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Permit A . CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00261 A v tr DEVELOPMENT SERVICES DATE ISSUED: 7/31/01 A. " III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12909 SW 68TH PKWY 400 PARCEL: 2S101AD -03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG 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: 3 -1 HR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 280 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 420,000.00 Remarks: Tenant Improvement Owner: Contractor: PACIFIC REALTY ASSOCIATES BAUGH CONSTRUCTION OREGON INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 14135 PORTLAND, OR 97224 SEATTLE, WA 98114 -0135 Phone: Phone: 641 -2500 Reg #: LIC 62877 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 7/17/01 $1,291.97 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 7/17/01 $691.83 27200100000 Plumbing Permit Required PRMT CTR 7/31/01 $1,983.80 27200100000 Framing Insp 5PCT CTR 7/31/01 $158.70 27200100000 Gyp Board Insp Susp Ceiing Insp (additional fees not listed here) Final Inspection Total $5,517.46 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 -33 - • 4. Permit - _ , S' nature: /� , Gl/ , Issued By: , !vim w / _ il,v :!2 ' . Call 639 -4175 by 7 p.m. for an inspection the next business day Buildii PermitApplicatio 3 -iolo-l-:------- --- - •_- ' - ■ ,I,�'; I'I� City . of Tigard- Datere eived: i fi� Pernitno.: 4,_ • p.- . 6 . Yalt;ard Address: 13125 SW Hall Blvd,. Tigard, OR 97223 Project/appl.no.: Expiredate: Phone: (503) 639 -4171. Date issued: By:. Receiptno.: Fax: (503) 598 -1960 Case file no.: Payment type: . • Land use approval: 1&2 family: Simple Complex: T1I'E OF PERMIT . • 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition 0. Addition /alteration/replacement. , : Tenant improvement 0 Fire sprinkler/alarm 0 Other. • JOB SITE INFORMATION - Job address: /01,41 4 : Bldg. no.:. ,e Suite no.. • Lot B ock: Subdivision I Tax map/tax lot/account no.: Project name: 40 � 'Zi,f7 %4 . 1 Description and location of work on premises/ conditions: E /4W /ire4 .. v.4 _i //(S . OWNER FOR SPECIAL INFORMATION. USE CIIECKLIST Name: PacTrust • (Floodplain, septic capacity. solar, etc.) Mailing address: 15350 SW Sequoia Pkwy., #300 t &Zfamilydwelling: City: Portland . (state: OR 'ZIP: 97224 Valuation of work ( 503 ( Phoney = 62446300 ?IFax6. 4 /. -mail: No. of bedrooms/baths ... ........„. _ $ Owner's representative: Den n i s P ag n i Total number of floors , • Phone: Same Fax: a E- mail: New dwelling area (sq. ft.) ....... Garage/carport area (sq. ft.) Name: P a c T r u s t Covered porch area (sq. ft.) — • Mailing address:15 3 5 0 SW Sequoia Pkwy . , #300 Deck area (s q* ft:) • ••• -•- ••- —•• City: Portland I State: OR I ZIP: 97224 Other structure area (sq. ft.) . ..... (5 0 3 Phone{ 2 4 - 6 3 0 0 Fax6 2 4- 7 7 5' E -mail: Commetrcial/industrial/malti family:. PA1 , � CONTRACTOR Valuation of work $ L ��� bld area ft. ' name: i /% % ` '.; l -' Ubi 4L e of., , i g g, ( ft) ) areas: ''; -� , -�; Id area ( sq. ft.) . J., s'J :r ; 0 .. ..- J,� :% s',� ■ , , ' g of stories City: Port and , , �, : i ' ZIP: ' .' r Type of construction " ' - 7 : r CCB no.: ' rj i', , p, ; Occupancy group(s): 8 Existing New: City/metro lice no.: Not=e: All contractors and subcontractors are required to be _1; ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: John R o m i s h provisions of ORS 701 and may be required to be licensed in the Address: 153 5 0 SW Sequoia Pkwy. #300 3 0 0 junsdictron where work is being performed. If the applicant is exempt from licensin the following reason City: Portland ! state: OR Z>P::97224 p � flli g app lies: Contact person: I Plan no.: ( 503) Phone:624 - 6300 Fax424 -775 ' E -mail: - ohnr @' actrust I ' . com ENGINEER • Name: Contact person: Fees due upon application $ Address: • . • Date received: City: IState: 'ZIP:. Amount received $ Phone: I Fax: 1E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na all jean accept credit arm, please call jurisdiction for mace iofonnatied attached checklist. All provisions of laws and ordinances - :overning this 0 Visa 0 MasiezCud work will be complied 'th, • hether io ; herein or • ot. 5.redit mud number: Expires Authorized signature: 7((� ∎' h�,�;/,in s � � Name of cardholder as shown on credit cad S Print name: ‘b ,. 