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Permit
9 /10 /io o C'o22.icr i9-ba2t 55 . �$ CITY OF TIGARD BUILDING PERMIT 0 COMMUNITY DEVELOPMENT Permit #: BUP2010 00161 T i G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/08/2010 Parcel: 2S113AC00102 Jurisdiction: TIGARD Site address: 7250 SW DURHAM RD, BLDG# J Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project: Stash Tea Project Description: TI Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 07/08/2010 $164.96 PORTLAND, OR 97224 Demolition PHONE: 503- 624 -6300 12% State Surcharge - Building 07/08/2010 $19.80 Plan Review 07/08/2010 $107.22 Plan Review - Fire Life Safety 07/08/2010 $65.98 Contractor: BNK CONSTRUCTION INC 45 82ND DR SUITE 53B GLADSTONE, OR 97027 PHONE: 503 - 557 -0866 FAX: 503 - 557 -1085 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $5,070 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $357.96 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: No Smoke Detectors: Yes 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 -I • • ' 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by c ' 3.246.6699 or 1.800.332.2344. Issu / • / � i Permittee Sign 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. m CITY OF TIGARD BUILDING PERMIT Ili COMMUNITY DEVELOPMENT Permit #: BUP2010 -00161 l Date Issued: 07 /08/2010 TiGAAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 cz Parcel: 2S 113AC00102 Jurisdiction: TIGARD Site address: 7272. SW DURHAM RD, STE# 900 Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project: Stash Tea Project Description: TI Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 07/08/2010 $164.96 PORTLAND, OR 97224 Demolition PHONE: 503 -624 -6300 12% State Surcharge - Building 07/08/2010 $19.80 Plan Review 07/08/2010 $107.22 Plan Review - Fire Life Safety 07/08/2010 $65.98 Contractor: BNK CONSTRUCTION INC 45 82ND DR SUITE 53B GLADSTONE, OR 97027 PHONE: 503- 557 -0866 FAX: 503- 557 -1085 Specifics: Type of Use: COM . Class of Work: ALT Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $5,070 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 • Mezzanine: 0 Total $357.96 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Protected Corridors: No Smoke Detectors: Yes 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 oth:rapplicable law. All work will be done 'n a ccorda nce lb approved plans. This permit will expire if work is not started within 180 days of issuance, or if wor is suspended for re the 180 da : ATTENTION: Oregon w requir: •u to follow the rules adopted by the Oregon Utility Notification Center. Those r es are /set fort ' OAR i 9 2- 001 -0010 through OAR 952 -00 -010#. You ay obtain a copy of the rules or direct questions to OUNC'by calling 5 •6.6699 0 .800.33 . 344. I sued By: j / , 4 4 Permittee Signature: ,, \ l Call 50 3.639.4175 by 7 :00 a.m. for an i n s pec ti o n th u s ess 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. Building Division Over -The- Counter (OTC) Building Perm TIGARD Check.List . Description of Project: . - ' _ - " f' ` i;r" ` : ` , ENE INIF®RM.t�TION .:.V _` . '..-Z,-.. q. , n.' ,. J" 2 Class of Work:, *' T i' Floor Areas (sq. ft.): _ Exterior Wall Construction: . • Type of Use k (".. First floor: N: S: Type of Construction; , _o 4,, Second floor: E: W: Occupancy Group y-i Third. floor: ;4,...,,.4,1 Openings; Protected Y /N ?: p y k: • s, q : N S: u anc Load: t ; Total ft.: a f or I : E Stec t ombine total -floor ar _ Height: '' : all floors s, above third floor'a n e and ± ,Roof Construction; _ Floor Load: _ ) add to the third floor sq, ft. g Fire Retardant: Basement F' ?4; Basement; t ated: _ "r i Area Separation Rated: _ - Garage: Mez e: Occu. Separation Rated:. • :' ; � s r . A ;° ;� y W A EQUEIRE�D r EMS � �� ,,, � .:, y • , • .� � i: Fire sprinkler: Handicap access: Smoke detect P rotecte d cor Fire alarms Parkin space (#)'i Notes: Total. Valuation: ,$ T . , , : }'t. `, 1� '.,C}},yytira. S y .. ,, 'zor_ . PEKES E w, `.,s 4 _i � ��.�..•z..'E ,; �;�i_ � 's q ' .