Permit 7
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00560
1 DEVELOPMENT SERVICES DATE ISSUED: 12/1/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14945 SW SEQUOIA PKWY 150 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: 8 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: $ 3,500.00
Remarks: New walls for T.I.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES C A GREEN CO
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA PKWY # 300
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone:
Phone: 503 - 624 -7717
Reg #:
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
[BUILD] Permit Fee 12/1/2004 $81.70 Sprinkler Permit Required
[TAX] 8% State Surcharl 12/1/2004 $6.54 Framing nsp
FLS FLS Pln Rv 12/1/2004 $32.68 Gyp Board
Inspection
ti o
[FLS] Finallnspection
[BUPPLN] Pin Rv 12/1/2004 $53.10
Total $174.02
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 By:
Permittee
Signature: / i / /ail I I
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
Building Pehnit Application , F OR:O n F ( F � ICE:USE ONLY ' •
City 01 iga Dae / Received /z — / ICY 6. PermitNo.� 007 - a15 - 6
Y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �.�101 .40�'l�''� Date/By: /L-/ '1 ,0513 Other Permit:
Inspection Line: 503.639.4175 .�_ r46 f:'-1-�- Date Ready /By: , 1uris: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: f- Supplemental Information I
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
❑ New construction ❑Demolition Indicate the value (rounded to the nearest dollar) of all
1 dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1 - and 2- family dwelling Commercial /industrial
❑ 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: 1494 5 S , Pk., ` , - /Sc, New dwelling area: square feet
City/ State/ZIP: Pat f' (AVI .0 t D / Garage/carport area: square feet
Suite/bldg. /apt no.: Project name: PrGide i4 661. nW 7.--, Covered porch area: square feet
Cross street/directions to job site: . S'p D 1 ) j t,t,51 S J �� � OL C4.1) Deck area: square feet
& C r ors f iirow. (-1 art ,e 'Divot _ Other structure area: square feet
REQUIRED DATAM,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
• { . .O • ': - DESCRIPTIONF WORK •- work indicated on this application.
Valuation: $ / 500.d0
Alma,, Gt. tferi hon. -AP err.(/1. Sr0to aura . G . i d . S
,f 7 5 .e (.0 c f � Aoe(/ ` eel" Existing building area: square feet
a-11 t ✓I B e v►i� 9 eo VtN f-etr-- Wtcocif •, 1 _ , f.' C New building area: ) I Cf S(� square feet • ' RTY. O W ?4 ❑ TEN t t Number of stories: I S ' /LL to C fy
Name: Pac Trust Type of construction: V .
Address: .15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing: E3.
Phone: ( 503 ) 624 -6300 Fax: ( 503) 624 -7755 New: t; • L ,. : ❑. 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 may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy. , Suite 300 jurisdiction in which work is being performed. If the
City/ State/ZlP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: ( 503) 624 -6300 Fax:: ( 503) 624 -7755
E -mail:
CONTRACTOR_,
Business name: C. A. Green Company BUILDING PERMIT FEES*
Address: 15350 SW Sequoia Parkway, Suite 300
Please refer to fee schedule.
City/State/ZIP: Portland, OR 97224
Fees due upon application
Phone: (503 624-7717
Fax: ( 503) 968 -1686
Amount received
CCB lic.: 156496 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: . Date: • Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc I2I03 440- 4613T(I1 /O2/COM1WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection_Ljle .15 175
INSPECTION DIVISION Business Line: ( MST
.44 t00' -COS�6
Received ( Date Red ested 1 — / . AM PM .,. BUP
Location ` ! � r Suite 1 D r / MEC
Contact Person C.1�1 /l.r� /J Ph ( ) c l 3G' 4 E S" PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner , ' ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear L4?\A').
Framing
Insulation 06k/V 0 c""C
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Roof
Susp'd Ceiling (1A./0 L \ 1 �■ a ` 5S i
Other: (
A',- PART FAIL (1 /\/0 g—rR
BING
Post Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain •
Shower Pan
Other:
91111j1 lel I I 11.
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 U 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
ADA 1 t/L4‘
Approach/Sidewalk Date 7 Inspector �� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL