Permit � a CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DATE SSU 8 24 2007 00034
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D D - 00200
SITE ADDRESS: 15862 SW 72ND AVE 200 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: National Mortgage - TI (9,700 sq ft)
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 115 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 190,000.00
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
FEES Reg #: LIC 66070
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/24/2007 $1,095.30
[TAX] 8% State Surcha 1/24/2007 $87.62
[METCET] Metro Const 1/24/2007 $228.00
[BUPPLN] Pin Rv 1/24/2007 $711.95
(additional fees not listed here)
Total $2,560.99
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 rule - ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 1 %( _ J / / ` `/ 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.
:r.
Building Permit Application e FOR OFFICE USE ONLY
City of Tigard f ?l� Received ` .�� Permit No.: ��!��
^n DateB :
1
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
0 � Other Permit:
Phone: 503.639.4171 Fax: 503.598.1 Rec eiv : tg ����++��
4 i l ! l/
T I GAR D Inspection Line: 503.639.4175 Date Ready : •. ® See Attached Checklist for
Internet: www.tigard - or.gov CITY OF . iGAIRD Notified/Method: MI Supplemental Information
BUILDING DIVISION
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
(dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
e/ CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND " LOCCATION Total number of floors:
.. / . _.<747 Job site address r i 9 -f P-- • 1,„1-,,,,,, New dwelling area: square feet
City /State/ZIP: 'ex-r T AN Cl 97.....0 y Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name / „... J 0r? 4 ,p jovered 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.
Valuation: $ ../ 0
/ • — sL�l.
Existing building area
New building area: feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction: JiJ---.44
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City /State/ZIP: Portland, OR 97224 Existing: 92 d
Phone: (503)624 -6300 Fax: (503)624 -7755 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: � j�� J� � e /sOri BUILDING PERMIT FEES*
Address: v' / (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: D 71Q Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
• Xey),..ei, within 180 days after it has been accepted as complete.
Print name: c di �7 ! 1 -- Date: ��y /d * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(II /02/COM /WEB)
CITY OF TIGARD
`BUILDING DIVISION ' A PERMIT #: BUP2007-00034
13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 1/24/2.007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175 ,_ I
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 15862 SW 72ND AVE 200 . CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - 11 (9,700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503- 892 -0066
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M(4
299 Final inspection 045922 -01 503 - 956-6290 Y
Corrections /Comments /Instructions:
0
PASS II P' - TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL . . L FOR INSPECTION ❑ ADDITI ft AL FEES ASSESSED
Inspector: Date: d Phone #: (503) 718 -
� j
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1124/2007
Phone: (503) 639 -4171 �Zamreij �lit
Inspection Requests (24 Hrs.): (503) 639 -4175 ! ..
INSPECTION WORKSHEET FOR DATE: 4/3/2007 TIME: 7:OOAM PAGE: 3
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - TI (9,700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892 -0066
Inspection Request Scheduled For: Date: 4/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 045921 -01 503- 956.6290 N
Correcti ns /Comments /Instructio ::
S ° , \/ G FJ��o r7 -- ��
y /
❑ PASS 2 -ARTIAL APPROVAL oK CANCEL ❑ NO ACCESS
❑ FAIL 1 • • ' LL FOR INSPECTION ❑ DDITIO L F' S ASSESSED
Inspecto _ Date: /_, 6 Phone #: (503) 718- Xvf
CITY OF TIGARD _
BUILDING DIVISION ., PERMIT #: BUP2007 -00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2007
Phone: (503) 639 -4171 - - xrj1hl,,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 6
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - TI (9,700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 4/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa• -
299 Final inspection 045848-01 503 - 9566290
p
Corrections /Comments/ Instructions:
air 2--- -- C-V----/e 7C-7 C: ).,
k -vl c.._i / C� Aff1-2'
❑ PASS pi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: :- Date: I Phone #: (503) 718 -
CITY OF TIGARD ,,�
. :BUILDING DIVISION ` PERMIT #: BUP2007- 00034''
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2007
Phone: (503) 639 -4171 opng,
Inspection Requests (24 Hrs.): (503) 639 -4175 A.P. "'i .
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:OOAM PAGE: 1
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - TI (9.700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 - 892-0066
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M: :- • -
299 Final inspection 045783.01 503- 307 -2105 WI
Corrections/Comments/Instructions:
�P_ P02 .ter c7
❑ PASS ►, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I'1 FAIL „CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
Inspector: _ A ■_ ■ Date: b Phone #: (503) 718-
S
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: BUP2007 -00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2007
Phone: (503) 639 -4171 1,4 il l
Inspection Requests (24 Hrs.): (503) 639 -4175 `L
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - TI (9,700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503- 892 -0066
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 045782 -01 503-307-2106 N
Corrections /Comments /Instructions:
ri O ,1/ • . s !N/ -
❑ PASS 7 PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL i// 'ALL FOR INSPECTION ❑ ADDITIO AL FEE ASSESSED '
Inspector: Date: 3ii/b Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00034
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2007
Phone: (503) 639 -4171 Ad i Iil
Inspection Requests (24 Hrs.): (503) 639 -4175 ':_..
INSPECTION WORKSHEET FOR DATE: 3/2012007 TIME: 7:OOAM PAGE: 3
SITE ADDRESS: 15662 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - TI (9,700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 - 892.0066
Inspection Request Scheduled For: Date: 3/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # -
2137 Suspended ceiling 045117 -01 503- 956 -6290
ri
Corrections /Comments/ Instructions:
'ASS R •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL M " . LL FOR INSPECTION ❑ ADDITIO . L FEES ASSESSED
Inspector: _ _ ■ �� Dat: • 6 Phone #: (503) 718-
_
CITY OF TIGARD
BUILDING DIVISION .: ��` PERMIT #: BUP2007- 000:4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/24/2007
Phone: (503) 639 -4171 evti ., ti
Inspection Requests (24 Hrs.): (503) 639 -4175 I Al-
INSPECTION WORKSHEET FOR DATE: 2J27/2007 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL MORTGAGE
DESCRIPTION: National Mortgage - TI (9,700 sq ft)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 -892 -0066
Inspection Request Scheduled For: Date: 2/27 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 043995 -01 503-956-6290 Y
Corrections/ mments /Instructions:
-1-4—LZM — Si. ∎, - �
___a___P_O_C-__VZ/D
0/ rri (
..C' L al.0 ■ 1A./ _ter
❑ PASS II ' , RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OM P Date: C.-7 07 Phone #: (503) 718- Z--‘