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Permit A . BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2002 -00092 ;�� DEVELOPMENT SERVICES DATE ISSUED: 3 /21/02 R�JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 06650 SW REDWOOD LN 235 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG 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: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 29 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: $ 40,000.00 Remarks: Tenant improvement, conference room is limited by size to 180sft with an occupant load of 12 or less. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L. GREEN, HL CO. INC. 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 Ig3 gg 77��22 Phone: Tl l one'. o 4 7TI7 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 3/21/02 $395.80 27200200000 Sprinkler Permit Required Framing Insp 5PCT CTR 3/21/02 $31.66 27200200000 Susp Ceilng Insp PLCK CTR 3/21/02 $257.27 27200200000 Final Inspection FIRE CTR 3/21/02 $158.32 27200200000 Total $843.05 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. / Pen Iftee S' nature: . f If�� - /z .(40,i�- 0 . �� 6a ,G sued By: l_ � Cali 63' -4175 by 7 p.m. for an inspection the next business day ,‘;'-',:-?•t• A t, B�Tding. FermitApplication • • Datereceived: 5 /54/ 00- Permitao.:Bu 3 . ;, ,, IyI City of Tigard x"092 Projeeth�ppl. nor.: Expire date: ' 8 Address: 13125 SW Hall Blvd, , ! II I � : S Phone: (503) 639 -4171 V c Da te issued: By:. ( Receipt no.: Fax: (503) 598 -1960 V „� Case file no.: Payment type: Land use approval: CA 1 2002 1&2 family: Simple Complex: [I , � l .. ( j; `�,cR1IIT r , <p 01 & 2 family dwelling or accessory 0 Commercial/industrial Cl { ulti- family 0 New construction 0 Demolition 0 Addition /alteration/replacement JZkrenant improvement 0 Fire sprinkledalarm 0 Other. JOB SITE-INFORMATION • Job address: i0z0, -) .Sfj//2f� ” ,ODI fi ' Bldg. no.: Suite no.: "' ' 3 Lot ( Block ISubdivision: , a Tax map/tax lot/account no.: Project name: -9 e2, ,6 2 Y 7,/ J; (/. /- S, D _ - Description and location of work on premises/special conditions: // ..ri� I -- L/ �' /4/ 4 7A/ MP14/ /2 O11 FOR SPECIAL INFORMATION, USE CHECKLIST - Name: PacTrust ( Floodplain ,septiccapacity,solar,etc.) Mailing address: 15350 SW Sequoia Pkwy., #300 1• & Zfamily dwelling: City: Portland . (State: OR (zIP: 97224 Valuation of work $ _/If- ✓ 503 I Phone:5624 €6300 OlFax624 l: -mail: No. of bedrooms/baths n Owner's representative: Den n i s P a g n i Total number of floors • Phone: Same Fax: Same E-mail: New dwelling area (sq. ft.) ,i' APPLICANT Garage carport area (sq. ft) - Name: P a c T r u S t Covered porch area (sq. ft.) Mailing address:15 3 5 0 SW Sequoia Pkwy . , #300 Deck area (s9• ft.) City: Portland state: OR [ZIP; 97224 Otiuer structure area (sq. ft.) 503 Phone Fax ommercl family: Phone: 624-6300 524 -775 ' E-mail: B -mail: l/d ill il l'' CONTRACTOR Valuation of work $ - s Business name: H.L. 6 r e e n Existing bldg. area (sq. ft.) - _ : & � Address:15 3 50 SW Sequoia Pkwy., #300 New bldg. area (sq. ft.) v L . City: Portland I state: OR IzIP: 97224 Number of stories 3 Type of construction 503 Phone 6 2 4- 7 717 Fax: E-mail: /ode S/ CCB no.: 41328 Occupancy group(s): Existing: New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be ., ":`;'; .. -: ARCHITECT /DESIGNER v licensed with the Oregon Construction Contractors Boaid under Name: John R o m i s h provisions of ORS 701 and may be required to be licensed in the Address: 15 3 50 SW Sequoia Pkwy. #300 3 0 0 jurisdiction where work is being performed. If the applicant is City: Portland I State: OR I ZIP:9 7 2 2 4 exempt from licensing, the following reason applies: Contact person: Plan no.: 503) phone:624 -6300 Fax$24 -775 • E -mail: ' ohnr@ t act ust i 1. com ENGINEER Name: Contact person: Fees due upon application $ Address: -. :, - Date received: City: (State: (ZIP:. Amount received $ Phone: ( Fax: (E -mail: • Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit lards, please can luisclicaoo for more iofotmatioa attached checklist. All provisions of laws and ordinances gov ing this 0 visa Cl MasterCard work will be complied with, w: er s . - di,. . rein ,,. •.