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Permit •i f CITY OF TIGARD BUILDING PERMIT PERMIT #: COMMUNITY DEVELOPMENT DATE ISSUED: 1 207 00570 0 07 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG PROJECT: MANAGEMENT GROUP Project Description: TI 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: 64 BASEMENT: sf AREA SEP. RATED: STOR: 3 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 72,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION 15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE 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 10/31/2007 $472.30 [TAX] 8% State Surcha 10/31/2007 $37.78 [BUPPLN] Pln Rv 10/31/2007 $307.00 [FLS] FLS Pln Rv 10/31/2007 $188.92 Total $1,006 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 issue. - -, or if w• . is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Or- •on Utility Notifi <tion C- 'ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy o these rules or direc q - tio s • OUNC by calling 503.246.6699 or 1.800.332.2344. -sued By: 10 /I Permittee Signature: 4.4dt , 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. Built lint Permit Application • FOR OFFICE USE ONLY - City of Tigard RECEI Recei /O . D7 PemutNo. • - i ? ' Q�570 Plan O q 13125 SW Hall Blvd., Tigard, OR 97 Pn Review Phone: 503.639.4171 Fax: 503.598.196o r T 3 Date/B : Other Permit: T I GARD Inspection Line: 503.639.4175 (J 1 Date Ready/By: � ' See Attached Checklist for Internet: www.tigard- or.gov CITY oI- MI N) Notified/Method: �Si� Supplemental Information BUtWINGDIVISION TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ew construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all N Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: A.4 ,r/ S F�� a z45 New dwelling area: square feet City/State /ZIP: V )) ,j! Dye .9'7) o y ,( Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: " , 4, !.- sAr.P.(�'7 Covered porch area: square feet Cross street/directions to job site: ._. d 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. g / / g�� Valuation: $ ��� d • Existing building area: / square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: PacTrust Type of construction: l/ Occupancy groups: Address: 15350 S.W. Sequoia Pkwy., Suite 300 ` 5 City/State/ZIP: Portland, OR 97224 /� .g� Existing: � Phone: (503)624 -6300 Fax: (503)624 -7755 /�G 9 New: C p o / ® 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: 7) ��� � J D � � , ) BUILDING PERMIT FEES* Address: ,v (Please refer to fee schedule) City/StateJZIP: Structural plan review fee (or deposit): Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): CCB lic.: Total fees due upon application: Amount received: Authorized signature: ��r`� � 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: , . I Date:ya/ i le7P 9 • Fee methodology set by Tri-County Building Industry L Service Board. 1:\ Building \Permits\BUP- PennitApp.doc 03/21/06 440- 4613T(11 /02/COM/WEB) r- CITY OF TIGARD BUILDING DIVISION PERMIT #: EUP2007 -O0570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 f � l Inspection Requests (24 Hrs.): (503) 639 -4175 p__t INSPECTION WORKSHEET FOR DATE: 121 /2007 TIME: 7 :00AM PAGE: 10 SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: g02 TYPE OF USE: PROJECT NAME: MANAGEMENT GROUP DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-892 -0066 Inspection Request Scheduled For: Date: 12/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messese 299 Final inspection 062362 -02 503956 -6290 I. /0 Corrections /Comments /Instructions: - A 6 " O e. i41 1 . A-IIAt -._.AIL _ AIIITZi=w . _:I.61 J i et, o 1 — J 4011--1 fr Ink Oa. - ©O 4011 40 � �C S / - (ii , V .1...EASS %P PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — - Date: f(2 3/j0 7 Phone #: (503) 718 - CITY OF TIGARD . BUILDING DIVISION PERMIT #: 13UP2007 -00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '10/31/2007 Phone: (503) 639 -4171 I� 1 Inspection Requests (24 Hrs.): (503) 639 -4175 , R:.. INSPECTION WORKSHEET FOR DATE: 11/2117.0 TIME: 7 :00AM PAGE: 4 SITE ADDRESS: 1535() SW SEQUOIA PKWY 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENT LOT #: 002 TYPE OF USE: PROJECT NAME: MANAGEMENT GROUP DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503 -092 -0066 Inspection Request Scheduled For: Date: 11/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess- se 2.75 Framing 060137 -0'1 503-307-2105 0 Corrections/Comments/Instructions: Fl ' . 6 '..... • air + /Zo . , (, ASS Cii..--. N ' • RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / -....m.... Inspector: _ _ Date: 11/0//a7 Phone #: (503) 718- Z‘Vy CITY OF TIGARD - BUILDING DIVISION PERMIT #: BUP2007 -00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 i Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 11/8/200 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 15360 SW SEQUOIA PKWY 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: MANAGEMENT GROUP DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503692 -0066 Inspection Request Scheduled For: Date: 11/8/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 06930301 503-966-6290 MIIZ‘ Corrections/Comments/Instructions: o a f AP 1P120V& P 7V(S P &- ✓� < G e Ifea F P R ❑ PASS _��__:: ❑ CANCEL ❑ NO ACCESS ❑ FAIL • • - ' •ECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- L' '� CITY OF TIGARD BUILDING DIVISION ,S PERMIT #: BUP2007 -00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2007 Phone: (503) 639 -4171 I l, Inspection Requests (24 Hrs.): (503) 639 -4175 - _ INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: MANAGEMENT GROUP DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-892-0066 Inspection Request Scheduled For: Date: 11/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 1 - 276 Framing 059199 -01 503.956.6290 a pi Co ctions /Comments /Instructions: i fi 20\./ / ?ThL A--N>Prz- ./, l o l= •F_-`4i.1, 0 ,, -Z F T Z • I o GE - c__V s it C_ 14 C.-iC '3 all C� ,_at_.... sc- ' ,. o /1 , Ir. I i 4 A Cpl `r- t1 ,i-� � C` C.LIT j b- ❑ PASS pi, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F AIL �/ ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i 9/ Inspector: ■ ∎ Date: - II ■ Phone #: (503) 718- `