Permit ... . ,
A r° , TIGARD BUILDING PERMIT
CITY O F PERMIT #: BUP2003-00039 .
u --- c DEVELOPMENT SERVICES DATE ISSUED: 1/22/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 150
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 8,392 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: 8,392 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 94 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: PARKING:
VALUE: $ 111,000.00
Remarks: TI Partitions, doors /frames, cabinetry and finish.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300
TIGARD, OR 97224
Phone:
Phone: 624 -7717
Reg #: LIC 41328
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 1/22/03 $787.20 Electrical Permit Required
TAX 8% State Tax 1/22/03 $62 98 Sprinkler Permit Required
[TAX] Plumbing Permit Required
[BUPPLN] Pin Rv 1/22/03 $511.68 Framing Insp
[FLS] FLS Pin Rv 1/22/03 $314.88 Gyp Board Insp
Susp Ceilng Insp
Total
$1,676.74 Final Inspection
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 (503) 246 -6699 or 1- 800 - 332 -2344.
i /
Issued By: ____ A_ `p _, L/
Pe rm ittee /` /
Signature:
all 639 -4175 by 7 p.m. for an inspection the next business day
wilding Permit Application OFFICE USE ONLY
dll -
Date received: / —� -03 Permit no., _ , f
. -,i City of Tigard
City of Tigard
Address: 13125 SW Hall Blvd, Tigard, OR 97223 Projecdappl. no.: Expire date:
Phone: (503) 639 -4171 Date issued: EMI Receipt no.:
Fax: (503) 598 1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory Pd 0 Multi- family 0 New construction 0 Demolition
i- Addition/ alteration /replacement t. Tenant improvement ❑ Fire sprinkler /alarm 0 Other:
JOB SITE INFORMATION
Job address: -' 0 M .3 f S -,.....,., - i_ w Bldg. no.: '' Suite no.: ,Sv
Lot: Block: Subdivisi:n: MEIMI Tax map /tax lot/account no.:
Project name: r , , , - ,
Description and location of work on premises /special conditions: e Z 5F ri . ?Pori( 'fierets /n
- a a `/ • /. .1 - . , 7 , ru..6
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Pa, (Floodplain, septic capacity, solar, etc.)
Mailing address: /5 O S) So , - ' 4 ,,, ' 0 1 & 2 family dwelling:
EMEMIMIgrelli State: p,, ZIP: - 22.. Valuation of work $
Phone:SO •42.'(•4 - - GEMEEM E -mail: No. of bedrooms/baths
Owner's representative: Pe si ( Total number of floors
Phone: — s t..^..e _ New dwelling area (sq. ft.)
APPLICANT Garage /carport area (sq. ft.)
Name: — 0 uw.)101. y— ---. Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial /industrial /multi - family:
CONTRACTOR Valuation of work $ 000 •oo
Business name: a 1.. 6 rte Existing bldg. area (sq. ft.) t
New bldg. area (sq. ft.) -0
Address: i .51.4! -5-0 D ta. Phu/ 43Z'v Number of stories
o m m LI 2 pm ZIP: - Z 2,
Type of construction VA/
Phone: So .6 2 . Fax: E -mail:
CCB no.: Occupancy group(s): Existing: /3
....O New: C
City /metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 1404y--/-■ AI a Al. • provisions of ORS 701 and may be required to be licensed in the
Address: c7 .514.) S, _ _ 1¢w jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies:
Contact person: 4,.., Plan no.
Phone: SO , ( . 300 Fax6 77 1
ENGINEER OFFICE USE ONLY
Name: n GL.. 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 this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
Expires
Authorized signature: a a n Date: 1-24.o 3 Name of cardholder as shown on credit card
$
Print name: Rai. ...4—i, *W. "1 -Ca in 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 OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
IO
BUP D003.7
Received / !' Date Requested 3 -11
AM PM BUP
/ Location `T i ts Suite / 5-0 Q M'�O
EC n? "000 j
Contact Person Ph ( ) 351 - 02 5 ' 3 " PLM
Contractor Ph ( SWR
SWR
l� k
BUILDING Tenant/Owner P
-4.. ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
.Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - r
Other:
PART FAIL
P I BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer L _ G U 3 �-
Rain Drains
Catch Basin / Manhole G �
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
Beam I
L ost & Beam
Rough
Gas Line
Smoke Dampers
S - PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: J Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 3 rr``
/ / U Inspector ( Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL