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Permit
BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2006 -00529 4, DEVEL I CES -639 -4171 DATE ISSUED: 11/1/2006 - 13125 SW PARCEL: 2S1 12 D D -01600 SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG Project Description: PETROCARD - TI, 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: 3N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: $ 6,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES A J WEBER CONSTRUCTION INC 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 80548 PORTLAND, OR 97224 PORTLAND, OR 97280 Phone: Contact #: PRI 503- 244 -4318 FAX 503 - 244 -4318 FEES Reg #: LIC 65238 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/1/2006 $100.90 [TAX] 8% State Surchari 11/1/2006 $8.07 [BUPPLN] Pin Rv 11/1/2006 $65.59 [FLS] FLS Pin Rv 11/1/2006 $40.36 Total $214.92 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. T e - rules ar th in OAR 952 -00 : o e rough OAR 952 - 001 -0100. You may obtain a copy of these rules • d'rect stions to UNC by cal ' g 503 -246 .6 r k800 - 332 -2344. Is ued By: ,, V wit c jl Permittee Signature: 1 -z V 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. w 4 4. BuildinE Permit Application ` FOR OFFICE SE ONLl City of Tigard �v` �� i f ©� Permit No.: Oe Q jag 13125 SW Hall Blvd., Tigard, OR 972f c Plan Review Phone: 503.639.4171 Fax: 503.598.1 1 LS ib " `' i ' DatcB Other Pe. 't: Inspection Line: 503.639.4175 NQV ! '� Date Ready/By: 85 See Attached Checklist for Internet: www.ci.tigard.or.us ,� G F - IIGA - Notified/Method: dFAI Supplemental Information GOWI OF W REQUIRED DATA: 1- AND 2- FAMILY DWELLING . ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Addition/alteration/replacement El Other: equipment, the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION - work indicated on this application. El 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: . JOB SITE INFORMATION AND LOCATION . Total number of floors: Job site address: AS--"--el 1.1..., C 1 , c _ 0New dwelling area: square feet City /State/ZIP: , ? p/c,,. d Z- 9,7'20 ! Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: et 0 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: I 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. • Valuation: $ 4 cd CerAP,Ysf / `i- drtfirV j .1/ _ . — Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER V ❑ TENANT Number of stories: / Name: PacTrust Type of construction: // f Address: 15350 SW Sequoia Prkwy, Suite 300 Occupancy groups: Ay City /State/ZIP: Portland, OR 97224 Existing: 3,e' Se Phone: (503 ) 624 -6300 Fax: (503 ) 624 -7755 New: ❑ APPLICANT ® CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board Dennis Pagni under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City /State/ZIP: apply: Phone: ( ) I Fax: : ( ) E -mail: , CONTRACTOR ( Business name: Q 615,k • BUILDING PERMIT FEES* Address: �0, 1 J ' 6 g Please refer to fee schedule. City /State/ZIP: Pr, d . Q 7'v1e0 Fees due upon application Phone: (T p'Z'y- 4{3/15 I Fax: ( ) Amount received CCB lic.: 66 g 5g Date received: Authorized signature: �� Q��J / , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: — Date: • Fee methodology set by Tri- County Building Industry / J/ — – " Service Board. is\ Building 'sPennits\Bl1P- TI- PeintiApp.doc ■2103 410.4613T(11/02/COM/WEB) CITY OF TIGARD , BUILDING DIVISION PERMIT #: BUP2006-00529 , 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/1/2006 Phone: (503) 639 -4171 ANN: , 40 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:00AM PAGE: '17 SITE ADDRESS: . 15575 SW SEQUOIA PKWY 160 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PEI kOCARD DESCRIPTION: PETROCARD - TI, walls OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503 - 2444318 Inspection Request Scheduled For: Date: 11/30/2006 Pour Time: 'I 5 f 4, Code # Inspection Description Confirm # Contact # M- sage • c fiii c c 299 Final inspection 040477 -01 503- 320.8601 V 6"'" Corrections /Comments /Instructions: ' ,1 r - (1:* z..__. _____ r_ P AS S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED W rA / Inspector: AAY U Date: U ��" Phone #: (503) 718 -3 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006.O0629 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 11/1/2006 Phone: (503) 639 -4171 �a Inspection Requests (24 Hrs.): (503) 639 -4175 �F I — INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :00AM PAGE: 71 SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PETROCARD DESCRIPTION: PETROCARD - TI, walls OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503 -244 -4318 Inspection Request Scheduled For: Date: 11/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 273 Framing 039822 -01 503-320-8601 Y Corrections /Comments /Instructions: . V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 0'10 1 Date: lb lJ Phone #: (503) 718 • , CITY OF TIGARD �,�� BUILDING DIVISION PERMIT #: gUp2006.00629 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006 Phone: (503) 639 -4171 i ' �; Al _-_.,_. & Inspection Requests (24 Hrs.): (503) 639 -4175 -F:_ i INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :00AM PAGE: 70 SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PETROCARD DESCRIPTION: PETROCARD - TI, walls OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: CONTRACTOR: A J WEBER CONSTRUCTION INC PHONE #: 503244 -4318 Inspection Request Scheduled For: Date: 11/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 039822 -02 503- 320.8601 Y Corrections/Comments/Instructions: sue /0 lam Al • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r D ate: I / 0 Phone #: (503) 718 -