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Permit CITY OF TIGARD • BUILDING PERMIT PERMIT #: BUP2005 -00376 j lr c DEVELOPMENT SERVICES DATE ISSUED: 8/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 ZONING: I -P SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG Project Description: TI, wall 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 38 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: $ 6,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION 15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE PORTLAND, OR 97224 PORTLAND, OR 97225 Phone: 503- 624 -6300 Phone: 503 - 892 -0066 FEES Reg #: LIC 66070 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/4/2005 $100.90 • [TAX] 8% State Surchari 8/4/2005 $8.07 [BUPPLN] Pln Rv 8/4/2005 $65.59 • [FLS] FLS Pin Rv 8/4/2005 $40.36 Total $214.92 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. Tho "e rul ar set forth in OAR 952-0: -0010 - gh OAR 952 - 001 -0100. You may obtain a copy of these rules , t irec questi ns to OUNC by cal . ng 503 - 246 -669 0 1- 332 -2344. Iss ed By: , , � 1' ' � L 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 am required on the job site at the time of each inspection. Building Permit Application OFFICE USE ONLY AtAlir Clty of Tigard Date received: , ©� Permit no. ; Q av .00 7 -- City of Tigard City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Project/appl. no.: Ex .ire date: Phone: (503) 639 -4171 Date issued: CM Receipt no.: Fax: (503) 598 -1960 Case file no.: . Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 2 family dwelling or accessory ❑ Commercial /industrial CI Multi-family ❑ New construction CI Demolition ddition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: s L --52 e , O = Bldg. no.: Suite no.: Lot: ' Block: Subdivision: Tax map /tax lot/account no.: Project name: _ f 1�I,Ai Description and location of work on - , 'mises /special conditions: • ... _ ,i 4 411._- OWNER FOR SPECIAL INFORMATION, USE CHECKLIST (Floodplain, septic capacit y, solar, etc.) Mailing address: ♦ 44 M, _0 L amily dwelling: WV (, . ASIMIREE:M P: Valuation of work $ Phone: Fax: CEM=IMIEI No. of bedrooms/baths Owner's representative: 0 , a i Total number of floors Phone ,,- _ r- , New dwelling area (sq. ft.) APPLICANT Garage /carport area (sq. ft.) Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) 1221.11 ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial /industrial /multi - family: �) CONTRACTOR Valuation of work $ ',. Existing bldg. area (sq. ft.) ,.f_i Business name: /A , , 7 # 0 ■ New bldg. area (sq. ft.) Address: City: State: ZIP: Number of stories Phone: Fax: E -mail: Type of construction L/ CCB no.: Occupancy group(s): Existing: New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER OFFICE USE ONLY Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined ' application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All pro • o s of 1 s and rdinances governing this ❑ Visa ❑ MasterCard work will be complied wi ethe speci d herein or not Credit card number: / / Expires Authorized si at' � ur . L /str Da te: � d Name of cardholder as shown on credit card $ Print name: ,,'er1. -I (_c Gt._ �J ✓L • Cardholder signature Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6 /00 /C0 CITY. OFTIGARD BUILDING DIVISION PERMIT #: gUP2005 00376 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/4/2005 Phone: (503) 639 -4171 / �mu4jW i ,� , , y lll 3 7 Inspection Requests (24 Hrs.): (503) 639 -4175 r__.. SPt,2,o,1t1E4e- INSPECTION WORKSHEET FOR DATE: 9/19/2005 TIME: 7 :06AM PAGE: 35 SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: STERLING, COMMUNICATIONS DESCRIPTION: TI, wall OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300 CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503- 892 -0066 Inspection Request Scheduled For: Date: 9/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 016023 -01 503 -307 -2105 N C o s /Comments /Instructions: 4., MirahrMa ig r i r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FO' INSPECTION 111 ADDIT •NAL FEES ASSESSED I ' , • Inspector: t ' V 1 / Date: Phone #: (503) 718-