Permit A h ... CITY OF' TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00335
L 41^ DEVELOPMENT o
SERVICES DATE ISSUED: 7/14/2005
Hall Blvd.,
PARCEL: 2S112DD -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: TI, new walls.
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: 29 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 39,000.00
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 7/14/2005 $388.30
[TAX] 8% State Surcharl 7/14/2005 $31.06
[BUPPLN] Pln Rv 7/14/2005 $252.40
[FLS] FLS Pin Rv 7/14/2005 $155.32
Total $827.08
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
952-001-0: i - ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
::' By: k A.....,, 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 1?t rmit App lic a �ia < <_' i � !! _ �' � FOR OFFICE USE ONLY
City of Tigard k r, Wawa `7/rilt��� Permit Nn.: G� 1 , -6033
13125 SW Hall Blvd., Tigard, OR 97223 / Plan Review 7 I ��
Inspection Lane: 503.639.4175 Other Penult:
Phone: 503.639.4171 Fax: 503.598.1960 c s . ���"%'k... -` "' ('‘ DateB : /y
CI Y .` f I ruri :: See Attached Checklist for
_ - . Date Ready/By: �
®
Internet: www.ci.tigard.or.us B ji? . '..NO j! r' ! Notified/Method: Suppl Information
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❑ 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
. ,.. r N7. Oil.«. (i�7=1'�.� rz;�3 • r,• ,., aj.�,3�,'�� ;,} j0 b�? t, work indicated on this application.
110, M' ° l : , ' ' , - - ..f ' hp .'B3 0� rP ]'V t lr�'� a
ee:3 p
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Valuation: $
❑ 1- and 2- family dwelling / 0' Commercial/industrial
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
•
, s4 w, ,. fit r eot , . ai tpip. 1rv�t,t�»�+� 1 t :f1 yl
-, �" `ale Total number of floors:
,i g r �k JUB t O O • i (C q . ; - :,i i d!', ; :,, - 41, 1
`y:��r:. , . >ti,'sm'''Ir�_�i�al�n^srxt &�= ?T�s�a s �Sa �� us�.taa,r� ai,� -,.fa � rn"
Job site address: / 7S .Sw 554'U04 r Pekt y New dwelling area: square feet
City/State/ZIP: lr f c 1 Q ie 9 22 Garage/carport area: square feet
Suite/bldgiapt. no.: 1 '30 I Project name: , C. P G, j17 Covered porch area: square feet
Cross street/directions to job site: 5 ,4, S'.2 u O/ a flue., .y Deck area: square feet
',f Fe.-A .0 CA 1 id 5 p t , Other structure area: square feet
m-A, cr« ! f ^D 'AJ�C R 1, - .a' I75 -V ,. ' y ^A T
Subdivision: 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
' x '`mtt s ."" F'iafrli•• -0 « +' ne` :4 "._ s: g c . ` S "x17 :'i'? work indicated on this application.
4l. t 0. n : ,44 E S (� , n ,.^ ,01('1,,,: a„c 7 "-' r , -, ^: Y4'',..:T :^- I.Y,.,'.
_ ��;�., .',' � .. �- �- "�`'e}.+��bT4��r:�w ^_:7sr..alm. �i�i�.�, a.,�._',w:�:r.�xsi,d, ..�.'xc -r� x -
Valuation: $ 3 / / DOO. DD
Existing building area:. 1 be, y square feet
New building area: '$— t square feet
A ,, : -'rawsai � . , +,r a '''''-'115M �,u' ;.;;,�. ,`. ,usr:; '"}i; ;i,: , 'ter.:
w � t, fig' ti # "4..., -' Number of stories: ,a y
Name: PacTrust Type of construction: . V.
Address: 15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing: Fj
Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 New: .H
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Business name: PacTrust All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and maybe 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 /StauMP: Portland, OR 97224 apply:
Phone: ( 503) 624 -6300 Fax: : (503) 624 -7755
E -mail:
.. ... - ,ST ` `,'E _ '. a k:. ' '� ; 7- A ° . } 01 : il�' k; +, F •
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Business name: Robert Evans Co., Inc. l," � {P- FI+ r`yMOk'DV95`'i >JL 1vtI�; IFM!-'
,�r,di••xB,1j.,v;,u:�� «n.. ,ms..y>ri. a 4ro, :,:vo- � - :.,r,.: ,'n,.:,.. �: , -.
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 Fax: ( 503) 648 -5883
Amount received
CCB he.: 14426 - 7 1 '-7 I
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: /14 a ✓ k t a.-1 / -f ,t K SO vl Date: 7//1/ 0 5 • Fee methodology set by Tri -County Building Industry
Service Board.
i:\ BuildingTamils \BUP- PennitApp.doc 12/03 440- 4613T(1 trovCOMIWEB)
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00336
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2005
Phone: (503) 639-4171 �� I
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 104
SITE ADDRESS: 15575 SW SEQUOIA PKWY 130 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCPC INC
DESCRIPTION: TI, new walls.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: ROBERT EVANS PHONE #: 503.646 -7805
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 015358 -01 503-679-3271 N
Corrections/Comments/Instructions:
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..AS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I/ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 biclei Date: 7 - 12'� " 5 -- Phone #: (503) 718- 2ylfs_