2 i}, Cardholder noun= Mamc Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613 (600PCOM) • fii9,510 ,5-10 aria-/ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 'US&t 02101 Date Requested 51Of AM PM BLD 9 Location 12161 mil) (C•g4 . Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Ar2! • PART FAIL - MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 BackfilUGrading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date TAO e Inspector -� �/ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour 1spection Line: 639 -4175 Business Line: 639 -414Q , BUP 2,4x3y ovzCQ( Date Requested — ‘)-- - 7 AM PM BLD Location ) 2— 0 �� J� pp 6 d '—` r c1 - Suite O d MEC V 1) Contact Person -4 - Ph 7 6„ 5 7 "(, ( PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab i i; / >��+ Post & Beam SIT , ems:: ►!� i.L Ext Sheath/Shear Int Sheath/Shear Framing I r / 14e4a44,13 Insulation v� �1 atf Drywall Nailing n Fire wall , 1.�.� -�L_ ���i�r�/1/J - ,e�ell Fire Sprinkler (, / ` Fire Alarm ` G at -, /�l.G -i •LC.cJ Susp'd Ceiling Roof Misc: et , paw. - ASS PART PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA �/ Approach /Sidewalk Date !/ a Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - • Date Req cited X BLD Location /24 Del (.47 /'/4 Suite MEC Contact Person 4; // Ph X8'6 PLM Contractor Ph SWR ��ING Tenant/Owner ELC e aining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear ��'^- (41—k aila} Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm uspd - • • oof Mi ASS PART FAIL • LU BING ost & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 reinspect' n RE: [ ] Unable to inspect - no access ADA t11 0/ Approach /Sidewalk Date Inspector xt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF'TIGARD BUILDING INSPECTION DIVISION :MST 24 -Hour Inspection Linp: 639 -4175 Business Line: 639 -4171 _ ,�. BUP ( / Date Requested AM PM BLD Location / D 9 /0 I T eK i Suite 746 MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ' .. L r, '-7� ai ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: Slab 5 — ' —� - NO S SIT Post & Beam Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing • Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PART FAIL ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date ' J « 1 4 / Inspector s Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r c CITY OF TIGARD BUILDING INSPECTION DIVISION • 1AST 24 -Hour Inspec Line: 639 -4175 Business Line: 639 -4171 BUP aoo/ — e0 -2 ; • Date Requested O AM PM BLD Location / PKGu Suite MEC Contact Person Ph ,$) .?D ( PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes T �� Slab SIT Post & Beam Ext Sheath /Shear ,i• — Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm /4,3g, G __ `2. 6- T IQ Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMB Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. • r i CITY OF TIGARD BUILDING INSPECTION DIVISION bob' R - - 24- Hourinspect Line: 639 -4175 Business Line: 639 -4171 � 'T`` c ' suP ,26e)/ 0 b Date Reque 5� %/ (� ` AM PM BLD MEC Contact Person Location 2 b Q ( Co g�'`` Suite ��� n Ph . 3 _ g 80( PLM � �I Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Ce 'rb •`r S nsulation Drywall Nailing Fire Sp o cook �¢- � , J Fire Sprinkler DAL'/ Fire Alarm I Susp'd Ceiling Roof Misc:. Jo Final PASS ART FAIL !r PLUM N r \ 7 Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL \d 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 [ ] nspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin , Fire Supply Line [ ] lease call for reinspection RE: [ ] Unable to inspect - no access ADA Q /,, Approach /Sidewalk D to / D /10/ Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection j ine: 639 -4175 Business Line: 639 -4171.- = •� MST - BUP )/ -6C - ' i • Date Requested F — ( AM PM BLD Location 1 Z 09 6 8'b (r Suite L iCQ MEC Contact Person Ph 7T3 $ 0 d (o PLM Contractor Ph SWR BUILDING nt/Owner i / V (,O ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab • SIT Post & Beam Ext Sheath /Shear PLQ)14V4 f ..[yn Int Sheath /Shear crraminq' Drywall Nailing � /—` Drywall N f Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ) ■ • Final , PASS •AR ' FAIL PLUMB! - Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains • Final PASS 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 -ccess ADA Approach /Sidewalk Date [10\ Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.