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Permit I / I l if i priJ +e4 ) +0 (WC keLQ c&A ��+ c c car n CITY OF TIGARD BUILDING PERMIT 8 - COMMUNITY DEVELOPMENT Permit #: BUP2010 -00274 TIGARD 13125 SW HaII Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/21/2010 Parcel: 2S113AB00101 Jurisdiction: TIGARD Site address: 16101 SW 72ND AVE 130 Project: Siemens Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project Description: TI. 1/04/11, reprinted permit to include change of contractor. BT. Contractor: BNK CONSTRUCTION INC Owner: PACIFIC REALTY ASSOCIATES 45 82ND DR SUITE 53B 15350 SW SEQUOIA PKWY #300 GLADSTONE, OR 97027 PORTLAND, OR 97224 PHONE: 503 -557 -0866 PHONE: 503 - 624 -6300 FAX: 503 - 557 -1085 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 12/21/2010 $880.05 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 12/21/2010 $105.61 Stories: 2 Height: 0 ft Plan Review 12/21/2010 $572.03 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/21/2010 $352.02 Value: $70,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,909.71 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 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 the 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. \ 1 Issued B� __ '- _ _ .ermittee Signature: --. — --- of ..,,.., .,.. ie . by 7:00 a.m. for the next available inspection date. / 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. Eir CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00274 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/21/2010 TIGARD Parcel: 2S113AB00101 Jurisdiction: TIGARD Site address: 16101 SW 72ND AVE 130 Project: Siemens Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project Description: TI Contractor: PACIFIC REALTY ASSOCIATES LP Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PORTLAND, OR 97224 PHONE: 503 - 624 -6300 PHONE: 503 - 624 -6300 FAX: 503 - 624 -7755 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 12/21/2010 $880.05 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 12/21/2010 $105.61 Stories: 2 Height: 0 ft Plan Review 12/21/2010 $572.03 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 12/21/2010 $352.02 Value: $70,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,909.71 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be d in accordance h approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe r more the 180 s. ATTENTION: Oregon aw -•uires you to follow the rules adopted by the Oregon Utility Notification Cente Those rul are set forth in OAR 952 - 001 -0010 through OAR 952-1 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1,•%' • 1.800.33 . 344. A Issued By: � Permittee Signature: /.1 CaII 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r °t _ Buildin . Permit A • s licatio • _, E � FOR OFFICE USE O NL Y m City of Tigard pEC 212010 Received /n ��� / / Permit No.: � Date 13125 i to / / Q .. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ►�d�� Phone: 503.639.4171 Fax: 503.598.19�� ©� TIGARD Date/13 : t / St Other Permit: TIGA RD Inspection Line: 503.639.4175 , 1 Date Read : .laris: El See Attached Checklist for Internet: www.tigard- or.gov BUILDING DIVISIO Notified Method: Supplemental Information TYP OF WORK �_ � =u' ,'1;',::: R E U IRED DATA'1 AND2 FAMIL DWELLING ' -, s'kC �' v. 5 f4 s .$. - r «.,. K t. . ,:,,.i'71.: .it`r Elp New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all A Addition/alteration/replacement ❑ Other: ', equipment, materials, labor, overhead, and the profit for the ` , , „ , g k work indicated on this application. C QF CON .�r =. ;7t-4 ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ III Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 74; r ,.k'�0 e' ` Total number of floors: - , yam JOB SITE INFORMATION A LmOCATION � ,,, .. 