Permit .+
i v CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2009 -00010
- ` COMMUNITY DEVELOPMENT`- DATE ISSUED: 1/14/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: STERLING COMMUNICATIONS
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: 110 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: PARKING:
VALUE: $ 30,000.00
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 1/14/2009 $254.90
[TAX] I2% State Surch 1/14/2009 $30.59
[BUPPLN] PIn Rv 1/14/2009 $165.69
[FLS] FLS PIn Rv 1/14/2009 $101.96
Total $553.14
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 503.246.6699 or 1.800.332.2344.
Issued By 4 J \ 9i y / titiA Permittee Signature Ger-
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.
•
1
Building Permit Application RECEIVED FOR OFFICE USE ONLY
City of Tigard Received ,
g JAN 1 2009 Date/B : • • rr ��r r
M I
13125 SW Hall Blvd., Tigard, OR 97223 an ' eview
Phone: 503.639.4171 Fax: 503.598.1960 Date/B ; , . • Other Permit: • • . - • O ii
T1GARD Inspection Line 503.639.4175 C pFTIGARD Date Ready/By: El See Attached Checklist for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ID 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: $
❑ 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: ,)y/ 94J_s--.16L) j v m_ Pow y New New dwelling area: square feet
City/State /ZIP: )/Q £. CJ a ique Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name a ? N a ,c 4 4 vered 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.
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.
Valuation: $ 0 ,to R
, l�,,, , o /4. .a.. l t/1 f= .�f'
��,,,,���� Lam. , E building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: /
Name: PacTrust Type of construction: /�� -
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: ____
City /State/ZIP: Portland, OR 97224 Existing: //
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
® APPLICANT CO 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: X C , . I. c v / 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.: Total fees due upon application:
Amount received: Sab . 11A
Authorized signature: This permit application expires if a permit is not obtained
akt., within 180 days after it has been accepted as complete.
Print name: . �7 ' A �� Dater L //� • Fee methodology set by Tri-County Building Industry
'�/ / Service Board.
1:\ Building \Permits \BUP- PermitApp.doc 03/21/06 • 440- 4613T(I1 /02/COM/WEB)
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
a BUILDING DIVISION
•
T I G A R D TRANSMITTAL LE ER
a
TO: r IF: I •.'' J A.k. _ 1 %._. DATE Fe,��r �
DEPT: BUILDING DIVISION
FEB ' 2009
C r� OF G ARD
FROM: /4j -8�2 ry ,, A -) : r II,DING DIVISION
COMPANY: 5 I,+ k co +..)5 ; Q c.2 -. k ...m.
Mar
PHONE: �fl 3 - ' , : 0/.../(/
1`D
i
RE: -0di 5w �� g rlvl A 1 , _� ni,# q-co 1/o
rte d ss) (Permrt(C • : - 1 um. er)
S t i .e. (4 16 4 I
(Prole. name or su divisr n name and lot numbe
ATTACHED A ' ' THE FOLLOWING ITEMS:
Copies: Description: ' opies: % escription:
Additi c nal set(s) of plans. Revisions:
Cross . ion(s) . , d details. Wall bracing and/or lateral analysis.
Floor /roof fr. • • ._ Basement and retaining walls.
Beam calculations` Engineer's calculations.
Other (explain): /
REMARKS: A • 124,k- Z c?..... 7Zd z - Pc x, eaj • l , 2. y /mGI
FOR OFFICE USE ONLY
Routed to Permit Technici Date: if V) (n 7 In
Fees Due: ❑ Yes [ No Fee Description: Amount Due:
$
$
$
$
$
Special _
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\ Building\ Forrns \TransmittalLetter- Revisions.doc 4/4/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2009-00010
13125 SW Hall Blvd., Tigard, OR 97223 a DATE ISSUED: U141/2009
Phone: (503) 639-4171 4,8001 0 I
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/27/2009 TIME: 7;01AM PAGE: 11
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: STERLING COMMUNICATIONS
• DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATT OLSON CONSTRUCTION PHONE #: 603
• Inspection Request Scheduled For: Date: 2127/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 080901-01 • 503-888-0214
Corrections/Comments/Instructions:
/
r _
PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
fl FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Date: / 5 Phone #: (503) 718-
CITY OF TIGARD r .
BUILDING DIVISION PERMIT #: 13UP2009- 000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1114/7009
Phone: (503) 639- 4171 v u �NNpllritlrlri
Inspection Requests (24 Hrs.): (503) 639 -4175 ='' :_..
INSPECTION WORKSHEET FOR DATE: 2111!2009 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 14946 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: S` :RUNG COMMUNICATIONS
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 50x•892 -00€G
Inspection Request Scheduled For: Date: 2/11/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 080487 -01 603 -888 -0214 N
Corrections /Comments/ Instructions:
PASS ^ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: L I l hg Phone #: (503) 718- 1---6 t'-(