Permit CITY OF TIGARD BUILDING PERMIT
1 111 1
2.:. - COMMUNITY DEVELOPMENT Permit #: BUP2008-00368
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/13/2008
Parcel: 2S113AB01400
Jurisdiction: TIG
Site address: 7358 SW DURHAM RD BLDG G
Subdivision: Lot:
Project: CORAM
Project Description: TI.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [BUILD] Permit Fee 11/13/2008 $801.10
PORTLAND, OR 97224 [TAX] 12% State Surcharge 11/13/2008 $96.13
PHONE: [BUPPLN] Pln Rv 11/13/2008 $520.72
[FLS] FLS Pln Rv 11/13/2008 $320.44
Contractor: Metro Const. Excise Tax - Commercial 05/05/2009 $228.00
MATTHEW OLSON CONSTRUCTION Use
5320 SW DOVER LN Permit Fee - COM 05/05/2009 $254.90
Tax - 12% State Surcharge 05/05/2009 $30.59
PORTLAND, OR 97225 Plan Review 05/05/2009 $165.69
PHONE: 503 - 892 -0066 Plan Review - Fire Life Safety 05/05/2009 $101.96
FAX: 503 - 892 -0067
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units:
Stories: 1 Height: ft
Bedrooms: Bathrooms:
Value: $190,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,519.53
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 f re
the 180 : ays. ATTEN . : Oreg• • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ruJ are s orth in OA
952-0)1-0010 through OA' 9 -001 -r 1 You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 O 6 or .
Issu =d By: ` y� w i t �/� Permittee Signature: /
' Call 503.639.4175 by 7:00 a.m. for an inspection that b siness sia r
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.
a CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT PERMIT /13/20 -00368
DATE ISSUED: #: B 11/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB -01400
SITE ADDRESS: 07358 SW DURHAM RD BLDG G ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: CORAM
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 79 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: N PARKING:
VALUE: $ 160,000.00
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 11/13/200€ $801.10
[TAX] 12% State Surch 11/13/200€ $96.13
[BUPPLN] PIn Rv 11/13/200E $520.72
[FLS] FLS Pln Rv 11/13/200E $320.44
Total $1,738.39
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 0 952 -001 -0 . You may obtain a copy
of these rules or direct questions to OUNC by calli • e i , ...,99 or 1.800 332.2344.
Issued By��/� /� `/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application - • F OR O FFICE USE ONLY - - 'fr}�'
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City of Tigard �y ' t �� �.� Permit No.: VV `�.C/ � . ��
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13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie � . �
Phone: 503.639.4171 Fax: 503.598.1919 60 Date/$ Other Permit:
Inspection Line: 503.639.4175 N u V Da a ead T: : ® See Attached Checklist for
TIGARD y
Internet: www.tigard- or.gov Notified/Method: MI Supplemental Information
CITY OF TIGARD
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y �'�ir "'. -i,� , - YPE��QF'x,W �y E. = b �..�„ .Q � N F�AIVIIT;YPI)WELLING �"
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
4.,� n. ;i.:'e.�; ., ,.,� �, ':= :a;.+C, 1 cs� rt:* _; 'c:� r s, �u4+x�.5 °° PS�"Y.';^ - „i'3�:;'i ^.w%� i:�' :,..7.74';, �,,,y..„
a. ,; ,, st i ff i CATEGORY 'OE CONS , a -" . work indicated on this application.
V , . _ .. >. ,t ur A A ., 4.t r , :t„._. . ..= i- ^ta k,' ,.: `., °..e >:ras. stru..OM
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder I=1 Other: Number of bathrooms:
'V i s i JO T - v / Total number of floors:
s w a B kSITE INFO,RI ATION :1: . OCATI,ON ; tl„
Job site address: 7�_ 7,U ,4h " New dwelling area: square feet
City/State /ZIP: 3,7 GZ... 02 9 / y Garage /carport area: square feet
Suite/bldg. /apt. no.: /n Project name: COY-CA Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ IREDDA�TA COMMERCIAL 1JSE
Subdivision: 1 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
', , - - r4 x . ( °. � . �DESCR�IPTION O WORK work indicated on this a lication
� Valuation: $ 0 O �e
4, ..___ 1 7_, 1 -.173 f/'7,9 ter ! -- Q/ � ✓'rj ��/ .�j
Existing building area:/g ( square feed, e V
New building area: are feet
PRO PERTY OWNER , x4 , l z- ❑ TENANT A Number of stories: i
Name: PacTrust Type of construction: .2 rek / /,.-
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups: " /—.0 —...2—
City /State /ZIP: Portland, OR 97224 / u
Existing: � `"� 1
Phone: (503)624 -6300 Fax (503)624-7755 -"e0----' , � �, 7.� ,�,. .��� -�� -�. z ,.- �,.:::;�� New:
x` ', ® A a "` .: :x f PERSON r - ;. "" ; 7. . °4„. =�:, a .,a ° ;° `:z - -a,
. , m --. , ` ,x,h ` i'Z � r ,ate= ,$14. a �' ,t _ W � .. NOTICE a
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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
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�� < �CONTRA
Business name: �J04� sL[J / f ® �� ' L-4 , ° , *W `�"' I"' `t A
/ � O } . ,-- BU a w;S t--- kan ^' TL eGS-. J . k . e Sal Address: 0 K. veoc- .. e =_ et' lease7rejer�
C, �� Structural plan review fee or deposit):
City/State /ZIP: /a0'1444
J FLS plan review fee (if applicable):
Phone: ( ��" !? .�� �„��� S/ r Fax: ( )
, /7 37
CCB lic.: 7 � "`�'J�� Total fees due upon application: 3
Amount received: q
Authorized signature: This permit application expires if a permi • not obtained
within 180 days after it has been accepted as complete.
Print name: ,/, iF R ��� f Date: ..,,.......4 * Fee methodology set by Tri -County Building Industry
Service Board.
1: \ Building \ Permits \BUP- PermitApp doe 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.
11111 a A
BUILDING DIVISION ��
0
TIGARD TRANSMITTAL LETTER
a
TO: 4n )v \Y1 DATE RECEIVED:
DEPT: BUILDING DIVISION
_'DECEIVED
MAY 0 5 2009
FROM:
CITY OF TIGARD
COMPANY: BUILDING DIVI ON
PHONE: By: �.N
RE: — 1358 -Du ctv,n. dl.tk. , li.P2ao8. 63
(Si e Address) (Permit/Case Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS: - - •
' Coi `rs ° - D'egct•i ition i',•;1':', ` :
, .. _.P• , p .,- .. . _ .d ';Copies.. :.' �'Desciiption;= : � - __,- _ «_ -;: `. ° °v,. . . -. -
Additional set(s) of plans. X, Revisions: P U NO___ (\e
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain): �� n �I d
REMARKS: V ai�0.GL, - �r l aUQI:( d �t 1 000 , o
_ FOR OFFICE USE PNLY' _ _ ..
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
,,l'' `;fi F�` ., � tr. •-=
,F ' >r F,: j $
;w - , 1 4, ,,, , . 7,-: ay.v "{' .t,, ,'r,''w - 1;:,Y = -,-,1,-"'.-., N , — $
Special
Instructions:
Reprint Permit (per PE): [1 Yes ❑ No n Done
Applicant Notified: Date: Initials:
I: \Building\ Forms\ TrarismittalLetter- Revisions.doc 4/4/07