4 - Job site address:sa /O/ r ��/ 7 � ,42/ a- cf New dwelling area: square feet ' V City /State /ZIP: n7 L / q / / 7 ) � 2 9' �� .V 4 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: „ else Covered porch area: square feet Cross street/directions to job site: Deck area: square feet ��! to e "Ceve l ', J '' ' df Other structure area: square feet Z / � � � ��' ht`< � � � �' :� arm §,. �r � § '; �eGt IC / �Jj0 - • °REQUIREDrDATA COMMERCI I USE CHECKLIST;53 ' Subdivision: • 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 z g r ”` ' r i ,,. ,� r te „ .. ; r ; F � DESCRI PTION OF W � -- ,- w ork indicated on this application. Valuation: $ P.�� Existing building area: square feet New building area: - z," square feet f . ' ® PROPERTY 4 ` , k g,. ® TENAN a x Number of stories: Name: PacTrust Type of construction: Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: /� City /State /ZIP: Portland, OR 97224 Existing: , � C �� y l�j —U • Phone: (503)624 -6300 Fax: (503)624 -7755 New: `'� n€ .....,ati` APLIC ® PA NT �,��...; .., CONTA T PERSON. ,, �4 '� : NOT 1 s ` r `, s " x. . x_ .u , .., cj°'L.`.M ». e aN �1i% fi.- ....� " ��w+. ., ,...,s iu 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 K r_, . � '� X9c - ' ...--7 1& ( - 4 5 - 7 --- ` "7 a�CONTRACTOR� i % ., r . - I Business name: , r 4 ° BUILDINGP,ERMITFEES �a Address: - _ Ateefiiiii.4rejer to1/ee schedaa) e e Pik. Structural plan.review fee (or deposit): City/State /ZIP: FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) CCB lic.: •(5 - 7 3 9 � 3 Total fees due upon application: Amount 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: HC---fs , , Date: 0 ,,/// * Fee methodology set by Tri -County Building Industry Service Board. 1: \ Building \ Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(I I /02 /COM/WEB) Building Division Over- The - Counter (OTC) Building Permit . TIGARD Check List Description of Project: 1 ( . ' :fi ., 1 z . ' �Pk #..y, a ° t e ril . i ,3 r 5 ,� -• ; �� ,T GE�N�ERAL IoNVF®IZIVITI®Ni u :,. �,uT Class of Work :* - A �� ..,An I ,. ; First floor: Floor Areas (sq. ft.): `� Exterior Wall Construction: Type of Use:* fy V `' ' i " N: S: Type of Construction: Second floor: E: W: Occupancy Group: r ` '''.I• Third floor: g� • }, Openings Protected Y /N ?: Occupancy Load: Total sq ft.: ., N: S: Stories: Note: Combine total floor area for � E: E: Height: , ,ra. all floors above third floor and `'. Roof Construction: Floor Load: , ::: 2 44 ', add to the third floor s . ft. z 3 - Fire Retardant: Basement: ,; ` -' Basement: y Area Separation Rated: Mezzanine: ' f::?!., • Garage: Mt Occu. Separation Rated: ., '' �' �y" 'RAE ®I1 RE I I'EdIVIAS ,. ` � � h ffi : �, < Fire sprinkler: �- � � � � ` Handicap access: Smoke detector c N Protected corridors:} Fire alarm: Y i' y-,,,, .;., Parking spaces ( #): Notes: Total Valuation: $ 70� 4 f .° E1. • INOPECTI®NS a ;', I 5.4 =i,, e _ ; :. , F'E�ES,'D JE , `' k Footing /foundation Firewall $ ,65 Permit Fee Post /beam structural Smoke detector $ f • t r ? t State Surcharge Shear wall Misc. inspection $ �j Q Plan Review Fee Masonry Approach /sidewalk $_ a r FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ , Icfi 7 ( Total Fees Due *07itliIO.NS �� . � - Z ' f i . ��1 t � t - tt ., 4 -," _ X4 v . ;� A ' 6f t - 1 ' ®O M. commercial commerc manufactur , o r' " '` . . -1 rg € ,, y . F f ( 0C WORK• � accessory . DD * .'o o o ' MT � alteration, fo el ation .DE °M demo �k l te 4' . foundation, di3 protection W. new, ®TTR other (use o 1( decks, a wiun g s eanopies),.REP. .repair. . , %:i, .1r r„+As ?, o ='x s,. ;m L? 1- , 1,c.. ° v Thi a I: \Building \Forms \OTC - BUP.doc 08/19/08