Permit iiir
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00111
L � .I�; DEVELOPMENT SERVICES DATE ISSUED: 3/22/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: TI: Walls, ceilings.
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: 30 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: $ 39,500.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ROBERT EVANS
15350 SW SEQUOIA PKWY #300 -WMI 1200 NE 48TH AVE. STE 1250
PORTLAND, OR 97224 HILLSBORO, OR 97124
Phone: Phone: 503 - 648 -7805
FEES Reg #: LIC 14426
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/22/2005 $388.30
[TAX] 8% State Surcharl 3/22/2005 $31.06
[BUPPLN] Pln Rv 3/22/2005 $252.40
[FLS] FLS PIn Rv 3/22/2005 $155.32
Total $827.08
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 les ar rth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or • ect q stions to OUNC by
calling 503 -2499 or 1- 800 -332 -2 .
Issued By -- / . F Permittee Signature ��
Call 503-639-4175 by 7:00 a.m. for an inspection that business 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 site at the time of each inspection.
IMF vl''D5 —c1oI ( I
Building Permit Application - FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
Date/Sy:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ether pertttit
Phone: 503.639.4171 Fax: 503.598.1960 / � "'. ; ,,
All
. � '' Date/By:
Inspection Line: 503.639.4175 � `'
' I I Date Ready/13y: : or ® ris: See Attached Checklist for
:_..
Internet: www.ci.tigard.or.us q Notified/Method: Supplemental Information
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❑ New constructionolition 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
S , .. , �_ ., _ , _ i4: s :r+w, �k ; a: -:<, +era rl a c'" , ,u f,a x !A,���itNNi p. work indicated on this application.
- ..,4 4 .'i,'' r, . a " - ,.',:.4 ,i .m • t r:_k N ; ; �r. �'».?"1 ' J Valuation: $
❑ 1- and 2- family dwelling , ,,,-E�Commercia /industrial
Multi-family Number of bedrooms:
❑ Accessory building El
•
❑ Master builder ❑ Other: Number of bathrooms:
•
L'. '61% i�C' "1 ";` tii'W �trk'�,IkgG ?661 - s:4,vSw : 9 ','.a:,:.`t�.'. ,{iM. „ptKp Total numb
,'
tit_ ititg' � B tS3, x.' O a 111T . MAA : _, '•rats a r, number of floors:
i:''a�xi. �i����u.' �Sr�fF_ i?f.+ �� �k. .:�,.ca�3 ,ac�a � , Ga' ��tJ�. e,! �; �mf: �: �. �_.,: If Ri'' �'?� ^9
Job site address: /5055 Sw S& 901ft- p i -7 New dwelling area: square feet
City/State/ZIP: )7o,—f-/ a. ' 0tz__ q 12 Garage/carport area: square feet
Suite /bldg ✓apt. no.: -t/ Co Project name: p.G t ' /-(d w7hti cas `'t,\s` Covered porch area: square feet
Cross street/directions to job site: St,,,) Scat ,� y (a, Deck area: square feet
Other structure area: square feet ,
00 rata §t.tx r 1 ?: x °.',:`,0
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
1 � f 'a,4,. •- aa�.,_ s^� b+:' ltr '-'�Mts''� ' 44 -1 J ,i -. i 4 J1: �' ± work indicated on this application.
'lF: - -,.,77 urf' i : , T >M. . #i�''' l . f , :"ii..- .:, 1).i J.1 ":ri, : 40
7' -.W1
3�Xs;�rX:[ -cm; fi . , ` iJ�l^, r � J �' �"_�A " r.F.. s. s'� ?:'r'a',! utP•.•a '�•7+y".. ..� --
Valuation: $ 39 SOO .00
�f{'ii/1/t^(rllj / r-e G 6 /tif / UL ire- L .l QG 1 � ✓I. eet C Existin building area: L f l (gS square feet
�frr•e / f`e t _ Q//Y�r (-' New building area: ti / g 5 square feet
.. .., L '� :,r, "�-n i' „W�'ii�` +nb+ -.. ; a ,'12Ksny $; 1y ' . #�l+ n ' ` N l' ry . t t � 'i L.�' � i'''"
l ���� � t,. "7 i t : Number of' stories: / S
'r� ' �'�ia =� e E Vim' y�� ' .{ '., t i t , ❑'�.: .
9 a . �44' %J.. I �n9iA, ,. ?qa� +a: I� ?'r r..::14`,. .�r_, *, . „., ,,, ..AW'e �<L[` n • �Fi�'$i.r
Name: PacTrust Type of construction: . V ',jJ
Address: 15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 . Existing: 8 / /
Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 New: � j 5-
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_'..R'. PT.i?' ^4v ':3CrYr• .dafiwv LT�•i;� ^ .Ir.:.3 "y w6e: �a�C .•a,,,dc,.une.�..a.fnr:.
Business name: PacTrust All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 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. Ifthe
applicant is exempt from licensing, the following reasons
City /Staff: Portland, OR 97224 apply:
Phone: ( 503) 624 -6300 I Fax: : (503) 624 -7755
E -mail: .
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ta'g o va - 4,,, . aT S ,1,f w F lti tt - • a kk♦�sl!\- r.:,9';k p SF ,, ti !Y ,1 ,.: •
Business name: Robert Evans Co., Inc. 3 '!I n -9NIA II DT1 G '"'E, $` ,
Address: 1200 NE 48th Ave. , Suite 1250 Please refer to fee schedule
City/State/ZIP: Hillsboro, OR 97124 Fees due upon application
Phone: ( 503) 648 -7805 I Fax: ( 503) 648 -5883
Amount received
CCB lic.: 14426 • Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: /t �h 1 k SA H l D '3/ * Fee methodology set by Tri- County Building Industry
, - `Q Service Board.
1: Build ng\Pumits\BUP•PermitApp.doc 12/03 440.4613T(I I /02/COM/WEB)
CITY, OF TIGARD
I BUILDING DIVISION PERMIT #: BUP2005 -00111
13125 SW Hall Blvd., Tigard, OR 97223
4/11i,
DATE ISSUED: 3/22/2005
Phone: (503) 639 - 4171 : Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/21/2005 TIME: 7 :09AM PAGE: 71
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC STAR COMMUNICATIONS
DESCRIPTION: TI: Walls, ceilings.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 -64 8.7805
Inspection Request Scheduled For: Date: 7!2112005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 011859-01 503-679-3271 N
Corrections/Comments/Instructions:
•
MI LW7 FM1 1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspector: ,\ /t Date: Phone #: (503) 718 -