Loading...
Permit pr 4. �'" ITY OF TICARD BUILDING PERMIT PERMIT #: BUP2007 -00398 \ COMMUNITY DEVELOPMENT DATE ISSUED: 8/1/2007 TIGARD 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 220 ZONING: I - SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: DEMO Interior partitions, sink. 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: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Owner: Contractor: PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION . 15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN PORTLAND, OR 97224 PORTLAND, OR 97225 Contact #: PRI 503 - 892 - 0066 Phone: FAX 503- 892 -0067 Reg #: LIC 66070 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/1/2007 $62.50 [TAX] 8% State Surcha 8/1/2007 $5.00 • Total $67.50 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 ma obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: . , - 4, _ f 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. w M D � . Building Permit AppliCatl o�lt °:'!:x=,17 7 i FOR OFFICE USE ONLY City of Tigard Received ( f > ? I j.. 4 07 -0 ° 13125 SW Hall Blvd., Tigard, OR 97i k ,1 © 2 21.10 / Plan Revie Ph 503.639.4171 Fax: 503.59 e }�$60 D ate/B : Other Permit: Inspection Line: 503.639.4175 b. c ",:5 �" Ready/By: ® See Attached Checklist for TIGARD p Notified/Method: , Supplemental lnformation Internet: www.tigard- or.gov BLj :. ;'' , � OP. ' TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 1Qew construction AIDemolition 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 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: r' -s_�d -rte _ce /j. 9. ,)/ ��D New dwelling area: square feet City/State/ZIP: a ) AfQ ,,,c) t ,g 9 /7a /, 5 / Garage/carport area: square feet Suite/bldg. /apt. noo. :AAD Project name: _ o T> Covered porch area: square feet Cross street/directions to job site: S -ir 5 ,,_. Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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. Valuation: $ e lJ �ap -rDtle.- //•' 7 pGI2 -it 4c tie S --' s r! A/ /C Existing building area: 7 9 e g square feet New building area: / square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: f Name: PacTrust Type of construction: ,1—.41? Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: City/State/ZIP: Portland, OR 97224 Existing: Phone: (503)624 -6300 Fax: (503)624 -7755 New: ® APPLICANT Z 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 I Fax: : (503) 624 -7755 E -mail: dennisp @pactrust.com CONTRACTOR Business name: 4/3) ¢ .„1.01te, J o /S Glt_.• On/IA -P.'''. n/I BUILDING PERMIT FEES* Address: (Please refer to fee schedule Structural plan review fee (or deposit): City/State/ZIP: �p� '� Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: ' ' e ... Total fees d upon application: ✓ ' Amount received: 6 Authorized signature: / ( This permit application expires if a permit is not obtained � 17-2- within 180 days after it has been accepted as complete. Print name: 2Z , n / d G 9Lj f - Date: , � j ,/ Q0/ 1O7 • Fee methodology set by Tn -County Building Industry / Service Board. 1:4Building \Permits \BUP- PennitApp.doc 03/21/06 440-4613T(11/02/COM/WEB) CITY OF TIGARD , - . - BUILDING DIVISION '' PERMIT #: BUP2007- 00398 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/112007 Phone: (503) 639 -4171 '� Inspection Requests (24 Hrs.): (503) 639 -4175 �__.. INSPECTION WORKSHEET FOR DATE: 8124/2007 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 15350 SW SEQUOIA PKWY 220 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: DEMO Interior partitions, sink. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066 Inspection Request Scheduled For: Date: 8/24/2007 Pour Time: 9} ' Code # Inspection Description Confirm # Contact # M ge ���"" - 299 Final inspection 054582 -01 503 - 307 - 2105 Y Corrections /Comments /Instructions: I ( r c ' J (1 A11 \ 1 7 ) g -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: \ 3 Phone #: (503) 718 2 v1 21