Permit A lk CITY OF TIGARD
DE
6 VELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE IISSUED: 09/09/988 -83�7
PARCEL: 25112DA- "00800
SITE ADDRESS...: 15055 SW SEQUOIA PKWY #150
SUBDIVISION ZONING:I -P
BLOCK LOT . JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK.:ALT FIRST ° 2860 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 2860 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 25000
Remarks : Add one (1) restr000, unisex, accessible,and walls for office.
Reducing space of Suite #140 to creat Suite #150 at sane address. A pluobing,
oechanical, electrical and sprinkler peroit will be required.
Owner: - -- FEES
PACIFIC REALTY ASSOCIATES LP type amount by date recpt
15350 SW SEQUOIA PARKWAY PRMT $ 170.50 GEO 08/27/98 98- 308641
SUITE #300 SPOT $ 8.53 GEO 08/27/98 98- 308641
TIGARD OR 97223 PLCK $ 110.83 GEO 08/27/98 98- 308641
Phone #: 624 -6300 FIRE $ 68.20 GEO 08/27/98 98- 308641
Contract or:
H GREEN, HL CO. INC.
15350 SW SEQUOIA BLVD
STE 300
TIGARD OR 97224 -- - --
Phone #: 624 -7717 $ 358.06 TOTAL
Reg #.. : 000413
-- REQUIRED ACTIONS or INSPECTIONS--- -
This peroit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other I n s u l a t i o n Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This peroit will expire if work is not started S u s p C e i i n g Insp
within 180 days of issuance, or if work is suspended for pore
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- 00101987.
You oany obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signatur :e 417, - j,,/ /, .sued By: _ �_
+++++++' I'++++++++•++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next bus ness day
TTTTTY'1 - TT TTTYT'r i - ' - r TT TTTTT T - r TT TT T T T ......... T T TT T T T TT TT T T'r TT
C T'Y OF TIGARl3 Commercial Building Permit Redd By `--v
13125 SW HALL BLVD. Tenant Improvement Date Redd $ -R9 - qig
TI`GARD, OR 97223 ,�/ Date to P.E. rY
(p '� Date to DST ,. my e 4 I *'C'
(503) 639 -4171 • Permits 64P96-033
Print or Type Related SWR s Nye'
Incomplete or illegible applications will not be accepted Called
Name of Development/Project ,P Existing Building) New Building CI Job 4 / /G z! �n,FA/ T� �G /
Addre -s - treet Address Suite Building
" �_ Data
,! Ir
. 0' ‘ :ldg s - City/State zip Existing Use of Building or Property:
r
_ � �� " � �, °� 9 7 ZG� i A/44 41
Name
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Building or Property:
Owner Mailing Address Suite 4j7/OZy/f/i9/ \� .
15350 SW SEQUOIA PKWY 300 No. Of Stories: /
City/State Zip ' Phone I
ORTLAND, OR 97224 624 -6300 Sq. Ft Of Project
Occupant Name
#00/� AZ;;' job- A ` 1 • Occupancy Class(es)
Name / Df%p /G
Contractor H. L. GREEN COMPANY Type(s) Construction
Prior to permit Mailing Address Suite
issuance, a copy will this project have a Fire Suppression System?
of all licenses 15350 SW SEQUOIA PKWY 300 Yes No ❑
are required if City/State Zip Phone
expired in C.O.T. Americans with Disabilities Act ;ADA)
database PORTLAND, OR 97224 624 -7717 Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lie* Exp. Date Complete Accessibility Form
41328 Project $ � ��
Name Valuation
Architect JOHN H. ROMISH Plans Required: See Matri:Mr number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AVE.
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Dat -
Mailing Address Suite 1 �/`�� 4111;1///d/d.. i' � 7 •
Contact Person Name Phone
City/State Zip Phone AP/. ?C77j1E-$ / R � 6 , 30
• FOR OFFICE USE ONLY lv
Indicate type of work: New 0 Addition 0 Demolition �0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration
Repair 0 Other 0 Notes:
Description of work: S/ S
� ,_ 7
i, 5w /,i17 / TIF:
A-4/92*- / o N.6 7 6
Parks: Es mated # of Employees
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I:\COMNEW.DOC (DST) 8/97
OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW
.-
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
.4 -pp Cl) 1r� /�'r ov-, � Z11I 1 7 PA ) GllP 1 4 , 1 /
(4) ill .Loy re — Re eke) - S���� �� / 4/v G ru /,ht
- 7 7 1 4 a cle/ref(
_ 4rd e lc _ , si Pk d at, ,
CLASS OF WORK: ,4 L ..k i FLOOR AREAS: Z/ G EXTERIOR WALL CONSTRUCTION
I I
TYPE OF USE: ( 77- FIRST J SQ. FT. N: S: E: W:
TYPE OF
CONSTR: 5 A/ I SECOND SQ. FT. I PROTECT OPENINGS ?:
I I
I I
OCCUPANCY GRP: 1 THIRD SQ. FT. I N: S: E: W:
I � I
I I
OCCUPANCY LOAD: I TOTAL SQ. FT. I ROOF CONSTR: FIRE RET:
I I
STOR: HT: FT: I BSMNT: SQ. FT. i AREA SEP. RATED:
I I
I I
BSMNT ?: MEZZ ?: I GARAGE: SQ. FT. I OCCU.SEP.RATED:
I I
I �
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS FEE MENU
d
Foot/Found Post/Beam $ / 7 0 P ermit Fee
Masonry x Framing $ // O Review
Insulation Shear Wall $ 5% State Surcharge
O
Firewall Gyp Board $ 9 FLS Plan Review
%/ Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous '- Final $ 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:lovrcntr2.doc (DST) 4/97
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the
restroom, telephones and drinking fountains are readily accessible to individuals with
disabilities, unless such alterations are disproportionate to the overall alterations in
terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed
disproportionate to the overall alteration when the cost exceeds twenty -five percent
(25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ A'' 0
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ (. 25^
In choosing which accessible elements to provide under this section, priority shall be given to
those elements that will provide the greatest access. Elements shall be provided in the following
order:
(a) Parking $ / 5
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for
each sex or a single unisex restroom: $ 4
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of value computation $
-WY OF TIGARD BUILDING INSPECTION DIVISION
MST
- •24=Ho 'Ur Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 7
/64Date Requested /463/9/ AM PM BLD
Location / S CL} �P, t L /� taLiziU Suite /SO MEC
Contact Person &,/.1-1-- Ph —/ .253cP PLM ? 03
Contractor Z- /'Lem Ph SWR
1 ILDI y Tenant/Owner ELC
ng Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN •
•
Crawl Drain Inspection Notes:
Slab . I t _ / /�
� / YJ �i SIT
Post & Beam / `
Ext Sheath /Shear ar�I SU Sr��I .P/,ur�.i_d
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
•
Susp'd Ceiling
Roof
Misc:
- 6/7C` ' : T FAIL
MBIN1 .
•os :earn
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
•
iFt1 PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
-
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Z
Other oach /Sidewalk Date /U/2 ?T"/ ��
Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.