Permit ` CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2000 -00191
A •110/11 - & DEVELOPMENT SERVICES DATE ISSUED: 05/25/2000
� - II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 PARCEL: 2S112AD -01000
SUBDIVISION: 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: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: .
VALUE: $ 30,000.00
Remarks: Commercial TI
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 pR gZ22
Phone: TI Wan e : FZ47T174 Q RIGIN n L
Reg #: SIC 41328 1 V I /-�
FEES REQUIRED INSPECTIONS •
Type By Date Amount Receipt Framing Insp
PRMT KJP 05/25/200C $296.50 0002435 Gyp Board Insp
Susp Ceiing Insp
PLCK KJP 05/25/200C $192.73 0002435 Final Inspection
5PCT KJP 05/25/200C $23.72 0002435
FIRE KJP 05/25/200C $118.68 0002435
Total $631.63
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Permitee r $
Signature: X m ature: � / / , ct.f4V/Z
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
CTY OF TIGARD Commercial Building Permit Reed By
13125 SW HALL BLVD.. Tenant Improvement Date Rec'd
TIGARD OR. 97223 Date to P.E
(503) 639-4171 ® P o e Date to DST - 37T5770:1 7
Permit* R10 - -o oil j
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project Existing Building/ ' New Building 0
Job /904./,./ , 0 j "jce 1,fi#A
Address Street Address . / ude Building
/ I 4If/SCl/A O /7,' Data
Bldg a i City/State Zp Existing Use of Building or Property: 9Y?;-.5, Name T /� ��� 47P/G�ll/�."6
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Bilding or Property:
p�
er
Owner Mailing Address Suite �� 7, // ®v el
15350 SW SEQUOIA PKWY I 300 No. Of Stories. -
City/State. Zip Phone _ - �/
• PORTLAND, OR 97224- 1 624 -6300 Sq. Ft. Of Project
O ccupant Name' -.___ • • • -- --- • .. .... _..
G4,0�-r/ AA/ /4.7.- Occupancy Class(es) . •
Name S /�^ -- -
Contractor H. L.. GREEN COMPANY Type(s)of Qnction
Prior to permit Mailing Address ' Suite -
issuance. a copy Will this project have a Fire Suppression System?
of ail Iicenses. 15350. SW SEQUOIA PKWY 300 Yes No
are required if City/State Tip Phone Q
expired in C.O.T. Americans wi Disabilities Act ;ADA)
database PORTLAND, OR 97224 624 Valuation X 25% = $ Participation
Oregon Const. Cant Board Uc. Exp. Date Complete Accessibility Form Z ,[-/A t'
41328: . . . b // 0 1 / a a- Project $
Name Valuation ,,
Architect JOHN H.. ROMISH Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AYE.
•
My/State Zip Phone I hereby acknowledge that I have read this application. that the information
PORTLAND, OR 97224 236 =6306 given is correct. that I am the owner or authorized agent of the owner, and
Engineer
Name that plans submitted are in compliance with Oregon State Laws.
Signature of Ow gent p
Mailing Address Suite
M .
Contact Person Name Phone
City/State Zip Phone
Indicate type of work: New 0 Addition 0 Demolition 0 FOR OFFICE USE ONLY
Accessory Structure 0 Foundation Only 0 Alteration Map/TLx I Land Use:
Reoair 0 Other O Notes:
Description of work: p
/(4 / /r �� ". . TIF:
4/401 7,'/Vleirk7—
I Parks: 'Estimated a of Employees .
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I :ICOMNE'N.DOC (DST) 8/97
,- .. OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK: A- FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OFD E FIRST SQ. FT. N: S: E: W:
TYPE OF
CONSTR: i SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: ND CI-W e TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: — ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSPECTION ACTIONS FEE MENU I
Foot/Found Post/Beam $ "1 Permit Fee
Masonry Fram n $ �9Z Plan Review
Insulation Shear Wall $ 2 -� 8% State Surcharge
Firewall yp Boars' $ 1 0 FLS Plan Review
uspended Ce' ng Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Fina $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS= commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 9/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
�
BUP 2O(�0 — 00/ 9 /
Date Requested ( p ] 2 /t') �^� AM F PM BLD •
Location / H 9 VS se ( Suite / ! MEC
Contact Person t%J l 4+ Ph 310-n31 PLM
Contractor r ,, Ph SWR
<BUILDIf�G� Tenant/Owner Ge,Pv.P,D1^-I�L� ELC
Retaining Wall / ELR
Footing Access:
Foundation d oor GoC FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
ramin P-1n
I
all Nailin 9pl
Firewa
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi .
I n) PART FAIL •
PLUMIBING
Post & Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Other �/�''
Approach /Sidewalk Date t (/ // t/60 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Li : 63 -4171
41p te)DD 1
Date Requested tP / /(JO AM I --� P BLD
Location I 9 q 1, S S (4(,1 i �- SuiteiTo MEC
VI
Contact Person N t3Vk Ph 9_,10 -qR2/ PLM
Contractor
ne nn . Ph SWR
1UILDII Tenant/Owner t? ,, t.ec.3 l 1/„ -, ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: •
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear Cs V? :15:b= ri za. (
nsu ation
Drywall Nailing
----- .-s.--------- Y
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
R
r .
oof
Misc:
Final
PASS PART
PLUMBING A
Post & Beam •
Under Slab i A • , 1 MI • . L ' —
Top Out •
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In `
Gas Line
Smoke Dampers •
Final
PASS PART FAIL
ELECTRICAL
Service Y
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
B
A
ackfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk ( jl ( b ��� t�L �. �
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
_a, I1 •
Date Requested t0 /g , AM PM (� BLD
Location iq ( -1S S -�� t/( I&-- Suite ) ? o MEC
Contact Person 91A91 5yl f' Ph NO- kg1 PLM
Contractor n Ph SWR
GUILD Tenant/Owner 6 Qc r�l ^� V�� ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
it Sheath /Shear _ / i // O b ,\ O'1 c C V L � _ Q _ c - )
�i1TilII'' v �(� V �L � CJv t vv � ��
D y anon )r_CJ + i:L. -'7 J � S v`�" • Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm /S r C p n I (-7-71Z,
Susp'd Ceiling � V V 1 �U
Roof
Misc:
Final
PASS PART
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer I
Rain Drains 'M
Final
PASS PART FAIL
MECHANICAL \e —
Post & Beam
Rough In LN` 5
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA � ( \ /� , n J
Approach /Sidewalk Date U b 'D Inspector v v4 v Ex t�
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�2 BUP 0 (
Date Requested ? AM PM BLD
Location 14q (-65 '''5U) .e(- er-W1 Suite (�� MEC
Contact Person DU / (� I Ph 3( &3/ PLM
Contractor ' 1 Cor82. L - et) Ph SWR
BUILDING Tenant/Owner a ELC A IM
7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing [
Insulation Y 0 4.0-6,- Drywall Nailing 6fCJ f
Firewall
Fire Sprinkler
Fire Alarm 0–Cfi,te 1 1 1 `' / sp l I
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date Inspector , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection re • • rd from the job site.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST p�
INSPECTION DIVISION Business Line: (503) 639 -4171 9UP --6006x0
Received :lb Date Requ sted d a-6 AM PM BF Z� -- eon/q/
Location � !� Suite 7 MEC
Contact Person l.tM. Ph (`77( ) a! � 5`i3`7 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:
air
*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 �' //
Approach/Sidewalk Date i.•i��0 Inspector 1 Ext
Other:
Final • 0 NO REMOVE this inspection record from the job site.
PASS PART FAIL