Permit •
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CO MMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT
PERMIT #.......: BUP93-0007
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639-4171 DATE ISSUED: 02/01/93
SITE ADDRESS ~ 15755 SW SEQUOIA PKWY * ��- PARCEL: 29112DD-01600
SUBDIVISION....: ZONING: I—P
BLOCK...,......: LOT ^
REISSUE.: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.:ALT • FIRST ^1960 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: sf PROTECT OPENINGS?----------
TYPE OF CONST.:3N THIRD ~ sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL : 1960 sf ROOF CONST:B FIRE RET?:Y
OCCUPANCY LOAD:34 , BASEMENT.: sf AREA SEP. RATED:
STOR.:1 HT.:16 ft GARAGE...: sf OCCU SEP. RATED:
BSMT?:N MEZZ?:N REQD SETBACKS --- REQUIRED ---
FLOOR LOAD ^50 psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET..:N •
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING
VALUE.$: 35000
Remarks: Tenant Impr—Oregon Center for Technical Orthopedics. Offices, exam rms,
• tlt rms, exercise rm, recept. area, etc.
Owner: FEES
PACIFIC REALTY ASSOCIATES..LP . type amount by date recpt
15115 SW SEQUOIA PKWY PLCK $ 140.08 JLH 01/15/93 93-235646
PRMT $ 215.50 JH 02/01/93 F—
. PORTLAND OR 97224 5PCT $ 10.78 JH 02/01/93 F—
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Phone #: 624-6300
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Contractor: -----
H.L. GREEN .
15115 SW SEQUOIA BLVD, SUITE 200
TIGARD OR 97224
Phone #: 624-7717 $ 366.36 TOTAL '
Reg L. 41328 •
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Foot/Found Insp
Tigard d-Monicipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp •
applicable laws. All work will be done in accordance with Framing Insp
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
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Permittee Signature: /_14~~~,,, `41 --------- ___ -- •
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Issued By: _ ____
� Call for in — 639-4175
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131 25 SW Hall Blvd. 7 PLNCK /RECT # /—
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CITY OF TIGARD Box ?339 PERMIT # f wo 9.�
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223
(503)639.4171 DATE ISSUED
S T�P LOT 2.5
JOB ADDRESS: -�7.5� SIN" �QlfD�� /a��y MAP/
LOT
LOT: LAND USE:
421 ** AP . MOVED TO ISSUE **
VALUATION: �� "576 BY: G / / f3
OWNER SPECIAL NOT a
NAME: Pacific Realty Associates. L.P. (PacTrust) REISSUE OF:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 LAST REISSUE:
Portland, OR 97224 FLOOD PLAIN/
PHONE: 624 -6300 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: H.L. Green Company PLANNING: D /L- -3a--
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 ENGINEERING:
Portland, OR 97224 FIRE DEPT:
PHONE: 624 -7717 OTHER: Alp A-D7'e TiF - VeC--
CONTR. BOARD #: 41328 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS:
MECH: BUS TAX:
ARCH /ENGINEER CALCULATIONS:
NAME: John H. Romish TRUSS DETAILS:
ADDRESS: • 2216 S.E. 24th Avenue OTHER:
Portland, OR 97214 / %o 0_ COM) S 6.2
PHONE: 236 -6306
PROPOSED BLDG. U E: /i f
COMMENTS: ii /�i �L`� %/ ii�� 7,..r
- f
APPLI ANT SIGNATURE
Received By: , Date Received: /—
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees 2/55V "' 2/5,
•
95 10 -431 00 - Plumbing Permit Fees
573 10 -431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) /1,78 10,78
Building _ -
. Plumbing
Mechanical
10 -433 00 Plans Check Fee / HO
Building
Plumbing
Mechanical
10 -230 06 Fire
93 30 -202 00 Sewer Connection ,2 DO
30 -444 00 Sewer Inspection
25- 448 -02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional TIF Fees
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees
52 -449 00 Parks System Dev Charge (PDC)
31 -450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
• TOTAL 206636 /q4- �?-�• i�
nm /3587P.WPF
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ."O " 9 (Y A.M. P.M. MST:
Location: i!. ii 4 e L) BUP: 73' 7
i
Tenant: • 0 ,(a' I .4' . • C' - fi I Suite: Bldg: MEC:
Contractor: /FL Phone: 4 1' 77/ 7 PLM:
Owner: Phone: ELC:
) /,' % ,... ,/ '22; de i -._ 1' ELR:
/ c, /6- 0Z2-6 SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out • Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire SpkIr /Alm Crawl/Found Dr Heat Pump - Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
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O Call for re' ' n CI Reinspection fee of $ required before next inspection CI Unable to inspect
Inspector: V Date: :XP0/74 Page of