Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00545
° COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2007
TI G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113AB -00600
SITE ADDRESS: 16125 SW 72ND AVE BLD.B ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: ANS
Project Description: TI - add office partition
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: 132 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: N PARKING:
VALUE: $ 85,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES BNK CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI 10730 SE HWY 212
PORTLAND, OR 97224 PO BOX 66
CLACKAMAS, OR 97015
Phone: Contact #: FAX 503 - 557 - 1085
PRI 503 - 557 - 0866
Reg #: LIC 107555
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 10/17/2007 $534.70
[TAX] 8% State Surchari 10/17/2007 $42.78
[BUPPLN] Pln Rv 10/17/2007 $347.56
[FLS] FLS Pln Rv 10/17/2007 $213.88
Total $1,138.92
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 it . ,'....•° : 1.800 . '.2344.
Is- ed By: i 1 — 4 11 ,. lL /1. Permittee Signature: 440 �2,1 I
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.
• Buildin Permit A lica FOR OFFICE USE ONLY
Cl of Tiard Received / r
111/1 g Date/ (0 7 07 Permit No.: / 2
13125 SW W Hall Blvd., Tigard, OR P 1 1 E/ U U Plan Revie I�
_ . Phone: 503.639.4171 Fax: 503.598.1960 is % 0 EQ Other Permit:
DateB
T I GARD Inspection Line: 503.639.4175 CITY OF 16141D Date Ready :y: Ed See Attached Checklist for
Internet: www.tigard - or.gov B t I DING DIVISION Notified/Method: M Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
elErnew 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:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: „.. " � �„ / .5.- - ‘.. c - x ..J /�� .4-4P New dwelling area: square feet
?�
City /State/ZIP: 1.� 01 a� / 9'..2,0 a Garage /carport area: square feet
I.
Suite/bldg. /apt. no.: Project name:" 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. �—
Ot4 ��J� t j d - J P —o 17 iilrr .V� .e,-/ /l. Valuation: $ s / !f e_2.‘
�' / c . /� i G � / Existing building area: square feet
! T New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: /
Name: PacTrust Type of construction:
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: _Tlys' 2
City /State /ZIP: Portland, OR 97224 Existing: c:,?�7 ! c7
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 /� �d-tif��� c 7 — • BUILDING PERMIT FEES*
Address: •/ (Please refer to fee schedule)
r
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
. ' w within 180 days after it has been accepted as complete.
Print name: _ , J _ or Date:�� I * Fee methodology set by Tri-County Building Industry
Service Board.
1:\ Building \Permils\BUP- PermitApp.doc 03 /21/06 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00545
13125 SW Hall Blvd., Tigard, OR 97223 - Allh DATE ISSUED: 10/1712007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '. °
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:OOAM PAGE: 49
SITE ADDRESS: 16125 SW 72ND AVE Bl.D.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: TI • add office partition
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503557 -0866
Inspection Request Scheduled For: Date: 5/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Me = -• -
299 Final inspection 070406 -02 503 - 888 -0214 Mgr
Corrections /Comments /Instructions:
` , v _. — .1 <S _..ii
-
G L_ _ s- II ' NI _,
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
cFrZ. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: ■S g /O6 Phone #: (503) 718- 2.-6,
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00545
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/17/2007
Phone: (503) 639 -4171 .u
Inspection Requests (24 Hrs.): (503) 639 -4175 II-
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: TI - add office partition
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNI< CONSTRUCTION INC PHONE #: 503 -557 -0866
Inspection Request Scheduled For: Date: 5/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
275 Framing 070406 -01 503 -888 -0214
Corrections /Comments /Instructions:
❑ PASS r PARTIAL APPROVAL - ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ /
Inspector: Date: Z-‘ #: (503) 718 -
(`
CITY OF TIGARD ,- - •_.
BUILDING DIVISION PERMIT #: BUP2007 -00 &15
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 10/17/2007
Phone: (503) 639 -4171 i'�'
Inspection Requests (24 Hrs.): (503) 639 -4175 1I..
INSPECTION WORKSHEET FOR DATE: 7J22/2008 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: TI - add office partition
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503 - 557 -0866
Inspection Request Scheduled For: Date: 2/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess.•e
275 Framing 0654413.01 503- 8E38.0214 0 „ it*
Corrections /Comments /Instructions:
Aria... 6 ' --__''' - lb vi/G1/4. di Agrillift .,..42.K5--------
PASS r� - TIAL APPROV CANCEL s, __ ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z- Phone #: (503) 718 -
L
CITY OF TIGARD �L
BUILDING DIVISION A--
PERMIT #: t3t1P 2007 -00&16
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639 -4171 7j�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 1L ..
INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7 :00AM PAGE: 43
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: TI - add office partition
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: E3NK CONSTRUCTION INC PHONE #: 503-557-0866
Inspection Request Scheduled For: Date: 1/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa• -
275 Framing 064245.01 503 - 888 -0214 0 At
Corrections /Comments / Instructions:
----Z.3 i �
v ri IA tiz,„„i 1 /' AI
1 aC.) — /
❑ PASS �1ARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ FAIL I% - • - • - ` • ECTION ❑ ADDITIONAL FEES ASSESSED
/�
Inspector: / ���= Date: `i S 1 nA Phone #: (503) 718- 7
CITY OF TIGARD
BUILDING DIVISION , #: BUP2007 -00545
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1712007
Phone: (503) 639 - 4171 I�
Inspection Requests (24 Hrs.): (503) 639 -4175 :lo I..
INSPECTION WORKSHEET FOR DATE: 1/3012008 TIME: 7:02AM PAGE: 64
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: TI - add office partition
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNI< CONSTRUCTION INC PHONE #: 503- fi67 -08EW6
Inspection Request Scheduled For: Date: 1/30 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 064148 -01 503 - 880-0214
dir.
Corrections /Comments /Instructions:
3 /A_
❑ /El PASS i PARTIAL APPROVAL 111 CANCEL El NO ACCESS
0 1 �
FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: l i (78 Phone #: (503) 718- 1--0
CITY OF TIGARD
.. ,A .....
BUILDING DIVISION PERMIT #: 8t/P7007- 00 &<i5
13125 SW Hall Blvd., Tigard, OR 97223 , . • DATE ISSUED: 10117/2007
Phone: (503) 639 -4171 41
Inspection Requests (24 Hrs.): (503) 639 -4175 W I �
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7 PAGE: 1
SITE ADDRESS: 16125 SW 72ND AVE BLD.B CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ANS
DESCRIPTION: TI - add office partition
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503-557-0866
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
275 Framing 061297-01 503.89a -0214 N
Corrections /Comments /n ruc 'ons:
K0 P4 I (3 0
•
❑ PASS 44 ' ' ' AP OVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL HI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: 1 Phone #: (503) 718 - z 61--/