Permit i 1
A CITY OF T BUILDING PERMIT
PERMIT #: BUP2006 -00398
i � ; k DEVELOPMENT SERVICES DATE ISSUED: 8/23/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB -01201
SITE ADDRESS: 16575 SW 72ND AVE BLDG F ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Demolition for future TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
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: 503 -624 -6300 Contact #: FAX 503 - 892 -0067
PRI 503 - 892 -0066
FEES Reg #: LIC 66070
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/23/2006 $62.50
[TAX] 8% State Surchari 8/23/2006 $5.00
Total $67.50
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 by
calling 51 2 • -669 • • 1-800- 332 -2344.
Issued - : /",• . t ' Permittee Signature: c /l / t --- tAA.•-4---- - ---
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.
.-
r
Building Permit Application FOR OFFICE USE ON
City of Tigard ECEIV Date/By: a Pem itNo.: /� `
R
13125 SW Hall Blvd., Tigard, OR 972c., Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AUG 2 q 3 3 2006 „ s_ G .„ ,M • = .��"" Other Permit:
�'1 ,
Inspection Line: 503.639.4175 _ ■, , . ".W A Date/By: Date Ready/By: Juris: Pi See Attached Checklist for
Internet www.ci.tigard.or.us CITY OF TIGAR a Notified/Method: Supplemental Information
BUILDING DIVISION
4
I:. t ri ,r7 b 1, i u.l ,t a ieu o'il , . l r ate d J7h y a �t r F,A lun a 'etlI t.. T + = . 1
Q S•i per{ REQT• ' ' ' . 7..... 4N - • 2-FA1 ;Y DWELLING
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❑ 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
r, J Yid". G! :fik" 7K,gAj,Tr :y : r r r A ; r Ali jpr- ; .esti =t r.;j?' vt e„Iri "� Ir: " 7 r work indicated on this application.
' ,M, d1t�1 -- �g rfe (� + '\isalt` 4*ON�1l v O � :l� F„ r, r : 4 ti u� �i �' .�4 ,
ti ` P > ,$�.ro":itl 1 ',4f g.„. a:. s,e, ,..a f. Ic.A- 0,`.13 , '•laalvat : 41.I..•.RC.rm.di .0'.1t L. a §' 1*r 4. 7 -;1
Valuation: $
❑ 1- and 2- family dwelling �Commercial/industrial
❑ Accessory building
❑ Multi- family Number of bedrooms:
❑ Master builder 1:21 Other:
Number of bathrooms:
j�'�t �•^�'a r. w �, �, y � t 7 w � � �y �'} ,- ,a �� =su ° '�, , ,{� �+� 'i" r •
1 � Y•; fi C1T � i' 5 �I II � V (� lr AI SI.. �' � p I.. F 9 -Iq't:' , 11 Total number of floors:
•
I `r ih:r , I. htli1•I. 4.!1,414"",.vg p. nn'c5 i:K ,.$n $,M .',".: l tf`v4" T m,, . a1,: ,. ,,.!"J' .5 %i ..r',, g .. r, . l . l',
Job site address: Arg I / ?S _SLJ 72r2� ' Jr New dwelling area: square feet
Ciry /State/ZIP: Po , / I-1„ ,0 &f2_ q-7 Z 2 '1' Garage/carport area: square feet
Suite/bldgJapt no.: Project name: Covered porch area: square feet
Cross street/directions to job sitee5(,31Z �� t O va I, _ Deck area: square feet
Other structure area: square feet
a Se.J.v „G. atl8tt;. : i t .r MtaniF .. '.s , V; 4 r
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
r ri u t i ,;., . 1 yc* N �� t 96r - r T' h �� 1 R 6 a t
p ' :�r .;, t y r Ike. " fire . g , � a , 4"1h ( , �s '�..... Ti ` 1 . wo rk in d i cated on this application.
{ . / .� \a , j Li ifs T - I Valuation $ 7 Soo . 0 0
Y-f�"V✓lf) ii, tv, �j
Existing building area: .. 5 33 square feet
/
New building area: li�G �., square feet
'S„ p}µ317 %'e.*L- .:%' 'a•'. 6 c -r,, y r �h'AIUrY17A U ,.n :.• '97-'7;4e-7';,,(074:, ∎ .+t' C? /
7JIRx A 44 1r. � 1 . a 0 1% 1 C MA' ” T� ?,y� n ' „r 4. i1 Number of stories: ✓ f D
fey+ 11 X f A :.T:N: s?pticAPAgw,i." .Yy PP.'f.F� .A 1 `i e
Name: PacTrust Type of construction: / / I• )3
Addre .15350 SW Sequoia Pkwy., Suite 300 Occupancy groups:
City/State/ZIP: Portland, OK 97224 Existing: 5 /
Phone: (503 )624 -6300 F (503 624— New: i
Phone: ,• ��. � ax. 62 � 1" p
lr.. ' f• !! '17� } ie , yy'' 'tg.� � . 4 µ � j � - 1..: r'lrk �t � � I, /52.--
c ,:. y SC ' 4 y o
'' 'Sd '1 Y M „• 7r .dk. w y t- 4 �D 1 r t) f 01 2 .,,,,, ,,,f, 140 1..',, 1 r- 1 1
1' � ? } :�h° 1. ;. Zm Er : . i `4 ')Y .. � }�','' ` r , .� So•,a k 4 r ( 1 � .i3.ii(yC Q C ''.. ,. .
. ;yy .W T °, 7 .AI Y+, , . �ne6^ ,.. 1L'!t ". �..J "'4 �1 •�.4 �,h,N'�` •' � � ��,,pp �' �• �f, � �� 1. � S.� T� �! ...., .,
iC7t° .11 }.. >7�1!�4'�'} itt6, IM..a'.df:r. +4� Fr ? i T '. , } Ia4 .a n
Business name: PacTrust All contractors and subcontractors are required to be
Contact licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland, OR 97224 apply:
Phone: (503) 624 -6300 Fax: : (503) 624 -7755
E-mail:
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e n.. ■^�I ti; �w Ik( .. K'.'� n.r._ td Y i �- d }, 3!, r,A, tw y s f r
Business name: i i,Ai wkn n ;: , r•
Matthew Olson Construction '' <it'�J���ry't} ^ny+�'� FEES .
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Address: 5320 SW Dover Lane Please refer to fee schedule
City/State/ZZIP: Portland, OR 97225 Fees due upon application
Phone ( 503 892 -0066 Fax: ( 503 892 -0067
Amount received
CCB lic.: 66070 /� Date received:
Authorized signature: / I f This permit application expires if a permit is not obtained
`� 1r within 180 days after it has been accepted as complete.
I Print name: At a I">t 7 -1 4. 4. h So, Date: g/ 2: /O +
Service Bo�
is\ methodology set by Tri-County Building Industry
Bw1din Pem ils%BUP- PemritAop.dnc 12/03 . 440- 4613T(I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00398
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/200;
Phone: (503) 639 -4171 V .1111 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: //1812007 TIME: 7:06AM PAGE: 16
SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Demolition for future TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624 -6300
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503- 892 -0066
Inspection Request Scheduled For: Date: 1/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 042254 -01 503 - 956-6290 Y
Corrections /Comments/ Instructions:
Ag) , •
(iijik( WI
C F /
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL \ CA L FOR O SPECTION ❑ ADDITI NAL ES ASSESSED
III i
?- ,41.--‘2;( 3
Inspector: Date: Phone #: (503) 718-