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Permit
0 / J am u 00 i �j� - /66 A - BUILDING PERMIT CITY TIGARD PERMIT #: BUP2003 -00432 ,y DEVELOPMENT SERVICES DATE ISSUED: 7/16/03 ,� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15230 SW SEQUOIA PKWY 190 PARCEL: 2S112DA -00300 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: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 200 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: $ 43,000.00 Remarks: Tenant improvement, new locations for existing bathrooms. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN ' 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 . TIGARD, OR 97224 Phone: Phone: 624 -7717 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS • Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 7/16/03 $235.30 Electrical Permit Required [TAX] 8% State Tax 7/16/03 $18.82 Plumbing Permit Required BUPPLN Pln Rv 7 /16/03 $152.95 Framing Insp [BUPPLN] Gyp Board Insp' [ [FLS] FLS Pln RN 7/16/03 $94.12 Final Inspection (additional fees not listed here) Total $890.98 ' 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. • r . ' C i Issu ed By: .Oi / ,t , ceAh Q Pe rm ittee Signature: . r `/ • Call 639 -4175 by 7 p.m. for an inspection the next business day .AR A.. ." BUILDING PERMIT - CITY F TIGARD PERMIT #: BUP2003 -00432 ` � �Ii4 DEVELOPMENT /ir S SERVICES 639 -4171 DATE ISSUED: 7/16/03 SITE ADDRESS:. 15230 SW SEQUOIA PKWY 190 PARCEL: 2S112DA -00300 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: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: - 200 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: is ad, 000 Remarks: Tenant improvement, new locations for existing bathrooms. • Owner: Contractor: - 'PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA BLVD ' PORTLAND, OR 97224 • STE 300 TIGARD, OR 97224 Phone: Phone: 624 -7717 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require [BUILD] Permit Fee 7/16/03 $235.30 Electrical Permit Required [TAX] 8% State Tax 7/16/03 $18 82 Plumbing Permit Required Framing Insp [BUPPLN] Pln Rv 7/16/03 $152.95 Gyp Board Insp [FLS] FLS Pln Rv 7/16/03 $94.12 Final Inspection Total $501.19 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 -0011 •rqugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by ' calling : ) 246 -66 ! or 1- 800 - 332 -2344. Issu - • By: ) r,4 . ' , • /� � Permitt- 3 / Signature: ` 1�/A /r K , /7A�� ■11. Call 639 -4175 by 7 p.m. for an inspection the next business day B dhigPer t Applicata®n Datereceived: / / / ,:. City �� Tigard 0p 05 Permit no.: o�J?°OOl� = '= — =- � � -- Project/appl.no.: Expire date: City vgard Address: 13125 SW Hall Blvd, Tigard, OR 97223 fT Phone: (503) 639 -4171 Date issued: B(4 Receiptno.: . Fax: (503) 598 -1960 Case file no.: Payment type: - Dl` Land use approval: 1&2 family: Simple Complex: TYPE OF PERMIT 0.1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction 0 Demolition - 0 Addition/alteration/replacement ,' Tenant improvement 0 Fire sprinkledalarm 0 Other: JOB SITE INFORMATION Job address: / " Z 4 s r � 1 �` 7 a - ,7 MreyAl 1 11111 Bldg. no.: / A Suite no.: Lot Block: Subdivision: Tax map/tax lot/account no.: Project name: Ae ,4 A7. 7. i� 1II�� Description and location of work on premises/s r - 'al • nditio. _ - -.4 : 3, �� _ / .'� Z_.r� � _l_�i�/�/' %/� • OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: PacTrust ( Floodplain ,septiccapacity,solar,etc.) Mailing address:_ 15350 SW . S e r u o i a Pkwy., #300 _ 1 - & 2 family dwelling: _ __ - _ _ City: ' o r t and - State: OR ZIP: 97224 Valuation of work $ 503 Phone :' 6 6300 _i Fax6 4'--7' . 