Permit , a , BUILDING 'PERMIT
.'
PERMIT # BUP2007 -00565
CGIVIMUNITY DEVELOPMENT DATE ISSUED: 10/30/2007
TIGARD 13,125 SW Hall Blvd.,.Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -014 00
SITE ADDRESS:: 06650 SWREDWOOD LN 355, ZONING: I - P
SUBDIVISION' PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: BROKERS MORTGAGE .
Project Description: Alteration'of (5) fire sprinkler heads for TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W;
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 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: $ 1,300.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 620 - 4020
FAX 503 - 620 -1058
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Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/30/2007 $62.50
[TAX] 8% State Surcha 10/30/2007 $5:00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordancewith approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law, requires you to follow the rules adopted by the.
Oregon Uhl' ' ication. Center. Those rules are set forth in OAR 952 - 001 -0010 through: OAR 952 - 001 -0100. You may obtain a copy
of the rules or dire questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu :d By: , C--ei)(Lli-4.4.41 Permittee Signaturey *7 , 7.0.4-1
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall:be' kept in,a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Buildin Per cah 1. t FOR •OFFICE ONLY
� ® '
„' ceived
City . �; rd t �. Re oate�ti� D SP D Permit No.: i. - Az 0, 5, ,
e I'3125 SW Hall Blvd., Tigard, OR 972 1 UU I Plan Review
Other Permit
' Phone: 503.639.4171 F 503 .598: tb0 D /g
T I G AR D" Inspection Line: 503.639.4175 . .{V v"Ce_ I+ ® ,Date; Ready /By: See'Page 2'for
Internet: www.tigard- or.gov 9 Y ®� �� ®�1 Notified/Method: ed/Method:, Stipple rental, Information
a .. a
• r a°$ � , ; '� ', TUPE F W ORK '� - `* i' . • '$ REQU RED DA , A i` 1 ' i ANO F IMIL D YELLING,:'
.
, .•. ., .„, I t <" . ,.. , .. , ' , a , ..gat w *. a :u.. , > t .. : " - -�.` » .,'" ..rva ,.;.t. u; efrls ;vt ra rs: aat,_..wtlee. . =a,,.x i s:P. , .^.alftid I
❑ 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
* +� ` ` `� " T GORY OF CO STRU � IOciAi °� � i _ work; indicated on this application
Valuation: S
❑ I- and 2-family dwelling Commercial /industrial ,
❑ Accessory building ❑ Multi- family Number of;bedrooms:
Master builder ❑ Other :' Number of bathrooms:
4 �� e cvs € rs vas: co �
1 x = q
JORS li A D LOCATION < 0 Total number of floors:
°� ..,.. . " °:.z as *sr.'...idta.. var dw r+er eke, , a.w " R ± ') -
Job site address: Co 5D Red Wood tt.,4 l , New dwell ing•area: square feet
City /State /ZIP: 3y — j an o q' — j Garage /carport area: square feet
Suite/bldg. /apt. no.: j � l Project name: fjr�Le r5 I t ar} ja9e/ Covered porch area: square feet
Cross street /directions to job site: . Deck area: square feet
Other structure area: square feet
• - V iral ED7DA7 A @O fiT ERC AU LCI ECKLIST.
.. ra . :: r .,., ,,. ..xb w...r_ . c r,. r4n ., ....- „_
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
xrexuxx. ,xi t equi , , labor, rnent ma erials abor Overhead, and the p
p t l e d a e rofit for the
' ` e :,r : ' r 5 , ^ t DESCRIPTION OF WORD g " �t work indicated on this application.
' ' Valuation S
�� s iri n �e,c 61 r 1 I prnv�i��Y�f I rx? r Do
5 n K r c Uu � Existing building area: square feet
• New building area: square feet
' „,” E PROPERTY' TWNE `r 1 •; l' . Mme' ': 44/ ' Number of stories:
0 K ` 5 6� 1 C' ItNc1 Type Name: t T e ofconstruciion:
Address: (j 5f p e (A) L Occupancy groups:
City /State /ZIP: � ' 7
,/ f�ti� T �� Existing:
Phone:( ) v, Fax: ( ) . New:
re r ,,t t x'ra\
r "AP. " ICANT 'r R A Arty , , ® g ; CONTA''CT PE ,, ' r N "'x "'� ":' "
�.�__. - : + � m _� .�' .�,: . <.�+2a�2��x�-cr�+w, f,�-..� .n<,- " � �; �� " ;. 1:—W4,,, � 1 NOT.,I C E � ��:ti �a� �' `� •. ,
Business name: De, [+i 1i (.6 1 n e r A1Lcontractors and subcontractors are required to be
Contact name: 11 r �n licensed with the Oregon Construction Contractors Board
q `ti under ORS 701 and may be required to be licensed in the
Address: 1 � � ' 5 I n jurisdiction in which work is being performed. It
City /State /ZT "� �r Wh / ; �" I f l r applicant is exempt from licensing, the following reasons
. -J I'i �ry W.___ � { I apply:
Phone: (:5j) '`p9 -0. 40) r,
1 I Fax: : (5 )) o t/ l 05
E -mail: .� G U (V1 Y L h -Q �'y\ .
t ' _ .x CONT , ► CTOR Y t r M e • • �,. r t z . ..
,
i 1� . ',,,. `... .4 ..- :r�. �o,NT ,, rt, . > . 4 „. � ,, t, » . ,„ .'� -,..*,..r G B IJ 4 1I'DING6 PEKMIT , F r
' .0fPl ofe rc%r"d ..4.:.'";,....? ` ' . " . ,: : agnN
Business name:
_ n ^
U `" Permit fee:
Address: jf✓ o�lJ State surcharge (8% of fee):
City /State /ZIP:
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: 1p1-1-74- Total permit fees:
Amount received: •
Authorized signature: . This permit application expires if a permit is not obtained
Print name: it t t S° t el)UG h 'l Date: 1, 0/V D7 within 180 days after it has been accepted as complete.
