Permit n ,
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00447
1J,L A DEVELOPMENT SERVICES DATE ISSUED: 10/3/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DD -01600
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 35 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: $ 76,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES BNK CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI 10730 SE HWY 212
PORTLAND, OR 97224 PO BOX 66
Phone: 503- 624 -6300 CLACKAMAS, OR 97015
Phone: 503 - 557 -0866
FEES Reg #: LIC 107555
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/8/2005 $613.02
[TAX] 8% State Surchari 9/8/2005 $49.04
[BUPPLN] Pln Rv 9/7/2005 $398.46
[FLS] FLS Pin Rv 9/7/2005 $245.21
Total $1,305.73
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 -00 hrough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 3 -246 99 1 00- 332 -2344. .
Issued By: , ( Permittee Signature:S,
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 Applt*i:\ ; ‘fiED FOR OFFICE USE ONLY
City of Tigard „ . Received , 0 5
Date/S :
Permit No.• 0 A
13125 SW Hall Blvd., Tigard, OR 97223 . 0 7 2005 Al ° 7 likb Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ''''' -' , 4.1.1.4%,. - I;1 I (\
. i i i :a i I i Date/B : Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: la *,• , El See Attached Checklist for
Internet: www.ci.tigard.or.us CIFY OF TIGA1,- --
=------ -!
Notified/Method: / &AA Supplemental Information
. BUIDING DIVISION .
KIMMEringer, ti4114 rgiti !.■ tii'fiviitii
4 . ;.....-: .,....... -,.,.,.. . . '
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Addition/alteration/replacement 7 2r -...... El Other: Indicate the value (rounded to the nearest dollar) of all
Ad
equipment, materials, labor, overhead, and the profit for the
Teig.51,01arts:j,„.t.g04talariti,ral,_.0",:r:'41,1tehisysifiATt''.;'''''Mailltiik),MAR.-efl.grogi work indicated on this application.
- :,k4m..!„141.%...fr,•41.4;6101Tem,3■44.,,-.0,.e=c4,7.sm . , - ., ' .-.5... •!v,
Valuation: $
0 1- and 2-family dwelling Commercial/industrial
-
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
. .0 , 1-1,..1,0 1.,...,47,...t.azom-ktrtstwifin.4g;=.1-.,54..aliww.myglyo..4.,w,..mvi,rvime,,,,,,-71,12,301,0 Total number of floors:
tOlit.T. ,.41. •15.4.6.„.
Job site address: 15 it" 5 5w 5 UOIA Pielale New dwelling area: square feet
City/State/ZIP: Parfla p cp og 77 22- 7 Garage/carport area: square feet .
I •
Suite/bldg./apt. no.: tp/2%) I Project name: 1 I- i /
i„...cg4.74.. irt square .i rbiA.es Ls Covered porch area: sque feet
Cross street/directions to job site: 51,,j $xiE 3 0/ Deck area: square feet
(J/'Pe/Z. fedat—g c6reie_y gp . . Other structure area: square feet,
V:iiiiiiiiii
,.,.:..,,,..,:......,. ; 1 mti:1,' 0.
Subdivision: - I Lot no.: Permit fees* arebased 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
1111 ;11W.4011. work indicated on this application.
PAciertrioNs< , ceAt.i ( pkt-2ThAf.- m/ Valuation: $ "h r.) , 1 o9'
C-4r6.satl erP-1 i AV ICH - ) -ZQ' 0 ( ' Existing building area: i i..n5 square feet
Al- AO& CcW'(-Mtkir • At k / .. 14:7 1 400 ,...- pt g a , 7 ---New building area:— i square feet
l ' I re. grgrlitill*.a*IF614/1411`r": , ..i44, : "- r 4Tigri ,'AILtAkAlif:M.4 Number of stories:
:1 ':■ .,,,..., '''. 7 . -*FAV . ;' ri ql 4 ,,,, ,*J'', - d 4 OW i'-'etQI.1.t.I;TI,...,,,:qr„, ....„, , „,,,,,,:,,,:...,, :;,,,„-, 541-P
Name: PacTrust Type of construction:
Address: .15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
13
Phone: (503 ) 624-6300 Fax: ( 503) 624-7755 New: -
.1.14V4401K4's.44.Z ,..: - ...,.p.-. 2,.^ ie,..0 . ! ,'4. ,
;IfWMCkWIWIAAI-T0'.:WAtg4.A.744.;.:4.YtkaffiW414.'44•10 441ERIV. 4. ?' ' , 11 ....14,t: ii.1 TIi::: lik -
. ' lfai+09 - 72.5? 2 . 'g' V14'L ilmif.,41'I . ...: . ...:',
Business name: PacTrust - All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia 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 I Fax: : (503 ) 624-7755
E-mail: -
.... ...:
• . -- — - - 7,Kr.7*,/- , 1 , 1, ,, ic,e*T....v:. - ..,r ; ;; -'". — ..'.''"•gia ,.''. 1, 4 , " . .. 1, s ,, i' , A , -.9 4 V...iiv-T-.:.,,'4..b.'41 '1-.',:,..!. ; - 4 ",:t cz '",,,
ilidaltZGaitai*AbgaiL' U ;xta9M47.01ki0OrPt-04 . 1figetOk - athi :
Business name: ------ ti--
Address: •
- - • Please refer to fee schedule.
