Permit •
ii vir ^ 1TY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00329
° COMMUNITY DEVELOPMENT DATE ISSUED: 9/30/2008
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D D - 016 00
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SIRIUS COMPUTER
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 71 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: N PARKING:
VALUE: $ 62,000.00
Owner: Contractor: '
PACIFIC REALTY ASSOCIATES BNK CONSTRUCTION INC
15350 SW SEQUOIA PKWY #300 -WMI 10730 SE HWY 212
PORTLAND, OR 97224 PO BOX 66
CLACKAMAS, OR 97015
Phone: Contact #: FAX 503 - 557 - 1085
PRI 503 - 557 -0866
Reg #: LIC 107555
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/30/2008 $424.30
[TAX] 12% State Surch 9/30/2008 $50.92
[BUPPLN] Pln Rv 9/30/2008 $275.80
[FLS] FLS Pln Rv 9/30/2008 $169.72
Total $920.74
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 9 2- 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.
Issued _ 02_471(A1--kt_ Permiftee 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 hermit Application FOR OFFICE USE ONLY
Received /
City of Tigard Da ,. ,. _ / / . Permit No.: 0 , ? xi 3 .
° 13125 SW Hall Blvd., Tigard, OR 9722 t r 11
1 g (4 Pl an Revie ►- % ��
/, I, &,i �/�
+ • Phone: 503.639.4171 Fax: 503.598.1960 ;. ' �' � .a /ate/B 4 ` a J �, Other Permit:
TIGARD Inspection Line: 503.639.4175 S'' (`° , II ∎• Re•ry': - WI See Attached Checklist for
Internet: www.ligard- or.gov ®� \w` u,■1- ed/Method: Supplemental Information
C l W
TYPE OF WOR IOY REQUIRED DATA: I- AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition 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
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: / rA ` Jl9 New dwelling area: square feet
.S7 -�.S�J �elvd ,,c� r
City/State/ZIP: f� d` d� 9070 Se Garage/carport area: square feet
Suite/bldg. /apt. no.: / Pr oject name, d vs • s�� f � Covered porch area: square feet
Cross street/directions to job site: / � Deck area: square feet
-�N 'r ��, / z ,2_ h TI .,14.-r. 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
CRIPTION OF WORK work indicated on this application.
Valuation: $ �
Existing building area: " square feet
New building area: square feet
® PROPERTY OWNER . I ❑ TENANT Number of stories: i
Name: PacTrust Type of construction: , J1■8'
Address: 15350 S.W. Sequoia Pkwy., Suite 300
Occupancy groups:
.r
City /State/ZIP: Portland, OR 97224 Existing: ,r&
Phone: (503)624 -6300 Fax: (503)624 -7755 /
New: 9
® APPLICANT N 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 / Stale/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: ,N) 8 • !, 7 ai.„,? BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City / State/ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB tic.: Total fees due upon application:
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: iyi, u
1- I Date: t� /P 4 / �
9 � • Fee methodology set by Tri -County Building Industry
J Service Board.
1: \Building \ Permits \BUP- PermitApp.doc 03/21 /06 440- 4613T( I 1 /O2/COM/WEB)
I
CITY OF TIGARD • e
BUILDING DIVISION PERMIT #: BUP2008- 00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9130/21)0/.3
Phone: (503) 639 -4171 �4j�1 l - �J ,
Inspection Requests (24 Hrs.): (503) 639 -4175 °__..
I
INSPECTION WORKSHEET FOR DATE: 11)/2/?01)8 TIME: 7:00AM PAGE: 35
SITE ADDRESS: CLASS OF WORK:
15575 SW SEQUOIA PKWY 180
,--SUBD1VISION,. PACIFIC CORPO CENTER LOT #: TYPE OF USE:
PROJECT NAME: ' S SIRIUS COMPUT
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: INK CONSI CONSTRUCTION INC PHONE #: 503.557 -0666
Inspection Request Scheduled For: Date: 10/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 076186.01 503-880-0214 N
Corrections /Comments/ Instructions:
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❑ PASS ly I1;: PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
14k (1( Inspector: Date: . " /6 Phone #: (503) 718 - L�
CITY OF TIGARD •
BUILDING DIVISION . #: SUP2008 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2008
Phone: (503) 639 -4171 leff v ,fl i.i.� ,., ,∎ '
Inspection Requests (24 Hrs.): (503) 639 -4175 ,!.111-
INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 1 675 SW SEQUOIA PKWY 180 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SIRIUS COMPUTER
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BNK CONSTRUCTION INC PHONE #: 503 - 5570866
Inspection Request Scheduled For: Date: 10/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
viripo
799 Final inspection 077253 01 503 - 8138 -0214
Corrections/Comments/Instructions:
%I 1 P' / %A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ U L/
Inspector: A Date: C0/2-0/13 Z
3 Phone #: (503) 718- � /