Permit it-- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00065
",rrA DEVELOPMENT SERVICES DATE ISSUED: 3/14/02
• 111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14945 SW SEQUOIA PKWY 100 PARCEL: 2S112AD -01000
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG .
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,225.00
Remarks: Tenant Improvement - relocate heads around some new walls
I
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO -
15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 620 -6140
Reg #: LIC 63846
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 2/26/02 $62.50 27200200000 Sprinkler Final
5PCT CTR 2/26/02 $5.00 27200200000
FIRE CTR 2/26/02 $25.00 27200200000
Total $92.50
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-:10-332-2344.
Pemiitte: 1 7 '
Sig : ure:
is • ued By: /_ ' ., J !I i / �_ �'r
Cif • 9-4175 by 7 p.m. for an inspection the next business day
``: aUp�oa - Vet) 32
< . . Building Permit App t
Datereceived: .2 -1o/01/. Permit UP _ 6--- � City of Tigard
�! - ^ -
Address: 13125 SW Hall v , `'' l • D Project/appl. no.: Expire date:
2
City of Tigard Phone: (503) 639 -4171 Date issued: By: Y� , Receipt no.:
Fax: (503) 598 -1960 FEB 9 6 2002 Case file no.: Payment type:
Land use approval: QTy o ' HUARD 1 &2 family: Simple Complex:
. . a I a I l aN1 I L
"TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: , y q y S 50 �0 U..0 I H PAIZ -ILEA y Bldg. no.: Suite no.:
Lot: (Block: (Subdivision: I Tax map /tax lot/account no.:
Project name: (ern l) TEG14 -L 0 LO et 4
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 'pyl t,T0 u L' (Floodplain, septic capacity, solar, etc.)
Mailing address: IS350 5t3 . SrAkJr 4 Pteld- X/ {t 3o D 1 & 2 family dwelling:
City: Po ri' j -ti I) . ,State: p(j,ZIP: q'722y Valuation of work $
Phone: (0244 -( 0 (Fax: 2+-1- 7 )515:mail: — No. of bedrooms/baths
Owner's representative: Total number of floors
• Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: lvt2 er•- • p CD - .
Covered porch area (sq. ft.)
Mailing address: 0 1 '2, 9l.3 T( (A e D ST - Deck area (sq. ft.)
City: TI 6,14-2 1) I State: QfZI ZIP; 91223 Other structure area (sq. ft.)
Phone: (,20 -(ot4 Fax: 621-( E-mail:----- Commercial/'mdustrial/multi- family:
CONTTRACTOR Valuation of work $ ( Z25 4-
Ft (2.- �,� P t_0 _ Existing bldg. area (sq. ft.)
Business name: New bldg. area (sq. ft.)
Address: 3S l4 S i T( , t4 12 ST - Number of stories
City: e 4 R_ D I States t2I ZIP: a 7z2 3
Type of construction
Phone: (>Zo- ( I t o I Fax fdj) -(„(t ,I 1E-mail: Occupancy group(s): Existing:
CCB no.: („ 3$ 4(o New:
City /metro lic. no.: , Cj (1 Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
•
Name: ,Tp N1J 14_, Rb m t s H provisions of ORS 701 and may be required to be licensed in the
Address: Z2 t (o % E 2_44 l'S Arm) LLE jurisdiction where work is being performed. If the applicant is
City: 'Fp (L-(Ltq -tul� I State :0 ZIP: ( ?2 l y
Contact person: exempt from licensing, the following reason applies:
Plan no.:
Phone: (4-9 - •0 Fax: E -mail: •_
ENGINEER
Name: Contact person: Fees due upon application $ 2. 6
Address: Date received:
City: State: ZIP:. Amount received $
Phone: I Fax: I 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 1. s and ordinances governing this la Visa ❑ MasterCard
work will be complied " , whethe 11` ified herein or not ` Credit card number F�p'tr s
Authorized si ��`y� \ ate: � Z( , 1 D Z . Name or cardholder as shown on credit card
Print name: � 1 1 C _ ► - sz ►`" , Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4er0 (603COM)
CITY OF TIGARD ' 24 -Hour
BUILDING - • Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP9OL,a0 L,
Received Date Requested 3---// AM _ . PM _ > 1_ –4 ' S , .
Location 04 % 4 46 — -1 ' Lt _..c cc.– Suite /6 6 MEC
Contact Person . �- V Ph ( ) 35 c S3 21 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 14 M ,D 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 .
- • p • Cei i . r -- Roo
Other: N
eij ? `ART FAIL ,
1 ' :ING
-II
- -- Post & Beam __ , • i
Under Slab - -
Rough -In
Water Service
/ 7
Sanitary Sewer / `
Rain Drains
Catch Basin / Manhole \*
Storm Drain, -
Shower Pan -
--
Final
PASS PART FAIL
MECHANICAL
_ i
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA D ?// VO I nspector Ext
_ -
Other:
Final DO NOT REMOVE this inspection recor from the Job site.
PASS PART FAIL e,i'