Permit CITY OFTIGARD
, ,d� h , ! ' ,;— DEVELOPMENT SERVICES BUILDING PERMIT
- 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171
PERMIT #
DATE ISSUED: 05 5 • /06 /06/98 /98 98 -¢+ i 98
8
PARCEL: 28112DA -00800
SITE ADDRESS...: 15115 SW SEQUOIA PKWY #200
SUBDIVISION • ZONING:I -P
BLOCK • LOT - JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT • FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N 11956 ... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL . 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 115 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: ' MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft • RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 50000
Remarks : TI - New classroom and office modification. Separate mechanical and
sprinkler permits required. Classroom exits to one hour corridor.
Owner: FEES
PACIFIC REALTY ASSOCIATES type amount by date recpt
15115 SW SEQUOIA PARKWAY PRMT $ 283.00 B 05/06/98 98- 305518
SUITE 200 SPCT $, .14.15 B 05/06/98 98- 305518
TIGARD OR 97224 PLCK $ 183.95 B 05/06/98 98- 305518
Phone #: FIRE $ 113.20 B 05/06/98 98- 305518
Contractor:
n
H GREEN, HL CO. INC. 1
15350 SW SEQUOIA BLVD
STE 300 a
TIGARD OR 97224
Phone #: 624 -7717 $ 594.30 TOTAL
Reg #..: 000413
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with Susp Ce i l n g Insp
approved plans. This permit will expire if work is not started Misc. Inspection
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 - 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
1
Permittee Signature. /1,444 a ssued By: ‘------/
++++++++++++++++++•++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 ■ 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
/1
g -zlc—
C 'Y•OF TIGARD Cotmmercial Building Permit Recd By : '"
13125 SW HALL BLVD. Tenant Improvement Date Recd `7 – t.g "
TIGARD, OR, 97223 Date to P.E.
Date to DS ,,
(503) e39 -4171 OTC.– Permit # G 0 (% -0 't;
Print or Type f Related SWR #
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project Existing Building New Building ❑
Job I /I 4
/G 74 -- -7e G,G%'
Address Street Address Sui w ilding
/ 7/S se/ s'.e. "4,/ Data
Bldg # City/State zip Existing Use of Building or Property:
7 77�/.9/4 ./<' 977?I off-/ AVAW -- I /J J
Name
Property PACIFIC REALTY' ASSOCIATES, L.P. Proposed Use of Building or Property:
Owner Mailing Address Suite 41-i4W-S-
15350 5350 SW SEQUOIA PKWY 300 No. Of Stories:
City/State. Zip Phone •
PORTLAND, OR. 97224 624 -6300 Sq. Ft Of Project: •
Occupant Name //4 '
4/, / L �i/i6 .Q1/ �� Occupancy Class(es) v ,
Name
- /-�
Contractor H. L. GREEN COMPANY Type(s) of Construction
Prior to permit Mailing Address Suite
issuance. a copy • Will this project have a Fire Suppression System?
of allicenses 15350 SW SEQUOIA PKWY 300 Yes No ❑
are required if City/State Zip Phone
expired in C.O.T. Americans with Disabilities Act ;ADA)
database PORTLAND, OR 97224 624 -7717 Valuation X 25% = $_ Participation
Oregon Const. Cont. Board Uc.# Exp. Date Complete Accessibility Form �� 2t f 2i /
41328 Project $
Name Valuation ,yam / iii--Z,
Architect JOHN H. ROMISH Plans Required: See Matrik for number of sets to submi` t
Mailing Address Suite on back
2216 SE 24TH AVE. . U,,
City/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 Owner/Agent ' 0- e
Mailing Address Suite � y � ` j . ' � r , 1 ' , 4-. _......6. g
Contact Person Na e Phone cam
City/State Zip Phone
•
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/T�� I z gwVl Land Use:
Only Accessory Structure 0 Foundation On O Alteration
Repair 0 Other 0 Notes:
Descriptio�'nj of work:
/IrG ,i - 7 – oiU 727 "Pc-<.2/YJ .40,47- TIP:
•
Parks: Estimated 4 of Employees
•
Note: Site Work Permit Application must precede or accompany Building .
Permit Application
l:\COMNEW.DOC (DST) 8/97
•
•
/
OVER- THE - COUNTER (OTC) PERMIT
4 - ' COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: — 11 , cikr.5 e,o.. M ,„,„, ,j 044...c. r ,,,,,
nnr , A#3v) r.. 1daeaCC atittel i-
tAA¢Suomn. E *TS ,r-$ m 4Dc1A— CoILLDoe.
CLASS OF WORK: AA' FLOOR AREAS: /1 14, EXTERIOR WALL CONSTRUCTION
TYPE OF USE: ✓ FIRST SQ. FT. N: S: E: W:
TYPE OF --a-a.' Y� i SECOND SQ. FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: 1 lS TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: i BSMNT: SQ. FT. i AREA SEP. RATED:
I I
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. i OCCU.SEP.RATED:
I I
FIRE FIRE ,or..:,-, SMOKE HANDICAP
SPRINKLER: 7'� ALARM: 1,� DETECTOR: ACCESS:`t4_Cr►
-50- I
COMMERCIAL INSPECTION ACTIONS FEE.MENU
Foot/Found . Post/Beam $ eV" Permit Fee :i:
Masonry t atriM , $ 1 3 Plan Review
Insulation Shear Wall $ 14 5% State Surcharge
Firewall Boar $ 13 FLS Plan Review
Suspended Ceiling _ Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS PIn -
Smoke Detector . Approach /Sidewalk $ Inspection
Misce neous $ 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:lovrcntr2.doc (DST) 4/97
Page No. 1 CASE HISTORY FOR CASE N0'.:,BUP98 -0198 . .
PACIFIC REALTY ASSOCIATES _ -
,,- 15115 SW SEQUOIA PKWY Unit: 200 " •
' 07/24/98 . -
. , .
Action Description" ,Reg/ , Schd/ End/ Action Notes Disp - By Update : Upd
Code Sent Done Done Date By
•
BUPA700 Framing Insp / / / / 05/27/98 PASS TLP 06/25/98 J *H
BUPC005 Application received / / / / 05/06/98 RECD B 05/06/98 BON
BUPC008 Permit created / / / / 05/06/98 DONE B 05/06/98 BON
BUPC012 Plans routed to Plans Examiner / / / / 05/06/98 SENT B 05/06/98 BON
BUPCO26 Approved Plans routed to DSTs / / / / 05/06/98 APPR RDP 05/06/98 BON
BUPC100 (F) Issue permit / / / / 05/06/98 BPS 05/06/98_DST
.BUPC740.Framing Inep / / / / 05/28/98 PASS TLP 05/29/98 J *H
BUPC760 Gyp'Board Inep / / / / . 05/28/98 •PASS TLP 05/29/98 J *H '
• BUPC762 Susp Ceiing Inep - - , "/ ./ / / _ 06/25/98 . . -PASSTLP 06/26/98_J *H
BUPC792 Misc, Inspection 05/06/98 -/ / 06/25/98' . . -` PASS TLP 06/26/98 J *H
•- BUPC802 Final Inspection , - / / /'- /' 06/25/98, PASS TLP 06/26/98 J *H
BUPC950 (F) Issue Cert. of,Occupancy / / / / 06/25/98 . •. 07/24/98 JT