Permit y ps i 01TY OF TIGARD — BUILDING PERMIT
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PERMIT #: BUP2007 -00207
COMMUNITY DEVELOPMENT DA ISSUED: 4/13/2007
TIGARD 13125 SW Hall Blvd., Tigard,.OR 97223 503.639.4171
PARCEL: 2S 112DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI and demo - add storefront, alter ceiling grid .
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 160 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 80,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ROBERT EVANS
15350 SW SEQUOIA PKWY #300 -WMI '. , 1200 NE 48TH AVE. STE 1250
PORTLAND, OR 97224 HILLSBORO, OR 97124
Contact #: PRI 503 - 648 - 7805
Phone:
Reg #: LIC 14426
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/13/2007 $634.90
[TAX] 8% State Surcharl 4/13/2007 $50.79
[FLS] FLS Pln Rv 4/13/2007 $253.96
[BUPPLN] Pin Rv 4/13/2007 $412.69
Total $1,352.34 .
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 than 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 -0100. You may obtain a c• sy of these • sired questions
to OU NC • a ing ' .24 • _ • 99 or 1.800.332.2344. .
Iss ed By: / 44, .. I ✓ Permittee Signature:` `
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
a CITY OF TIGARD BUILDING PERMIT
!••• , COMMUNITY DEVELOPMENT Permit #: BUP2009-00207
T tGARLS 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 11/05/2009
Parcel: 1S 135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 300
Subdivision: Lot: 0
Project: Forest City
Project Description: Interior TI, demo, new walls, doors, relites, casework, and restroom modification and expansion.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 11/05/2009 $1,038.18
CALIFORNIA ST 49TH FL Demolition
PHONE: 12% State Surcharge - Building 11/05/2009 $124.58
Plan Review 11/05/2009 $674.82
Plan Review- Fire Life Safety 11/05/2009 $415.27
Contractor:
RUSSELL CONSTRUCTION INC
20915 SW 105TH AVE
TUALATIN, OR 97062
PHONE: 503 - 228 -4898
FAX: 503 - 228 -2770
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 3 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $91,000
Floor Areas: •
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,252.85
Reauired: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 . re set forth in OAR
952- 001 -0010 thr ugh AR 952 - 001 -0100. You may obtain 1 a ( copy of the rules or direct questions to OUNC by calling 50 .24;.6699 or 1.8.0 4.
A N Issued By: Yvk � .0 u n n h Permittee Signature: , ��
Call 503.639.4175 by 7:00 a.m. for an inspection that business d:y.
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.
■
iw .1
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Date "cd • : L p .
111M, iii - DO, •
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan R i l i
II I
m Phone: 503.639.4171 Fax: 503.598.1960 DateB , (��� Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Rea ° -y: % ® See Attached Checklist for
Internet: www.tigard - or.gov Notified/Me hod: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Ei Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I - and 2- family dwelling Valuation: $
® C ommercial /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: J,,,, - f t A. �, ,K //rf New dwelling area: square feet
City / State/ZIP: - ley e L bap. Q 2 9, ,22 y Garage/carport area: square feet
Suite/bldg. /apt. no.: � Projec{ name: FC �...?J -- j i 6 Covered porch area: square feet
Cross street/directions to job site: e 6P16_ ai Deck area: square feet
Other structure area: square feet
REQUIRED DATA: 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 WORK work indicated on this application.
AD .D .. .c . 7 - 0 et (-. e- A y ,a. ■L■ 0 Av• c., /
` Valuation: $ 9' rf O
/°e, / 1 A.7 ,f.,-: 177 Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction: /11.� g
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City /State/ZIP: Portland, OR 97224 Existing: '7
Phone: (503)624 -6300 Fax: (503)624 -7755 f
New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City/ State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624 -7755
E -mail: dennisp @pactrust.com
CONTRACTOR
Business name: 7e, 4 Pe z 4" v S 4 A BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
City / State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:_eli ` /' �, ,
rf Date: L�//1 - ri,e7 * Fee methodology set by Tri- County Building Industry
/ /J Service Board.
1:\ Building \ Permits \BUP - PermitApp.doc 03/21/06 440.4613T(I1/02/COM/WEB)
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
R eceived _
City of Tigard j Permit No. I
° 13125 SW Hall Blvd., Tigard, OR 97223
NOV 0 5 2009 Date /By: L ��i .Q�2 07
g Plan Review 1 i Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Plan R v: s 6
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: 13 0 See Page2 for
Internet: www.tigard- or.gov BUILDING DIVISIO Notified Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 4 Lincoln 10250 SW Greenburg Rd New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 300 Project name: Forest City 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.
