Permit CITY OF TIGARD BUILDING PERMIT
m Permit#: BUP2020-00054
2 COMMUNITY DEVELOPMENT
Date Issued: 03/05/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16505 SW 72ND AVE
Project: Spec Space Subdivision: None Lot: None
Project Description: Adding new exterior entry and concrete walkway to connect with an existing sidewalk. Work shall include
landscape work.
Contractor: VANOSDEL CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1057 ATTN: N PIVEN
BATTLE GROUND,WA 98604 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-687-8636 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 03/05/2020 $225.80
Demolition
Occupancy Grp: S-1 Occupancy Load; 12%State Surcharge-Building 03/05/2020 $27.10
Dwelling Units: Plan Review 02/26/2020 $146.77
Stories: Height: ft DC Provision Review,COM TI-Ping 03/05/2020 $102.00
Bedrooms: Bathrooms: Info Process/Archiving-Lg$2.00(over 03/05/2020 $2.00
Value: $10,000 11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $503.67
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: Perrwittee Signature: Pet)(-
3.639.4175 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 FOR OFFICE USE ONLY
ErilCity of Tigard RECEIVED Received ��) ,.. P,L, �y�UySC
13125 SW Hall Blvd.,Tigard,OR 97223 PlaDatReviewp'� ' /� P(� . 1 (ifs/Oy,
Phone: 503.718.2439 Fax: 503.598.ISr6�B 2 6 ZO2 Date By: /�11►y ./7^) ��n u -dOo( C/
TIGARD Inspection Line: 503.639.4175 Date Ready/By: s�(� 7 loos. ® See Page 2 for
Internet: www.tigard-or.gov GIN OF TIGARD o fied Method: Ilhhii '1 Supplemental Information
,1 In n nIVISION
INC,
TYPE OF WORK � :' RE *-00.DATA:I-AND 2-FAMILY DWELIJNG
❑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
,,,,,, 1174work indicated on this application.
CATEGORY OF CONSTRUCTION , 1 „�
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORM.A'1ION AND LOCATION Total number of floors:
Job site address:16505 SW 72nd Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 16505 Spec Entry Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
3j i DESCRIPTION OF WORK work indicated on this application.
Project consists of adding a new exterior entry and concrete walkway to connect Valuation: $10,000.00
.
with an existing sidewalk.Work shall include but not be limited to building Existi a
ng ua: 36116 square feet
grAcce
building storefront and site/landscape work.All work to meet ADA requirements New•iwakling area: 36116 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
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: B/S-1
Phone:(503)624-6300 Fax:(503)624-7755 _ New: B/S-1
® APPLICANT ❑ CONTACT PERSON BUILDING PERMTFFEES*
(Please refer 10 fee schedule)
Business name:Pacific Realty Associates,LP.
Structural plan review fee(or deposit):
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:VanOsdel Construction,LLC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 1057 Solar Installation Specialty Code checklist.
City/State/ZIP:Battle Ground,WA 98604 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)687-8636 Fax:(360)687-7677 State surcharge(12%of permit fee): $21.60
CCB lic.:215976 Total fee due upon application: $201.60
F IrCL �c ,,i., aktg KLS I.....*C t T .l�.
Authorized signature: This permit application expires if a permit is not obtained
}/ Fa,�4 1_ trJ V within 180 days after it has been accepted as complete.
Print name:Richard J.Krippaehne l� Date: 2 74(Zp69 * Fee methodology set by Tri-County Building Industry
I Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: gj G(ioe,),o moo(/5-11
Site Address: /eP $ ,gl ,2, / ,4.,p Suite/Bldg#:
Project Name: - C_ a
(Name of commercial siness occupying the space. If vacant,enter Spec Space.)
Planning Review 1
(/
Proposal: �.e? e+�7TY�J 194—Silf
10/
Verify site address/suite#exists and active in permit syste .
In t. •er Terrace Neighborhood: 1�/A^ ❑ Yes '�G No
litAand Use Case#: fli) /q ®iCL2 _
VJ Pl Match Approved Land Use:aCS'te Plan andscape Plan > ther:
111' Urban Forestry Plan 14 Elevation Plan
►I Building Height: Maximum Height y( Actual Height guo C'
1F" .nditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuan
!I Business License:
Exists: ❑ Yes No,applicant was provided a business license application
Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified 1Q No Applied For: ❑ Yes 0 No,stop intake
Notes:
Approved by Planning: .--C----„. Date: <4642-0
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal r�
Original Submittal Date: /Z
Site Plans: #
Building Plans: #
Building Permit#: L. nter building permit#above.
Workflow Routing: ►i— lanning ) Engineering ermit Coordinator `1�,Building
Workflow Sign-off: i ign-off for Planning(include notes from planning review) /
Route Application Documents: 'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
1
By pr ci , 2
Permit Technician: 1 Date:
I:\Building\Forms\BldgPemvtRvw_COM_WithtandUse_1118I9.docx
Engineering Review
E Slope at buildim)...d:
❑ PFI Permit#:
❑ Conditions "Met"p 'or to issuance of building permit
❑ Easements (encroach ents)per engineering conditions of approval and plat(n. typical on SDR/CUP)
❑ Water Quality/Quanti acility:
Assess Water Quality ee in-lieu: ❑ Yes ❑ No
Assess Water Quantity ee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engin•ering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal on ) Reviewer Date
Revision 1: ❑ Approved ❑ N.t Approved
Revision 2: ❑ Approved ❑ No •pproved
Revision 3: ❑ Approved ❑ Not • .prove.
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of buildin• :-rmit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal onl
Revision Notice 1: Date Sent • Applicant:
Revision Notice 2: Date Sen o Applicant:
Revision Notice 3: Date Se to Applicant:
❑ SDC Fees Entered: Wash • Trans Dev Tax: ❑ -s 0 N/A
Tigar. rans SDC: ❑ Ye• 0 N/A
Parks SDC: ❑ Yes ❑ N/A
El OK to Issue Permit
Approved by Permit Coord' ator: Date:
I:\Building\Forms\BldgPermitRvw_COM_W ithIandUse_111819.docx