Permit „A BUILDING PERMIT
CITY OF TI GAR 4..... DEVELOPMENT SERVICE R PERMIT #: BUP1999 -00201
D ATE ISSUED: 5/17/99
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15055 SW SEQUOIA PKWY 160 PARCEL: 2S112DA -00800
SUBDIVISION: 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: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : 3,161 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 28 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 25,000.00
Remarks: Tenant Improverment for spec space.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES H L GREEN
15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD
PORTLAND, OR 97224 STE 300 BB 112Z2222
Phone: Tl rnone: ( E4- 4
Reg Reg #: LIC 000413
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT DRA 5/17/99 $170.50 99- 315463 Gyp Board Insp
PLCK DRA 5/17/99 $110.83 99- 315463 6 ' J ' - /J 4”
FIRE DRA 5/17/99 $68.20 99- 315463
5PCT DRA 5/17/99 $5.83 99- 315463
Total $355.36
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 -1987. .
Pe rm itee /
Sign . , re: 'tt f4/ d7 .
Iss ed By: , 4 8)) !: •
' a _,,..,. �_
Call 639 -4175 by 7 p.m. for an inspection the next business day
CaY•OF TIGARD Commercial R ecd By 62
omm al Building Permit
• 13125 SW HALL BLVD. Tenant Improvement - Date Recd
TIGARD, OR 97223 Date to P.E. 5 - / 7 -97
Date to DST 5- 7
(503) 6394171 • Permit# / j
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted Called •
Name of Development/Project Existing Building New Building 0
Job 440e/,/ Ce/ ao/C474 e 1 ,": /.
Address Street Address Suit I t Building
/S445. c QV 4 Data
Bldg s City /State Zp Existing Use of Building or Property:
• B 7 �e 97 ' ®�� r ��
Name '
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Building or Property:
Owner Mailing Address Suite 49P
15350 SW SEQUOIA PKWY 300 No. Of Stories: /
. City /State Zip Phone
• PORTLAND, OR 97224 624 -6300 Sq. Ft Of Project /4
Occupant Name ' . . _ - 1.
6t Occupancy Class(es) .
Name __ ..... ..
Contractor H. L. GREEN COMPANY Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy • Will this project have a Fire Suppression System?
of all licenses 15350 SW SEQUOIA PKWY 300 Yes No p -_
are required if City /State Zip Phone
expired in C.O.T. Americans with Disabilities Act (ADA)
database PORTLAND, OR 97224 624 -771 _ Valuation X 25% = Participation
Oregon Const Cont. Board Uc.O Exp. Date Complete Accessibility Form ,�j( -, 2/e �j'
. 41328 of -0/ -- Ave , Project $ •
Name Valuation ,..S #�f�
Architect JOHN H. ROMISH Plans Required: See Matrix � number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AVE.
City /State Zip Phone I hereby adcnowledge that I have read this application, that the information
PORTLAND, OR 97224 236 -6306 given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
S••nai re of er /• • = •t Date ���rrf
Mailing Address Suite 7 / :/ ' / / o P /7��/J
on .. n 'a Phone
City /State Zip Phone
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration •
Repair 0 Other 0 Notes: -
Description of work: -
ADZ /i(/1 7 ,- T / /y /s TIF: . .
__; __ AM . /
Pa Estimated 0 of ployees
Note: Slte Work Permit Application must precede or accompany Building
Permit Application / I�
•
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OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: - re
CLASS OF WORK: /( FLOOR AREAS: /(9i I EXTERIOR WALL CONSTRUCTION
TYPE OF USE: CQ✓ FIRST SQ. FT. I N: S: E: W:
TYPE OF I I
, CONSTR: I SECOND SQ. FT. I PROTECT OPENINGS ?:
I I
OCCUPANCY GRP: 6 I THIRD SQ. FT. I N: S: E: W:
I I
OCCUPANCY LOAD: 28' I TOTAL SQ. FT. I ROOF CONSTR: FIRE RET:
I I
i
' STOR: HT: FT: BSMNT: SQ. FT. I AREA SEP. RATED:
I '
BSMNT?: MEZZ ?: GARAGE: SQ. FT. I OCCU.SEP.RATED:
i I
FIRE _// FIRE SMOKE HANDICAP
SPRINKLER: T ALARM: DETECTOR: ACCESS:
i
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, COMMERCIALINSPECTION iAGTIONS` :' ; .
FEE MENU::' ' :.;
•
Foot/Found Post/Beam $ (1O Permit Fee
Masonry Framin $ IIv�
i Plan Review
Insulation Shear Wall $ $3 State Surcharge
Firewall = p Boa • $ 6g FLS Plan Review
•
Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
1
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk • In pection
Miscellaneous Final H $ MIS Fee
mss '4
FOR :OFFICE USE ONLY:: ": ( : ..
TYPE OS: USE OPTIONS'(CO1VI7-commercial; CMS= commercial manufac 1 structure) .. .
CLASS OF WORK OPTIONS FOR.ALL PERMITS (NEW :new, Add =addition, iALT=a teration; ACS= accessory;FND- foundation;
OTR= other; DEM= demohtion;:REP= repair.; FPS =fire protec s ystem, NOTE. USE OTR FOR FENCES, RETAINING
WALLS, D - D SIGNS,, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 4/97
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