Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP200 -00032
_ DEVELOPMENT SERVICES DATE ISSUED: 2/5/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 100
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 3,500 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : 3,500 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 7,000.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 40 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:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: it ' 2 5 000
Remarks: Demo existing walls and create open office area and conference room.
•
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H, L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 c�B qz�2
Phone: Tl rnon n e: FZ4! (1(
Reg #: LIC 41328
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 2/5/02 $290.80 27200200000 Gyp Board Insp •
5PCT CTR . 2/5/02 $23.26 27200200000 Susp Inspg Insp
Final Inspection
PLCK CTR 2/5/02 $189.02 27200200000
Total $503.08
•
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 -6699 or 1- 800 - 332 -2344.
Permittee /
Signature. i / /./ 1 . A ,-i /JA
r I
ig--111) Issue . By: aM illi
Call 639 -4175 by 7 p.m. for an inspection the next business day
Bu ldingPermitApplication
s =.
v Cit of Tigard Daterccei Pertnitno.:
City o gaud Address: 13125 SW Hall Blvd, Tigard, OR 97223
Project/appl. no.: Expire date:
Phone: (503) 639 -4171 Date issued: By:. 1 Receiptno.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1&2 family: Simple Complex:
TYPE OF PERMIT
Q 1 & 2 family dwelling or accessory RCommercialfindustrial Q Multi - family 0 New construction U Demolition
Q Addition/alteration/replacement ATenant improvement 0 Fue sprinkler/alarm 0. Other: :
JOB SITE INFORMATION
Job address: ji -r y m i ry y� Bldg. no.: 1 Suite no.: l, o0 _-
Lot: Block Subdivision: Tax map/tax lot/account no.: .
Project name: • / D f- „ d. e v 6 .. - # 4 — A l L. 'vim AP - = . : .' L ,t'
Description and location of work on premises/s1 conditions: 2' j r /44/ p�f. A
A/, 4 /Y �1 -/i • i 1 4' -S .
OWNER FOR SPECIAL INFORMATION. USE CIIECIiLIST •
Name: P a cT ru s t • (Floodplain, septic capacity, solar, etc.)
Mailing address: 15350 SW Sequoia Pkwy., #300 1 & Zfamily dwelling:
City: Portland (State: 0 R Jz P: 97224 Valuation of work $ .
(503 Phone:! 46300 C1Fax5E4--7T5 -mail: No: of bedrooms/baths. • .
Owner's representative: Dennis P ag n i Total number of floors .........
• Phone: Same Fax: S e E -mail: New dwelling area (sq. ft.)
Garagelcarport area (sq. ft.)
Name: P a c T r u s t Covered porch area (sq. ft.) ...
Mailing address:15 3 50 SW Sequoia Pkwy ., #300 Deck area (�• fL)
City: Portland State: OR !DP: 97224 Other structure area (sq. ft.)
(503 Phone{ 2 4 - 6 3 0 0 Fax6 2 4- 7 7 5' E -mail: CommerciaUindustriallmulti- family: 2-S ere c) 4702
CONTRACTOR Valuation of work $ = 7.W1��/
Existing bldg. area (sq. ft) .3 ..t"1,® .,1
Business name: H.L. Green New bldg. area (sq. ft) / _
Address: T5 3 5 0 SW Sequoia Pkwy., # 3 00 Number of stories /
City: Portland I State: ORIz>P :97224 y'Iii
(503 Phones 2 4— 7 717 ( Fax: I E -mail:
Type of construction
CCB no.: 41328 Occupancy group(s): Existing:
City/metro lic. no.: New:
Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: J o h n R o m i s h provisions of ORS 701 and may be required to be licensed in the
Address• 15 3 5 0 SW Sequoia Pkwy. #300 3 0 0 jurisdiction where work is being performed. If the applicant is
City: Portland State: 0 R17:2:97224 exempt from licensing, the following reason applies:
Contact person: I Plan no.:
( 503) Phone: 624— 6300 Fax:624 -775 ' E - ohnr@ r actrust i r . com
ENGINEER
Name: Contact person: Fees due upon application $
Address: : Date received:
City: State: ZIP:. Amount received $
Phone: I Fax: 1 E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the ' Not all jurisdictions aocxpt emit cards. please al jurisdiction for more informadoo:
attached checklist. All provisions of laws and ordinances governing this o Visa D MasterCard
work will be complied with, whether s . i 1 -. herein o • ,t. Credit card number —L__/___
Expires
Authorized signature' ■, i .d le • Ai % / /,•" 2 — . —.. Name of cardholder as shown on credit prd
S
Print name: ii .74. AfrA cardholder mature Amcsm
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (•13oncOM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISIOit' Busi ss Line: (503) 639 -4171 MST ---3�
SUP PCOA
Received 02167 pY ) Date Requested 3 AM I PM BUP -
Location I `}� ` ^� n, Q� i'� Suite 1 MEC
Contact Person ` eir Ph ( ) l / — a538 PLM
Cont r,.;i ` • Ph ( ) SWR
Tenant/Owner LOW tC-th
ELC
,:,� ELC
r on Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam Anch
ExtSreah /Srs 7,0e 260Z Lz� �� �o �
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
4 � PART FAIL
:ING
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
Approach/Sidewalk Date -2-ti " Inspector DC 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
_ BUP ( 2 - OC) a000,'S L
Received Date Requested 3 ---// AM PM 4P__&) .1i cRee 2 -.6 S ,
Location
�8- ■ ; ' -f U 4__ �— Suite / O MEC
Contact Person • J Ph ( -) 3 s / al S3 2 PLM
Contractor ph ( ) SWR
BUILDING Tenant/Owner 14 m .1) 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 .
pnnkler --
ire Alarm
•
RaiWarer Roof f
Other: - -
l • ? °ART FAIL
'' e ' :ING / i
° - -- Post & Beam
U
( )
nder Slab . .
Rough -In
Water Service
Sanitary Sewer � / -
Rain Drains
Catch Basin / Manhole
7 \'
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: El Unable to inspect — no access
Fire Supply Line
ADA ? / -
Approach/Sidewalk Date Inspector E -- '
Other:
Final DO NOT REMOVE this inspection racer from the Job site.
PASS PART FAIL Ai '