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Permit CITY OF TI�G BUILDING PERMIT PERMIT #: BUP2005 -00003 A4.-,. c , I l� , DEVELOPMENT SERVICES DATE ISSUED: 1/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -01600 SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT: JURISDICTION: TIG 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: 5 -1 HR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 52 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 32,000.00 Remarks: TI: Walls and ceilings. Owner: Contractor: PACIFIC REALTY ASSOCIATES ROBERT EVANS 15350 SW SEQUOIA PKWY #300 -WMI 1200 NE 48TH AVE. STE 1250 PORTLAND, OR 97224 HILLSBORO, OR 97124 Phone: Phone: 503 - 648 -7805 • Reg #: LIC 14426 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 1/4/2005 $335.80 Electrical Permit Required [TAX] 8% State Surchari 1/4/2005 $26.86 Sprinkler Permit Required BUPPLN Pin Rv 1/4/2005 $218 27 Framing Insp [BUPPLN] Firewall lnsp [FLS] FLS Pin Rv 1/4/2005 $134.32 Gyp Board Insp Total $715.25 Susp Ceiing Insp Final Inspection 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 questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: ► / Permittee Signature: j/ if Alk: / / /�� Call 639 -4175 by 7 p.m. for an inspection the next business day P. B ildin Permit Appi�c ►c El V FOR OFFICE USE ONLY City of Tigard N na �sy / _ y -° S 3 is Permit No. a J-�OO 3 � JA 4 13125 SW Hall Blvd., Tigard, OR 97223 1UU5 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / l >, ,t;.S i , .,,,i � '. , Other Permit ,I� Inspection Line: 503.639.4175 CITY OF TIG = ' I Date/By: Dote Ready/By: J ® S Attached d Checklist for Internet www.ci.tigard.or.us Notifed/Method: I / C\ Supplemental BUILDING DIVISION 'G+' ,' � F T � V4 II tt` ,1 1h 'F.'.�e1�:�:iFl4FS.h:NY.n�'�ry '.'C € ' A4 �o ` ;'�']f: ^�"L'Ydrj tiLl..fl'Od�:l5d.�.: �4'rv•� -id. • : : e _ � , 4 tiW _� "' !�F*s4,A�9" 4a "'e tv " ,r. "'.,�' �� r;JI; �•; 54 ,u1Gl�rPd,'�u °' "r >uy�i : �' S[�a'� a 971'' 0 • ''T . i'iiCe #�1 , Z: F`� } DWI~i'I }, JNG rss r z rte �17i1 -.c. tx� ©e F E 1 ",`?+1 .1Jtia`wb,melu,'nsi � ' g h 'af�j,�i� �� n t;aial) .,,, ,Ih:+�f=a.F hr :r-r.1 *D•t.-, +z"�i-'.,'y '', ,. 4��rt �... 1 - P.n �• .� C. 4 Permit fees* are based on the value of the work performed. ❑ New construction ❑ Demolition Indicate the value (rounded to the nearest dollar) of all f ddition/alteratton/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the , M1 1 . ,,hx.e e ux � " . a work indicated on this application. * . . s „1 y t iw4fi Y 4 , "`' „;r a, ' f X' s a:° . �� ' F� A V;g4 �rn _ Valuation: $ ❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: 4�, .wy c "tic ac.tra. wa.,.ur� aE:: 3 nna,a «R` + i� t Total number of floors: ,_ 4�aF �::f ,:,e��. i r��fi�r�K-�YS..: �e- •.Rt »a��'! ".+3�z+ ��r.Y�.:caA'rau'' C: rQa' i�';' 49�"'. 1�5�"' t ''�;%�'�;w•`w , `� ^,. :k ^€, �•: a �a Job site address: J -' ,' ��C � 5 New dwelling area: square feet City /State/ZIP: °� _ Garage/carport area: square feet Suite/bldg.apt.no.: ' ✓/ Project name: G'-�1���/ �d/it Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet • h,f.� _ i,: a40 .�w.i� yr M�;r���:a:.N,aa�. tT �,,. Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the 4 41 '" ,, ti , ; . �' n I , 0 ,,,� w�' f -' : , 4,, °":, A r y ' '' '' •^' work indicated on this application. i � ; ,. � yYy. ?'