15350 SW SEQUOIA PARKWAY STE 133 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Ib Inspection Line (5,0Z4
hone): 639-4175 Busin s Phone: 6 -417J1
Inspection: eke a c - _
Footing Susn. Ceiling Sprink. Rough-in Appr/Sdwlk
r �
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post(Beam Struct Plbg. Top Out Elec. Rough-in
Post/Beam Mach. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Sheai Wall Gyp. Bd. -Eloct.
Date Requested: I /ci9 i� Time:. AM PM '
Address:1
Builder: Permit t&P"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: T--
LAVPAOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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C"ITY
� ������ rE'RTIi`ICtaTE: r'11,OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PE.RM1T #. . . . . . . a BUP95--0497
13125 SW Halr ON&Tigard,Orpon 07223.8100 (503)830-4171 DATE IrSUEZ?a 03/08/96
PARCEL: c_'S 1 1 c'DA-QVrH�O
'.,1 TF:. ADDRESS. . . a 15350 SW SEQUOIA PKWY #133
SUBDIVISION. . . . r ZONINGeI•-P r
BLCJI-K. . . . . . . . . . a LOT. . . . . . . . . . . . . a
(:LN53 OF'yWORK. oHLT__.___._._______._..__._.____.........w___.-.__._.__...._._..._______..___,__,____...__.._____.
1111 TYPE, OF USE. . . a CUM �
j "CC UPANCY GRP. rft Q�
11,CU "FANCY LOAD a Es
TENANT NAML.. . . :
(�ACTRUST (SMOKING L OLINGE)
RremAv-ks . Tenant modification for a smuking lounge
Owners
PALI IC REALTY ASSOCIATES LP
11.3350 SW GEGUU I A PKWY 3-300
TIGARD OR 97224
Phone iia 6224-6300
Contrac^t or► _..._._._.._......_...__._......_._._._.._.-.._.._._---_.___.___.__.
11. L. GREEN
r 15350 SW SEOLIO 1 A BLVD, SUITE 300
I
IIGARD OR 97284 1
s Phone lla 624 -7717
I
This Certificate grants occupancy of this above refererrr@d building yr portion
thereof and confirms that the building has been in3per-:ted for c:ompiinnce with
then State of Orgon E=)pe!caalty Godes for the gvoup or-c,upNticy, nd use under-
which the re1'arenced permit was issued.
rl'UIL 1Nr IN�3F�Ef, 1!R i6_EUI OFFICIAL
POF3 T IN CONSPICUOUS PLACE:
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-....,,Rr.,K,p� 1�oF�7.SFyTpyRyF:�7 Fi:l!31.Tr'Oi�dA1'ri.vsrtFn nas..,u•aa..K6ihu'�,•Rmfm,aum .....«e,.. i,._., .,„ .-.�+.. .-. _
_—.--._.... ---- ---- ------- -- BUIL.DING PERMIT
I..'F RM T T #. . . . . . . c Si 695 049
ON OFTJ%47P%RD DATF_ ISSUED: 1.=:/19/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2:S 1 1.2DA--04'400
13124 SW.H&H Blvd.Tigard,oregon 9722309109 (603)439.4171
SITE' ADDRESS. . . SW aE=G?UOI A PVWY #1
SUBDIVISION. . . . .' ZONING: 1 –F'
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
–_•–•---_._..__.._._______._______--FLOOR_AREAS--- –~----V--- EXTERIOR WAl l_ CONSTRUCTION– Ii'
REISSUE:
J'
CLASS OF WORK. :ALT FIRST. . . . % 115 sf N: S. E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 f PROTECT OPENINGS?
