Permit CitY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00063
��� DEVELOPMENT SERVICES DATE ISSUED: 2/17/2005
+L �=-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 PARCEL: 2S112AD -01000
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: 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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 72 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 13,000.00
Remarks: TI, removing walls, relocating wall and door.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES A J. WEBER CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548
PORTLAND, OR 97224 PORTLAND, OR 97280
Phone: 503- 624 -6300
Phone: 244 -4318
FEES Reg #: LIC 65238
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/17/2005 $168.10
[TAX] 8% State Surchari 2/17/2005 $13.45
[BUPPLN] Pin Rv 2/17/2005 $109.27
[FLS] FLS Pin Rv 2/17/2005 $67.24
Total $358.06
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 y: ea,i4A_ALQ
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Build Pe' ---- ppli E\ FOR OFFICE USE ONLY '1,
Receiv
City of Tigard Date/By: /���1e Permit No.: , / //,,, -
13126 SW Hall Blvd., Tigard, OR 97223 Platt Revten
I Other Permit: 503.639.4171 Fax: 503.598.1960
FEB 17 2 l " 'Itill� . Date /By:
1 - Date Ready/By: lu - l See Attached Checklist for
Inspection Line: 503.639.4175 � t �.. _. , y ^-
Internet: www.ei.tigard.or.us Notified/Method: / ( • Supplemental Information
CITY OF TiL
�� °•� ti REQUIRED DATA: 1- AND 2- FAMILY DWELLING
/ ❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling Commercial /industrial
El 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: 14 e q 5 ,-1..) .s'— 4, Pi2w / / / o New dwelling area: square feet
City/State/ZIP: p l „ d 02 ZZ ! Garage/carport area: square feet
Suite/bldg. /apt. no.: Pro name: S +er ( Ls 44 ,[,414.d. Covered porch area: square feet
Cross street/directions to job site: 5 S o , i t^i10..trd Dt_-,( Deck area: square feet
La, fr,... Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK ' ." work indicated on this application.
�,Qi� -eG� (Kt _ Valuation: $ / 0,00
i` m r- Existing building area: 3 q / / square feet
(HI LSD wile!_ eelo aCco rS (6- ot 41nlU. . `
i /re_ 2 Le 'G n f�. eD - fa . j . extrvu , New building area: 3 9 / / square feet (s--,041.9) ' . ' • 6 PROPERTY OWNER . '❑ TENANT 1 Number of stories: 5 e vt�i Gv
• Name: PacTrust
Type of construction: ✓. s
Address: 15350 SW Sequoia Pkwy., Suite 300 Occupancy groups: J
City/ State/ZIP: Portland, OR 97224 Existing: ,
Phone: (503 ) 624 -6300 Fax: ( 503) 624 -7755 New: B
,.p APPLICANT -. , . : ❑ CONTACT' PERSON NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe 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:
CONTRACTOR •
• ... .. ,
Business name: AJ Weber Construction. Inc. . ' BUILDING PERMIT FEES*
Address: PO Box 80548 Please refer to fee schedule.
City/ State/ZIP: Portland, OR 97280 Fees due upon application
Phone: ( 503) 244 -4318 Fax: ( 503) 244 -4318
Amount received
CCB lic.: 65238
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4 ,r —,,.� it 4 ,, ,sdi yt Date: Z1/ i /05 * Fee methodology set by Tri-County Building Industry
t Service Board.
i:\ Building \Permiu \BUP- PermitApp.doc 12/03 440- 4613T(11 /02JCOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17/2005
Phone: (503) 639 -4171 emu. °h�41�j�li\
Inspection Requests (24 Hrs.): (503) 639 -4175 U IL
INSPECTION WORKSHEET FOR DATE: 3/17/2005 TIME: 7 :13AM PAGE: 27
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: STERLING COMMUNICATIONS
DESCRIPTION: TI, removing walls, relocating wall and door.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: WEBER CONSTRUCTION INC, A PHONE #: 244 -4316
Inspection Request Scheduled For: Date: 3/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 002085.02 503. 32118601 N
Corrections /Comments /Instructions:
4 94 ii —
, w :
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r".'". Inspector: Date: 6 t7 k #: (503) 718-