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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2004 -00331 A ; k DEVELOPMENT SERVICES DATE ISSUED: 7/13/2004 R=- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 PARCEL: 2S112DA -00300 SUBDIVISION: 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: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 201 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: $ 110,000.00 Remarks: TI, create retail sales space. Owner: Contractor: PACIFIC REALTY ASSOCIATES A J. WEBER CONSTRUCTION INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548 PORTLAND, OR 97224 PORTLAND, OR 97280 Phone: Phone: 244 -4318 Reg #: LIC 00065238 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 7/13/2004 $783.30 Electrical Permit Required [TAX] 8% State Surchari 7/13/2004 $62.66 Pm Permit Required BUPPLN Pin Rv 7/13/2004 $509.15 Plumbing Permit Required [BUPPLN] Framing Insp [FLS] FLS Pln Rv 7/13/2004 $313.32 Gyp Board Insp Total Susp Ceilng Insp otal $1,668.43 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 • : : - •9 or 1- 800 - 332 -2344. II ��I Issue. By: ` _�j ;1 / ' ,_ _ ,.. i _ l , , Permittee ` 7 Signature: y -,- -? /. / ` ,. ir„, Call 639 -4175 by 7 p.m. for an inspection the next business day w BuildlnLPermIt Application j � FOR OFFI N USE OLY Recei City of Tigard Date /B e i4, ,..2.21.,„ J e Permit No w 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie c Permit: Other P Phone: 503.639.4171 Fax: 503.598.1960 1 t' ,!, Date /By: 1 *- 0 .49 t �J� Inspection Line: 503.639.4175 -NW - -A- Date Ready/By: �Ju 0 See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: / / Supplemental Information TYPE OF WORK • I REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction Aemolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all I� _ Addition/alteration/reptacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . CATEGO OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: • jOB SITE INFORMATION AND .LOCATION Total number of floors: Job site address: ,''2' ,� '% 2pir� V New dwelling area: square feet City/State/ZIP: ,y �i� itg4 1,0 Garage/carport area: square feet Suite/bldg. /apt. no.: / ,- Project name: � r / -ti 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: 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 _ ' - OF WORK - work indicated on this application. / 1 .bd9 0 fir Dal?4 �� 4 46 - Valuation: / l4 : -1V ,� � / � / e Existing building area: square feet '1 ��}/ New building area: square feet ( :.PROPERTY OWNER: - .I_ ' ' 1' ❑. TENANT . • Number of stories: Name: PacTrust Type of construction: v.-A/ Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: Al City/State/ZIP: Portland, OR 97224 Existing: 7 7 / Phone: 603 ) 624 -6300 Fax: ( 503) 624 -7755 New: " - ; r ]::APPLICANT ... _ ❑ CONTACT' PERSON •.: , •• NOTICE Business name: PacTrus t All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: 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: ( 5(313) 624 -6300 Fax: : ( 503 ) 624 -7755 E -mail: .