TYPE OF C(lNST. :5N . . . : 0 5 f N-. S: E: W'
OCCUPANCY GRP. :S2 TOTAL– -- ---11 15 s f ROOF CONST: FIRE RET? : y
OCCUPANCY LOAD: 8 BASEMENT. : 0 5f AREA SEF'. RATED: 1
STOR. : 0 HT: 0 ft GARAGE. . . it s f OC:CU SCR. RATED:
PSMT?: ME.ZZ?: RE:CJD SETBACKS---_.____ REQUIRED------___.–_–__-__--.---
FL.00R LOAD. . . . : 0 psf LF–'=T: 0 ft. RGHT: 0 fi; F I R SPKL.:Y SMOK DET. . :Y
DWELLING; UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BE DRMS: 0 BATH'S.- la IMP SURFACE: it PRO CORR:Y PARKING: 0
VALUES. f : 2000
Remarks : Tenant modification for a smoking loLrnge
[_TWnpr _ _._._.....__.__....,..__._.._ .__....__.._.____.._.__.._.__.__.__.... FEES
PACIFIC REALTY ASSOCIATES LP type amoI.tnt by date rerpt
153512) SW SEQUOIA PI<.WY '3--::00 F4_CK t 21. 13 .JDA 1 1/1.4/95 9S- 271 Q4
FIRE f 5. 54 JDA 11/14/95 95•--2:72845
T I C A R D OR 972c:4 1='fiM7 .1 s_. SV� .JSD 12,/1.9/95 9S•-;`_74Vtf_•7
Pio•re #: 62.4-6300 ;RCT 1. 63 JSD 12/19/95 95-274067
Contr^ac:tora
H. L. GREEN ` I
15115 SW SEQUOIA BLVD, SUITE 200
TIGARD OR 97224
Phone, �H : 624-7717 s Ger. 80 TOTAL.
Roo #. . - 41328
RFQUT RED INSPECTIi_r ..__–_--
This permit is issued subject to the regulations contained in the Framinp Insp
Tigard Municipal Cnde, ;tate of Ore. ;oecialty Codes and all other I n,;Lr 1 at ion Insp
applicable laws. All work will be done in accordance with Gyp floarcJ Insp �_-__�_ • ____ ._,._,___
aooroved plans. This permit will @moire if work is not started S u S p C e i 1 n q InSp
within 188 days of issuance, or if work is suspended for more Final I n 4i pec:t i a n
than 188 days.
Al
Permittee S i o n a t Lr r e:
f ;;tied 11v :< et/
Call for inspect i on – 639-4175
_
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Commercial F3uilding Permit Application
City of Tigard
13125 SW Hall Blvd. l � � •
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /.623 :5��
Tenant: $ 17/(i/ if ��uite# �_ Office Use Only
� 3 �I�✓ w
Planck/Rec # I / 3
Valuation: 1' l ~�
Permit# U _
Owner: Pacific Realty Associates, L.P. (PacTrust) ��� (�. t>)A
-- Map & TL#
Address: ` 15350 S.W. Sequoia Pkwy, Suite 300 Approvals Re uired
_Portland, OR 97224 _ Planning
Phone: 503/624-6300_ Engineering
Other
Contractor- H.L. Green Company
Address: 15350 S.W._Segnoia Pkwy, Suite 300 � -
_Portland, OR 97224-7199 Type of const:
Occupancy class:
Phone:
503/624-7717
Sprinklered? Yes) No
Contractor's License # 41328
(attach copy of current Oregon license) Sq. ft. of project: S
Contact name & phone: Chris Greer), 503/624-7717 Story (1st, 2nd, etc.)
Proposed use: —
Architect/Engineer.. John H. Romish
Previous use.
Address: 2216 S.E. 24th Avenue
Note: Plumbing & mechanical plans
Portland, OR 97214 must be submitted at time of
building permit application.
Phone: 503/236-6306
JOB DESCRIPTION: _
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pplicant Signature & Phone number
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Received by: Da+- Received: ' / /
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Permit$ Account Description Amount Amt. Pd. Bal. pose;
A Bldg. Permit (BUILD) ...G..... .�._.... .���.
Plumb. Permit (PLUMB)
Mech. PerTnit (MECH)
State Tax (TAX)
Bldg:
i
Plumb: p
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWiNSP)
Parks Day Charge (PKSDC)
Residential TIF (TIF-R) r_
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
1 Industrial TIF (TIF-1)
Institutional T1F (TiF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (ERO:SN)
'� TOTALS: �� r/(__ tv w'