Permit p
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00205
AA, DEVELOPMENT SERVICES DATE ISSUED: 5/17/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DD -01600
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: TI
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: 37 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: $ 11,000.00
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: 503 - 624 -6300 Phone: 503 - 648 -7805
FEES Reg #: LIC 14426
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/17/2005 $148.90
[TAX] 8% State Surchari 5/17/2005 $11.91
[BUPPLN] Pin Rv 5/17/2005 $96.79
[FLS] FLS Pln Rv 5/17/2005 $59.56
Total $317.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho e rules are th in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rule •r % irect qu ions to UNC by
calling 503 -246 .699 or 1-800- 332 -2344.
Issued By: . ; , - Permittee Signatu - `, ` �<
1 Pr Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
, t .
Building Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED D d Permit No.: ,OD D
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Other Permit
Phone: 503.639.4171 Fax: 503.598.19 0j y 2 n o g ��'' °'� ` I ' '� Date/By:
I e ®See Attached Checklist for
Inspection Line: 503.639.4175 t VII /-1 .i V J 1 I s!�� r Date ReadyBy: I r•
Internet: www.ci.tigard.or.us
CITY OF TIGARD Notified/Method: Supplemental Information
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Permit fees* are based on the value of the work performed.
❑ New construction emolition Indicate the value (rounded to the nearest dollar) of all
e a - Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
,a �, r• . e ern to rt ,�. , u k kxrr work k indicated on this application.
IN +r '..4 .,•l,.'"I.x.euY'....A� �I-" 4:.,.:.t�.':r..
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$
❑ 1- and 2- family dwelling r. ..f ,, ercial/industrial Valuation:
❑ Accessory building ❑ Multi- family
Number of bedrooms:
Number of bathrooms:
❑ Master builder ❑ Other:
a s Irn �qas i ,. - .. 3 , , ,�,..,,, , I,1 1 Vim* W : k t c+� . 4 *t Total number of floors:
1 . ,..,....1. ' ' , i F2 , 1V. nt .k� • rn.;� u;c edz••,>:= '; 4 •azo, A --- M... - - -.�. •' , : '�" a,. " a k
Job site address: / c Li ! 5 SW $60 a of p ,e.J<,WAr New dwelling area: square feet
City/State/ZIP: PCfraTL ■ p I 02 97 2-2,Y Garage/carport area: square feet
Suite/bldg./apt. no.:. /a0 I Project name: 5-P6 cr 77 Covered porch area: square feet
Cross street/directions to job site: 5j Sez,2 L/ OJPA 1 P-.IV Deck area: square feet
sLt..) �'i 2 �' Y �' — I _ vo N6,S5 f r2 Q 7 P It Other structure area: square feet
(_ / F - �;:.t�riu:r+�ll a:t'il "m 'k.�'� < {ae,,..x: • za.rli �:a W ki?.5.`�
c` -+, - r �y "� �D / fie. ms R i D. ' ;CQ t o• CIAZ' 75'E?G IST•
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Subdivision: I 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
_•.t�_ „ , .r ;dj ouput ON. ORK,y a ,, ; 3w 4 1 .j.' 1,I ' work indicated on this application.
Ir4
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_ Valuation: $ P 00
DE,/1/t0 I FAl i /r`a 1JS i DeL12 MNl i N Existing building area: square feet
S(a C L-,nly s . /� r&1v/2 F T 3 71 l
LGC1Tii\J6 l / ) [ �� f j t?0 � / /� irc ? J(rT�Q�tA/ -- New building area: ki, k„,,... quare eet
. ", "0.„.„T.N.r.P' B ga,r11 �M ,.p, 1 kG {y e Y Y, i'i(�„'.i'Yf lv r C F �¢ ` _
PIiOO ERTEY O 4^ ` 1" ' :.,. r , rl ,. 341VP _ , ,•5 �� t Number of stories: s/ {�lrq/ e, s y( //
'f'.� �!ati r�i �;:• +zvsh+� ".a.,ir' `.ei..Yk�G -'a °;T,er.'l:�w ,�f1.r 1 i ; a «'r�.9; -°: , � b. ,-. k` F. ' " '(� /S
Name: PacTrust Type of construction: V.
