square feet
el PROPERTY OWNER 0 TENANT 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/S-1
Phone:(503)624-6300 Fax:(503)624-7755 New: B/S-1
® APPLICANTS 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:Robert Bumcrot
Address: 15350 SW Sequoia Parkway,Suite 300 FLS p' n review fee(if applicable):
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 PIIOTOVOLTAIC'SOLAR PANELSYSS FEES*
CO Commercial and residential prescriptive installation of
_.•• roof-top mounted Photo Voltaic 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 $180.00
and administrative fees):
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee): $21.60
CCB lie.: 153913
Total fee due upon application: $201.60
Authorized signature: P.21. This permit application expires if a permit is not obtained
______________` within 180 days after it has been accepted as complete.
Print name:Robert Bumcrot Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
'PICity of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - \o Land U s e
Building Permit #: &eg.), / G�3 429
Site Address: 1 333 Sv✓ Swett RA / Suite/Bldg#: 1TO
Project Name: PCL2 " Cotc aiQ.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: zAI-COr Ti
Existing Business Activity: 0 V—
Proposed Business Activity: ,��„l 04- r. j
[l/' Verify site address/suite#exists and active in permit syste .
El iver Terrace Neighborhood: ❑ Yes Lr No
[9 Zoning: Z—10 f
tetPermitted Use: El Yes CI No L/ Spec Space \clej,,,-)-
UV' Confirm no land use required.
[ Business License:
Exists: El Yes El/No,applicant was provided a business license application
Notes:
Approved by Planning: ADate: I 2--I !`I
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: ioZ. / 7//! /
Site Plans: #
Building Plans: # 3
Building Permit#: ► --titer building permit#above.
Workflow Routing: 'Mr nning rmit Coordinator •ding
Workflow Sign-off: ► ign-off for anning(include notes fro planning review)
Route Application Documents: 9uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 1,2_./l'`?<!
I:\Building\Forms\B1dgPermitRvw_COM_No LandUse_l 11819.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 Applicant:
Revision� Notice 3: Date Sent to Applicant:
L9YSDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 2'N/A
Tigard Trans SDC: ❑ Yes 12- 1`A
VOK
Parks SDC: ❑ Yes N/A
to Issue Permit
Approved by Permit Coordinator: Date: r 2 2 3)/4)
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_111819.docx