�..e'.'iti. r :low 'Mf.' tF .;r...�4.9r',1 -, �fe;r ai:- ,Mti��L ,�r . ..y;. ,il 'v tik.v /�i� �d(�F //�r/O�Y� 4e Valuation: $ , f'„7j ( �V v � :r/-47/// �� /� E building a rea: � /,+'� square feet ��� New building area: square feet �. , .4N47af: F 51 7 "iF[ a. c.4p ^"'PtVA'RtP.t:"V.BIf hr0: ..t, ,4, FRO,•,' -45.10,2-.. , , r) y�' t 1 s t . Number of stories: .t'r:� •1 1 'a i':F'J1 ,.�w''_ c” ,� 4 . W'AYi'✓+�+ �,i, : II� � 1� ��� � �s.ti . A`.. Name: PacTrust Type of construction: . v—■& Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: City/State/ZIP: Portland, OR 97224 . Existing: S ,2/ Phone: 603 ) 624 -6300 Fax: (503 ) 624 -7755 New: �"� a. ;w . "°. �d•' 3 y' ' � i ��;�. %a'r.SmnY.:. { x „ ^; . �ar..x �... Vii •� „t _ ,�_•. -"•`r. A,a, n,- .r�e.< w�r�',,n.F,..,:�__, `G Xia i' ' .F..;A` '- ' N.' . ^r•'} -°Y': 'F' "3 ,,, �4�'S3. F t" t"��:i�, '�dt + �' �r'��x ±' �•; ,�, ��Q'i v�• _ (� ^{�'i :�^'''�'`��1� d' lN,'ii�< O v. : � ErLL , t �.; i. Y.;',: i ,,d,-,_ � a 5r'ir7lw'.f.B,�� s �,A4,- ' a, . .f, ,a*, a6,-, , n -6, _ :�9y •- '161 1 Kt '4,.F ,� ,Ill 1. i ” ,ir � @Jk'4 ^q,[!5rifr' {I:13m6 �,��,w, 14a, i� _4A�:_ yi .Yr.d!`t�.' -ui� .a;4*v :. Business name: PacTrust All contractors and subcontractors are required to be 9 I /�" �/ // licensed with the Oregon Construction Contractors Board Contact name: J � under ORS 701 and may be required to be licensed in the Address: 15350 SW Sequoi Pkwy., Suite 300 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State/ZIP: Portland, OR 97224 apply: Phone: ( 503) 624 -6300 Fax: : (503) 624 -7755 E -mail: .sr,{�� xe�� � ti . 'C .., Ca � 1" p r � 4 ,ifs+ v���m t hS.'. "i�rpp' Y: `i t, tl ... a ghi Or F ,',, J9 �Y,FSAyP PM, 1, r ,roai.. li a tiP'x ',ate,,,.• I . � 'TT'Wl�, (A ,7c-k ".u�p ;.Ml "!,.,_1!�:,_rry. ,.. '.�'M: ':.. . Business name: , {t `� 'k '' Robert Evans Conc. j�hi 1 ',, — ,I ,.> n`,k0 R ;! .: �, Co., � ,°-� -� � W!:r.- N�I,a�:,t)51'Yrzyra:: H ? e,i f , °Gcseoy,iti� e _ •. . �� �. Address: 1200 NE 48th Ave., Suite 1250 Please refer to fee schedule City /State/ZIP: Hillsboro, OR 97124 Fees due upon application Phone: ( 503) 648 -7805 I Fax: ( 503) 648 -5883 Amount received CCB tic.: 14426 Date received Authorized signature: i � This permit a pplication expires if a permit is not obtained ' [ within 180 days after it has been accepted as complete. Print name: 'Y '/ ' Date: �,1� —O� *Fee methodology set by Tri County Building Industry Service Board. 1:\ Building ennits\BUP- PernitApp.doc 12103 440- 4613T(I1 /02/COMIWEB) CITY OF TIGARD I BUILDING DIVISION PERMIT #: BUP200S -00003 13125 S Hal ' blvd., Tigard, OR 97223 DATE ISSUED: 1/412005 Phone: (503) 639 -4171 :Wilt Inspection Requests (24 Hrs.): (503) 639 -4175 _ - INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 109 SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE: PROJECT NAME: SECURITYCO,INC. DESCRIPTION: TI: Walls and ceilings. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: ROBERT EVANS PHONE #: 503 -64B -7805 Inspection Request Scheduled For: Date: 4/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 00400601 503 -679 -3271 N Corrections/Comments/Instructions: r PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 11 Inspector: Date: 13 05 #: (503) 718 -