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Permit
a CITY OF TIGARD BUILDING PERMIT i a PERMIT #: BUP2007 -00009 COMMUNITY DEVELOPMENT DATE ISSUED: 1/9/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112 D D -00200 SITE ADDRESS: 15500 SW 72ND AVE 100 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG Project Description: Protection One - 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: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 25,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES A J WEBER CONSTRUCTION INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548 PORTLAND, OR 97224 PORTLAND, OR 97280 Phone: 503 - 624 - 6300 Contact #: PRI 503- 244 -4318 FAX 503 - 244 -4318 FEES Reg #: LIC 65238 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/9/2007 $283.30 [TAX] 8% State Surcha 1/9/2007 $22.66 [BUPPLN] Pln Rv 1/9/2007 $184.15 [FLS] FLS Pin Rv 1/9/2007 $113.32 Total $603.43 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 t e rules or •' -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. sued By: 01 .,� /, 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. Building Permit A lication I oR m i. icl•. t ;sE o:N I_l City of Tigard j Received / Qa ,'MMI ���, viii • 13125 SW Hall Blvd., Tigard, OR ° Plan Revie o ,., Phone: 503.639.4171 Fax: 503.598. (960 w � Date/B . re p Other Pemtit: inspection Line: 503.639.4175 JA N N 9 201.,..A4- '-� L Date Read : �,�/� El See Attached Checklist for Internet: www.ci.tigard.or.us f� Notifi etlwd: 7aLtia Supplemental Information tlz TI : ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction !lilt 1 li la Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ddition/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 Cornmercial /industrial Valuation: $ El 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: . ± 3je0, S L d r7 .7 / - �� p New dwelling area: square feet City / State/ZIP: � .*J Cf / 9r9 V2 y Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: � �, J, ©w 4� Q• 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: 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. 7 2)1=J., o r) 1r/ Ai 4.,s•.S / / • // / c—,Gii er-- Valuation: $ ,/1- f � ) r _L _ v Existing building area: .97 square feet /`�` `� Jc n - 1 New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT • Number of stories: J Name: PacTrust Type of construction: If Address: 15350 SW Sequoia Prkwy, Suite 300 Occupancy groups: /S'a City / State/ZIP: Portland, OR 97224 Existing: f�� Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 New: / ❑ APPLICANT ® CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: Dennis Pagni under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) I Fax::( ) E -mail: A CONTRACTOR - Business name: �/ /� )��Q� BUILDING PERMIT FEES* Address: vvv `l/ Please refer to fee schedule. City /State/ZIP: Fees due upon application Phone: ( ) I Fax: ( ) Amount received CCB lic.: Date 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: 2)42 n 1....S 0 ' I Date. / <? I • Fee methodology set by Tri- County Building Industry Service Board. • i:\&rilding\Pennits\Bi I'- TI-PermitApp.doc 12/03 440-4613T(1 l /02/COM/WEa) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00009 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11912007 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/1212007 TIME: 7:01AM PAGE: 36 SITE ADDRESS: 15500 SW 72ND AVE 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PROTECTION ONE DESCRIPTION: Protection One - TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-6246300 CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503-244-4318 Inspection Request Scheduled For: Date: 3/12/2007 Pour Time: Code # Inspection Description Confirm # ac Message 299 Final inspection 044644 -01 503-320-8601 • ,mo Corrections /Comments /Instructions: S 6 C N PASS P: ' L APPROVAL ❑ CANCEL ❑ NO ACCESS M FAIL %If A FOR INSPECTION 111 ADDITIONA FEES SSESSED /1" AMP L Inspector: Date: � - Phone #: (503) 718- Z6 CITY_cf TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00009 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7 :02AM PAGE: 2 SITE ADDRESS: 15500 SW 72ND AVE 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PROTECTION ONE DESCRIPTION: Protection One - TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 624 -6300 CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503- 244 -4318 Inspection Request Scheduled For: Date: 1123/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 042423 -01 503-320-8601 N Corrections /Comments/ Instructions: /" I f W ► • ASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL .4 CALL FOR INSPECTION ❑ ADDITI • NAL F' ES ASSESSED Inspector: 41111 Date: 3 4 Phone #: (503) 718 - Z� ‘1,/ CITY QJ TIGARD -- - BUILDING DIVISION PERMIT #: BUP2007 -00009 'aw. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/9/2007 Phone: (503) 639-4171 14"1.1/41111 ��� Inspection Requests (24 Hrs.): (503) 639 -4175 ...-!'+�- - .. INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7:02AM PAGE: 1 SITE ADDRESS: 15500 SW 72ND AVE 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PROTECTION ONE DESCRIPTION: Protection One - TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300 CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503 -244 -4318 Inspection Request Scheduled For: Date: 1/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 042423 -02 503 - 320 -8601 Y Corrections /Comments /Instructions: E.-- �/,. i� At / , ■,'" rel. ! ■ wow ❑'PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIO AL FE: S ASSESSED riA Inspector: t op , Date: 0 Phone #: (503) 718 - 7".ii-2"›