Permit Building Permit Application 8I2 il2v a
Commercial RECEIVED FOR OFFICE USE ONLY
Received R 7 Ail cap q� �}� 9p
City of Tigard Date/ByOv`�/`�OG� �j/{? Permit No C�' ,20�.p-C/L/4 fQ
13125 SW Hall Blvd.,Tigard,OR 97223 AUG 24 2020
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: 9 (�'� Other Permit.
7 1( A R 13 Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: rs: 65 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: (j►0 ?p �alure I Supplemental InformationV
C - r _ r ,&E. ..4
TYPE OF ;i l'I i REQ D DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*arc 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 LECommercial/industriall/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:140 Project name:Mercury Development TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
ek) .e(rr�v-r i-S f C2. 'ot r 4 IJ/I j/7y 4•r 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 splitting existing 4,132 SF space into 2 separate tenants w/ Valuation: $5,410.00
Mercury Dev.retaining 3,148&remaining leased to others.Includes selected Existing building area: 3,148 square feet
demo,studs walls,susp.ceilings,doors/frames,painting,elect.dist.,lights New building area: 3,148 square feet
El PROPERTY OWNER ❑ 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
Phone:(503)624-6300 Fax:(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 fee(or deposit): /az 22_
Contact name:Robert Bumcrot
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 PHOTOVOLT4IC 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 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
+Cigilauy signed by Robert Bumcrol
Authorized signature: ROberl+ Bumcrot rN'i.Hcne-Um< OPaarust`rem'o-aacTr°e,' This permit application expires if a permit is not obtained
.nee:2020.08 24 1 a:4o:1e.0700' within 180 days after it has been accepted as complete.
Print name:Robert Bumcrot Date: 8/24/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
City of Tigard
III 11 COMMUNITY DEVF.T OPMENT DEPARTMENT
•
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /P,222O— 9&/ 98
Site Address: 15350 SW Sequoia Pkwy Suite/Bldg#: 140
Project Name: Mercury Development
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Split existing tenant space into 2 tenant spaces. New space will be spec space.
Existing Business Activity: Office
Proposed Business Activity: Office/Spec Space
❑r Verify site address/suite# exists and active in permit s stem.
❑r River Terrace Neighborhood: ElYes No
CI Zoning: I-P
CIPermitted Use: ❑s Yes ❑ No Q Spec Space
❑s Confirm no land use required.
❑ Business License: N/A
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: Date: 8/25/20
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: oe32€ -j`QZ J
Site Plans: # 3
Building Plans: # 3
Building Permit#: DeEnter buildinggermit# above. B n�
Workflow Routing: ❑'�Planning [J Permit Coordinator L� uilding
n
Workflow Sign-off: ln�,ign-off for Planning(include notes from planning review)
Route Application Documents: Ltd—t-uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: "— //'/Jll>> Date: O /'22ZO
I:1Building\Forms\BldgPermi tRv w_COM_NoLandUse_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 A cant:
Revision Notice 2: Date Sent t. pplicant:
Revision Notice 3: Date Se to Applicant:
❑ SDC Fees Entered: W.: Co Trans Dev Tax: ❑ Yes ❑ N/A
igard Trans SDC: ❑ Yes ❑ N/A
/ Parks SDC: ❑ Yes ❑ N/A
O OK to Issue Perm'
Approved by P it Coordinator: Date:
I: 111819.docx