Permit C ITY O F TIGARD � BUILDING PERMIT
li _ PERMIT #: BUP2009 -00011
COMMUNITY DEVELOPMENT DATE ISSUED: 1/14/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY 430 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: TI.
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: 101 BASEMENT: sf AREA SEP. RATED:
STOR: 4 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN
PORTLAND, OR 97224 PORTLAND, OR 97225
Phone: Contact #: PRI 503 892 - 0066
FAX 503 - 892 - 0067
Reg #: LIC 66070
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
CITY OF TIGARD ME/■ 1/14/2009 $176.90
[TAX] 12% State Surch 1/14/2009 $21.23
[BUPPLN] Pln Rv 1/14/2009 $114.99
[FLS] FLS PIn Rv 1/14/2009 $70.76
Total $383.88
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 copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 1:E AL _ d 0 Permittee Signature:
CaII 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.
Building Permit Application RECEIVED ° FOR OFFICE USE ONLY
City Ti . Receiv_3
Y of Tigard JAN 14 2009 Dat B : `k'C��( _
Permit No.: 4151 2009.0001
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi- `
I ' : Phone: 503.639.4171 Fax: 503.598.196 DateB :, ►, IN _ Other Permit:
T I GARD Inspection Line: 503.639.4175 OF rI�1f Date Ready /: y: El See Attached Checklist for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: 1 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.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
� JOOBB SITE INFORMATION AND LOCATION � / �/� Total number of floors:
Job site address: �I'r!�!" D7 J�[J �7 74 % ... New dwelling area: square feet
City /State/ZIP: 7/, /l D2 Q j Garage /carport area: square feet Ado;
Suite/bldg. /apt. no.: Project name: SPEC_ S A Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
,,,,e. v /' i is it _ e e_...... Other structure area: square feet
'.1° T `- 7 r� P�„/t tot Cj f REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: no.:
(,aP/Parcel no.: ..>
Permit fees* are based on the value of the work performed.
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.
Valuation: $ .xlyi , 44, Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: Y
Name: PacTrust Type of construction: /1 —,27
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City / State/ZIP: Portland, OR 97224 Existing: ,/409 G./
Phone: (503)624 -6300 Fax: (503)624 -7755 New: •-41"""'''
0 APPLICANT 0 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: "24,7 , /�e.�/ BUILDING PERMIT FEES*
Address: � / (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/State/ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: (��� Total fees due upon application:
Amount received: 383 . Q O
Authorized signature: GG/2�� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: %� r ��, if �' • Date: < /i- 7/07 * Fee methodology set by Tri -County Building Industry
`�` J Service Board.
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