�,sk+s�5'..1��- al Smoke $ ` Foot f Firewall $ , Permit Fee Post /beam structural � � g0 State Surcharge Shear wall Misc. inspection $ l 07 2 Plan Review Fee Masonry Approach /sidewalk $ tel . FLS.Plan Review Fee ; Framing • $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee ' , Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling, Sprinkler finial: $ School Construction Excise Tax, Final'inspection $ Misc. Fee $ IIourly Rate = Fee $ Hourly Rate State Surcharge $ Other: $ 7 T Fees. D civad ®NS F .^..t i } t " t _ r . - S,+,,, .,,;' :t r , : t A fJ var2 ,.. J "7' TYPE CD Vtgig ®M commercial; Cam-. commercial it . rxill o ` F i fit i y� CO WORK?' , accessory; D D L• a o k,;` a alteration; � foundation ; -DEMO a o o i '; " foundation, SB protection i1 O f , g i 3,eano ies) ;1 repair, • _. decks o awnings : • I: \ Building \F'or7ns \QiI C- BUP.doc '08/19/08 ' 1 �P 17cwa It * ` r "' p fti ip a e n ;, i , , g pp R ED t, y a t 9 A K' k F 4 0R O FFIE S O Y'I t a ;1 f� 1 ` �., w Building Permit A Lcat><on � V � t� y d � "' � � " + .. V � • Cit Of Tigard' Received' /1 III �� y g Q ry , Dat - Permit No.: e Y 4 r 13125 SW Hall Blvd., Tigard, OR 9 7223 II II . U 8 010 • Phone: 503.639.4171 Fax: 503.5981960 �U1 Plan Review. !P t m Date/3 �� �e. t,6' Other Permit: TIG Inspection Line 503.639.417 OF TIC3ARD D , -, - - Juris: ® See Attached Checklist for 'thtie•it'Nh,m +'.tP4,1� Internet: www.tigard- or.gov BUILDING N otified/Method: Supplemental Information TYPE r OF AW ` r " z , z r `4 REQU REDDATA 1AN D,2 FAMILY DW #ELING ID New construction ❑ Demolition 'Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 0 Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the :t£ CATEGORY OF tCONSTIZUCTION : / work ",indicated on this application. [11 1- and 2- family dwelling Z Commercial /industrial Valuation: $ • ❑ Accessory building, ❑ Multi- family Number of bedrooms: ❑,,Masterbuilder ,❑rOther: Number of bathrooms: €.:ey -x a �s ✓ §,r�` "' +t"", .s ^' } x a ti `i l JOB SITE INFORIYIATI ANDtH'OCATTONi " � ' , , Total number of floors: . ,fti ,emai :-4z .4. „..s. , �`� .;-,° rg.e�: a . ,. A;M.om.. ? Job, site address: New dwelling area: square feet City/State /ZIP: fl 44 ('' OA '`g7a►a 4 Garage /carport area: square feet Suite/bldg. /apt. no.: , I 'Project name: .,Ti- / /4 Covered porch square feet Cross streeddirections to job site: Deck area: square feet • Other structure area: square feet „ . idfiI ll eait USE CH ICKE4S4 Subdivision: • Lot no.: Permit fees* are based on the value of the'work 'performed. Indicate the value (rounded to the nearest dollar) all Tax map /parcel no equipment, materials, labor, overhead, .and the profit for the I 1 W "3 " .: ` fi t` i - work indicated on this application. i4,44..:-.311/41,'.‹.-,.:::o.4.-,-,h ? t .. DESCRIP�TION WORK pP " Jj // Valuation: $—.17,7d Existing - building area: square feet -New; building area: square feet 4 2 ,.,. PROi ERTY OWNER s , & r . a , TENAN x, , t 3{ ' Number of stories: Name: PacTrust Type:of construction: ✓ -".." Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: • City/State /ZIP: Portland, OR 97,224 ' Existing: 17/ / - Phone: >(503)624 -6300 Fax: (503)624 -7755 New: iC ,4 ® APPLICANT A. W t V® 'CONTACTS PERSON*' i i C ,. .x ar .. . .: ..� �_r . si x"" N ©TIC- z, Business name: EacTrust 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 g j P r x aga ,, y a " a ' r s .. . d *' x w: a ' E V :, 4 r r g z CONT jai _ �. > ro. _ a�+.�r��, .. ` �� ,s.., ��;.�R,' . , '��. �:�a Br's .... ,�` .�.rd.'. .a.�. ' v z Business name: rte /` f?ei c..* ex I V- : 3 BUII11D lG PERIVIIT FE re ;x ' ` ' r Address: f'. itA ie (Please�reje o4 schedu�'Tej.. err'.. _._ MIN _'� City/State/ZIP: Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: (` ) Fax: ( )' CCB ic.: • 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: Date: ,( i r, +/ ? - f air_ �j�/ � � / * Fee: methodology set by Tri-County Building Industry / Service.Board. I:\ Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(II /02/COM/WEB) • • Building Permit Application: S ; �, ` ' f FO OFFICE USE O \ LY ' ,' r . ! „ Received' City of T igard q Da , 7 �d Permit No:: 0 , vibiD _.e:70/6/ f q 13.125 SW Hall Blvd., Tigard, OR'97223 jUL 0 8 1 010 PIan.Reyiew. �� Phone: 503.639:4171 Fait; 503.598.1960 :Da : • i i it: • ��6ER Other Perm , -• � + nil T JGAR YD ' Inspection•Line: St)3'.639.4') 75 Cl �FTI GAI RD :Date Ready :y: Jura: RI See Attached Checklist • =.a•. ;.