� credit card number: / / Expires Authorized signature: ' ' . �i4 % 1 _ Name of cardholder as shown on credit card �J �� / • S Print name: / � . �r � � /. � � cardholder signature Amount J Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6+000)M) ./C3JLAA.._ (:) Vilfd-rAt 111/19 04/05/02 12:20 FAX 503 624 7755 PACT'RUST ¢J 001 • • FAX TRANSMITTAL COVER SHEET Date: April 5. 2002 Company: ® Pacific Realty Associates, L.P. ( "PacTrust ") Time: 12:13 PM ❑ Property Development Associates ( "PDA") No. of Pages: 1 (Including this sheet) ❑ PAC /SIB L.L.0 ❑ Wiitala Property Management - 503/624 -7787 From: Dennis Paanl ❑ Other: Originals: ❑ Via regular mail ❑ Via overnight mail ® Will not follow ❑ Other: TO: - Daryl Jones • Company: City of Tigard Location: City /State FAX Autodialer No.: FAX No.: (503) 624 -3681 MESSAGE: Store Enso BUP2002 -00092 PacTrust will construct LAN room #207 with 1 hr walls to structure. 401- ( " 6 Location: 15350 S.W. Sequoia Pkwy., Sulte 300 Telephone No.: 503/624 -6300 Portland, Oregon 97224 Fax No.: 503/624 -7755 Fax Cover Sheet IF THERE IS A PROBLEM WITH TRANSMISSION, TELEPHONE 503/624-6300 4/5!02 04/05/02 12:21 FAX 503 624 7755 PACTRUST tt 002 • FAX TRANSMITTAL COVER SHEET Date: April 5, 2002 Company: CI Pacific Realty Associates, L.P. ("PacTrust ") Time: 12:15 PM ❑ Property Development Associates ("PDA ") No. of Pages: 1 (Including this sheet) ❑ PAC /SIB L.L.0 ❑ Wiltata Property Management - 503/624 -7787 From: Dennis Pagni • ❑ Other: Originals: ❑ Via regular mail ❑ Via overnight mail ® Will not follow ❑ Other: TO: George Connors Company: City of Tigard Location: City /State FAX Autodialer No.: 22 FAX No.: MESSAGE: • Stara Enso Authorization to construct 1 hr walls in Lan room #207. Fire dampers or rated door assembly is not required. • Location: 15350 S.W. Sequoia Pkwy., Suite 300 Telephone No.: 503/624-6300 Portland, Oregon 97224 Fax No.: 503/624 -7755 Fax Cover Sheet IF THERE IS A PROBLEM WITH TRANSMISSION, TELEPHONE 503/624 -6300 4/5/02 04/05/02 12:21 FAX 503 624 7755 PACPRUST 21003 • ° • FAX TRANSMITTAL COVER SHEET Date: April 5. 2002 Company: ® Pacific Realty Associates, L.P. ( "PacTrust ") Time: 12:17 PM ❑ Property Development Associates ( "PDA ") No. of Pages: 1 (Including this sheet) ❑ PAC /SIB L.L.0 ❑ Wiltala Property Management - 503/624 -7787 From: Dennis Pawl ❑ Other. • Originals: ❑ Via regular mail ❑ Via overnight mail ® Will not follow ❑ Other: TO: George Connors Company: City of Tigard Location: City /State FAX Autodialer No.: 22 FAX No.: MESSAGE: Family Wellness Authorization to correct wall sound transmission in exam rooms #145 & 146. • • Location: 15350 S.W. Sequoia Pkwy., Suite 300 Telephone No.: 503/624 -6300 Portland, Oregon 97224 Fax No.: 503/624 -7755 Fax Cover Sheet IF THERE IS A PROBLEM WITH TRANSMISSION, TELEPHONE 503/624-6300 4/5/02 CITY OF. TIGARD 24 -Hour BUILDING- Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST Received Date Request-d ` G AM PM BUP Location i i 5 /�, / i� - - �� :• :�� Suite 23- MEC Contact Person t 4}- -' Ph ( ) 3( 0 g 8 ( PLM Contractor U Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access. Ftg Drain S ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot :r: 410° PART FAIL MBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required befo = . inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: [] Unable to inspect — no access Fire Supply Line ADA • Approach/Sidewalk Date / �` Inspecto / Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL