Permit _ :-...
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00259
lli DEVELOPMENT SERVICES DATE ISSUED: 6/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AA -00400
SITE ADDRESS: 16290 SW 72ND AVE B2 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 018 JURISDICTION: TIG
Project Description: TI - wall (70,000 sq ft)
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: S2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 14 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 12,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PACIFIC REALTY ASSOCIATES LP
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: 503 - 624 -6300 Contact #: FAX 503 - 624 -7755
PRI 503- 624 -6300
FEES Reg #: LIC 153913
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/26/2006 $158.50
[TAX] 8% State Surchari 6/26/2006 $12.68
[BUPPLN] Pln Rv 6/26/2006 $103.03
[FLS] FLS Pln Rv 6/26/2006 $63.40
Total $337.61
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- 't0 OAR 952 - 001 -0100. You may obtain a copy of these rules or . -ct ques ' OUNC by
calling 3- 246 - 6699, • ' 1 50
�k ' ' tj( Permit Signature: � I
Issue By: i . „, if/z
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.
IF I Bi dildin>� Permit 4•Fl r� � O1z Orrl(;1; iisi.: O,\I.\ Cl of Ti 81t'd Received Permit No.: , � � �,
131 Hall Blvd., Tigard, OR 97223 Da R ev - - �
Plan G� 0 -
'
Phone: 503.639.4171 Fax: 503.598.++ ``'' '' / A , . " ill Other Permit:
Inspection Line: 503.639.4175 J V 2 6 2006 �. 1.,` '_� Dat Re: , ='-•: ® See Attached Checldist for
Internet: www.ci.tigard.or.us Notified/Method Supplemental Information
KY OF ilLifu<l)
; lu-rir TiffwofiliokkgiON REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ construction 0 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: ) b„ %D i) 2� r✓ New dwelling area: square feet
City /State/ZIP: 7,A f9 R 999 7 y Garage /carport area: square feet
Suite/bldg. /apt. no.: Project nlime: .G-. e r: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: I 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.
T ,...44/ Valuation: $ 1_0 Q g I'
A—yr) ,'i p..ff lit ��it" ° ` i
(/ Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: /
Name: PacTrust Type of construction: )J 7
Address: 15350 SW Sequoia Prkwy, Suite 300 Occupancy groups: S.' ca
City / State/ZIP: Portland, OR 97224 Existing:
Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 New:
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Dennis Pagni under ORS 701 and may be required to be licensed in the
. Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E-mail:
CONTRACTOR
Business name: PrLt 1 r t C a /�. L T '/ / ' e e .
1 BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City / State/ZIP:
Fees due upon application
Phone: ( ) I Fax: ( )
Amount received
CCB lic.: /5 3?/ 5 f Date received:
Authorized signature: This permit application expires if a permit is not obtained
iV1� . within 180 days after it has been accepted as complete.
Print name: Z resit J 74, .t J r I Date: 4/1 • Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Ptxntits\BUP- TI- PennitApp.doc 12/03 440.4613T(II /02/COM/WEB)
Building Division
•Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
•
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work •
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 **
•
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ a „ildingrem,iu\BUP- n- renitApp.a« 12/03 440- 4613T(11/02/COM/WEB)
CITY OF TIGARD
BUP2006-00259
BUILDING DIVISION PERMIT #: 6/26/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 *0
Inspection Requests (24 Hrs.): (503) 639 -4175
7/21/2006 7:01 AM 61
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
16290 SW 72ND AVE B2
SITE ADDRESS: OREGON BUSINESS PARK I 018 CLASS OF WORK:
SUBDIVISION: EXPRESS BUSINESS LOT #: TYPE OF USE:
PROJECT NAME: TI - wall (17,500 sq ft)
DESCRIPTION:
PACIFIC REALTY ASSOCIATES, 503-624-6300
OWNER: PACIFIC REALTY ACCOCIATES LP PHONE #: 503- 624-630t)
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
CcOjt # Irmst apeptrayription $2 di) 915§g # 001 Me; age
a33,6 -6
Corrections /Corr�ments /Instruction :
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
p ��� Z� v Phone #: (503) 2- ZV
Inspector: Date: / (503 71 S-
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #:$UP 00 —00 02E5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ,, Ili
Inspection Requests (24 Hrs.): (503) 639 -4175 —ill- 11..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ) b D. 0 1 7... Y13 / t " CLASS OF WORK:
SUBDIVISION: LOT #: n TYPE OF USE:
PROJECT NAME: L _ . 0 p - i2SIc' vw (9..
DESCRIPTION:
OWNER: PHONE �� (0°3 0 S ^
CONTRACTOR: vv, S PHONE #:
Inspection Request Scheduled For: Date: co rte' — O 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
°�75J v5 �S p ..
Corrections /Comments /Instructions: Awl-
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It _ avti. I C..L._ Fcil ' '.- {- E. ET - - e...,V - — -
IP /n. _irP.' II -,
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ari Date: ( 2 t Phone #: (503) 718-21E23