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: 5
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'� ' : ir x1.S;vw' IEtl uctI , .aa^x!'” ai r''''' -. ' N' i A..5 1'dA �� �' . !i !w... IS M- E ,� „�,. .fir
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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
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:
. •ko . 1w , �, N a'CY4 "Y .N.. 'II' , " "'Y F.• , c, �. yµrl It
F �c ; g6 . ,�, d s- ( h,u .. C Prk .Is
Business name: b1 u. - t 11 �IV ANr A ,. :
Robert Evans Co., Inc. - 1 :�' ti ; {Lnt siTI ; ,PE IT ..;: o r l t .
- .1,. "a 'i .ral•x'1.>'. .cv..Fnl C•�Fr:.lr)� }; ,.�:r.'A
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.
Print name: / 1 `a I fri 7-1- p vi I Date: .5// 1 /05 • Fee methodology set by Tri-County Building Industry
Service Board.
s\ BuildingtPaeats \BUP- PemtitApp.doe 12/03 440- 4613T(II/02/COM/WEB)
1
CITY - 6F TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00205
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/1712005
Phone: (503) 639 -4171 o � , °i 1 d l I
Inspection Requests (24 Hrs.): (503) 639 -4175 - -' !!- IL
INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:0'IAM PAGE: 29
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624 -6300
CONTRACTOR: ROBERT EVANS PHONE #: 503- 648.7805
Inspection Request Scheduled For: Date: 12/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 023686 -01 503-888 -0214 N
Corrections /Comments /Instructions:
or
.-- - $ _,:_- _ 4 N
,I. I'
r- P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL - CA FOR SPECTION 111 ADDIT NAL EES ASSESSED
f
41% Ins ector: - Date: q Phone #: 503
Inspector: � ) 718 -
r
CITY' of TIGARD
I BUILDING DIVISION PE RMIT #: BUP2005-00205
I 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: - 5/17/2005
Phone: (503) 639 -4171 :74$1.0 j
Inspection Requests (24 Hrs.): (503) 639 -4175 -- JJ' II.
INSPECTION WORKSHEET FOR DATE: 7/13/2005 TIME: 7:10AM �i , PAGE: 85
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC OFFICE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624 -6300
CONTRACTOR: ROBERT EVANS PHONE #: 503-648-7805
Inspection Request Scheduled For: Date: 7/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 011259 -01 503.679 -3271 N
Corrections /Comments /Instructions:
0
❑ PASS ❑ PARTIAL APPROVAL [CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: kiLA, Date: .7 / 1 3 /0 - Phone #: (503) 718-
CITY`bF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00205
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2005
Phone: (503) 639 -4171 m,.ahmv, i ;1\
Inspection Requests (24 Hrs.): (503) 639 - 4175' ..
INSPECTION WORKSHEET FOR DATE: 7/7/2005 TIME: 7:10AM PAGE: B9
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC OFFICE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 6246300
CONTRACTOR: ROBERT EVANS PHONE #: 503 -54B -7805
Inspection Request Scheduled For: Date: 7/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 010866 -01 503 - 679-3271 N
Corrections /Comments /Instructions:
f-Ettcv_PLPtio ei+-6-1064 t
t e r / t • 4 4 1 , 9 0 1 0 - 1 - 0 (U -_
14 /
sNE �.l� � �M
• • —
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL EES ASSESSED
Inspector: .11 Date f Phone #: (503) 718 -
C I F GA
BUILDING DIVISION PERMIT #: BUP2005 -00205
7:12AM
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2005
Phone: (503) 639 -4171 i�� �,��
Inspection Requests (24 Hrs.): (503) 639 -4175 . - ' `'I J..
INSPECTION WORKSHEET FOR DATE: 7/612005 TIME: PAGE: 74
SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC OFFICE
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300
CONTRACTOR: ROBERT EVANS PHONE #: 503 - 648-7605
Inspection Request Scheduled For: Date: 7/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 010766.01 503-679.3271 Y
Corrections /Comments /Instructions:
AM
ISU'rAAal e/ �C-(� s 1-O ' - 1' ' i i_
2_ . -..-- 7' ( koi e_. PLAIU s ei i GED i...
di IL 0 _ _., Aell .1. „e
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...._, , ,-..
1
. .. - ii-(. T -I\ (Sik) OcTeD PRP . .
. , At i r--
O l '41111111W
AS 11] PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
AIL Ui CALL FOR I SPECTION ❑ ADDITIO L EES ASSESSED
Inspector: 4 IV Date ( Phone #: (503) 718 -