Permit (216) CITY OF TIGARD BUILDING PERMIT
Ili . , COMMUNITY DEVELOPMENT Permit#: BUP2019-00201
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2019
T t(_ r1 R[7 g Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 100
Project: Pacific Star Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Demolition and addition of drywall,metal studs,floor finishes,doors,and frames for TI.
Contractor: MATTHEW OLSON CONSTRUCTION Owner: PACIFIC REALTY ASSOCIATES LP
5320 SW DOVER LN ATTN: N PIVEN
PORTLAND, OR 97225 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-892-0066 PHONE: 503-624-6300
FAX: 503-892-0067
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/15/2019 $910.17
Demolition
Occupancy Grp: B Occupancy Load: 43 12%State Surcharge-Building 08/15/2019 $109.22
Dwelling Units: 0 Plan Review 08/13/2019 $591.61
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/15/2019 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/15/2019 $364.07
Value: $73,555 Info Process/Archiving-Lg$2.00(over 08/15/2019 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,083.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire;Alarm: inotiected Corridor§:
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 ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952- -0090. You may thin a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: N‘ Air
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. f
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 a-; , >x '
City of Tigard yy 99 19 Raeived 12 /7, /bdt!„w brri , '
II
r
AUG 1 e� 2019 Date/By: !/ %(�"Yj� nn�(/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie�y�/' V
Phone: 503.718.2439 Fax: 503.598.1960 t ,'i D te/ eyv 3 • j 3 . j Other Permit:
T 1 C ARD Inspection Line: 503.639.4175 Tete Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov :.,-1,! r a ' ' otife, -od:i L/ 7y / Supplemental Information
„, ,7,LZ. . , y 1 ''''-',;r
I' :''''''''t I
•
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION'AND LOCATION Total number of floors:
Job site address:15055 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:PacStar 2019 Improvements Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIREDDATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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 WORD work indicated on this application.
Project consists of minor TI work to 4,283 SF of existing 23,511 SF tenant space Valuation: $73,555.00
�,
Work shall include selective demolition,drywall/metal studs,floor finishes, Existing area: 4,283 square feet
doors/frames/hardware&painting.All construction to comply with code. New b tdAi.. area: 4,283 square feet
Er 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-2
Phone:(503)624-6300 Fax:(503)624-7755 New: B,S-2
® APPLICANT
_ 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Pacific Realty Associates,LP. (Please rejerrneeachedute
Structural plan review fee(or deposit):
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:
------—Phone:(503)674-63u0 --_- 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:Matthew Olson Construction Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5320 SW Dover Lane Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97225 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)892-0066 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 198796
Total fee due upon application: $201.60
Authorized signature: �// This permit application expires if a permit is not obtained
g % _ -- __ within 180 days after it has been accepted as complete.
Print name:Robert Bumcrot `�� Date: methodologyby Tri-County p g Industry' * Fee set Tri-Coon Building
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
p COMMUNITY DEVELOPMENT DEPARTMENT
■
T1GARD Building Permit Review — Commercial - No Land Use
Building Permit #: f /4 eoLvi , 0020/
Site Address: i 50 G 5 Sv.1 ceccJL' l`ci PlW Suite/Bldg#: l G 0
Project Name: P c: C S i-671 ,r- J\cit rro� n -4---) I
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: i Y1 L r 1 L S c' .t.f 1v^e_ (Lif ,n'} (?X i S
2ciuL
Existing Business Activity: S h Y1 G'} , -eth 6.74' - t y(.41G1
Proposed Business Activity:
yl Verify site address/suite# exists and active in permit system.
pi River Terrace Neighborhood: ❑ Yes .4 No
Zoning: P
) ' Permitted Use: 71. Yes CINo ❑ Spec Space
AConfirm no land use required.
pBusiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ,47) Date: 9/ / / ci
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: 1 /illy
Site Plans:
Building Plans: # 3
Building Permit#: nter buildin permit#above.
Workflow Routing: lanning ermit Coordinator uilding
Workflow Sign-off: ign-off fo lanning(include notes f planning review)
Route Application Documents: N�--Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / /
By Permit Technician: 1 ,, , ������ Date: /
I:\Building\Forms\BldgPermitRvw COM NoLandUse 060116.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:
G SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes (-)\11A
Tigard Trans SDC: ❑ YesA
Parks SDC: 1=1Yes Z/A
OK to Issue Permit �
Approved by Permit Coordinator: `t Date:
I:1Building\Forms\BldgPennitRvw_COM_NolandUse_070915.docx