Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2020-00157
Date Issued: 8/21/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 150
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Tenant improvement of existing space to include but not limited to on-structural drywall/metal studs,suspended
ceilings,doors/frames, painting,electrical and lighting.
Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-624-6300 PHONE:
FAX: 503-624-7755
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 08/21/2020 $1,030.65
Demolition
Occupancy Grp: B Occupancy Load: 40 12%State Surcharge-Building 08/21/2020 $123.68
Dwelling Units: 0 Plan Review 07/14/2020 $669.92
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/21/2020 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/21/2020 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 08/21/2020 $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 $2,494.51
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 wit 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: ) <1- ( L L_:1- Permittee Signature: CJ / f .7rJ/O C_/ c 1 7/6 "
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 t(�� pr. (/ FOR OFFICE USE ONLY
RECEIVE y E, iteceived .7� .�J
City of Tigard DateiB : 7 II vU ' a Permit .-4j II -��D i S /
13125 SW Hall Blvd.,Tigard,OR 97223 �I�� q Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 L2 5 202O Date/B : 7-,._ a - k, xi Other Permit:
T IG A R D Inspection Line: 503.639.4175 Dale Ready/By: r/ aril: ® See Page 2 for
Internet: www.tigard-or.gov . ITY OF TIGARD Notified/Method: A Z i 2.4) f/ j Supplemental Information
t iIILDIN(; nt\i! lfr' i��tA-iL- C'f'S
4-7
TYPE OF WORK REQUIRE DATA:::1-AND 2-FAMILYDWELLLNG
❑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 El Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15495 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 150 Project name: l50 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 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.
Project consists of remodel work to 3,960 SF of office space.Work shall include Valuation: $90,000.00
selected demo of existing nonstructural walls,nonstructural drywall/metal studs Existing building area: 3,960 square feet
walls,suspended ceilings,doors/frames,painting,electrical dist.&Lighting New building area: 3,960 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
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:(503)624-6300 F ax:(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 tee(or deposit): 6AY/y It,
�..
Contact name:Dick Krippaehne
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 PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic 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 30 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP:Portland,OR 97224
and administrative fees):
Phone:(503)624-6300 Fax:(503)624-7755 State surcharge(12%of permit fee):
CCB lie.: 153913 Total fee due upon application:
Authorized signature: t'` -. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne Date: (y'/25/2oz O * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
,n/l.v.,S
City of Tigard
~ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review - Commercial - No Land Use
Building Permit #: g t kP Zo 7_0 - 00!S7
Site Address: 549 5 SW Sequoia Pc r}raLl Suite/Bldg#: I5D
Project Name: 1SO spec 0
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. 1 .
Existing Business Activity: [){{1 to
Proposed Business Activity: O j cp
34, Verify site address/suite# exists and active in permit system.
•43i River Terrace Neighborhood: E Yes No
Zoning: (-P
4 Permitted Use: ...Yes ❑ No .Spec Space
laConfirm no land use required.
Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes: /
Approved by Planning: 7 L.- Date: (O(Zg/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: E Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: tP 2 5/00
Site Plans: # j
Building Plans: # 23
Building Permit#: [E Enter building permit# above. �B
Workflow Routing: ❑"')'Planning ❑ Permit Coordinator --.Euilding
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: 1;113-uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:/117)p).- � d- ---- Date: 7//Y/2
I:\Bui lding\Forms\B ldgP ennit Rvw_COMNo lan dUse_l 11819.doex
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: \CPC"
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic t:
Revision Notice 2: Date Sent to Applic.- :
Revision Notice 3: Date Sent to Ap..cant:
❑ SDC Fees Entered: Wash Co ans Dev Tax: ❑ Yes ❑ N/A
Tigar. rans SDC: ❑ Yes ❑ N/A
P. s SDC: ❑ Yes ❑ N/A
El OK to Issue Permit
Approved by Permit Coordinator: Date:
1::\Building\Fonns\B1dgPermitRvw_COM_Notand Use_111819.docx