� +crs:: +:::w Internet: www.tigard= or.gov Notified ..F I d:d: Supplemental Information BUILDING DN . �tlr f' tlkVt eOi a c.S' +++� .,, � r r a a5 � . M'' i ` > ,.r. � "� z Y � x;._.- ic�.r• :fin: _ tRy.t.., ��(( ( y P.. 5' Jt .ytl1K.'PGU' t'•'.F +Y ic� T C�' �:�1 c r , -,.e' 7 tJ W1, i t' 1 S '1 g �l k� +r F� _C_ i Y _• - •�' w . ',.1' s1 f > I PE O W© q c �lt i is� Yti ti"� a :x't:iliA R 'Q: IRED DAB ✓ 1 ��'���� lY W iBL INGt ; > +..Fki +A c ,n.,?t^.i.:s� h�'v/,:.,r��.taFv,„d.� _ me �wrs. !�,iw .� . t ��' �'�,�rs;r+s 5a15sSSaGi�iF3+•:044?::s6K:'•r Q New construction ❑ Demolition Permit. fees* are based on the'value of the work performer :lndicate•the value (rounded to the nearest dollar) of all A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for t1 w ,l,fir'• 5, -'GKimir . i �E2!? CATEGORY • F W Sf UCGT � tg AT, 'y,,_M 'f .. work:indicated on this a 1,14 ''Y g:: gty.:1. :, ..I4;9.� ai:••e;rx•450- f.corn,r : "i ^va +n.tr:q .ti -.• ,.1 �, aY"w.'' f PP lication. ❑ 1- and 2- family dwelling ® Commercial /industrial . Valuation: $ ❑ Accessory building. • ❑ Multi- family IViimber of bedrooms: h ❑.Master builder ,❑Other: Number of bathrooms: rr± *d ''` `' 3 A JOB S1TEi I o , © i ' rJ' : "'" Total number of floors: • D LO� A•t¢Ir ON � V� } �.. . o ,. ,,e., � , �.ae�nl' � , f - a ,ter.- .rm:uit: - k • 'si.t. sav Vittit Job.site address: - 7asb ` �jt r,e rfrf - _ New dwelling area: square feet City/State/ZIP: 4 : 7 1 ) &' .. G, 4- "a ci a ' '7 u - Garage %carport area: square feet ti Suite bldg. /apt. no.: �'� J 'Rrojecf name /� T� m+, Covered porch.area: square feet 3 Cross street/directions to: job site: Deck area: square feet Other structure area: square feet 4 MT! • ` p o'!'''li ' ,tie i .'1 r ° S INI. , . Subdivision: • Lot no.: Pettit Teei.* are based on the value of thework °performed I t Indicate,the value.(iounded to the nearest dollar)kof all Z.• Tax map /parcel no equipment, materials, labor, overhead,.and the profit for th :� D � .. , ' r , ; � 4 a,, .r e iiikRIP IO i . •o RK ? ut.i. ;o , • ` f ` work indicated on this application. // Valuation: $—..1—,7d .. Existingbuilding area: square feet AN - r -New: building area: square feet l r ua� y'• ;�•,sr+'rwam: � •r, �r„rrrt wc, . �. ,<ae x , '' 'g' PRO L r •-: R� i i�� •: ;Ax + ' , rmj3 ti :Z :ta �~ �' . � Number of stories: / • Name: PacTr.tist Type'of construction: � • • Address: 15350-S.W. Segooi'a Strite 300 Occupancy .gro ups :. City /State/ZIP: Portland, OR '97,224 Existing: /7/ / 2- - Phone:-(503)624- 6300 F.ax (503)624 -7755 7 x: � + Z. as res i New: t o ' h1 t ifti 1 ti a M 1ii.J ilia, Astw ,� ielX. 4144 s , `" -4,3,.. o' .,' � �,` .- .,A; ,,.,,,...ti 5 Business name: PacTru "st All contra 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 33 Address: 15350 S :W.:Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the • City /State/ZIP: Portland, OR 97224 appliicant:is :exempt from licensing, the following reasons apply: 41 Phone: (503) 624 -6300 I Fax: : (503)- 624 -7755 d E -mail: dennisp @pactrust.com CIS #,V , i GOI C'CA© . 1 ! 'd' `oltl, h r ' WAR 7 > . - aura. "` •. %' X1 .. ; 4 S, t ,S , Business mine: p g t:;., ..— t� �. tt Address: u e� , h.3 xri, e. e e e s .4... ea `- City/State/ZIP: Stiuctural plan•reyiew fee (or deposit): O - FLS plan.review fee (if- applicable): Phone: (. •) Fax: ( )' Cr CCB lit.: Total fees due upon application: • Amount received: Authorizedsignature: ' ' This permit application expires if.a permit is not obtained • within.180 days after it has been accepted-�as complete. - Print name: Dat /'.!��f j Q �j�� •Fee methodology set by Tri -County Building Industry / 'Service:Board.