Permit CITY OF TIGARD BUILDING PERMIT:'' COMMUNITY DEVELOPMENT Permit#: BUP2020-00174
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8l24/2020
T t c d rA lY C Parcel: 2S 101 AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY
Project: PacTrust Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Interior improvements of common area corridors,lobby,toilet rooms and stairwells.
Contractor: CENTREX CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES
8250 SW HUNZIKER RD ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-0443 PHONE:
FAX: 503-620-6692
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIA Permit Fee-Additions,Alterations, 08/24/2020 $5,812.45
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 08/24/2020 $697.49
Dwelling Units: 0 Plan Review 08/03/2020 $3,778.09
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/24/2020 $406.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/24/2020 $2,324.98
Value: $950,000 Info Process/Archiving-Lg$2.00(over 08/24/2020 $36.00
11x17)
Metro CET 08/24/2020 $1,140.00
Floor Areas: Tigard CET-Non-Residential-Admin 08/24/2020 $380.00
Total Area: 0 Tigard CET-Non-Residential-AH 08/24/2020 $9,120.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $23,695.01
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: C72 ( Permittee Signature: 6/t1 417°/Q L ���d
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 RECEIVE .
'/7 tl
Commercial FOR OFFICE USE ONLY
City of Tigard JUL 2 7 2020 DateBed 7/. f�2a ���y� 017�
Other Permit:
y:
IN
" 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Revie v lap Permit_ Phone: 503.718.2439 Fax: 503.598.19 Date/By:Inspection Line: 503.639.4175 IL LDING DIVISION Date Ready y: June H See Page 2 for
TIGARD
Internet: www.tigard-or.gov Notified/Methed: t7>/,/v/}Q Supplemental Information
ei .9rL_ / /eb--
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
I Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and[he profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwellingValuation: $
0 I-and 2-family ®Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12909 SW 68's Parkway New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ppc082 Common Area TI 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.
Scope of work includes common area improvements to all corridors,lobby,toilet Valuation: $950,000.00
rooms,and stairwells Existing building area: 10000 square feet
New building area: 10000 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
„so*Name:Pacific Realty Associates,LP. Type of construction: IIA
1 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 0 CONTACT PERSON BUILDING PERMIT FEES*
A Business name:Pacific Realty Associates,LP. (Please refer ro fee schedule
)
‘1, Structural plan review fee(or deposit): S 7 7 k"toe
Contact name:
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:Centrex Construction Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:8250 SW Hunziker Street Solar Installation Specialty Code checklist.
City/State/ZIP:Tigard,OR 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)684-0443 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:56358 Total fee due upon application: $201.60
Pacific Realty Associates,L.P. This permit application expires if a permit Is not obtained
BY y j (
Authorized signature: �} . r
within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne t Date: July 15,2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits;B COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
III •
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: i3 LlY° 20 20-- CO 17 y
Site Address: 1E0101 sw (a l Rii( W&t.L1 Suite/Bldg#:
Project Name: COMM()V1 t I .
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Gyvi V CU-Cm 1 1 ,
Existing Business Activity: N/ A
Proposed Business Activity: k// p(--
V' Verify site address/suite#exists and active in permit system.
A. River Terrace Neighborhood: ❑ Yes V No
Zoning: LA
(Permitted Use: E Yes ❑ No ❑ Spec Space
Confirm no land use required.
XBusiness License:
Exists: , Yes ❑ No,applicant was provided a business license application
Notes: n
Approved by Planning: l (/ ' Date: -7 l/2 120
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved D Not Approved
Revision 3: ❑ Approved E Not Approved
Building Permit Submittal
Original Submittal Date: 7/i 7/Zf)
Site Plans: #
Building Plans: # 3
Building Permit#: 'B'Enter building permit#above. �
Workflow Routing: Planning ❑ Permit Coordinator 2'Building
Workflow Sign-off: [fi Sign-off for Planning(include notes from planning review)
Route Application Documents: l�T ilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 421' � -- Date: 7/3 j 7-D
1:\Building\Forms\BldgPermitRvw_COM_NolandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of buildin t
0 Approved,NOT Released: Date:
•
Notes:
Revisions (after Building Submittal • y)
Revision Notice 1: Date :ent to Applicant:
Revision Notice 2: D. e Sent to Applicant:
Revision Notice 3: "ate Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
0 OK to Issue rmit
Approved by Permit Coordinator: Date:
1:\Building\Forms BldgPermitRvw_COM_NotandUse_111 8 19.docx