Permit Il " CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00376
COMMUNITY DEVELOPMENT DATE ISSUED: 7/17/2007
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 12 DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: COMMON SENSE
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1,149 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: $ 400,000.00 .
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION '
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LANE
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 Fcc 7/17/2007 $1,508.20
[TAX] 8% State Surcha 7/17/2007 $120.66
[BUPPLN] Pln Rv 7/17/2007 $980.33
[FLS] FLS Pln Rv 7/17/2007 $603.28
(additional fees not listed here)
•
Total $3,692.47
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. Y a obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ /
Issued :,7 /.t / A_ / - Permittee Signature: _ ,,,/ �� ir
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.
Ec I \1E®
Building Permit ApplicatiR FOR OFFICE USE ONLY
City of Tigard JUN 2 7 %Ulf Received n
° 131 Hall lvd., Tigard, OR 97 DateB : _ y . _ ... �/ i ' / 74, g W
III ' : Phone: 503.639.4171 Fax: 503.59i f�GIP'�D Plan Re vie Date/13 i`yC : �N Other Permit:
TI GARD Inspection Line: 503.639.4175 BU ONG DIVISION Date Ready 17 ® See Attached Checklist for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Iew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
rJ k A ddition/alteration/replacement CI 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: $
El Accessory building 12 Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /4-:_t$10 �LV „e von .st "Iw ,ace New dwelling area: square feet
City/State/ZIP: � � O 9 Q Garage/carport area: square feet
Suite/bldg. /apt. no.: v Project nam ��� a - 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: 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
DESCRIPTION OF WORK work indicated on this application. .C� d/) .a
/ Valuation: $
Existing building area: /1 7 7 s feet
—c d ab I
l/ - — New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction: a
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 ® 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/Z1P: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624 -7755
E -mail: dennisp @pactrust.com
CONTRACTOR
Business name: /tae 4td-10 . BUILDING PERMIT FEES*
• Address: .5 sty v due vt -L,v t - (Please refei to fee scKedule1
Structural plan review fee (or deposit):
-]
City/ State/ZIP: f t =go-- 7 -‹
Phone: (' - co eo4. Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: 64 0 -7D /42V 0 Total fees due upon application:
Amount received:
Authorized signatur :
--Z.----- This permit application expires if a permit is not obtained .02:e
`— f Date: // 'yam within 180 days after it has been accepted as complete.
Print name:
/ 4—. , / I �j� [ * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ BuildingTermits \BIJP- PermitApp.doc 03/21/06 4464613T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: DUP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1712007
Phone: (503) 639 -4171 /6 1N! . - j
Inspection Requests (24 Hrs.): (503) 639 -4175 _n_. L! e_� �I
INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: ' 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: 71
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 11!30/2007 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
233 Final inspection 060575-01 503307 -2105 N
Corrections /Comments /Instructions:
1 PA� rA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL a • • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I Inspector: Date: I S� u Phone #: (503) 718- 2--(9
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/21)07
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ...alt _ :_..
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 24
SITE ADDRESS: 15350 SW SEQUOIA PKW' 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503 - 892 - 0066
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message , 4'f
239 Final inspection 060485 -01 503 -307 -2105 0
Corrections /Comments /Instructions:
CO 00 F-NA -L n 0?- �
O_ ; op - oo _ o N:. . _
t t2r)t / /-ic i T C t C--, rI .P� p/H --1-I`- or 66 &-
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pi '_SS i ARTIAL APPROVAL [1] CANCEL El NO ACCESS
Ic. FAI ' / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L.L._ Date: // Z 2 Phone #: (503) 718- 24
CITY df TIGARD
BUILDING DIVISION - - PERMIT #: RUp2007_00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639- 4171yli In
Inspection Requests (24 Hrs.): (503) 639 -4175 �- L.
INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7 :01AM PAGE: 22
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-B92 -0066
Inspection Request Scheduled For: Date: 11/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 06031401 503.307-2105 N
Corrections /Comments /Instructions:
0 7 - dd c (FIN/A-L._ A4-f? 0,- Dv/{'t-__ ntE'L'11e:
Q ' .ral 7 -oc7 o ,,
wailgOrmws■ailTa ( e , , /
S z-? &/ &,__- sue, F — &167 — (1- �
❑ PASS 111 - : RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�►�._ s,i∎ r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: LL _ Date: a Phone #: (503) 718- Z‘____47_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639 -4171 "Flt
Inspection Requests (24 Hrs.): (503) 639 -4175 `'- —
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: . 7 :00AM PAGE: 6
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
MIK
287 Suspended ceiling 059198 -01 503-956-6290 . 40
Corrections/Comments/Instructions:
L LL:: t� e 200 ✓"'-
7-0 / Za - Z2-Z
❑ PASS 6Z1, J� IAL APP M ❑ CANCEL ❑ NO ACCESS
❑ FAIL FOR INSPECTION ❑ ADDITI 7 NAL F ES ASSESSED
r __. ,
O
Inspector: Date: 1 ! 7 Phone #: (503) 718- •
C .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .,..,_- l
INSPECTION WORKSHEET FOR - DATE: 10/9/2007 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 15350 SW SEQUOIA PKWY MO CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503-092 -0056
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa a
it# M'
287 Suspended ceiling 057222 -01 503-307 -2105 ` Alii
Corrections /Comments /Instructions: ____L—t
MA t ' 'ARTIAL APPROVAL ❑ CAN ❑ NO ACCESS
• FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I -
Inspector: ! Date: / 7 Phone #: (503) 718- 2.-
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 ° 'I � ..
INSPECTION WORKSHEET FOR DATE: 9/18/2007 IME: 7:00AM PAGE: 7
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 501892-0066
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time: ��
Code # Inspection Description Confirm # Contact # M: -sage ')
275 Framing 055889.01 503-307-2105 Y � i ` s L C K
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Corre tion / Comments /Instructions:
1 ') H &iI Puvo ut(,) °.
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❑ PAS PARTIAL APPROVAL 111 CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
I
Inspector: l�l (f Date:'/ \J " 6 7 Phone #: (503) 718- ' 71
CITY OF TIGARD , . • ma s "`e
BUILDING DIVISION PERMIT #: BUP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
7/1712007
Phone: (503) 639 -4171 ( t
Inspection Requests (24 Hrs.): (503) 639 -4175 - "'I —
INSPECTION WORKSHEET FOR DATE: 902007 TIME: 7:00AM PAGE: 32
. - SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE fQ
DESCRIPTION:
C ASSOCIATES, PACIFIC REALTY ASSOCIATE.
OWNER. , PHONE #:
CONTRACTOR: OLSON CONSTRUCTION ATTHEW PHONE #: 503-892 -0066
t
11/1 Inspection Request Scheduled For: J J J) Date: 9/5/2007 Pour Time: 91— Code # Inspection Description - � ,r � Confirm # Contact # Me•.sage
276 Framing 01 055140 -01 503-307-2105 Y �
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C rre tions /, om ents/ structions: t )
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❑ PASS [PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V ∎t () ✓ Date: (5/ Phone #: (503) 718- - 2,q 24
CITY OF TIGARD . .
BUILDING DIVISION . ,, , . PERMIT #: BUP2007 -00376
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007
Phone: (503) 639 -4171 ;
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,„..!0- ^ -- .
INSPECTION WORKSHEET FOR DATE: 8/20/2007 TIME: 7:02AM PAGE: 17
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OLSON CONSTRUCTION, MATTHEW PHONE #: 503 -B92 -0066
Inspection Request Scheduled For: Date: 8/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. • - E.'
275 Framing 054323-01 503 -307 -2105 F'/l
Corrections /Comments /Instructions: G®V1- -c
all L Ia'L " L :.
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❑ PASS I !r PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/_ ' UR INSPECTION CI ADDITIONAL FEES ASSESSED
IA!
Ins e ctor: Date: � / � Phone #: (503) 718- c ?C
P )