Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00482
COMMUNITY DEVELOPMENT DATE ISSUED: 9/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA - 00700
SITE ADDRESS: 15333 SW SEQUOIA PKWY , ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SAIF
Project Description: TI - create new conference room.
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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 272 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 10,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WEST COAST INTERIORS
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 20178
PORTLAND, OR 97224 KEIZER, OR 97307 -0178
Contact #: PRI 503 - 932 - 4285
Phone: FAX 503 581 - 0794
Reg #: LIC 66614
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/12/2007 $119.70
[TAX] 8% State Surcharl 9/12/2007 $9.58
[BUPPLN] Pin Rv 9/12/2007 $77.81
[FLS] FLS Pin Rv 9/12/2007 $47.88
Total $254.97
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 irect questions to OUNC by
calling 5' • -.••99 or 1.800.332.2344.
Issu : • By: � _ Permittee Signature: r // A if
'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 are required on the job site at the time of each inspection.
Building Permit Application � ° 13125 SW Hall Blvd., Tigard, OR 9 FOR OFFICE USE ONLY
51
-
City of Tigard
r , Y D7 y, n- _
7 �
1 i` �. UUU Date /By: / Permit No.: 0 ,41 AV
:: k.y Plan Review 4 / f/
Phone: 503.639.4171 Fax: 503.598.19 L l g e �I ' 001 ] Date/By:
Date/By: Other Permit:
Inspection Line: 503.639.4175 3 Date Ready /By: l 0 See Attached Checklist for
TIGARD , A
Internet: www.tigardor.gov ®�®®�qq�y p i pp l pp��pp qq Notified/Method: •C.if Supplemental Information
�ESU t��; ��MtSiMt S: °
. .. _ TYPE O F WORK -`2:": - .. , - REQUIRED DATA: 1: AND 2 , FAMILY DWELLING',
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
• JOB SUE INFORMATION .` LOCATIdN '"• ; :: ;; ;� � `," - Total number of floors:
Job site address: 1 5 333 S.w -S 01 0 Ar 1PNWJANI New dwelling area: square feet
City/ State/ZIP: —116Akab bef_ CO Cl72` L t1-r Garage/carport area: square feet
Suite/bldg. /apt. no.:2 2. $ I Project name: CDtiV 0 _ , s ■ Covered porch area: square feet
Cross street/directions to job site: k:S..0 w 00c) Deck area: square feet
Other structure area: square feet
..'REQ•IREDDATA:- COMMERCIAL -USE CHECKLIST
Subdivision: 14,44F-4 Ceg po2Ai CFA) 1 ' I Lot no.: ZZf;3 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
- _ _ • ...DE -,'' - - s work indicated on this application.
Valuation: $ /0 Oa()
Existing building area: 7 4 5
' square feet
New building area: square feet
❑' PROPERTY OWNER ° ,Q `. Number of stories:
Name: �$C I S Type of construction: ) V
Address: 153 50 S(&) c V100k Tot e{/ t4„?-1 8Ut1F c- 3C0 Occupancy groups: 13 2
City/ State/ZIP: Pow; L.prND oP J 1 ZZ Existing:
Phone: (sob 6 Z4 7727 Fax: ( )
New:
;APPLICANT ' '" NTA .PERSO
� y ^ � " - 4 ' •' . :. ; , �: : ,2;:13 " ,2F:',, iIVOTI6E, . •' s `; ;: "-N 1
Business name: 5A ` F All contractors and subcontractors are required to be
Contact name: �U l_ A I s J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4450 1..k (4..4 sa 5 , jurisdiction in which work is being performed. If the
City/State/ZIP: Spc (j\ £ �a®� _L 1 3 1 Z applicant is exempt from licensing, the following reasons
apply:
Phone: ( S03 ) 37 a - Os-, Fax: : (CS ) 3 S 01
E- maiL•M `.4g) S �( F
i: J .� , t ' CONTRACTOR :- • . "'
Business name: wEs- ci2)?�-- �^n
�.{ 1.� .iiUWiauvG PERM['I'.FEES =-;
o , SO . V
Address: �, � � �� `� Q .. � _ . � " > (pleas� �elr tojee;rctiedrilej ` . , : ,
'"<��- . - _-
� � -
City/State/ZIP: �E \ �R CC C E q7 0 1-7,A Structural plan review fee (or deposit):
X 5' � 5 / _ 079 FLS plan review fee (if applicable):
03) qo h
Phone: J 4 �/A I Fax: (c "3) 5
CCB lic.: :;O C � 4- Total fees due upon application: 25.