NN� l 'F Fee methodology set by Tri- County Building Industry
Li -Service Board.
I. \Building\Permirs'FPS- PermitApp.doc 03/23/06 440- 4613T(11 /02 /COM /WF.B)
CI OF TIGARD - . ,, . , .
. - ., ,
BUILDING DIVISION . , PERMIT # BUJP2O07 -OOS 6 •
'131 ;SW Hall Blvd., Tigard,, OR 9 DATE ISSUED: 10/3O/20k,)
,. Phone: (5b3) 639 • r0,� ii�klv fil I
Inspecfiorr.Re.quests (24 Hrs.): (503) 639-4175 v -- I!.
'INSPECTION WORKSHEET FOR DATE 11/30/2007' TIME: 7:OfiANI • PAGE: 42
SITE,ADDRESS- :p6650 SW REDWOOD LNNN 355 • CLASS OF WORK: -
SUBDIVISION: 'PACIFIC CORPORA-it CENTER LOT. #: 002 TYPE•OF'USE: .
PROJECT' NAME: F'3R MORTt ACE
• DESCRIPTION: • ' Alteration of (5) file - spriroar`t ends for TI.
• OWNER: f >At 14 =it1'F EALTY ASSOCIATES, : • PHONE #::
. .C.ONTRACTOR :- DELTA FIFE INC PHONE # :? 50 - 6204020
' - Inspection Request Scheduled For:' Date: 11/30/2007 PourTime:
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Code, # Inspection Description Confirrn #:- Contact •#• Message
299 Fria! inopection -. , ' - '0f 0538.01 50.620 -4020 N
Correction's /Comments/Instructions: - . ,
.a
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Z PA. - PARTIAL APPROVAL, ❑ CANCEL I 1 NO ACCESS
• FAIL .. • n CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED -
Ins ector- _
p . � ��- �_ Date: r' (�O' U Phoney #: (503) 718-
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CITY OF TIGA'
BUIILDIIV
�
� DIVISION ` ... PERMIT # LtJP2007= 005435
131,25 SW Hall Blvd., Tigard OR'.97223 DATE ISSUED: 106012007
- "Phone: "(503) 639 - 4171 nia41111� +l0
Inspection Requests `(24 Hrs.): (503) 639- 4175
INSPECTION WORKSHEET FOR " DATE: 11/30/2007 TIME: 7:0OAM PAGE: 1g.
. SITE ADDRESS: 066,50 SW REDWOOD LN,' 355 CLASS OF'WORK::
CORPORATE CENTER' LOT #:
SUBDIVISION:. " F Af. {) - )O t°C�Ft
tf02 TYPE OF USE :.
PROJECT NAME: BROKERS-MORTGACE, •
DESCRIPTION :- Alteration oi' (5) prinWWer heads for TI.
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' OWNER :. PACIFIC REALTY ASSOCIATES, • PHONE
CONTRACTOR:; 'DELTA FIRE INC PHONE #: ..:503. 620 -4020.
Inspection Request Scheduled For: Date: 11/30/2007 Pour Time:
Code # _ Inspection Description Confirm # Contact #'' Message
959 • Sprinl4er f inal 06058403 503 - 956.6200 N
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Corrections /Comments /instructions:
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•
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•
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al . PAS f PARTIAL-APPROVAL ❑ CANCEL Il NO ACCESS
[1 ,FAIL r C ALL FOR INSPECTION ❑, ADDITIONAL FEES ASSESSED >
r.
Inspector:: Date Zd D' Phone '#: (503) 718 -
City of Tigard: Fire Protection Permit Checklist tw i!, _ ;.;1 Page 2 - Supplemental Information , :)
1 (J
e
D work to be done
�`' «.,,,� -,,. � �r- .... s ue,. .�
1.) ❑ New 2.) Modification to sprinlaer•ihea ozle` gi
❑
Addition ..1 -10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
14410; gr,r. �A )CotrimerctalSprinkler
r3;'�s:., ��`: _�,�,�'rF;F.p: s�^;,,,LwY�"4= .� �. � e � *.> � e1 z �•,w�':�9� Y �?� � � � r . t, 3 -a�:�r �. t .
CA Wet ❑ Dry
Additional Standpipes
Information: Hazard Group kAJ1 •
Density v `
Design Area
• K Factor
• Sprinkler Project Valuation: $ 172 W :lam
a r e � r a sk+ .ww. fi ei - � s r
f )�T YP S y te m ., y, „ w .F . .�
Hood Project Valuation: $
•�di. 3 i _�i 0 T ai. } .k n Ri'3�, �3' s y , ` �� 3 # ' e •,- w y
C")�"Ftre ', r�� ��� t S at�
t
.S. L fix.... ;t�'tngq " „' .'n. -?•.. � . ' _a ,'•- . � � 4, 7 -401 � �.,
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ •
D� Restde Sprl< System) " $ . ' F
Square Footage: Permit Fee:
0 to 2,000 $ 187 . 50 �� 14117
2,001 to 3,600 $232.50 0,444004.f.• p
3,601 to 7,200 $292.50 v
7,201 and greater $381.50
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Sprinkler Project Square Footage: sq. ft..
Y �w a Baa '
lag •a - Fi Pr
� otection Permit Fees , kA fr 1 'sri
Project valuation subtotal (see A, B & C above): $ _
Permit, fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $ LQ1
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
1:\ Building \Permits\ CPS- PermitApp.doc 2 .