Interior Tenant Improvement Valuation: $$91,000.00
Work to include demolition, new walls, doors, relites, casework and toilet room Existing building area: 10541 square feet
modifications and expansion New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Shorenstein Type of construction: 1 -
Address: One SW Columbia Street, Suite 300 Occupancy groups:
City /State /ZIP: Portland, OR 97258 Existing: B
g�
Phone: (503)412 -4906 Fax: (503)412 -4848 New
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Morgan Toth licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave Suite 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228-1285
E - mail: mtoth @grpmack.com
CONTRACTOR
Business name: Russell Construction BUILDING PERMIT FEES*
Address: 20915 SW 105th Ave (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: Tualatin, OR 97062
Phone: (503) 228 - 4898 Fax: (503) 228 - 2770 FLS plan review fee (if applicable):
CCB lic.: 58918 / Total fees due upon application:
1
Amount received:
Authorized signature:.
This permit application expires if a permit is not obtained
�^ within 180 days after it has been accepted as complete.
Print name: Kim Fot: Date: 11/5/2009 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(1I/02/COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4113/2007
Phone: (503) 639 -4171 Att.
Inspection Requests (24 Hrs.): (503) 639 -4175 jilt
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AM PAGE: 59
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI and demo - add storefront, alter ceiling grid
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 - 648- 7805
Inspection Request Scheduled For: 1 X Date: 8/16/2007 W 1y'vQ Pour Time: / / 9
Q 0
Code # (Inspection Description i I Confirm # Contact # Me ..ge
.
299 '`" Final inspection
054084 -01 503.679-3271 Y
Corrections/Comments/Instructions:
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I PA) ,, I 1 A 1\-- Z %-
IN PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 i \ ' Inspector: Date: 3f ' ` 3 1 Phone #: (503) 718 - ��Z
CITY OF TIGARD
44,. BUILDING DIVISION PERMIT #: BUP2007 -00207
13125 SW Hall Blvd., Tigard, OR 97223 /'1 ` DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171 m'�I /n v
Inspection Requests (24 Hrs.): (503) 639 -4175 I " I
INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI and demo - add storefront, alter ceiling grid
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 -648 -7805
I Is
Inspection Request Scheduled For: Date: 8/15/2007 Pour Ti ; 4.1
Code # Inspection Description Confirm # Contact # i -ssage ./27
287 Suspended ceiling 054001 -01 503-679-3271 Y
Corrections /Co 1 ment Instructions:
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.1_,/4ej\- ' c--A c (-- Lz- rt' i / .41 ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4; tA Date: > P hone #: (503) 718 - Z ' r a'
CITY OF TIGARD 4
..
BUILDING DIVISION PERMIT #: BUP2007 -00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
' Phone: (503) 639 -4171 it '
Inspection Requests (24 Hrs.): (503) 639 -4175 '!+t I I..
INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI and demo - add storefront, alter ceiling grid
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503- 648 -7805
Inspection Request Scheduled For: Date: 7/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 052778-01 503.7293116 N
Corrreecctiionnss /Comments /Instructions: M
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A&T i R.AA) / Fte"" 12-&■P ; AAA-) ...0...):7 -07.
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❑ PASS . . El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
` r, AIL � n " ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V
Date: /2 Phone #: (503) 718- ZirZy
CITY OF TIGARD w
BUILDING DIVISION 4 PERMIT #: BUP2007 -00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
Phone: (503) 639 -41711
Inspection Requests (24 Hrs.): (503) 639 -4175 ' IL.
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI and demo - add storefront, alter ceiling grid
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 - 646-71305
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact #ge
299 Final inspection 052562 -01 503-729-3116/ N
Corrections/Comments/Instructions:
►o s S , _ e. �l■
N[ o ,q 0 P(-e--
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL F , d ALL FOR INSPECTION E] ADDITIO AL FEES ASSESSED
■ q
Inspector:
, Date: Phone #: (503) 718-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP2007 -00207
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1312.007
Phone: (503) 639 -4171 /la o�. +�I�I1
Insp Requests (24 Hrs.): (503) 639 -4175 ,�' °:_..
INSPECTION WORKSHEET FOR DATE: 6/7 /2007 TIME: 7:00AM PAGE: 513
EA L.`Ov��
SITE ADDRESS: SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI and demo - add storefront, alter ceiling grid
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 - 648 - 7805
Inspection Request Scheduled For: Date: 6/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 049758-01 503 - 679.3271 N
Corrections /Comments /Instructions:
P
❑ PASS 1Ni. RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL - ' L L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I Date: /07 Phone #: (503) 718 - Z--b V7
lie