Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00099
� DEVELOPMENT SERVICES DATE ISSUED: 3/15/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: TI walls
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: 46 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 70,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ROBERT EVANS
15350 SW SEQUOIA PKWY #300 -WMI 1200 NE 48TH AVE. STE 1250
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Phone: 503 - 648 -7805
FEES Reg #: LIC 14426
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/15/2005 $580.20
[TAX] 8% State Surchari 3/15/2005 $46.42
[BUPPLN] Pin Rv 3/15/2005 $377.13
[FLS] FLS Pin Rv 3/15/2005 $232.08
Total $1,235.83
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 • .99 or 1- 800 - 332 -2344.
i
Issued B / Permittee Signature: 0yj�j�(�
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans ate required on the job site at the time of each inspection.
Building Permit ? ®'I FOR OFFICE USE ONLY -.-
. /, /, /
City of Tigard R Eq I VE D Date /BReceive y �/ `57d6... 46
Permit No 7JV��vJ — �� / � /
13125 SW Hall Blvd., Tigard, OR 7" I Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 Mdy'�'II Date /By: Other Permit:
Inspection Line: 503.639.417% : 1 �, 2005 Date Ready/By: Itir i 121 See Attached Checklist for
Internet: www.ci.tigard.or.us Notitied/Method: / Supplemental Information
CITY OF TIGARD
BUILuiNGRA*1%041 REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
❑ New construction ❑ Demolition
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration /replacement ❑ Other: . equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION or indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
Number of bedrooms:
❑ Accessory building ❑ Multi - family
❑ Master builder ❑ Other: _
Number of bathrooms:
• JOB SITE .INFORMATION AND LOCATION Total number of floors:
Job site address: pi ! y S SL j j _S ' p /71 , New dwelling area: square feet
City/State/ZIP: for - (a v Qn 7-7 y Garage/carport area: square feet
Suite/bldg. /apt. no.: 4f/70 Project name:,_J,G, t g._-ee ties- Co r` Covered porch area: square feet
Cross street/directions to job site: 5'L) Es, t y C t Deck area: square feet
LA- teLeee Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
••DESCRIPTION OF. WORKS work indicated on this application.
Valuation: $ 7 7o ow , p O
)34 l'-( ah f t CA CMG c h.-Li 1 i4lSi -CS !
' Existing building area: !.f 6,& I square feet
∎ . - 1' *Is �1f ° v
� P�`l�lti� / New building area: ( , square feet
V [j •PROPERTY OWNER' • • ❑ TENANT, . :. Number of stories: / r l
Name: PacTrus t Type of construction: U,iki
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing: /
Phone: 603 ) 624 -6300 Par.( 503) 624 -7755 New:
APPLICANT :"
. r• , ■ CONTACT', PERSON :•'. NOTICE
Business name: PacTrus t All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland, OR 97224 apply:
Phone: ( 503) 624 -6300 Fax: : (503 ) 624 -7755
E -mail:
• CONTRACTOR::. • • • .. • .
Business name: 41,444, B UILDING PERMIT FEES*
Address: /� ►9 /J y �1 /a Please refer to fee schedule. _
City/State/ZIP: b-7/1-.0
• Fees due upon application
Phone: a &y8 • Z8-v5 I Fax _ ..
Amount received
CCB lic.: 0 - 7 /1 -/ab
Date received:
Authorized signature: --.. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: AA , a V�oh -H q SO 1-1 Date: 3/ l S / * Fee methodology set by Tri -County Building Industry
✓ ' " Service Board.
i:\Buiiding \Permits \Bl1P- PermitApp.doc 12/03 440-4613T( 1 1 /02/COM/WEB)
CITY QF TIGARD
BUILDING D IVISION PERMIT #: BUP2005 -00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2005
Phone: (503) 639 -4171 A l�i�lh
Inspection Requests (24 Hrs.): (503) 639 -4175 :.'
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INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7 :09AM PAGE: 55
1
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: JC REEVES
DESCRIPTION: TI walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 -64B -7605
Inspection Request Scheduled For: Date: 5 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006914 -01 503-679 -3271 N
Corrections/Comments/Instructions:
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A SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` `� Date:: I ( #: (503) 718-
CITY, OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/15/2005
Phone: (503) 639 -4171 U- d
Inspection Requests (24 Hrs.): (503) 639 -4175 .-_' I
INSPECTION WORKSHEET FOR DATE: 4/26/2005 TIME: 7:10AM PAGE: 59
SITE ADDRESS: 14946 SW SEQUOIA PKWY 170 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: JC REEVES
DESCRIPTION: TI walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 - 648 -7805
Inspection Request Scheduled For: Date: 4/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 005271 -01 603-679-3271 N
Corrections/Comments/Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00099
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/15/2005
Phone: (503) 639 -4171 .
,.
Inspection Requests (24 Hrs.): (503) 639 -4175 _ � ` -.
INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 84
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: JC REEVES
DESCRIPTION: TI walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503- 648.7805
Inspection Request Scheduled For: Date: 4/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 005108-01 503-679.3271 Y
Corrections /Comments/ Instructions:
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AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- ___1)4kd
CITY OF TIGARD „.;
BUILDING DIVISION PERMIT #: BUP2005 00099
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 311+5/2005
Phone: (503) 639 -4171 aroind'�� ( �"r
Inspe Requests (24 Hrs.): (503) 639 -4175 -' `'1II qd-?- "-
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 62
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: JC REEVES
DESCRIPTION: TI walls
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503.648 -7805
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 004108 -01 503 - 679 -3271 N
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❑ PASSARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Li.
Inspector: \ q^i ( C--- Date: / 5 Phone #: (503) 718-