4. 9 7
Amount received:
Authorized signature: / /
jaay This permit application expires if a permit is not obtained
I
within 180 days after It has been accepted as complete.
I Print name: I Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\ Building \Permits\BUP- PermitApp.doc 03/21/06 440-4613T(11/02/COM/WEB) •
•
•
IN 4 . CITY OF TIGARD. BUILDING PERMIT
° COMMUNITY DEVELOPMENT"' PERMIT #: 007-00482
t DAT ISSUED: 9BUP2 !12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 12 DA - 00700
SITE ADDRESS: 15333 SW SEQUOIA PKWY ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SAIF
Project Description: TI - create new conference room.
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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 272 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:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 10,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WEST COAST INTERIORS
15350 SW SEQUOIA PKWY #300 -1M1I PO BOX 20178 CZ
PORTLAND, OR 97224 KEIZER, OR 97307 -0178
le
Phone:
Contact #: PRI 503- 932 -4285
1 8 FAX 503 - 581 -0794
Reg #: LIC 66614
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount _
[
8
BUILD] Permit Fee 9/12/2007 $119.70
[TAX] 8% State Surcharl 9/12/2007 $9.58 / / /
' [BUPPLN] Pin Rv 9/12/2007 $77.81
[FLSJ FLS Pln Rv 9/12/2007 $47.88 / r
Total $254.97
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 1irect questions to OUNC by
calling 5' . • =.•.99 or 1.800.332.2344.
I
t Issu: • By: / iii_ .: <___?..,% . Permittee Signature: l ar ,
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 are required on the job site at the time of each inspection.
•
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: it 200.7 _0040A REQUIRED ON GREEN INSPECTION CARD.
Code I Inspection Description PASS Date I By ✓ Code I In3peetioirD'escription [PASS Date By
• BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
•
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
•
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
•
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry _ 199 Electrical final
270 Reinforcing steel (rebar)
X 275 Framing /6� 7 ffir
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 ' Suspended ceiling • 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
A 299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection: •
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 . Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain.
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing _ 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD -_
BUILDING DIVISION '. PERMIT #: at1P2007- 00482
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/21107
Phone: (503) 639 -4171 /4 ' 4 ''%'ll
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7 :01AM PAGE: 136
SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAIF
DESCRIPTION: 7 - create new conference room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: WEST COAST INTERIORS PHONE #: 503-932-4285
Inspection Request Scheduled For: Date: 10/18/2007 I Pour Ti - •
Code # Inspection Description Confirm # Contact # M =. . I. A V141-
275 Framing 057792 -01 503 - 932 -3082
C rre tions Co me is /Instructions:
V
Ot- i-c, r7- 00435 Lei L -- 3 /
vl- (1200'7 - oo3Z3 C
•
tim Il0
1. I . 4 - 2_-
�.
s c —
2) Vik/tit,tn,■< 5c ,„-_7 - - A___ e_v—e......trs -1--e_,..._ -I k _ 0 i k .
i'llASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Vi z Inspector: �' ✓ Date: 1 6 / 0 Phone #: (503) 718 ? Z'
CITY OF TIGARD • ,
BUILDING DIVISION • 4 PERMIT #: I3tJP2007- 00492
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/12/2007
Phone: (503) 639 -4171 :Inspection Requests (24 Hrs.): (503) 639 -4175 _..
I
INSPECTION WORKSHEET FOR DATE: 12/4/2007 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAIF-
DESCRIPTION: 11 - create new conference room.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: WEST COAST INTERIORS PHONE #: 503-93? -4285
Inspection Request Scheduled For: Date: 12/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
299 Final inspection 060708-01 503 -932 -3082 I'
Corrections /Comments /Instructions:
. aka ' — 4) {,6:-, �S
a rr 64. ailiL_ mot. PC
iir1' Li -D L-' , in
, - %. r 0 / a r
❑ PI. PS S o/ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
lab n ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��� AIM Date: i / Phone #: (503) 718- 7---t-Y---
CITY OF TIGARD , , ,
•
BUILDING DIVISION PERMIT #: BUP2007- 00402
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9112/2007
Phone: (503) 639 -4171 �.jl�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 `LL.
INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AM PAGE: 54
SITE ADDRESS: 15333 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SAJF
DESCRIPTION: TI - create new conference room.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: WEST COAST INTERIORS PHONE #: 503 - 932.4285
Inspection Request Scheduled For: Date: 12/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. -
299 Final inspection 061131 -01 503 - 932 -3082 Ar
"
Corrections /Comments /Instructions:
1•, r/ 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 'A ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'11
Inspector: ----_<------>
Date: Z 01 7 Phone #: (503) 718- �-�'