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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00397 I � � ;� DEVELOPMENT SERVICES DATE ISSUED: 8/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113A6 -01201 SITE ADDRESS: 16535 SW 72ND AVE BLDG F ZONING: I -L SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: TI - walls and ceiling. 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: 49 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 103,000.00 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: 503 - 624 -6300 Contact #: FAX 503 - 892 -0067 PRI 503 - 892 -0066 FEES Reg #: LIC 66070 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharl 8/23/2006 $60.48 [BUILD] Permit Fee 8/23/2006 $756.00 [FLS] FLS Pln Rv 8/23/2006 $302.40 [BUPPLN] Pln Rv 8/23/2006 $491.40 (additional fees not listed here) Total $1,733.88 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-01 0 through OAR 952 - 001 -0100. You may obtain a copy of the - ules or direct questions to OUNC by callin 03-246 • •: • it :00- 332 -2344. 1 Issu - - By: ,__$ 4/:S 4 A __ Permittee Si .4 1 1111 11111 P -4.° ,.11 .fir 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 Applicat �,( ; -- ,I , FOR OFFICE USE ONLY • i l .- \l - Received O V 7 City of Tigard DRate/B : o 0 im tea' A 13125 SW Hall Blvd., Tigard, OR 97223 ` , t , I I I Plan Re , A9 d` Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 AUG � � �� Inspection Line: 503.639.4175 P' Date RFElfm7! ® See Page 2 for Internet: wyvw.ci.tigard.or.us • Notified/Method: Supplemental Information �l� . • TYP �dF V, ' ORK REQUIRED DATA: 1- AND .2- FAMILY DWELLING 1 ❑ New construction ❑ 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. Valuation: $ yy}Q Qi ❑ 1- and 2- family dwelling mmercial/industrial Number of bedrooms: ❑ Accessory building ❑ Multi- family ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: j�D�,'�.5-- _sic, .' 1 _ New dwelling area: square feet City/ State/ZIP: 4, ? .fr•I d� 97..1? v Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: e:76,----- Covered porch area: square feet Cross streef/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: L Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. /� Valuation: $ /D D0 . i 4 /d.✓.iI 4 Gam c7 )J <j 1 4 Ali- 'L� - uare feet n .-e` ie��' AA- d Existing building areg /��S���q !7� A New building area square feet YPROPERTY OWNER I ❑ TENANT Number of stories: 2 Type of construction: . 9 2? Name: mo 717 ".....7-- Address: ,-.47 �l& ._ S e,v/ /} ..: ao Occupancy groups: ,Q City/State/ZIP: 7. &f.._ ?7,..2.01 41 Existing: '9 1/ Phone:1 03r 1az/ —d .re, J F44122°) 6a`a/ '' 2,.1" New: y 9e V 0 APPLICANT C11NTACT PERSON • NOTICE . Business name: PacTrust 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: 15350 S.W. Sequoia Parkway, Suite 300 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/ State/ZIP: Portland, OR 97224 apply: III Phone: (503) 624 -6300 Fax: : (503) 624 -7755 E -mail: dennisp @pacUust corn CONTRACTOR Business name: . ,,,, A ,,, ; � al „, �,(r „7,„,, -TI,„,,,,= 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: / /� i This permit application expires if a permit is not obtained • .. • within 180 days after it has been accepted as complete. Print name: ��,,,./e, VA/7 Date yid f /D * Fee methodology set by Tri-County Building Industry !� Service Board. ... . .n • c, ]T', , //PN/`11M /W0111 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2006 Phone: (503) 639 - 4171 . 1 Inspection Requests (24 Hrs.): (503) 639 -4175 !,L�^ l L INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7:03AM PAGE: 2 SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OCE DESCRIPTION: TI - walls and ceiling. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624 -6300 CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 - 892 -0066 Inspection Request.Scheduled For: Date: 11/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 039172 -01 503 -966 -6290 Y / Corrections /Comments /Instructions: l li I \ 1 0 ‘ 1 6 L I ' ' c _ ___,_--- ,- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR NSPECTION ❑ ADDITIO L FEES ASSESSED ►4,11 -1 r + - Inspector: 41101 � Date: 4 1 � Phone #: (503) 718 -�5 CITY OF TIGARD 8i1p 6e4. BUILDING DIVISION PERMIT #: BUP200G -00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23 /2006 Phone: (503) 639 -4171 t , Inspection Requests (24 Hrs.): (503) 639 -4175 _._I it INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OCE DESCRIPTION: TI - walls and ceiling. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300 CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 - 892 -0066 Inspection Request Scheduled For: Date: 10/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 039091 -02 503 7 956 -6290 N 9 SPzke..wC ` '07 -- or39 LT- Il / Corrections /Comments /Instructions: / ELR Z+C'0C=. CO Z TAN- . Fu F 2e - etDA-3.1 S c 0.9K - RM L C O* — l0 ' / ____L1 zr,06—o© , � wee �l l .� . a i • rw . -� A ► ril 0Ercl. (T5 . ❑ P A ❑ PARTIAL APPROVAL Li CANCEL [11 NO ACCESS F F AIL ❑ CA FOR FOR INSPECTION El ADDITI AL F S ASSESSED f � Inspector: pritui u Date: v - t r 6/,, Phone #: (503) 718- 2 4 2 t CITY OF TIGARD - BUILDING DIVISION PERMIT #: BUP2006-00397 — 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/'106, Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 I I .. INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 1 SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OCE DESCRIPTION: TI - walls and ceiling. OWNER: PACIFIC REALTY ASSOCIATES,' PHONE #: 503- 624 -6300 CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 -892 -0066 Inspection Request Scheduled For: Date: 10/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message Il t 287 Suspended ceiling 038522 -01 503-956 -6290 Y Corrections /Comments/ Instructions: . k l,s_. - ,,‘ 6 M t [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDI r • NA FEES ASSESSED Inspector: ilk Date: r WV Phone #: (503) 718 -'24 CITY OF gtii P QA00(0-00 N7 BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 Aro i Inspection Requests (24 Hrs.): (503) 639 -4175 ° '�J i INSPECTION WORKSHEET FOR DATE: I p /• j /0 co TIME: tig • r PAGE: SITE ADDRESS: 112 6 5 6vu 177- n CLASS OF WORK: SUBDIVISION: LOT #: fjl D 6 TYPE OF USE: PROJECT NAME: ©� r DESCRIPTION: r OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: tth i kL Pour Time: ti Code # Inspection Description Confirm # Contact # Message Pm Corrections/Comments/Instructions: MI& 1 I I w .... 7 f ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ' CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: A / /Ik _ Date: 1 , l Phone #: (503) 718 - " +.. 3 CITY OFTIGARD BUILDING DIVISION PERMIT #: BUP2006-00397 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 " LL. . • INSPECTION WORKSHEET FOR DATE: 1 0/212006 TIME: 7 :03AM PAGE: 10 SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: OCE DESCRIPTION: TI - walls and ceiling. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503. 6246300 CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066 Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 037502-01 503.956 -6290 N Corrections /Comments /Instructions: — / 051 tOkkULFP. k--- A'S ' 3VRII 4 cr '. D -7 0 Erth El. P Rec/ ❑ PA ❑ PARTIAL APPROVAL ❑CANCEL El NO ACCESS FAIL ❑CALL FAR INSPECTION El ADDITI NAL FEES ASSESSED ‘,, 1 I r ns ector: ; / , , g Date: �O 06 Phone #: (503) 718 - (/*