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Permit % CITY OF TIGARD BUILDING PERMIT • PERMIT #: BUP2001 -00112 iA DEVELOPMENT SERVICES DATE ISSUED: 4/4/01 =-' 13125 SW Hall Blvd.. Tiraard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 PARCEL: 2S112DA -00800 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: 3N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 70 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:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 88,000.00 Remarks: Tenant improvement - 7954s.f. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 g7� Phone: 503 - 521 -0142 T R A M! ,. Qg FZ4 A3 Reg #: LIC 41328 FEES ! REQUIRED INSPECTIONS Type By Date Amount Receipt I I Mechanical Permit Require PRMT CTR 3/28/01 $684.14 27200100000 Electrical Permit Required Sprinkler Permit Required 5PCT CTR 3/28/01 $54.73 27200100000 Framing Insp FIRE CTR 3/28/01 $273.65 27200100000 Gyp Board lnsp PLCK CTR 3/28/01 $444.68 27200100000 Susp Ceiing Insp Final Inspection Total $1,457.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe E------- Sig K %� /�/ A r' , `!i/L�L Iss Ii • f / u_� .� — Call 639 -4175 by 7 p.m. for an inspection the next business day • f . BuildingPermitApplication Datereceived: P ,3 At O/ ermtno.: oe ,D / Ci • of Tigard i J o /a s !,�`'__ City- ` Address: 13125 SW Hall Blvd, Tigard OR 97223 Project/appl•no.: F.�rpiredate: �. - City o gard `�: Phone: (503) 639 -4171 Date issued: By:. I Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: l&2 family: Simple Complex: ' TYPE OF PERMIT • • CI 1 & 2 family dwelling or accessory 0 Commercial industrial 0 Multi - family 0 New construction 0 Demolition 4t 0. Addition/alteration/replacement . errant improvement 0 Fue sprinkler/alarm Cl Other: JOB SITE INFORMATION Job address: /c 4$/ 4:',# /4 Bldg. no.: 7 Suite no.:. /fJ7l Lot I Block 'Subdivision: Tax map/tax lot/account no.: Project name: , L�7" ,A9 , - Description and location of work on premises/special conditions: /Q f/ ` �.6it4i}1fT • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name:- PacTrust - (Floodplain, septic capacity, solar, etc.) Mailing address: 15350 SW Sequoia Pkwy., #300 t & Zfamily dwelling: • City: Portland (State: OR 'ZIP: 97224 Valuation of work $ ( 503 I Phone: 624 6300' 1Faz8Z4: —/ 50-mail: No. of bedrooms/baths. ... .... Owner's representative: D e n n i s P aq n i Total number of floors ..... . • Phone: S ame Fax: S e E -mail: New dwelling area (sq. ft.) Garage/carport area (sq. ft.) Name: Pa C T r u s t Covered porch area (sq. ft.) ... Mailing address 1.5 3 5 0 SW Sequoia Pkwy ., #300 Deck area (s q* ft) City: Portland State: OR I ZIP: 97224 Other st:ucture area (sq. ft.) . ... (503 i Phone:6 2 4 – 6 3 0 0 Fax6 2 4– 7 7 5' E -mail: CommerciaUmdtistilallmult3- family: B� CONTRACTOR Valuation of work $ �� Business name: H. L. Green fj f ' New bldg. area (sq. ft.) Address: l "5 3 5 0 SW Sequoia Pkwy., ,' 3 00 New b area (sq, ft) City: Portland I State: OR I ZI : 97224 Number of stories (503 Phone6 2 4 - 7 717 I Fax: I E-mail: Type of construction CCB no.: 41328 Occupancy group(s): Existing: New: City/metro lie. no.: Notice: All contractors and subcontractors are required to be . ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under Name: John R o m i s h provisions of ORS 701 and may be required to be licensed in the Address: 15 3 50 SW Sequoia Pkwy. #300 jurisdiction where work is being performed. If the applicant is City: Portland I State: OR IZIP:9 7 2 2 4 exempt from licensing. the following reason applies: Contact person: I Plan no.: ( 503) Phone: 624- 6300 Fax{24_775 . E - mail: 'ohnr@ t actrust l .. coin ENGENEER Name: Contact person: Fees due upon application $ Address: Date received: City: (State: (ZIP:. Amount received $ j Phone: I Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the ' Not a +mat aedit aids. please call jotisdiedoo for more iafotmadoa. I u i attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard work will be complied wheth specified herein o • ot. rat card manlier / / Expires Authorized si 4 d Ar . i/1./// : —� ` " / Name of cardholder as shown on aedit card � �i ' S Print name: .. l �,i Cardholder signature Mmomtt ■ Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 (600rCOM) • Z-1, CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Lspection Line:. 639 -4175 Business Line: 639 -4171 . r41fIIST ° BUPv / -o o // • Date Requested 3U AM PM BLD 7 Location /s // 5 '. 51k,/6 G- Suite / °a) MEC Contact Person Ph 307 7 Z/ D S PLM Contractor Ph SWR ILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ir b� � , nsulation J2 14 m•m•II■1■I Pdg irewall Fire Sprinkler Fire Alarm $ A ��1 /D ,, Susp'd Ceiling G�-Y� Tl ��$ � �-�« �`✓ 0 cif Roof Misc: Final PASS 41, FAIL PLUMB - 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Othe oach /Sidewalk Date (21 Inspector Ext Final 4,d1 PASS PART FAIL DO NOT REMOVE this inspection record from the job site. G7 CITY OF TIGARD BUILDING INSPECTION DIVISION MIST 24 -Hour Iispection Line: 439 -4175 Business Line: 639 -4171 BUP 200 /- -Gui/ Z— Date Requested AM PM BLD Location / 5 / / 5 $ . 39ic /0 /'tvf < Suite / 0'0 MEC Contact Person Ph 301 2"1 PLM Contractor Ph SWR BUILDIN Tenant/Owner 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 �,�/ Framing �'L. t —Wt — AD API "'( o1 U i AjJ Insulation Drywall Nailing 1,_ C6 I n/t�4crJ L1 OO/ 4 c p@l-iy,nf? 1 494[/1.,1 Fire wall , Pt . ` 0E r � d- �� T Fire Sprinkler / Fire Alarm Susp'd Ceiling %=%/ ms s' f Roof / - ASS PART CP 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 .10 0 Inspector r t� 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: -4175 Business Line: 639 -4171 BUP 1,0591-.E 19 trL Date Requested i. AM PM BLD Location !St' (Ai Suite l lb MEC Contact Person Ph (p2.-L—(v PLM Contractor Ph SWR Bl CB Tenant/Owner 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 //^^�� Framing 5(-4 1 4291 /QS Insulation - Drywall Nailing Firewall Fire Sprinkler Origt12i FAL f/ '► • Fire Alarm 1 Susp'd Ceiling 0 q 1 • & - (�� Roof 130 II Misc: d� — ASS FAIL PLUMB! , • 6>• • • Post & Beam - Under Slab a— I 61-2 ripft-r1 � - f Yz 7vxr�G'�F Top Out Water Service Sanitary Sewer 01A-41—eni-4C 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 h Other Date Inspector P•tei/t-- E xt 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 f BUP d 'Z 5 / :-. 0 // Z • Date Requested F - C AM PM BLD Location / 3743-- LL —4-4 Suite /0 0 MEC Contact Person ! / la Ph 30 7 — I O,$ PLM Contractor Ph SWR BUILDING _P Owner /,1_,4. ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear RA Z OO( — EEO i e 5 /� /� Framing (r /( Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mis : mie PART FAIL BI NG 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 C/ In Date /! Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.