City/State/ZIP:
Fees due upon application
Phone:. . I Fax:
Amount received
CCB lic.:
Date received:
Authorized signature: 1 / ' lJk ---- 71A1!,e..—.— This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: AA a rhil Hitill.rel-i Date: ei/ 7 / 6 , 5 - • Fee methodology set by Tri-County Building Industry
Service Board.
1: \Building Termits\BUP•PermiUkpp.doc 12/03 440-4613T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: [31JP2005-00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005
Phone: (503) 639- 4171W.W�� �>a
Inspection Requests (24 Hrs.): (503) 639 -4175 "+� `'I��
INSPECTION WORKSHEET FOR DATE: 1 /6/2006 TIME: 7 :00AM PAGE: 50
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: DENTAL PROFESSIONALS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 5O3 6246300
CONTRACTOR: 13NK CONSTRUCTION INC PHONE #: 503 - 557 - 0866
' Inspection Request Scheduled For: Date: 1/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 024497 -01 503 - 8880214 Y / b
0
Corrections /Comments /Instructions:
01144/ F& 2 I 5 /5
,lka .1. -- ( 014 4 /le 4 Lv hdei4
0 1, 7ti ,D1-D
„
&tt, /440/ei
9(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I
Inspector: ► Date: (2/06 Phone #: (503) 718WM
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005
Phone: (503) 639- 4171o.iii�
Inspection Requests (24 Hrs.): (503) 639 -4175 L. °':_..
INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: DENTAL PROFESSIONALS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503- 557 -0866
Inspection Request Scheduled For: Date: 12/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 023686 -02 503-888-0214 N
Corrections/Comments/Instructions:
OLED Ptto-1-. F-(10
•
•
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: ' /4 Date: 1 (e3 v J Phone #: (503) 718 -
CIT TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00447
13125 SW+lElall Blvd., Tigard, OR 97223 DA TE ISSUED: 10/3/2005
29
Phone: (503) 6-4171 440 / A
Inspection Requests (24 Hrs.): (503) 639 -4175 --14 - I Jl
J
INSPECTION WORKSHEET FOR DATE: 12/16/2005 TIME: 7:05AM PAGE: 3
SITE ADDRESS: 154 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: DENTAL PROF=ESSIONALS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 603- 557-0866
Inspection Request Scheduled For: Date: 12/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message • 299 Final inspection 023620 -01 503 -888 -0214 N
Corrections /Comments /Instructions:
FRov (DE F S Fo 2 - kt-A-- e t DTs
- 171\ - 1A/s
❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL F•R INSPECTION ❑ ADDITIONAL FEES ASSESSED
0
41 4f ( � _ ��
Inspector: Date: \ ( v / ,' Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION PERMIT #: BUP2005-00447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005
Phone: (503) 639 -4171 A 1e ll i
Inspection Requests (24 Hrs.): (503) 639 -4175 F_ ..
INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 90
SITE ADDRESS: 15495 SW SEQUOIA PKWY CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENT LOT #: TYPE OF USE:
PROJECT NAME: DWI I AL PROFESSIONA[S )
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503 -557 -0866
Inspection Request Scheduled For: Date: 11/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 021963 -01 503 -888 -0214 l—�--
y
Corrections /Comments /Instructions:
Air -
1111-21NOMLI - arig'",6 !WV .
Z ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL < T CALL FOR INSPECTION ❑ ADDITION 1 L 2 FEE ASSESSED
r _f rii 0._
Inspector: Date: ( M #: (503) 718 -
■
CITY OF TIGARD
BUILIbINd DIVISION PERMIT #: BUP2005 -00447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2005
Phone: (503) 639 -4171 `"1
Inspection Requests (24 Hrs.): (503) 639 -4175 ... -_..
INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7:00AM PAGE: 41
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: DENTAL PROFESSIONALS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503 - 624 -6300
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503557 -0866
Inspection Request Scheduled For: Date: 11/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 020606-03 503888 -0214 Y
Corrections /Comments/ Instructions:
_:.-- 41
Ad ) T —
f C& , (--11.
(- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS .
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: l 1 #: 718-
p Date: P hone (503) 718