- •.CONTRACTOR . . . • Business name: AJ Weber Construction, Inc. BUILDING PERMIT FEES* Address: PO Box 80548 Please refer to fee schedule. City/State/ZIP: Portland, OR 97280 Fees due upon application Phone: ( 503) 244 -4318 Fax: ( 503 244 -4318 - Amount received CCB lic.: 65238 Date 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: /. • 4 A• `f� 41 , Date: - , - ` * Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp.doc 12/03 440 4613T(I1/02 /COM/WEB) 1.1./6r. , 1 4 ' 4004' © O © 0 -�� 3 l s a �_ba 3 I f ° I . I i il 1 H II 11 11 II II •"' e r -I II II , f'.7-4.L __ _JL_ IL _II II Ii I I i ; _ PLUMBING FIXTURES REMOVED II a -`� - "' F - a ° ' r 1 _ (4) ICE MACHINGS I r --' I II II I I � __ (1) CHEF'S TABLE " ------------------ aa� (1) COMMERCIAL DISHWASHER � --,� 1 I - -- -- I - -JL - -J li I __ J (1) MOP SINK I IL=.- 1 (3) HAND WASH SINKS LI I II I I L==1 _ _ - (1) 2- COMPARTMENT SINK II aJL__I 4 1- COMPARTMENT SINKS r "' u DlI n II 1; (1) WALK IN COOLER/FREEZER ( ,. J I I q I �L__ JL- _JL - -J, ICECREAM CABINET F r. /�1 n i1 (1) I I J r �JL - (4) RESTROOM SINKS I U _ _ 1 I i i (2) URINALS _i I , .i. a II _ II _ I I t \ - - 1 .� i - . - (2) TOILETS _ if �� __ a i>�`;� \` > r i i I - -, NEW PLUMBING FIXTURES q S( � 0j (5 � I I I i 1 — , 6 1 1 i - (2) RESTROOM SINKS I1 n k II II I r I I I' I. - ;p I I '" � -- J 7,555 SF TOTAL I. F LL - -�, , -- AMISH FURNITURE GALLERY _ I� � ' DEMO PLAN I II ', '�� S� -- PACIFIC CORPORATE CENTER � __ , ^ > II BLDG. #14 (PTR #238) \ \ ` `�,�, f ri . \./ ,' ° 15230 S.W. SEQUOIA PKWY. #100 I ` . � aa . ., �' �� PORTLAND, OR 97224 - , y S�aaQ� I I J __ J 7/1 3/04 z -- - -- tel: .120 i i i i .,00 II L J L J L J L J SCALE I/I6'•I' -0' 0' 5 10 20' A PA UBT PROPERTY 1 -0' 400' -0' © OO © _ O • I I I. I _ �! I 11 I II II II • II II n ' —' 1 71 1 II I 'll r�II _ JL__JL__JL___u I 1 II I �" ®� - -J I �� �� / / PLUMBING FIXTURES REMOVED a II I'll i / r = =� ' [ 43 ' ° ° 1 (4) ICE MACHINGS 0 ii r -- I 1 II II 1 __ (1) CHEF'S TABLE II n o 1 (1) COMMERCIAL DISHWASHER L___ —J --- -JL - -J II I __ -- J (1) MOP SINK I 16= (3) HAND WASH SINKS _ L. I I n II 1 I 6__ - -, (1) 2- COMPARTMENT SINK JL _ (4) 1- COMPARTMENT SINKS 7"" II T all u n Il (1) WALK IN COOLER/FREEZER r . --- J I 1 n LL_ JL__JL__J, ICECREAM CABINET f--( r..-I n 1 II ( 1 ) 1 I WI v LJL____— _____= (4) RESTROOM SINKS — - - - - 1 i = 1 - -9-- ► �� (2) URINALS I' '' II ______ _ ��� _ I ` � 1 _ . =LL• - = -J (2) TOILETS Pai /' e II t : � �� � � \ > _ i , NEW PLUMBING FIXTURES J 11 1 ■ I I I I nr c? 00100 I 1 1 +� , 'l q I I `� —,h I I �d 1 I i- I I (2) RESTROOM SINKS l B-Ti I I M 1 II u 1 I I 11 I 4 31 i I 7,555 SF TOTAL I ' ' ' • r —_J AMISH FURNITURE GALLERY ii F ; I LL - - - - ?j — � - JI DEMO PLAN 1 I �;i �,'�� dr 5'= PACIFIC CORPORATE CENTER • \ i _ _ ^ J i , _ _ ' / , ' �> o BLDG. #14 (PTR #238) �y / ) v /' II 15230 S.W. SEQUOIA PKWY. #100 .., ��.�, -' �� PORTLAND, OR 97224 .. S�'aaa� ) �� II J __ J 7/13/04 Z ED I M ! -= M =m n '120 I I I i ' ID0 I L J L J L J L J SCALE I/Ib'•I' -0' 0' 5 10' 20' . A AAGRUBT PROPERTY CITY OF TIGARD 24 -Hour BUILID!NG Inspection Line: (503) 639 -4175 MST INSPECT4ONISION Business Line: (503) 639 -4171 BUP 33 J Received Date Request d AM PM BUP �� q '- Location ` a" 3o Suite /dv MEC Contact Person Ph ( ) 3 Z d - % 0 / PLM Cont ctnr Ph ( ) SWR Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire it re Sprin ler arm ■A `V' Susp'd Ceiling Roof _ • • I -r: 4 P SS PART FAIL �/ r • - BING `,' �, k Post & Beam AlOP Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Dampers PART FAIL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL