Permit n CITY OF TIGARD BUILDING PERMIT
:11111 a ' COMMUNITY DEVELOPMENT Permit #: BUP2009 -00189
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/13/2009
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 200
Subdivision: Lot: 0
Project: Epicor Software
Project Description: TI construct demising wall.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - Additions, Alterations, 10/13/2009 $149.75
PORTLAND, OR 97224 Demolition
PHONE: 503- 624 -6300 12% State Surcharge - Building 10/13/2009 $17.97
Plan Review 10/13/2009 $97.34
Plan Review - Fire Life Safety 10/13/2009 $59.90
Contractor:
MATTHEW OLSON CONSTRUCTION
5320 SW DOVER LN
PORTLAND, OR 97225
PHONE: 503 - 892 -0066
FAX: 503- 892 -0067
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 3 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $4,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $324.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules . e set forth in OAR
952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 • •.6699 or 1 : :. 344.
Issued By:
/ a n Permittee Signature:
Call l5 5 , 03 ` .639.4175 by 7:00 a.m. for an inspection that bust �s 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 sits at the time of each inspection.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard
C N D atr1B eaceived Permit No.: i: . (0 • • . 1 • tr •
° 13125 SW Hall Blvd., Tigard, OR 97223
11111
C1 s ��Q9 Plan Revie 1�� o � D
° : Phone: 503.639.4171 Fax: 503.598.1960 O 1 s B D z-L Date : Other Permit:
TIGARD Inspection Line: 503.639.4175 , Date Ready a y: Juris: El See Attached Checklist for
Internet: www.tigard-or.gov OF TIGA I Notified/Method: Supplemental Information
1 C' 1 I� f 91\1.1910 t
TYPE _ OF WORK BUI�DI�,G REQUIRED DATA: 1= AND 2- FAMILY DWELLING
Q New 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: .5--e �f^k� f p, c1 � . , O New dwelling area: square feet
City / State/ZIP: 42 .J., . A.. 6' q 99QQ 7 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name:
./CG. 2 ,SP orfr...-....e-u 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: 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: $ d
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction: j — /
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing: f� �^
_ 3—>
-- Phone: (503)624 -6300 Fax: (503)624 -7755 New: ---69
® APPLICANT ® 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: / 7/4 67/fd� J G 1 1/ e e l ` 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 tic.: Total fees due upon application:
Amount received: 6--
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 2)(%)-
il %n /.../ Q e Date: , 7 , e//3: le * Fee methodology set by Tri -County Building Indus CO
Service Board. 3 Z t � . 9
1: lBuilding \ Permits \BUP- PermitApp.doe 03/21/06 440.4613T(II /02/COM/WEB)