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Permit CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP200 -00032 _ DEVELOPMENT SERVICES DATE ISSUED: 2/5/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AD -01000 SITE ADDRESS: 14945 SW SEQUOIA PKWY 100 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 3,500 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : 3,500 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 7,000.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 40 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:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: it ' 2 5 000 Remarks: Demo existing walls and create open office area and conference room. • Owner: Contractor: PACIFIC REALTY ASSOCIATES H, L GREEN 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 c�B qz�2 Phone: Tl rnon n e: FZ4! (1( Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 2/5/02 $290.80 27200200000 Gyp Board Insp • 5PCT CTR . 2/5/02 $23.26 27200200000 Susp Inspg Insp Final Inspection PLCK CTR 2/5/02 $189.02 27200200000 Total $503.08 • 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. Permittee / Signature. i / /./ 1 . A ,-i /JA r I ig--111) Issue . By: aM illi Call 639 -4175 by 7 p.m. for an inspection the next business day Bu ldingPermitApplication s =. v Cit of Tigard Daterccei Pertnitno.: City o gaud Address: 13125 SW Hall Blvd, Tigard, OR 97223 Project/appl. no.: Expire date: Phone: (503) 639 -4171 Date issued: By:. 1 Receiptno.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple Complex: TYPE OF PERMIT Q 1 & 2 family dwelling or accessory RCommercialfindustrial Q Multi - family 0 New construction U Demolition Q Addition/alteration/replacement ATenant improvement 0 Fue sprinkler/alarm 0. Other: : JOB SITE INFORMATION Job address: ji -r y m i ry y� Bldg. no.: 1 Suite no.: l, o0 _- Lot: Block Subdivision: Tax map/tax lot/account no.: . Project name: • / D f- „ d. e v 6 .. - # 4 — A l L. 'vim AP - = . : .' L ,t' Description and location of work on premises/s1 conditions: 2' j r /44/ p�f. A A/, 4 /Y �1 -/i • i 1 4' -S . OWNER FOR SPECIAL INFORMATION. USE CIIECIiLIST • Name: P a cT ru s t • (Floodplain, septic capacity, solar, etc.) Mailing address: 15350 SW Sequoia Pkwy., #300 1 & Zfamily dwelling: City: Portland (State: 0 R Jz P: 97224 Valuation of work $ . (503 Phone:! 46300 C1Fax5E4--7T5 -mail: No: of bedrooms/baths. • . Owner's representative: Dennis P ag n i Total number of floors ......... • Phone: Same Fax: S e E -mail: New dwelling area (sq. ft.) Garagelcarport area (sq. ft.) Name: P a c T r u s t Covered porch area (sq. ft.) ... Mailing address:15 3 50 SW Sequoia Pkwy ., #300 Deck area (�• fL) City: Portland State: OR !DP: 97224 Other structure area (sq. ft.) (503 Phone{ 2 4 - 6 3 0 0 Fax6 2 4- 7 7 5' E -mail: CommerciaUindustriallmulti- family: 2-S ere c) 4702 CONTRACTOR Valuation of work $ = 7.W1��/ Existing bldg. area (sq. ft) .3 ..t"1,® .,1 Business name: H.L. Green New bldg. area (sq. ft) / _ Address: T5 3 5 0 SW Sequoia Pkwy., # 3 00 Number of stories / City: Portland I State: ORIz>P :97224 y'Iii (503 Phones 2 4— 7 717 ( Fax: I E -mail: Type of construction CCB no.: 41328 Occupancy group(s): Existing: City/metro lic. no.: New: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: J o h n R o m i s h provisions of ORS 701 and may be required to be licensed in the Address• 15 3 5 0 SW Sequoia Pkwy. #300 3 0 0 jurisdiction where work is being performed. If the applicant is City: Portland State: 0 R17:2:97224 exempt from licensing, the following reason applies: Contact person: I Plan no.: ( 503) Phone: 624— 6300 Fax:624 -775 ' E - ohnr@ r actrust i r . com ENGINEER Name: Contact person: Fees due upon application $ Address: : Date received: City: State: ZIP:. Amount received $ Phone: I Fax: 1 E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the ' Not all jurisdictions aocxpt emit cards. please al jurisdiction for more informadoo: attached checklist. All provisions of laws and ordinances governing this o Visa D MasterCard work will be complied with, whether s . i 1 -. herein o • ,t. Credit card number —L__/___ Expires Authorized signature' ■, i .d le • Ai % / /,•" 2 — . —.. Name of cardholder as shown on credit prd S Print name: ii .74. AfrA cardholder mature Amcsm Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (•13oncOM) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISIOit' Busi ss Line: (503) 639 -4171 MST ---3� SUP PCOA Received 02167 pY ) Date Requested 3 AM I PM BUP - Location I `}� ` ^� n, Q� i'� Suite 1 MEC Contact Person ` eir Ph ( ) l / — a538 PLM Cont r,.;i ` • Ph ( ) SWR Tenant/Owner LOW tC-th ELC ,:,� ELC r on Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Anch ExtSreah /Srs 7,0e 260Z Lz� �� �o � Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 4 � PART FAIL :ING 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 before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line Approach/Sidewalk Date -2-ti " Inspector DC Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 _ BUP ( 2 - OC) a000,'S L Received Date Requested 3 ---// AM PM 4P__&) .1i cRee 2 -.6 S , Location �8- ■ ; ' -f U 4__ �— Suite / O MEC Contact Person • J Ph ( -) 3 s / al S3 2 PLM Contractor ph ( ) SWR BUILDING Tenant/Owner 14 m .1) ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post & Beam ' Shear Anchors Ext Sheath/Shear Int Sheath/Shear — - Framing Insulation Drywall Nailing - -- Firewall . pnnkler -- ire Alarm • RaiWarer Roof f Other: - - l • ? °ART FAIL '' e ' :ING / i ° - -- Post & Beam U ( ) nder Slab . . Rough -In Water Service Sanitary Sewer � / - Rain Drains Catch Basin / Manhole 7 \' 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 before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA ? / - Approach/Sidewalk Date Inspector E -- ' Other: Final DO NOT REMOVE this inspection racer from the Job site. PASS PART FAIL Ai '