Permit ...„. 7:
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00652
. lyAc DEVELOPMENT SERVICES DATE ISSUED: 1/6/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB -00600
SITE ADDRESS: 16195 SW 72ND AVE BLD.D ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: TI (11,340 office, 2,654 warehouse sq ft area)
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: 157 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N 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: $ 313,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ROBERT EVANS
15350 SW SEQUOIA PKWY #300 -WMI 1200 NE 48TH AVE. STE 1250
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 624 -6300 Contact #: PRI 503 - 648 -7805
FEES Reg #: LIC 14426
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 12/20/200E $1,021.70
[FLS] FLS Pin Rv 12/20/200E $628.74
[BUILD] Permit Fee 1/6/2006 $1,571.85
[TAX] 8% State Surcharl 1/6/2006 $125.75
Total $3,348.04
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 irect qu - . 's to OUNC by
calling 503 - 246 -669 or 1-800 -332 -2 4.
Issued By: 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.
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Builtding Permit A p p l i c a t i o n F O I( i . : 1 s i.: O NI.)
City of Tigard` e/B /e fd c Permit No.: ;WA •, , ♦ • i
13125 SW Hall Blvd., Tigard, OR 97222 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 nn 00 ''_ 013JA ;„~ i i �e/B . de�' Other Permit:
Inspection Line: 503.639.4175 (6 1' _ � _ '! - Date Read _ : Sr ®See Att Checklist for
Internet: www.ci.tigard.or.us D� Notified/Method: Supplemental Information W
��.( p TIGARD o
TYP t
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ttion /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 om
Cmercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master budder ❑ Other: Number of bathrooms:
■
Total number of fl oors:
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JOB SITE INFORMATION AND LOCATION v
Job site address: ,,,,t5,1 9.9 ��e_.. New dwelling area: square feet
City / State/ZIP: .,,1-79 p.,t,��yJ ,2 99aa y Garage /carport area: square feet
1
Suite/bldg. /apt. no.: I Project name: / ,// y ,per Covered porch area: square feet I
Cross street/directions to job site: ` �' Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: J 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. .- ' Lt.'2jr
�frn ,�' eH�lti A4�G ,! eC Valuation: $
l' � , Existing building area: (95,0,60 square feet
New building area: N /� square feet
PROPERTY OWNER 1 ❑ TENANT Number of stories: // /
Name: .. ... „ a s -1— Type of construction: .3 Q,
Address: _ �j�,� / � y 7�/ w ` ! Occupancy groups: (S) a � 3 /5.2_
City /State/ZIP: Oir� d° / f Y J Existing:
Phone Leif i ^ 0 Fax l2,..)/-- ✓ ;ZS New:
❑ APPLICANT ONTACT PERSON NOTICE
Business name: 2,,P,el•r 714i/t,' / • All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City / State/ZIP: apply:
Phone: ( ) Fax:: ( )
E-mail:
CONTRACTOR
Business name: / b -1- E,.",9-A„LS- BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State/ZIP:
Fees due upon application
Phone:( ) 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: .. 22, 5 ,, / ,, Ar ,/li J ' I Date: . /-2 .1 12. V Fee methodology set by Tri-County Building Industry
Service Board.
i:I Building \ Permits \BUP- TI- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
•
Building Division
( Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
•
footage of all buildings to be demolished)
•
•
•
Site Work 2 ' '
(must include location ofall accessible parking)
Plumbing (site utilities) 2
Building 1*
•
Fire Protection System 3 **
Mechanical 2 •
•
Plumbing (building fixtures) • • . 2 .
•
Electrical 2
•
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
•
Washington County, and Tualatin Valley Fire & Rescue)
•
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
•
is\ Building \Pennits\BUP- TI- PennitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i3UP 2005.006':;2
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/6/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 - "'I
INSPECTION WORKSHEET FOR DATE: 5/22/2006 TIME: 7:29AM PAGE: 38
SITE ADDRESS: 16195 SW 72ND AVE BI_D.D CLASS OF WORK:
SUBDIVISION: PAC1 RUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CARE
DESCRIPTION: TI (11,340 olfic:e, 2,654 warehouse sq ft area)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624.6300
CONTRACTOR: ROBERT EVANS PHONE #: 503 -64B -71305
Inspection Request Scheduled For: Date: 5/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final in:.pection 030243-01 503- 679.32/1 N
Corrections/Comments/Instructions:
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ASS ii PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r C ' LL FOR SPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: , ` n r i Date: 5 9 : 4 ) 0 C Phone #: (503) 718- 02 a3
CITY OF TIGARD `:.
BUILDING DIVISION PERMIT #: BUP20t)'p00&2
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1 /CCl2MC:i
Phone: (503) 639 -4171
A
Inspection Requests (24 Hrs.): (503) 639 -4175 "I �..
INSPECTION WORKSHEET FOR DATE: 5/0/2006 TIME: 7:10AM PAGE: 37
SITE ADDRESS: 16195 SW 72ND AVE I3LD.D CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CARE
DESCRIPTION: 11 (11,M0 office, 2,654 warehouse sq ft area)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: ROBERT EVANS PHONE #: 503-640-7805
Inspection Request Scheduled For: Date: 515/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Filial inspection 029363 -01 503-679-3271 N
Corrections /Comments /Instructions:
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❑ P S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ---/
Inspector: Date: ✓ Phone #: (503) 718 - ��
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CITY OF TIGARD
BUILIDING`DIVISION PERMIT #:8u vs ° 64 2--
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 .' °7I��
INSPECTION WORKSHEET FOR DATE: TI , A-Ivt PAGE:
SITE ADDRESS: 1 /D13S 7i- 4v e 6C�9 ,,\ CLASS OF WORK:
SUBDIVISION: — , TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE (5
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4 - ( - 0 0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . ❑ CALL FOR INSPECTION ❑ ADDITION FEES ASSESSED
�`, `� Phone #: 503 718- -
Inspector: � � 1 � \ /� Date: � ( )
CITY OF TIGARD J
BUILDING DIVISION PERMIT #: BUP1005 O06 2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/6/2006
Phone: (503) 639 -4171 Az+ulil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/24/2006 TIME: 7:03AM PAGE: 87
SITE ADDRESS: 16195 SW 72ND AVE BLD.D CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CANE
DESCRIPTION: TI (11,340 office, 2,654 warehouse so ft area)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 5n,624-6300
CONTRACTOR: ROBERT EVANS PHONE #: 503
Inspection Request Scheduled For: Date 2124/7006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 027479 - 01 503 624.6300 N
Corrections /Comments /Instructions:
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926 '-c - c_is . c to?,6.
❑ PA ' El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: `' (Z I one #: (503) 718 - 24-2,3