Permit A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00068
f DEVELOPMENT SERVICES DATE ISSUED: 2/12/03
`�'�" '� �' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 PARCEL: 2S112AD -01000
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
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: 1 BASEMENT: sf AREA SEP. RATED:
STOR: 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:41 3 Dt • D�
Remarks: C ?..(2_0.7}s.. 1 op0" U 1/V\- , ,(j"rlive ,p ppt,L.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES O'BRIEN HOMES INC
15350 SW SEQUOIA PKWY #300 -WMI 34444 SW LADD HILL RD
PORTLAND, OR 97224 WILSONVILLE, OR 97070
Phone:
Phone: 625 -4400
Reg #: LIC 69361
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 2/12/03 $72.10 Electrical Permit Required
[TAX] 8% State Tax 2/12/03 $5.77 Framing Insp
Pin Rv 2/12/03 $46.87 Gyp Board Insp
[BUPPLN] Inspection
N] Final Inspection
[FLS] FLS Pln Rv 2/12/03 $28.84
Total $153.58
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.
Issued By: lin,f / 9 2 , / i /f )
Perm ittee A C- - /
Signature: ` i / j ///
Call 639 -4175 b . 0 • r an inspection the next business day
02/11/2003 15:29 FAX 5035981960 CITY OF TIGARD la 002
, • 11111P■is .
Building Permit Application Received For: OF l' IC I!, I.SL ONL\
Building n ,... ,_, ..,
Date/By: a 7 -
- /.2.b5 ?'l I.., Permit No.:Th() r -on*
City of Tigard Planning Approval Other
13125 SW Hall Blvd. pi
Tigard, Oregon 97223
/4k
Date/By: ew
Other
Date/By: Permit No.:
P t enni No.:
Phone: 503-6394171 Fax: 503-598-1960 ''''' I ' ''` Post-Revinv Land Use
Internet www.citigarcLor.us :Ai 1
„..11 :___. Date/By: Case No.
Contact Juris.: kg See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: - Supplemental leformation
', .: i..r.'i•;!,i :::1,i1;1;;.:-.:. Typocerwousw:5 :.,...i:;,,:; .... 1: i : ,:,i.,;,.: .....*!.7 ,:.....,,.....:,...:,..:.,.....:...i,„:„: , , , ...„ , .. , 3,440"" , ,,liv, i ,,, ,, ..:, , ,:::.:::;:.•ktoy... , : .:••!.. ,. . , ......: , 1.::
•59-i; !,::%;.•,: •:•-- , ,L.:... , : • :, i. : • N.T-...-.P.4.'4...Ar!..!i 1. :.-i.7.1::::.;%;:4, .:,:.•'■::::-..:-: : :, . :'
• New construction _EI Demolition I
...,,,:•:. • :: (.":■-: r11:4 &IFAMEINIDWEIMId !.:. • ..,;.: • :.,-;!;-!..:.....- :. : ..
■ . ddition/alteration/re lacement E] Other:
A.1.: _::..!. YOr.CONSEllitiderION Ail f II 11 . 0 li (11' j :: 7 Notc Permit fees* ue based on the total value tithe work performed. Indicate
- , & 2 dwelling E C ornm erc int/Indus tiial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Accessoryl3uilding Multi-Family
- -
In Master Builder Other: Valuation. $
A '''!.:'''.::::.':" '''::' 4 d'i: ll &it, 1 1 irirairl7d9LIEFF. : :::; . ••,.:!.......f . . I . • No. of bedrooms: No. of baths:____
Job site address: /4946 5U) SfY.WO/A - f 7 , Total number of floors
' New dwelling area (sq. ft.)
Suite #: /20_ J Bldg./Apt.#: ___ Garage/carpon area (sq. ft.)
_ Project Name: e=eol,a.s 1 t..,-J 'rev C • Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
• . Other structure area (sq. ft.)
:!;!..j....;'..!:. i. . f.:':: ;.: 1 1 ,1" . ! • : - ..
Subdivision: I Lot #: i;!:;1:1;9,y::!i:1:i!:.!::;;•••■:tarCifitiliitt4iiitligile*iiillitiLSir:.;:•......::'.:::!;i:.•":2:-:-.
•
Tax map/ parcel #: .
