Permit 1 ~ n CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00072
° ; COMMUNITY DEVELOPMENT DATE ISSUED: 3/13/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA-00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: CAMBRIDGE IN NGE
Project Description: TI r,'JVtd ,trce bu I
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 80 BASEMENT: sf AREA SEP. RATED:
STOR: 2 FIT: 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 110,000.00
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: Contact #: PRI 503 - 648 -7805
FAX 503 - 648 -5883
Reg #: LIC 14426
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/13/2008 $639.10
[TAX] 12% State Surch 3/13/2008 $76.69
[BUPPLN] PIn Rv 3/13/2008 $415.42
[FLS] FLS PIn Rv 3/13/2008 $255.64
(additional fees not listed here)
Total $1,518.85
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 rul- • direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue. :y: 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.
Building Permit Application FOR OFFICE USE ONLY
} RECEIVED City of Tigard Received
Date Received
la b Permit No.96 g
111 II 13125 SW Hall Blvd., Tigard, OR 972n AA p .,1111,1 Plan Re ie ' / ! ��,�
Phone: 503.639.4171 Fax: 503.598001 1 3 Date/B : /if. J Other Permit:
TI GARD Inspection Line: 503.639 CITY OF TIGAFID Date Reap : y: Juris RI See Attached Checklist for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Q New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial
Valuation: $
❑ 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: / 1 ` 5 . 2 t �G e g 4_ Fe .,,e, � / ) New dwelling area: square feet
�`�'�
City/State/ZIP: Za 7 4.4J 41.4../01 e
Garage/carport area: square feet
Suite/bldg. /apt. no.: Project namie r.2 ? t �� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
d Valuation: $ //,d mill,
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: PacTrust Type of construction: /11.4,
Address: 15350 S.W. Sequoia Pkwy., Suite 300 Occupancy groups:
City /State/ZIP: Portland, OR 97224 �
Existing:
Phone: (503)624 -6300 Fax: (503)624 -7755 New:
® APPLICANT ® CONTACT PERSON
NOTICE
Business name: PacTrust All contractors and subcontractors are required to be
Contact name: Dennis Pagni licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15350 S.W. Sequoia Pkwy., Suite 300 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 624 -6300 Fax: : (503) 624-7755
E -mail: dennisp @pactrust.com
CONTRACTOR
Business name: 2 4 .. BUILDING PERMIT FEES*
Address:
/' (Please refer to fee schedule)
City / State/ZIP: Structural plan review fee (or deposit):
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: Total fees due upon application:
y f Amount 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 S. • Fee methodology set by Tri -County Building Industry
Service Board.
1:\ Building \Permits \BUP- Pemut App .doc 03 /21/06 440- 4613T(II /02/COM/WEB)
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: BUP2009.00072
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/200 8
Phone: (503) 639 -4171 "Nl j'
Inspection Requests (24 Hrs.): (503) 639 -4175 -'
INSPECTION WORKSHEET FOR DATE: 4/17/20t ■ TIME: 7:02AM PAGE: 4
SITE ADDRESS: 15115 SW SEQUOIA PM' 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT LEANS PHONE #: 503 -648 -7805
Inspection Request Scheduled For: Date: 4/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 068557-05 503 - 830.9691 N
Corrections /Comments /Instructions:
}
I ► v i PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, zzkyy
Inspector: Date: r/e;e5 Phone #: (503) 718
L_
CITY OF TIGARD
BUILDING DIVISION PERMIT #: B11P2008. 00372
13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 3/1!2009
Phone: (503) 639 -4171 1 a y i
Inspection Requests (24 Hrs.): (503) 639 -4175 1 ...
INSPECTION WORKSHEET FOR DATE: 4/7/2008 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT LEANS PHONE #: 503 - 640 - 7005
Inspection Request Scheduled For: Date: 4/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess
287 Su.pended ceiling 067949-01 503630.9691 ED gi
Corrections /Comments /Instructions:
`j�PA� i ' ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: V Phone #: (503) 718- Z.C77
lift
CITY OF TIGARD • .•
BUILDING DIVISION PERMIT #: BUP2008-00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008
Phone: (503) 639 -4171 .It ti
t
Inspection Requests (24 Hrs.): (503) 639 -4175 ' � ..
INSPECTION WORKSHEET FOR DATE: 3/28/2008 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 15 115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 — CA8 - 1805
Inspection Request Scheduled For: Date: 312812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
280 Insulation 067504 -01 503.830-9691 N
Correc 'ons /Comments /Instructions:
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: .1r4 I ffa.WIJIMI WM I I M W
. - '� ,� ht ' 2
I�!. . =�" ❑ PARTIAL APPROVAL �.► - �- El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Insect • r: / -) Date: S `e Phone #: (503) 718 -
CITY OF TIGARD . .
BUILDING DIVISION ' PERMIT
A t . ,
#: BUP2008 -00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008
Phone: (503) 639 -4171 � 4
Inspection Requests (24 Hrs.): (503) 639 -4175 I ..
INSPECTION WORKSHEET FOR DATE: 3/21/2008 TIME: 1:01AM PAGE: 42
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503
Inspection Request Scheduled For: Date: 3/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
28a DtywaIl nailing 067093.01 503830 - 9691 O el-
Corrections /Comments /Instructions:
0 AS V..1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL I ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ •
Inspector: Date: L� v1 ID g Phone #: (503) 2-‘ P � ) 718 -
CITY OF TIGARD . • ,
BUILDING DIVISION _ f PERMIT #: BUP2008.00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3113/2008 Phone: (503) 639 -4171 �� ' it
Inspection Requests (24 Hrs.): (503) 639 -4175 W `_ �..
INSPECTION WORKSHEET FOR DATE: 3/19/2008 TIME: 7:01AM PAGE: 31
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ROBERT EVANS PHONE #: 503 -f410-7805
Inspection Request Scheduled For: Date: 3/19/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
275 Framing 066927 -01 503. 830.9691 a A2tt—
Corrections/Comments/Instructions: ,,
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..__.,•,.,••7 ,1 r 'C__ .4iA
❑ PASS .' TIAL APP' ❑ CANCEL ❑ NO ACCESS
❑ FAIL ! CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
/ 7
Inspector: Date: / VCA Phone #: (503) 718- �—