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Permit a CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00227 COMMUNITY DEVELOPMENT DATE ISSUED: 7/2/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 ZONING: I - SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG PROJECT: ABM Project Description: TI. Interior partitions. 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: 2N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 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: Y PARKING: VALUE: $ 7,500.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION 15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN PORTLAND, OR 97224 PORTLAND, OR 97225 Phone: Contact #: PRI 503 - 892 -0066 FAX 503 - 892 -0067 Reg #: LIC 66070 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/2/2008 $105.40 [TAX] 12% State Surch 7/2/2008 $12.65 __ [BUPPLN] Pln Rv 7/2/2008 $68.51 • [FLS] FLS PIn Rv 7/2/2008 $42.16 Total $228.72 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 • -stions to OUN • .- ing 503.246.6699 or 1.800.332.2344. Issued . :, 0 4 , 1_�� / �� /�S Permittee Signature: EE 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. A ... Building Permit Application � �j • i FOR OFFICE USE ONLY City of Tigard RE Da`e /B ed - Permit No.: ,. r / . a p / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 � U L 0 2 2008 Date/B : Other Permit: TIGARD Inspection Line: 503.639.4175 Date ReadyBy: El See Attached Checklist for Internet: www.tigard CITY OFTIG� Notifiied/Method: A n Supplemental Information �o U R MINCI DIVISION • TYPE OF v 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 X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ./� 7 ....c,c „Ca/ Lid/ #0, 7.1 , / ,ta I Oy New dwelling area: square feet City/State/ZIP: ?0/j 3.JI 4 a2 n , Garage/carport area: square feet Suite/bldg. /apt. no.: i Project name: /, j�,�JC2 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: 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 DESCRIPTION OF WORK work indicated on this application. P-.-70$V e/°. 1, iryLc �/Pti�TICJ✓ _7Z.,I � ./// , * 2� ?A "2 1-, - 1.." ..41 Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: PacTrust Type of construction: . 4/..... 4 6? Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: g City /State/ZIP: Portland, OR 97224 Existing: ,9 Phone: (503)624 -6300 Fax: (503)624 -7755 New: // ® APPLICANT ® CONTACT PERSON NOTICE Business name: PacTrust All contractors and subcontractors are required to be Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the City/ State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 624 -6300 Fax: : (503) 624 -7755 E -mail: dennisp @pactrust.com CONTRACTOR Business name: /y 4. / &� J O . IL.1 BUILDING PERMIT FEES* Address: , — � t \ �6 evy (Please refer to fee schedule/ V S tructural plan review fee (or deposit): City/State/ZIP: j� 0 � �72 / FLS pla review fee (if applicable): Phone: ( y a " -- r r V c Fax: ( ) CCB lie.: Total fees due upon application: �¢ �� G GU�? Amount 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: ,„„) wi. l� / , Date: /�� • Fee methodology set by Tri-County Building Industry Service Board. [:\Building \Permits \BUP- PermitApp.doc 03/21/06 440.4613T(11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION \' PERMIT #: BUP2008 -00227 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/2008 Phone: (503) 639 -4171 /A° sq°,1I1 i Inspection Requests (24 Hrs.): (503) 639 -4175 `__— INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME 7:00AM PAGE 5 SITE ADDRESS: CLASS OF WORK: 15350 SW SEQUOIA PKWY 105 SUBDIVISION: PACIFIC CORPORATE CENTER LOT # : 002 TYPE OF USE: PROJECT NAME: ASSOCIATED BUILDING MATERIALS DESCRIPTION: 11. Interior partitions. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 -892 -0066 Inspection Request Scheduled For: Date: 7/31/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message KS 299 Final inspection 073544 -01 503 -956 -6290 1110 Y-Li Corrections /Comments /Instructions: a. ' B — AiiP4OP a ` - air A it Arm' • PASS IRTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �7 , Inspector: �_ Date: l / 63 Phone #: (503) 718- = CITY OF TIGARD BUILDING DIVISION -K- PERMIT #: BUP2008- 00227 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/2008 Phone: (503) 639- 4171 P4 �1� Inspection Requests (24 Hrs.): (503) 639 -4175 _ -' ^:_.. INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: ASSOCIATED BUILDING MATERIALS DESCRIPTION: TI. Interior partitions. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503 - 892.0066 Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: - Code # Inspection Description Confirm # Contact # - Message 77.6 Framing 072447 -01 503.956 -6290 N Corrections /Comments/ Instructions: R Fb 2T 7/q/06 6.P,____cc7. r ---e____— 40 % 11 �=" r -, RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n •, LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: /0 ®b Phone #: (503) 718- Z‘ ° CITY OF TIGARD BUILDING DIVISION .` PERMIT #: B11P2008 -002 27 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/2008 Phone: (503) 639 -4171 leopoo Inspection Requests (24 Hrs.): (503) 639 -4175 . �!4. Ail. • INSPECTION WORKSHEET FOR DATE: 7/9/2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: ASSOCIATED BUILDING MATERIALS DESCRIPTION: TI. Interior partitions. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-092 -0066 Inspection Request Scheduled For: Date: 7/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 072395 -01 503-956-6290 N Corrections /Comments /Instructions: i c, V L(Z[.'lh /S T —=�2r� a`1 /, i-u-arl- " tz, t� I -I-A-N L A-tt 4-C I-f-t- ∎ yr. (3 .L r. _ L C-) LZC--- A-P2 tam 01-c r■.I L-- ' 3 ) P 6 z v (l) (A/b4-t.--C F' 2.a►- G-;■! 671 j PG:- T 7 ) - ' - • '_ ' ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED --- Inspector: Date: 7/1/ Phone #: (503) 718- 0-6 `/