Note: Permit fees* are based on the total value of the work performed. Indicate
;:.:•!;'.; i; i . the value ( tO the neurt dollar) of all equipment, nnuerials, tabor,
overhead and ro
pfit for the k wor indicated on this application.
Me74 L. F2.€7,..-75 A -IQ! ,I•ie.i aor-k- .
3 Oasts - 7; "fry.olcS tivNE ezilgic& Valuarion $3. no 0. cen
.1 j I 0 0 46r7iTrA C-d Existing building area (sq. ft.) 2 5, /,, 3 t
New building area (sq. ft.)
I Number of stories _______________
X:PROPERTr.s... .■ , '' . .:ii , ' 111:TENANT.•:. • • • : li.:4:;;•it!:1!:::;;Ii :i:, Type of construction
Name: ?<lc -r/t-v5-7" I Occupancy group(s): Existing: -b . —
Address: /5350 514 .5EQuo4A l'Aekkby .5thiz4300 New.
City/State/Zip: - 770,44.47, 19742.4- .
• 1. ne: -503 - /024- 4,300 Pak: .5:13-&,a -77ss NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
. AtitaPiitairi[li!rE , :.':.!!; - ; , :r.!:•:••• • •:.1;: • •i!:::::: • - •
' . • provisions of ORS 701 and may be required to be licensed in the
Business Name: 4eope5k, .reqC C . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: - riz /...ia kemivn/e.ay from licensing, the following reason applies:
Address: /4946 SW SeQucisA PKW Suez( /70
City/State/Zip: '774,,orza, 0 RI. ' 7z24
Phone:503 - .9(og - 8787 I Fak: 503-90g-3010g
111:! .:'.: :A.' :
E-mail:
ii 0: , i, 0 ) • :,••piiri : ";-:......: ., .. • • . ! ... ...0: -,-..,-..- - • • ••• ,...:..i. •• : : • : ‘•,:. i... .. '!. :: . ;.. .!
Business Name: 0 '621 ev aqs-reocro its (-Lc. Fees due upon application $
Address: / Sl__
City/State/Zip: PO42744..10 A q 7 20/ Amount received. S .
Phone: - o5- Z1/-z9 I Fak: So3 -224-944 I Date received:
CCB Lic. #: / • ' I . .
Authorized • ,
•
Signature: Agral4 g Date: Z //-4.93 Notice: This permit application expires if a permit is not obtained within
•
180 days after it has been accepted as completr-
-- .- =- — r•l . 1 • I
1
'Fee methodology set by TrI:County Building Indusey Service Board.
•
•
(Please. t nein) 1 .
I
i:\Dats\Pertsiit FormaildgPcrrnitApp.doe 01/03 .•'
i .
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1 •
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line9 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received . Date Requested Z r' AM PM BUP r- b
Location t L4 � J c /- Suite /2 MEC
Contact Person /Ph ( g a 1 PLM
Contractor Ph ( ) SWR
Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulatio
�9
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ■
Roof
400
Other: •
Fi
Al -ART FAIL
711 NG
Post Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
•
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS 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: Unable to inspect — no access
Fire Supply Line
ADA 2._
Approach/Sidewalk Date \ Inspecto Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Lin o39 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BuP 3— 000c
Received Date Requested ( 3 AM PM BUP
Location I q 1 1 5
/k4--c-iA--/ Suite 1 2 6 MEC
Contact Person 0 � /1�.c - '-- Ph ( ) 51 I' - c5-10'(PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner r ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler , •
Fire Alarm
Susp'd Ceiling : r O
Roof
Other:
Final 41A n PASS PLUMBINGRT FAIL C lJ� Cx (--q„,, Q Cif aQ d
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS 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: E Unable to inspect — no access
Fire Supply Line F ,
V
ADA — l 3 Q JV "�
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 l3UP '
Received Date Requ sted - AM PM 1 Z®L eon /9i
Location - / - -= Suite 1 7 D MEC
Contact Person -,�. Ph ( /7( ) 0 5t3 I PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
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
Other:
•ASS PART FAIL
PLUMBING
Post & Beam •
Under Slab
Rough -In
•
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS 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: Unable to inspect — no access
Fire Supply Line
ADA %1- 10 Approach/Sidewalk Date sis!ee�_ Inspector Ext
Other:
Final ' O NO REMOVE this Inspection record from the job site.
PASS PART FAIL