Permit v ,,„ .CITY OF IGARD BUILDING PERMIT
PERMIT #: BUP200
COMMUNITY DEVELOPMENT DATEISSUED: 4/5/2007 7 5/20077 00194
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 520 ZONING: C - G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: CHERMAY INTERNATIONAL
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: 2 - 1HR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED:
STOR: 5 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 23,850.00
Owner: Contractor:
WYSE INVESTMENT SERVICES COMPANY PACIFIC CREST STRUCTURES INC
111 SW 5TH AVENUE #1100 7233 SW KABLE LN STE 900
PORTLAND, OR 97204 PORTLAND, OR 97224
Phone: 503 - 294 -0400 Contact #: PRI 503 - 968 -8949
FAX 503 - 598 -6658
Reg #: LIC 66915
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/5/2007 $273.70
[TAX] 8% State Surcha 4/5/2007 $21.90
[FLS] FLS PIn Rv 4/5/2007 $109.48
[BUPPLN] PIn Rv 4/5/2007 $177.90
Total $582.98
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 rul- - • 'rect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
Issued o-- :
p ;/p i , Perm ittee Signatu,�� `��
•
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.
•
4
Building Permit Application FOR OFFICE USE ONLY
`� City of Tigard �G �E p � � Received ----0 P ermit N ' ,e) -DO " A
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone 503.639.4171 Fax: 503.598.1960 — 5 20 01 Date /By ii � _'�irt C�'1 Other Permit
TI G A R D Inspection Line: 503.639.4175 APR Date Ready /By. . - See Attached Checklist for
Internet: www.tigard - or.gov ^1 nC 1wIiD Notified/Method. �� ® Supplemental Information
; TYPE, OF: WO V, V ��� Q s _ '_ ' , REQ DAT " 2- F
❑ 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
n,,. ,•3 -,,, ;r, -_ ,, -. _,.r _ ., Y -- - „ t_.,, _- O -_ - - G _ ;+ work indicated on this application.
"z` y �' '� =a;« - �" • � `' �CATEGURY i
" QF ` 'GUN - STRUCTI N - `„ �
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB; SrTE,'INFORMATION rANIy LOCATION -. _ 1 Total number of floors:
Job site address: 9020 SW Washington Square Road New dwclitng arca: square feet
City /State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 520 Project name: Chermay International TI Covered porch arca: square feet
Cross street /directions to job site: Deck arca: square feet
Hwy 217 to Scholls Ferry Road; turn right onto Washington Square Road (next to Other structure area: square feet
Embassy Suites Hotel)
s AttzgaREDDATAc ,COMMERCIAL=TJSE CHECKLIST
Subdivision: NA Lot no.: NA Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1S1W26BC01506 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
= ; _r .: ;DESCRIPTION,-.0F_ WORK .. work indicated on this application.
p 1 ire l adiill d e lt4 r1 0 ` Valuation: $ 23, 850
New tenant improvements at Suite 520 o t
e x l5M AeA P Ai fi (S KS • Existing building area: 91290 square feet
New building area: NA square feet
' _::5 _i®:'PROPERTYnOWNER , `,,` :._ :❑1'TENANT, !, Number of stories: 5
Name: Wyse Investment Services Company Type of construction: II -
Address: Ill SW 5 Avenue #1100 Occupancy groups:
City /State/ZIP: Portland, OR 97204 Existing: B
g�
Phone: (503)294 -0400 Fax• (503)227 -2507 New: B
1 - t *, ® - APP >LICANT - . , .r .'®-CONTACT PERSON - s _ . NOTICE -
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Maureen McCafferty licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 69039/ 0690 SW Bancroft Street jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: mmccafferty @grpmack.com
.?`..'":x`;<`i'44'., -v ' CONTRACTOR _, . , , •
Business name: Pacific Crest Structures . - r
---. BUILDING`PERMITi rim' :',; : ` - '
Address: 7233 Kable Lane #900 •. . - . (Fk se We . 16f ee•schedu/e.)- __ _ . ._-
City / State/ZIP: Portland, OR 97224 Structural plan review fee (or deposit):
Phone: (503) 968 -8949 Fax: (503) 598 -6658 FLS plan review fee (if applicable) •
CCB lie.: 06915 Total fees due upon application:
tdi
Amount received:
Authorized signature:G
OLD This permit application expires if a permit is not obtained
Print name. Maureen McCaffer
ty Date: r 6 '1104/ / within 180 days after it has been accepted as complete.
■ Fee methodology set by Tn - County Building Industry
Service Board
1 \Building\Permiis \BUP- PermitApp doc 03/21/06 440 -4613T( I 1/02/COM/WEB)
CITY OF TIGARD ), . /
BUILDING DIVISION PERMIT #: BUP2007- 00194
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007
Phone: (503) 639- 4171f�l
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 5/17 /2007 TIME: 7:00AM' PAGE: 68
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 520 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: CHEMRAY INTERNATIONAL
DESCRIPTION:
OWNER: WYSE INVESTMENT SERVICES COMPANY, PHONE #: 503.294 - 0400
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503.968 - 8949
Inspection Request Scheduled For: Date: 5/17 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 048475 -01 503-805-4408 N
Corrections /Comments /Instru tion
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 /,L/ e .._- - Date: 5 i /�' Phone #: (503) 718- 2-11-11
18 -' /
CITY OF TIGARD f
BUILDING DIVISION 11 PERMIT #: BUP2007 -00194
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007
hone: (503) 639 -4171 4a r
nspection Requests (24 Hrs.): (503) 639 -4175 ^'I � ..
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 47
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 520 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: CHEMRAY INTERNATIONAL
DESCRIPTION: TI - •
OWNER: WYSE INVESTMENT SERVICES COMPANY, PHONE #: 503 - 2940400
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968 -6949
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 046774 -01 503-805-448# N
Corrections /Comments /Instructions:
•
TIA.1 PASS PA 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL
)1 LL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
/. a Phone #: (503) 718- Z- S /
Inspector: _ Date: / i �
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