Permit Il a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00025
COMMUNITY DEVELOPMENT DATE ISSUED: 1/31/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DD -00400
SITE ADDRESS: 15954 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 017 JURISDICTION: TIG
PROJECT: OREGON AIR REPS
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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 37 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 : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 21,000.00
Owner: Contractor:
PACIFIC REALTY A J WEBER CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 PO BOX 80548
PORTLAND, OR 97224 PORTLAND, OR 97280
Phone: 503 - 624 -6300 Contact #: PRI 503 - 244 -4318
FAX 503 - 624 -9697
Reg #: LIC 65238
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/31/2008 $198.35
[TAX] 12% State Surch 1/31/2008 $23.80
[BUPPLN] Pln Rv 1/31/2008 $128.93
[FLS] FLS Pin Rv 1/31/2008 $79.35
Total $430.43
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 -01 . u may obtain a copy
of these direct que . ' to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: , _ / , /ii% _ di` 4 . ,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.
Building Permit Application FOR OFFICE USE ONLY
.
City of Tigard c `I � D a7 Received O u 0 �
li G1 Y DateB : D Permit No.: 7 .— MO jj ,
° 13125 SW Hall Blvd., Tigard, Plan Review �
-�+
g
_ . Phone: 503.639.4171 Fax: 5 960 0 p8 Date/B : `,,nowAy/ m Other Permit:
TIGARD Inspection Line: 503.639.4175 1 `3 12 Date Re. =y: El y: Attached Checklist for
Internet: www.tigard- or.gov .1 P'`\ �D Notified/Method: Supplemental lnformation
OF TIG IS TYPE O plv 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
A 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: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / —.i/ 1/4 5-.? ‘ „ 7 M.4 New dwelling area: square feet
City/State/ZIP: ) 4P }.14, c4 Oez 97�..950 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: /1 ' ,� / A jj /2 �- - Covered porch area: square feet
Cross street/directions to job site: �/ �7l' 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.
X eici- ∎Aiit,>ojaz 74402_4 .iaesz tom- Valuation: $ ,' dOIJ
/ _) /e Existing building area: square feet
,y/ (Jf New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: /
Name: PacTrust Type of construction: VIP
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: j� /S�
City /State/ZIP: Portland, OR 97224 ✓�/
Existing:
Phone: (503)624 -6300 Fax: (503)624 -7755 New: '—e9-------
® 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: /�f 4��4' BUILDING PERMIT FEES*
Address: !/� ✓ (Please refer to fee schedule)
City/ State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: fJ� a 3(� Total fees due upon application:
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: ,Gn /7!t j . ey."4- Date: l * Fee methodology set by Tri-County Building Industry
Service Board.
I: Building \Permits\BUP- PermitApp.doc 03/21/06 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: B :008 -00025
13125 SW Hall Blvd., Tigard, OR 97223 A. DATE ISSUED: 1/31/200$
Phone: (503) 639 -4171 (f
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 7J2912 )8 TIME: 7:03AM PAGE: 4
SITE ADDRESS: 15954 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 017 TYPE OF USE:
PROJECT NAME: OREGON AIR REPS
DESCRIPTION: TI
OWNER: PACIFIC REALTY, PHONE #: 503-624 -6300
CONTRACTOR: A J WEBER CON STIRUCT1ON INC PHONE #: 503-244 -4316
Inspection Request Scheduled For: Date: 2/2912008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess�..-
(4s
239 Final impaction 065922-01 5(2-12a26111--
(43
Corrections /Comments /Instructions:
gl Z Z ICVS (CZ) C m L—aZ�t�a ail
M PC-L1 r
/''` I RTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
� • FAIL /7 ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 41i Date: ilZ1 0 85 Phone #: (503) 718- toff
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200B- 00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11311200a
Phone: (503) 639 -4171 3
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/26/2008 TIME: 7:U0AM PAGE: 1.
SITE ADDRESS: 16964 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON F3USINESS PARK I LOT #: 017 TYPE OF USE:
PROJECT NAME: OREGON AIR REPS
DESCRIPTION: TI
OWNER: PACIFIC REALTY, PHONE #: 603-624 -6300
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 603- 244.4318
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messes 299 Final inspection 066668 -01 603 - 320.8601 ''SO
Corrections /Comments/ Instructions:
— 2� s .P 1`+ NK LL 12 qJ•��
Pr-4?‘" D e A, t' 1 -iZx> 1•J i / h4•n! b e_eS
3 Pik v Dc 2 C� xv hi& OS +41-4C / PLC v Pi-- S
'etc, v t o C� s t G �l ✓i-c t�r l L-�vT v 77_4 S ZZS vo N► c. i
reovl 417 e_ /09t 1.10 j 6' t-L f bS
❑ P' % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�� ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: e/� 8 Phone #: (503) 718 -2-C� 7
p Y
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: L
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2003
Phone: (503) 639 -4171 AµIli
Inspection Requests (24 Hrs.): (503) 639 -4175 4:..
INSPECTION WORKSHEET FOR DATE: 2/8/2008 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 16051 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 017 TYPE OF USE:
PROJECT NAME: OREGON AIR REPS
DESCRIPTION: 1
OWNER: PACIFIC REALTY, PHONE #: 603-624 -6300
CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503.244 -4318
Inspection Request Scheduled For: Date: 7J8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes ,;,• -
275 Framing 054737 -01 503. 320.8601
Par
Corrections /Comments / Instructions:
:: M/ I-40
Tortg0 All/
e)/--- -1----C) .
❑ PASS 440 ± . ' ' ' : , • ) ❑ CANCEL ❑ NO ACCESS
❑ FAIL • L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8 dC � Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: &u? S — oc Z5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 - 4171x
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: K '1 Z .1-4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
-3 3 1 r-- -- 1 - 1*, -* 4;01,-/#4,1- % Z.C, z / Cocraia-7 /4 imi D ii-n
Corrections /Comments/ Instructions:
___----------)
L
F :Al g PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL i CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
E
Inspector: - • - _ --- Date: I A Phone #: (503) 718- %ga
111
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