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Permit A CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00123 jlj,k DEVELOPMENT SERVICES DATE ISSUED: 04/13/2000 4 . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15755 SW SEQUOIA PKWY 100 PARCEL: 2S112DD -01601 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: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,000.00 Remarks: Commercial TI Owner: Contractor: PACIFIC REALTY ASSOCIATES FORCE BUILDING CO 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 1194 PORTLAND, OR 97224 TUALATIN, OR 97062 Phone: 503 - 784 -5025 Phone: 524 -9898 ORIGINAL Reg #: Lc 14091 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 04/13/200C $364.00 0001397 Gyp Board Insp Susp Ceilng Insp PLCK KJP 04/13/200C $236.60 0001397 Final Inspection 5PCT KJP 04/13/200C $29.12 0001397 FIRE KJP 04/13/200C $145.60 0001397 Total $775.32 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Permitee / - " - / Signature: x 7fr�/i // /r : API�I // ./ Illr Issued By: / ' - ' 4 Call 639 -4175 by 7 p.m. for an inspection the next business day a • CITY OF TIGARD Commercial Building Permit Application Recd By 13125 SW HALL BLVD. New Construction and Additions Date Recd Date to P.E. TIGARD, OR 97223 Date to DST 41 li t U ip (503) 639 -4171 D / Permit #64.4\ f2�t, -0- 00i Print or Type /D1(---- Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project y� Job �Q /��� � j ��� �,��, /R. Existing Building New Building ❑ Address Street Address Suite /IV / � 7$ 4 0 Building Bldg # ity 4 /� /State Zip Data 77,0¢¢/e4' J � � 7.2 Existing Use of Building or Property: Name _ _ Property PACIFIC REALTY ASSOCIATES, L.P. D/ --/z-_-3- Owner Mailing Address Suite Proposed Use of Building or Property: 15350 S.W. SEQUOIA PK4Y 300 ,W% 6 City /State Zip Phone / PORTLAND, OR 97224 324 -6300 No. Of Stories: Occupant Name Sq. Ft. Of Project: e/6 N car 2,17 / s // 6 r . 1 7.x Name Occupancy Class(es) Contractor Ti "1 ©r a U//� � • e Prior to permit Mailing Address Suite Type(s) of Cons uction issuance, a copy . /2/1"" // f of all licenses � !f are required if City /State Zip 9 6'I Phone Will this project have a Fire Suppression System? expired in C.O.T. 7 U/9�774/,� -/67/2,114) Yes No ❑ database � ,�rAmericans with gabilities Act (ADA) Oregon Const. o nt. Board Lic.# Exp. ate (r" Valuation X 25% = $ Participation /9'/ '7 ?-7 Complete Accessibility Form A1 57 — Name Project $ Lpt Architect JOHN H. ROMISH Valuation i4/4ie) Mailing Address Suite 7216 S.F.. 74TH AVF _ Plans Required: See Matrix for number of sets to submit City /State Zip Phone on back PORTLAND, OR 97224 236 -6306 - Engineer Name I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws. Sigpature of Owner /Aeent Dat City /State Zip Phone / � " /r' r_ , . Con act Person am- Phone /5• ._f /.sl :Z� / Indicate type of work: New 0 Addition 0 Demolition ,,,0,,,////// Accessory Structure 0 Foundation Only 0 Alteration, Repair 0 Other 0 FOR OFFICE USE ONLY g Description of work: /,tr[� 6 ,4 MaPrr Land Use: a 11,4:11/72-71/47149— S/ l� b 17 - �/C�}/ Grf Notes: Parks: Estimated # of Employees TIF: If the above figure is not supplied at the time of application, the city will calculate the fee based upon the number of parking spaces. Note: Site Work Permit Application must precede or accompany Building Permit Application I: \COMNEW.DOC (DST) 5/98 • COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review gook::4tibijjittouot: .......................................................................................................................................................... wospioggogippootkol7 ........... ...............„„.. ............ KEY: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building , ........ .... .......„. .... ................. ......... NOTES: *S'Iladetrgeda"Ve§14tigid'ALT:.:ti I:\dsts\forms\matrxcom.doc 10/30/98 OVER- THE - COUNTER (OTG) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: 7 CLASS OF WORK: A.77.--- FLOOR AREAS: EXTERIOR WALL CONSTRUCTION TYPE OF E: FIRST SQ. FT. N: S: E: W: TYPE OF 11 CONSTR: t) N SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: 6 THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: I ?i TOTAL SQ. FT. ROOF CONSTR: FIRE RET: . STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE J FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: I COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ - Permit Fee Masonry Fr in $ 2 Plan Review Insulation Shear Wall $ Sq t Z 8% State Surcharge Firewall y+ :oard ' $ 146 FLS Plan Review ipended Ceilin• Sprinkler Rough -in $ Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous diP $ MIS Fee FOR OFFICE USE ONLY: TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS= accessory;FND- foundation; OTR= other; DEM= demolition; REP = repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I: \ovrcntr2.doc (DST) 9/99 -