2M11111 No. of bedrooms/baths Owner's representative: De nn i s P a ■ n i Total number of floors • Phone: Same Fax: " Same . E -mail: New dwelling area (sq. ft) APPLICANT . Garage/carport area (sq. ft.) Name: Pa c T r u s t -. Covered porch area (sq. ft) Mailing address:15 3 5 0 SW .S e r u o i a Pkw ., #300 Deck area (sq' ft•) City: Portland State: OR ZIP: 97224 Other structure area (sq. ft.) 503 Phone: Fax E- Commercial/indastriallmulti- family: 624 -6300 524 -7 75' Valuation of work $ ,1 /� � CONTRACTOR Existing bldg. area (sq. ft.) - M - - . . Business name: H.L. Green New bldg. area (sq. ft.) Address: r5350 SW Seruoia Pkwy., #300 City: Portland State: l R ZIP: 97224 Number of stories 503 1 Phone6 2 4- 7 717 Fax: E-mail: Type of construction CCB no.: 41328 Occupancy group(s): Existing: City/metro tic. no.: New: e/ 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 Omi S h provisions of ORS 701 and may be required to be licensed in the Address: 1 53 5 0 SW Se U O l a P k W #300 3 0 0 ` Ju where work is being performed. If the applicant is City: Portland State: OR AY 24 4 exempt from licensing, the following reason applies: Contact person: Plaaasrti.: 503 I Phone:62 - -6300 Fax{24 -775 ' E ' ohnr@lactAstil.com ENGINEER Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP:. Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. . I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist All provisions of laws and 6rdinances governing this t7 visa 0 MasterCard work will be complied wi whe r pe ' • here' • not. Credit card mud= / / Expires Authorized sign ,; 4 f # // / 1 e• '' •r D' 1 Name of cardholder as shown on credit card �. $ Print name: ii /' L. /�i � ' Cardholder signature Amormt Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6100/COM) 6o1007603 -co L(3 7 33' -444' REPLACE SINGLE DOOR i 1 19' -7Y+ Z WITH A PAIR OF BUILDING 0 12'-0' / STANDARD GLASS DOORS. i i P991TIf''!d ANE .. f11D0 IAI f•DM.R Il NZ - 11_ ( 1=1■2I 1 I 'II 1 1 I 1 I I �.� ti u1 • r a Rl • R 0 • v . -* ISPLAY & 00 �� ... IZMALFA� 00 / - .. p . _ ► ; LESS ST A A _ :. ./ .\ ;/ �C' PHONES AIDS ( NEW ELECTRICAL ; ;' ,a 01.I.:10/ s 1 `��SEI G • « 11 'ES N EIN A� E� i r a PANEL LOCATIONS, L • o . 1 / ..e. ‘ 1 to h- ® r PHOHEBOARD DED OUTLET i I "' Al - u = .0 ® — cis N O roil r • _ :•,' :.... - ... .:. -.- - - ; ..:... 1 1 ENVIRONMENT .; 111411114111 FAN ® e tAIE IOOFE BOARD ; I L r 32•_1- ,4 � & VENT ROPE INFO RE 1R/ (19 BAY ROPE RACK) ROPE TrA - 1 �' 1 t... BINDER & COUNTER in 3 4 (NRa) FROM in ' i GRAPHS Pooh or MAO. g AA Ell ra Et3 :>. Etl. til • - : . rA WA IllEtil . • Ilt r • . *— % • C . ,.._. • ,..._. , __ t A H s • - • - ..._ - / - 4' - 6 • - 7" f - 4' - 4'-CPC /- 4' -Olb 4' -016 4' -m6 - ! fe—cor 5' —fib• i i 4 4 e...r— • LO I 111 IGARC lik .___ i - r ov® Ap, •gibed .. 4, cnaUY , : - 00 O THER . E t hewo '{ -'.Do i....1)• j q 0 o the V hy ...�4 'I, TENANT . � fi ner t iii �: f 1111 !,00:11 P .__ f 4' -V CRAMS A ci ,� IM: © ® © �i' i•,_V i CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST ,2643_csv Received Date Requested /'/c -5 PM BUP Location /5 36 sc,� e - 2 a ' • / Pk t- / 9 MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR . C .. 1 F 3,___ t 1 3 .1 07 1 t 1J21/11 Tenant/Owner ELC ing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot.- • 1 PART FAIL PLUMBING 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: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date /b /2 Z /63 Inspector l Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL _ f CITY" OFtIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DTS;ION Business Line: (503) 639 -4171 MST 3 ^ Q0Y3 CS, Received 2 - Date Requested I 0/2_2-- AM PM BUP Location 1 5 z- 0 q_0 ,, v /I ? t) MEC Contact Person I/ ' /L u- Vt9t0c - Ph ( SD 2) 3 5/ - Z J 3 CP PLM Contractor e- 4 C--v,6 C,D - Ph ( ) SWR BUILDING Tenant/Owner ( G<�`t we— ELC Footing ELC Foundation Access: Ftg Drain = ELR Crawl Drain Slab Inspection {tes: SIT Post & Beam _ VIA et Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PART FAIL r**- NG 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 S i 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 ADA Approach/Sidewalk Date ' I U 1 z i ) 0 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from. the Job site. PASS PART FAIL