Permit I`
a ^ q C ITY OF T I BUILDING PERMIT
PERMIT #: BUP2008 -00280
COMMUNITY DEVELOPMENT DATE ISSUED: 8/20/2008
TIGA0 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD,, L t 7 ZONING: C - G
SUBDIVISION: ONE EMBASSY CENTER LOT: JURISDICTION: TIG
PROJECT: ASSOCIATION FIELD SERVICE
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: 39 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: N PARKING:
VALUE: $ 24,800.00
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES PACIFIC CREST STRUCTURES INC
BY TC PORTLAND, INC 17750 SW UPPER BOONES FRY #190
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 8/20/2008 $226.95
[TAX] 12% State Surch 8/20/2008 $27.23
[BUPPLN] Pln Rv 8/20/2008 $147.52
[FLS] FLS Pln Rv 8/20/2008 $90.78
Total $492.48
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 . - .246.6699 or 1.800.332.2344.
/ Issued By ! i- Permittee Signature: / ,.
Call 503.639.4175 by 7:00 a.m. for an inspection hat business day.
This permit card shall be kept in a conspicuous place on the job rite until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application `��
Commercial r� �`'' " OS FOR OFFICE USE ONLY
V� v Received , `�
City of Tigard % 1 Date /B I,igW Permit No.: A i .' : •
° 13125 SW Hall Blvd., Tigard, OR 97223 % o
C Phone: 503.639.4171 Fax: 503.598.1960 k =" .c0' . - ; F/ ® rli Other Permit:
T t G A R D Inspection Line: 503.639.4175 A , Q � % Date Ready /: y: ® See Page 2 for
Internet: www.tigard- or.gov C ,w` G � Notified/Method: Effli Supplemental Information
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.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ 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.: 420 Project name: Association Field Service Covered porch area: square feet
Cross street/directions to job site: SW Scholls Ferry Road 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 the
DESCRIPTION OF WORK work indicated on this application.
Alteration to existing tenant improvement. Valuation: 5524,800.00
Existing building area: 91,31 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 5
Name: Association Field Service Type of construction: II -A
Address: 9020 SW Washington Square Road, Suite 420 Occupancy groups:
City/State /ZIP: Tigard, OR 97223 Existing: B
Phone: ( ) Fax: ( ) New: B
0 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 Sinpson Road jurisdiction in which work is being performed. If the
City/State/ZIP: Corenlius, OR 97113 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: Pacific Crest Structures BUILDING PERMIT FEES*
Address: 17750 SW Upper Boones Ferry Road, Suite 190 (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP: Durham, OR 97224
Phone: (503) 968 -8949 Fax: (503) 598 -6658 FLS plan review fee (if applicable):
CCB lic.: 66915 Total fees due upon application: /1467, ng
Amount received:
Authorized signature: 1 1 1 This permit application expires if a permit is not obtained
41 'Iii within 180 days after it has been accepted as complete.
• Print name: Robert C. . impson__ Date: 8/20/2008 * Fee methodology set by Tri- County Building Industry
Service Board.
l: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 131,1P2008 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 0/20/2006 Phone: (503) 639 -4171 4;6'e
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 10J3/7008 TIME: 7:(30AM PAGE 29
SITE ADDRESS: CLASS OF WORK:
()9020 SW WASHINGTON SQUARE_ RD �i"8
SUBDIVISION: ONE EN�if3. EMBASSY CENTER
L T #: TYPE OF USE:
PROJECT NAME: �;` t�t;lA i ION FIELD ► SERVICE
DESCRIPTION: { -
OWNER: PHONE #:
PORTLAND OFFICE ASSOCIATES,
CONTRACTOR: PA C REST STRUCTURE I PHONE # : riO3t- 968 -F3! is
Zo . 3
Inspection Request Scheduled For: Date: 1013/2008 Pour Time:
Code # Inspection Description Confirm # Contact # M age V 4
G
299 Final inspection 076247 -01 503 -706 -3211 Y
Corrections /Comments/ Instructions:
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n PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
AIL -CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: L 5 Date: 30c7c 2% Phone #: (503) 718- '2593
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CITY OF TIGARD . ..:
BUILDING DIVISION PERMIT #: BI.JP2008-00280
13125 SW Hall Blvd., Tigard, OR 97223 . • , DATE ISSUED: 0120/200t1
Phone: (503) 639-4171 -4)IAt
Inspection Requests (24 Hrs.): (503) 639-4175 ,,...._._.. ...,...
INSPECTION WORKSHEET FOR DATE: 912/20013 TIME: 7:01AM PAGE: 4
SITE ADDRESS: 09020 SW WASHINGTON SOUARE RD 420 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATION FIELD SERVICE
DESCRIPTION: TI.
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 1 :03 - 969 - 09 1 19
Inspection Request Scheduled For: Date: 9/212008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa
7M Framing 074937-01 S03 70321i Y
Corrections/Comments/ Instructions:
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Inspector: Date: 1 6 8 Phone #: (503) 718- 2Z0
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CITY OF TIGARD : ,
BUILDING DIVISION PERMIT #: BUP2008- 00213()
13125 SW Hall Blvd., Tigard, OR 97223 = - { DATE ISSUED: t?f'?0t200f
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/29/2008 TIME: 7:0OA.M PAGE: 2
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 420 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATION FIELD SERVICE
DESCRIPTION: TI.
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503.968-8949
Inspection Request Scheduled For: Date: 8/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
76 Framing 074883 -01 603.706 -3211 N
Corrections/Comments/Instructions: 1 1 / J
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FA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OS Date: iRW t.s oa Phone #: (503) 718 - 712-3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: OW2008-00280
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
LVA1/100i
Phone: (503) 639-4171 i 4,
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Inspection Requests (24 Hrs.): (503) 639-4175 t
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/612008 7:00AM 17
SITE ADDRESS:
. • 09020 SW WASHINGTON SOUARE RD 420 CLASS OF WORK:
SUBDIVISION
• ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATION FIELD SERVICE
DESCRIPTION: 11.
OWNER: PORTLAND OFFICE ASSOCIATES PHONE #:
CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503
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Inspection Request Scheduled For: Date: Pour Time: il -
10/6/20( .. - ,,,; . I?, , r
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Code # Inspection Description Confirm # Contact # essage
299 Final invection 076330-01 603-706-3211 Y
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Corrections /Comments/ Instructions:
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Inspector: -S Date: ‘Ce're 5 Phone #: (503) 718- 29,23