Permit Er CITY O i 1 I GAR® BUILDING PERMIT
PERMIT #: BUP2007 -0600
COMMUNITY DEVELOPMENT DATE ISSUED: 11/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 ZONING: C -G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: ARTIELLE
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: 60 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: $ 32,500.00
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES PACIFIC CREST STRUCTURES INC
BY TC PORTLAND, INC 17750 UPPER BOONES FERRY RD
8930 SW GEMINI DR DURHAM, OR 97224
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 968 - 8949
FAX 503 - 598 - 6658
Reg #: LIC 66915
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/21/20W $271.67
[TAX] 8% State Surcha 11/21/200i $21.73
[BUPPLN] Pin Rv 11/21/20W $176.59
[FLS] FLS Pln Rv 11/21/20M $108.67
Total $578.66
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.
L
Issued By: Permittee Signature: 1 ' ' / „�_ / i . _ _
• 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 Application FOR OFFICE USE ONLY
City of Tigard Received Dete/B : 464 /
III ' � 4' s Permit N:, t ? — 406 . - • 13125 SW Hall Blvd., Tigard, OR 97 3 Plan Revie , , 1 /0( �y J .� Permit a Phone. 503.639.4171 Fax. 6 503.598.19 0'V 2 1 2007 Date/B (r[ (JV I Other Pet I' 1 i n F: I > Inspection Line: 503.639.4175 �? DateRea y y lun " ® See Attached Checklist for
Internet: www.tigard - or.gov CITY ®f. n Qti ARI) Notified/Method: Supplemental Information
BUILDitrAVISI
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition /alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi - family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9020 SW Washington Square Road New dwelling area square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 450 Project name Artielle 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.: 1506 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1S126BC Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant improvement modifications Valuation: $$32,500.00
Existing building area: 91,31 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stones: 5
Name: One Embassy Centre LP do Wyse Investment Services Type of construction: II -A
Address: 111 SW Fifth Avenue, Suite 1100 Occupancy groups.
City /State /ZIP: Portland, OR 97204 Existing: B
Phone: (503)294 -0400 Fax: (503)227 -2507 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Robert Simpson Architect, PC All contractors and subcontractors are required to be
Contact name: Robert C. Simpson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 31177 SW Simpson Road jurisdiction in which work is being performed. If the
City /State /ZIP: Cornelius, OR 97113 -6201 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 709 -9653 Fax: : (503) 648 -4033
E -mail: rsapc @verizon.net
CONTRACTOR
Business name: PC c '"G, !� J „ � f i . C� (,ti(e BUILDING PERMIT FEES*
Address: (Please refer W fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: Total fees due upon application•
Amount received:
Authorized signature: ',
This permit application expires if a permit is not obtained
Print name: Robert C. I mpson I Date: 11/21/2007 • within 180 days after it has been accepted as complete.
p Fee methodology set by Tri- County Building Industry
Service Board.
I \Building\Permits \BUP PermiiApp doe 03/21/06 440- 4613T(1 I /02/COM/WEB)
CITY OF TIGARD T
BUILDING DIVISION PERMIT #: BUP2007 -006OO
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639 -4171 4 " 4 014), l#
Inspection Requests (24 Hrs.): (503) 639 -4175 F::.
INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7 :02AM PAGE: 6
SITE ADDRESS: Q9020 SW WASHINGTON SQUARE RD 450 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: AR TIELLE
DESCRIPTION: TI
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 968 - 0949
Inspection Request Scheduled For: Date: 1/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message I a ' .-
299 Final inspection 063257 -01 603-706-321/ 4 Fiti
Corrections /Comments /Instructions:
,` `AS .,'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: i i < 0 $ Phone #: (503) 718- 7
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CITY OF TIGARD
BUILDING DIVISION o - - PERMIT #: BUP2007 -00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639 -4171 j
Inspection Requests (24 Hrs.): (503) 639 -4175 y- '' �
INSPECTION WORKSHEET FOR DATE: 1/14/200 TIME: 7 :04AM PAGE: 8
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: ARTIFLLE
DESCRIPTION: TI
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 968 -8949
Inspection Request Scheduled For: Date: 1/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
299 Final inspection 063169-01 503 - 706 -3211 J
Corrections /Comments /Instructions: F/ I
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Inspector: _.411(...& _ Date: / Phone #: (503) 718- L�(n V
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CITY OF TIGARD ...) _>. -,
BUILDING DIVISION • PERMIT #: BUP207- 00645
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2007
Phone: (503) 639 -4171 4 7 , ii:.1 ,� � i i
Inspection Requests (24 Hrs.): (503) 639 -4175 • .4
INSPECTION WORKSHEET FOR DATE: 1/9/2008 IME: 7 :01AM PAGE: 38
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: - ARTICLLE
DESCRIPTION: Add (5) pendants, relocate (3). W 1
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: AFP SY, n S INC PHONE #: 503-p2 -9284
Inspection Request Scheduled For: Date: 1/g/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 062012 -01 503.692-9284 N
Corrections /Co , nts /Instructions:
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❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 401
Date: I / 0 Khone #: (503) 7182 V
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2007
Phone: (503) 639 -4171 # A' �/
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/8/200 TIME: 7 :01AM PAGE: 12
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: ARTIELLE
DESCRIPTION: 1 - I
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: r
0 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968-83e19
Inspection Request Scheduled For: Date: 102009 J Pour Time: . U
Code # Inspection Description Confirm # Contact # Mess.. ge , l it'
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287 Suspended ceiling 062772 -01 503706.3211 Y P
Corrections /Co' ents /I 'tru@tions: , <__ ^1J1-7A-t -r - k•P-''-‘Q-
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• FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718 -
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP2007 -00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2112007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �!i l�..
INSPECTION WORKSHEET FOR DATE: 12127/2007 TIME: 7 :00AM PAGE: 1
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: ARTIELLE
DESCRIPTION: TI
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 960.8949
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062218-01 503-706-3211 0 Lf �
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Co e tions /Comments /Instructions:
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Inspector: Date: Z Z Vone #: (503) 718- _,Z(.2_17
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BtJP7007- 00600
13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 11/21/2007
Phone: (503) 639 -4171 1`" 91 i I
Inspection Requests (24 Hrs.): (503) 639 -4175 - "'I �
INSPECTION WORKSHEET FOR DATE: 1211412007 TIME: 7 :01AM PAGE: 3
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 450 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER T #: TYPE OF USE:
PROJECT NAME: ART
DESCRIPTION: TI
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-960 -8949
Inspection Request Scheduled For: Date: 12/14/2007 5 Pour Time: V"
Code # Inspection Description Confirm # Contact # Mes - ge' 4
280 Insulation 061574 -01 603-706-3211 Y •_ �, iidgIL
Corrections /Comments /Instructions: 1 J Q
E PAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A ^ CIL. Date: 1 G/ a 7 Phone #: (503) 718- 2)f
CITY OF TIGARD , • ;�.•_ , )/4 l
BUILDING DIVISION PERMIT #: R007_ DO Gov
13125 SW Hall Blvd., Tigard, OR 97223 TE ISSUED:
Phone: (503) 639 -4171 1 1 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 , -���-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 5Q ZD It/ f' S a' g`+' CLASS OF WORK:
SUBDIVISION: LOT #: ct TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 0 °- — 13 — O7 Pour Time:
Code # Inspe
on Description Confirm # Contact # Message p. V
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Inspector: � Date: 1 2 � Phone #: (503) 718- l