Permit INCITY OF TIGARD BUILDING PERMIT
•
I ' COMMUNITY DEVELOPMENT Permit#: BUP2020-00043
T 1 GAR 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2020
Parcel: 2S112DD00200
Jurisdiction: Tigard
Site address: 15862 SW 72ND AVE 100
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work prior to TI:Demolition,partition walls,and doors.
Contractor: SAGE CONTRACTORS INC Owner: PACIFIC REALTY ASSOCIATES LP
12210 SE 162ND AVE ATTN: N PIVEN
CLACKAMAS, OR 97086 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-558-1009 PHONE:
FAX: 503-558-8009
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/09/2020 $286.64
Demolition
Occupancy Grp: B Occupancy Load: 49 12%Stale Surcharge-Building 03/09/2020 $34.40
Dwelling Units: 0 Plan Review 02/20/2020 $186.32
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/09/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/09/2020 $114.66
Value: $13,632 Info Process/Archiving-Lg$2.00(over 03/09/2020 $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 $728.02
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 ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
j ,
Issued By: _ L Permittee Signature: ,� _
/ % Call 503.639.4176 by 7:00 a.m.for the next available inspection date.
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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
City W Tigard Received Permit No.:
DateBy: ��i i.. , ,tl�i/9��iJ�vc:?l y�'
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Eri
Phone: 503.718.2439 Fax: 503.5 'e Via, DareB p�- f — Other Permir.
Inspection Line: 503.639.4175 [r If r-s y
T I GARD P tax y;,R p, 5s� Dare Ready/Sy: / Jells H See Page 2 for
Internet: www.tigard-or.gov N tified/Metho /1 JP* Supplemental Information
TYPE OF WORK REQUIRED DATA:.1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition ''s5 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
ElI-and 2-family dwelling ElCommercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
El Master builder CI Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15862 SW 72nd Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 100 Project name:pcc210-100 Spec Office 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 Ices* 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.
Project consists of remodel work to 3,926 SF of existing retail space in Valuation: $13,632.00
preparation for TBD future tenant.Work shall include selected demo of existing Existing building area: 3,926 square feet
non structrual walls,doors/frames,paint,electrical distribution &lighting New building area: 3,926 square feet
® PROPERTY OWNER 0 TENANT Number of stories: l
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: NI
Phone:(503)624-6300 Fax:(503)624-7755 New: NI
® 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:Ryan McGuire
FLS plan review fee(if applicable):
Address: 15350 SW Sequoia Parkway,Suite 300 Total fees due upon application: /76,
V
City/State/ZIP:Portland,OR 97224
Amount received:
Phone:(503)624-6300 Fax::(503)624-7755
*I1OT:OVOLTAIC-SOLAR PANEL SYSTEM FEES*
E-mail:permits@pactrust.com
Commercial and residential prescriptive installation of
CONTRACTOR KJ1.r.-- roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sage Contractors Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:14785 S.Lotus Lane Solar Installation Specialty Code checklist.
City/State/ZIP:Oregon City,OR 97045 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)558-1009 lip Fax:(503)558-8009
State surcharge(12%of permit fee): $21.60
CCB lie.: 127944
Total fee due upon application: $201.60
Authorized signatu This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
/ / �� * Fee methodology set by Tri-County Building Industry
Print name:Ryan Date: Z
I Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
71 ■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: etve727,t,- o 3
Site Address: S°3Co 2 SW 7 2n a u re. Suite/Bldg#: j o a
Project Name: pc G 2,10 . ( p0 SP-c 0 FG;c_e-.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T V1 te-4112 r TT 10 r S PQ c- S Pot,,,L.
Existing Business Activity: 0 (. aa-
Proposed Business Activity: Mal C�►.Gt✓tc), o ,
pi Verify site address/suite# exists and active in permit system.
gRiver Terrace Neighborhood: ❑ Yes 0 No
Zoning 1 P
7 Permitted Use: 0 Yes ❑ No ,m Spec Space
jZi Confirm no land use required.
vf Business License:
Exists: 0 Yes F No,applicant was provided a business license application
Notes:
Approved by Planning: ��1^" 1^�^- Date: Z/l I /20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 4/1t/A2
Site Plans: #
Building Plans: #
Building Permit#: r building�permit t##above.
Workflow Routing. E'P1an ning Kd�ermtt Coordinator B g
Workflow Sign-off: ick$r off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: ;z.1/3/?4,
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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:. /
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes lCJ N/A
Tigard Trans SDC: ❑ Yes f N/A
Parks SDC: ❑ Yes ErN/A
OK to Issue Permit
/////1Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPertmtRvw_COM_NolandUse_111819.docx