Permit IN a CITY �I BUILDING PERMIT
a PERMIT #: BUP2008 - 00334
COMMUNITY DEVELOPMENT DATE ISSUED: 10/6/2008
`T IGA � RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: GEO ENGINEERS
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: 79 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 97,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MATTHEW OLSON CONSTRUCTION
15350 SW SEQUOIA PKWY #300 -WMI 5320 SW DOVER LN
PORTLAND, OR 97224 PORTLAND, OR 97225
Phone: Contact #: PRI 503 - 892 -0066
FAX 503 - 892 -0067
Reg #: LIC 66070
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/6/2008 $592.30
[TAX] 12% State Surch 10/6/2008 $71.08
[BUPPLN] Pln Rv 10/6/2008 $385.00
[FLS] FLS Pin Rv 10/6/2008 $236.92
Total $1,285.30
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
Orego " • • . ' cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -010 u may obtain a copy
of • -se rules or direc . e s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ued By: ; /i_ L 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.
Building Permit Application ( FOR OFFICE USE ONLY
M
City of Tigard 13125 SW Hall Blvd., Tigard, OR ��V v9 Date/B
Plan Review -ea 0 �+ Permit No.:
97 "�
Phone: 503.639.4171 Fax: 503.3��` OQv a Date/ . F'% _� �� Other Permit
TIGARD Inspection Line: 503.639.4175 0� 1. Date Re .Ty: UM ® See Attached Checklist for
Internet: www.tigard- or.gov o�G Notified/Method: �1r, Supplemental Information
S
TYPE OF Wtaa`` ..' ,�rj�� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
0 New construction [ h1 Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
:1 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 j _fy ,.e ,�- � ,..14/ / O New dwelling area: square feet
City /State /ZIP: L/a 4 „, , /, 0 zz i Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: t�f' G.,N�i - .+ere,r" 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.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
,,/� Valuation: $ ,924440
�A.s.�l /VI b e, T— /al, ,r /t O/L. eta) A dt ems/
74 y ->f'LU/t- / I L Lam Existing building area: Q /�isquarc feet
`/�/ New building area: .4 0 . ...../' square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction: AS
Address: 15350 S.Y. Sequoia Pkwy., Suite 300 Occupancy groups: ` 7J
City /State /ZIP: Portland, OR 97224 Existing: /� „0"4.:
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
® APPLICANT ® CONTACT PERSON
NOTICE
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
CONTRACTOR
Business name 9/ J e l / _ S !we , G�r BUILDING PERMIT FEES*
Address: �i�� (Please refer to fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: Total fees due upon application:
Amount received:
Authorized signature: /i This permit application expires if a permit is not obtained
7 ' within 180 days after it has been accepted as complete.
Print name: 014t J e f- i Date: / . , /,r * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(t I /02 /COM/WEB)
CITY OF
•
BUILDING DIVISION PERMIT #: R UP20;lt -00334
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2008
Phone: (503) 639 - 4171°' �W I,•I
Inspection Requests (24 Hrs.): (503) 639- 4175
•
INSPECTION WORKSHEET FOR, DATE: 117/2Q08. TIME 7 :01AM PAGE:
SITE ADDRESS: 1606 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: (.7E0 ENGINEERS
DESCRIPTION: 11
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503-892-0066
Inspection Request Scheduled For: Date: 1/7/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 079478-01 503-956-6290 Y
Corrections /Comments /Instructions: •
•
•
•
•
•
•
'ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone # 503) 718-
.. ..
• CITY OF TIGARD'
• BUILDING DIVISION PERMIT #: euP2008.0034
13125 SW Hall B14., Tigard, OR 97223 -'
i DATE ISSUED: ' 10/G(2008
' Phone: (503) 639-4171' . , A!„,ditimtilf' '
• Inspection Rpquests (24 Hrs.): (503) 639-4175 ...,........ ,- -, ,..... •
• INSPECTION WORKSHEET FOR • DATE: 11612009 • TIME: 7 - PAGE, 2 •
, .
SITE ADDRESS: '11305.6 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE•ENTER LOT #: TYPE OF USE:,
PROJECT NAME: CEO ENGINEERS
DESCRIPTION: 1
• .
OWNER: e A a Fl Gt;ZFA_TY ASSOCIATES, • PHONE #:
CONTRACTOR: mATTHEVV'OLSON CONSTRUCTION PHONE #: ' 503-892.:0066
- ,
Inspection Request Scheduled FOr: Date: •/612009 ' Pour Time: •
Code # Inspection Description Confirm # Contact- # Messa.e
299 Finat 079418,01 50395&6290
CbrrectionS/ComMerits/Instructions:
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F1 PASS IN PARTIAL APPROVAL D CANCEL NO ACCESS
ir; /%1 CALL FOR INSPECTION
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7 ADDITIONAL FEES ASSESSED
Inspector: _ .&.__ __ 41111111111P Date: / . A , v Phone #: (503) 718- -
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CITY OFTIGARD` S
• r
BUILDING DIVISION PERMIT #: DUP2O08 -00334
131'25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/612ooa
Phone: (503) 639 -4171. &roividyN* ..
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 1 /21/2008 TIME: 7 :00Am PAGE: 25
SITE ADDRESS: 14663; SW SEQUOIA PKVyy 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: GFO ENGINEERS
DESCRIPTION: -Tl
•
OWNER: PACIFIC REALTY ASSOCIATE'S. PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION • PHONE #: 503.892.0066
Inspection Request Scheduled For: Date: 11/21/200; Pour Time: . •
Code # Inspection Description Confirm # Contact # Messa•e
275. Framing • 078367 -01 503 - 956.6290 .
Corrections /Comments /Instructions:
elecAr'% «l c- (I / 0 Pep/ ..Q..
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a PASS ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO. ACCESS
❑ FAIL ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector s Date: all- A/at/08 Phone #: (503) 718,- S'a
CITY OF TIGARD 110
BUILDING DIVISION PERMIT #:
' BUP2008-00334
13125 SW Hall Blvd., Tigard, OR 97223
• DATE ISSUED: 10/6'2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE:
10/1&2008 TIME: 7:01AIVI • PAGE:
SITE ADDRESS: • CLASS OF WORK:
• 15055 SW SIEQUOIA PKVVY 140
SUBDIVISION: LOT #: TYPE OF USE:
PACIFIC CORPORATE CENTER
P,ROJECT NAME:
GEO ENGINEERS
DESCRIPTION: TI
4
OWNER: PHONE #:
PACIFIC REALTY ASSOCIATES,
CONTRACTOR:
MATTHEW OLSON. CONSTRUCTION PHONE #: 8920066
Inspection Request Scheduled For: Date: 10/16/2008 Pour Time:
• Code # Inspection Description Confirm # Contact # Message
• , 275 Framing 076806-01 603-956-6290 Y ?r%
• Corrections/Comments/Instructions: 60 pm
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•
diA/A-L-L_s . P
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fl PASS rg<RTIAL APPRID A 0, Ei CANCEL El NO ACCESS
•
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FAIL • ALL • SPECTION ADDITIONAL FEES ASSESSED .
Inspector: Date: / 0// 6/03 , phone # (503) 718- ZC7
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