Permit IN ii ! J OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: 00510
DATE ISSUED: 10/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 376 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: CSB
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 2,222 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 2,222 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 23 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: $ 40,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300-VVMI 5320 SW DOVER LN
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 Fee 10/2/2007 $310.80
[BUPPLN] Pin Rv 10/2/2007 $202.08
[FLS] FLS Pin Rv 10/2/2007 $124.32 .
[TAX] 8% State Surcha 10/2/2007 $24.80
Total $662.00
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.
Issued By: ` .G / , . 4/ Permittee Signature:
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.
BU11dlriePei'llllt App l ,�tj * ,' FOR OFFICE USE-ONLY .. v.,
City of Tigard
Received ('� I ? �.y�/J.�, 0
t Date/By: PermitNc � P�
13125 SW Hall Blvd., Tigard, 9}22) c; 2007 Plan Review �j 1/
Phone: 503.639.4171 Fax:,403.598.1960 _ Date/B / ` Other Permit: Permit: TtGARD Inspection Line: 503.639.41V5- OF TIC�ti ® Date Ready i y : ® See Attached Checklist for
Internet: www.tigard- ocgetaDING DIVISION Notified/Method: Supplemental Information
,�ii': �. as °:�� �.,;a- ,�'gle<.R:,, d� ,:, €: "''y^ `,``` .�.. r '�>,�•:i;�.,. ia�". y.;«•w;�: �.:�'%'tn.:i i :,r` �'. "_�,,;
$ 4 ` TYPE OF „:WORK' ' I ' ,' H ' ` 1 ” RE UIRED'DATA° = Wi 2=; AMI Y D.W ELLigi r
j'1ew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X Addit ion/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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CATEGORY= OFGO - � . ''vim. work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ED Multi-family Number of bedrooms:
❑ Master builder 1=1 Other: Number of bathrooms:
a I v _ate
. , JOB STE INFORMATION AND L 1 Total number of floors:
Job site address: e6 e �4i I? �w t!� � �7e New dwelling area: square feet
�
City/State /ZIP: ��, a / t G� .. 5/ Garage /carport area: square feet
l Ui
Sttite/bldg. /apt. no.: Project name: CS ' Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED D ,COMNI 9-: 15, ; 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
�� ' , A,
equipment, materials, labor, overhead, and the profit for the
D ESCRIPTI ON OI' WORK ' pp
�� t _, 4 , � >� / � � ,�� work indicated on this application.
��,.,J".Sr,eo /Li✓f e./e CUIt_ (7,--1.,, A.: - ,-cr -r' Valuation: $ � / � Qpf/
Existing building area: square feet
New building area: square feet
® PROPKRTI Q�'VNER , , �� TENANT e ` { Number of stories:
.� . .� ; . . , �, _<„ � �= � �-raz � �_,» , >� ,. -�sr- ..,. ice _<.�;; s - , , .. w . < �, a, �a �� .�. b;:�r
Name: PacTrust Type of construction: 2/
Address: 15350 S.W. Sequoia Pkwy., Suite 300
Occupancy groups:
City/State /ZIP: Portland, OR 97224 Existing: xisting:
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
'APPLICANT " �� *r ' C ONTACT `) Fed r 4 , ' ,,, -
N ,r f .. e «. >. m,. ® �... € ,,,. _. .N .... g *,- ., �.ta 5 s,. o: ,a: ,_. € . s x = v a 4z. { , 4
NO TI CE
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 /ZIP: 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 .
_ �A : CON'RACT®R g��0411
Business name: f * s
�/��� L= �/ � /s, i � r $,,. �BilILDING % PE RM IT� EE E S ��a� s�. � ,
Address: , ( Please >refe ,teteaa, dule) y �d. g,
City/State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: (,e) 7b Total fees due upon application:
/ /7 Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: r',..? /A / A r Date: ,/ / /�2 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building \Permits \BUP- PermitApp.doe 03/21/06 440- 4613T(11/02 /COM/WEB)
CITY OF TIGARD a .,.• ,
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BUILDING DIVISION w , PERMIT #: 13UP2007-00610
13125 SW Hall Blvd., Tigard, OR 97223 ,, DATE ISSUED: 10/2/2007
Phone: (503) 639-4171 , - isresipiellti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1 7 TIME: 7:02AM PAGE: 9
• .
SITE ADDRESS: 06660 SW REDWOOD CP CLASS OF WORK:
SUBDIVISION: PAPIFIC CORPORATE 1 ER LOT #: 002 TYPE OF USE:
PROJECT NAME: CSB SYSTEMS
DESCRIPTION: Tenant, Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: •
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 50
Inspection Request Scheduled For: Date: 11/1/2007 0 Pour Time:
Code # Inspection Description Confirm # Contact # Messa. -
299 Final inpection 058824-03 503-956-6290 dip • Matt)
Corrections/Comments/Instructions: .
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pAS5 ' 0 1/1 PARTIAL APPROVAL El CANCEL n NO ACCESS
• n FAIL IP, CALL FOR INSPECTION
i El ADDITIONAL FEES ASSESSED
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Inspector: • _ Date: ( 1°7 #: (503) 718- 6 t
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CITY OF TIGARD 4110
B UILDING DIVISION PERMIT #: p2o07- 0;54o
_ 13125 SW Hall Blvd., Tigard, OR. 97223 DATE, ISSUED: 10/20007
Phone: (503) 639 -4171 vwi�uu�i�il
Inspection Requests (24 Hrs.): '(503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/9/2307 TIME: 7:4OAM PAGE: 21
SITE ADDRESS: 06650. SW REDW000 LN 370 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE' CENTER LOT #: 002 TYPE OF USE
PROJECT NAME: CSB SYSTEMS
DESCRIPTION: Tenant Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW °OLSON CONSTRUCTION PHONE #: G•03
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 057217 -01 503 - 301-2105 N
Corrections /Comments /Instructions:
•
•
•
•
•
At,
PAS PARTIAL APPROVAL ❑' CANCEL n NO ACCESS
• FAIL pi. ALL FOR INSPECTION ❑ ADDITIONAL FEES' ASSESSED
Inspector: _ Date: /0 U 7 Phone # (503) 718-
•
CITY OF TIGARD
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410
UILDING DIVISION - PERMIT #: �;UP20t17 00510
13125 SW Hall Blvd., Tigard, OR-'97223 ` " . DATE ISSUED: 1
� ICI 012/2007
Phoney (503) 639-4171 . rd�
Inspection Requests (24 Hrs.): (503) 639 -4175 w
• INSPECTION WORKSHEET FOR DATE: 10/6/2007 TIME: 7 :00AM PAGE: 30
•
•
SITE ADDRESS: 06650 SW REDWOOD IAN 370 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE
PROJECT NAME: CSD SYSTEMS
DESCRIPTION, Tenant Improvement
OWNER: PACIFIC REALTY. ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON'CONSTRUCTION PHONE #: 503-897 -0055
Inspection Request Scheduled For: Date: 10(8/2007 Pour Time:
Code # Inspection Description - Confirm # Contact iP Me -
t75 Framing M7141-01 503- 307 -21
Corrections /Comments /Instructions:
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OA _
11 4 • -- T - 7!%r
•
• 7 A,._ -. V PARTIAL APPROVAL ID CANCEL. NO ACCESS
�► Al nj ALL FOR INSPECTION ❑ ADDITIONAL. FEES ASSESSED .
Inspector: ■ Date: /0 B 07 Phone #: (503) 718- Z t'D