Permit !p CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00547
COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 370 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: CSB SYSTEMS
Project Description: Fire alarm
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 23 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: $ 1,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES STEELHEAD TECHNOLOGIES INC.
15350 SW SEQUOIA PKWY #300 -WMI 11600 SW HAWTHORN ST
PORTLAND, OR 97224 PORTLAND, OR 97216
Phone: Contact #: PRI 503 - 255 -0364
FAX 503 - 585 -4474
Reg #: LIC 168965
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/17/2007 $62.50
[TAX] 8% State Surcharl 10/17/2007 $5.00
[FLS] FLS Pln Rv 10/17/2007 $25.00
Total $92.50
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 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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503.246.6699 or 1.800 332.2344
Issued By: . �i f 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.
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B iilding rmit Application
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Fire Protection System L .y + � T ° C' f u' ; ' +f ;. ,e; FOR OFFI US ON ) x r ;', s `'' f " ' !+ :e
'',).'''''i,'$1: t= Received /
� i ��� Cit of Tigard Date/By /IQ / 107 Permit No /' :D a7�'e)5g7
a ` ° 13125 SW Hall Blvd , Tigard, OR 972230C1 j 2001 Plan Review
y1 Phone 503 639 4171 Fax 503 598 1960 Date/By Other Permit
1=r t I Inspection Line 503 639 4175 1' n Date Ready /By. � ® See Page 2 for luformatioa
T I G A R D � � } d ' i �. ; i1 t ', . Notified/Method / Su lemental
=�r= / Internet www tigard -or gov pp
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TYPE OF WORK r _ REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
F Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors.
Job site address: �O vv �� F'- J CO l d � � > �2�
New dwelling area: square feet
City /State /ZIP: xi,
,..., /C� ,,z 9.a, , Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:ej' .rys-,-..,. -„s- 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: 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� O(�� 1,-, .....-6.7,..e........ � �/2d.�c�f` /O� o
Existing building area: /g . square feet
New building area: ------- square feet
X PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,7- 4... Type of construction: / /—....6 7.
Address: Address: �`���� �l�, c &90 7 c„ s ?OQ Occupancy groups: /
City /State /ZIP: /?- �c svc C/2 9 2.v.v Existing: ,
Phone: ( ) Fax: ( )
New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: � 'ja e7� - p e rz #2 G r � f -
licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax • ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: s Are / h A TP �A Permit fee:
Address:
/16 (2.05 6- M N -. Al 5 r- State surcharge (8% of permit fee):
City /State /ZIP: A,. 0,„,
FLS plan review (40% of permit fee):
Phone: ( y-T ) Q! O gLizt o Fax: (,'T, 3 J1 j 9 4( 7 y (Due upon application )
CCB lie.: i 6 e 9 , 6 S Total permit fees:
Authorized signature ig A / Amount received:
..-,0/ This permit application expires if a permit is not obtained
Print name: �- t w �� Date: * within 180 days after it has been accepted as complete.
Fee methodology set by Tn -County Building Industry
Service Board
I \Buddmg\Permus\FPS- PermitApp doe 03/23/06 440- 4613T(11 /02 /COM/WEB)
1
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration El 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System SComplete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
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: $
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.
I: \Building \Permits \PPS - PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1!?/ i l/;f(;;;/
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: '10! j/ 007 TIME: f Yt r "A PAGE:
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: F>A(-.IF;f.;~ C."Oi 1(1'1i A I i_ G-1 IN I F.f~ LOT ()0:2 TYPE OF USE:
PROJECT NAME: (-,F3 `~Y~yl"f=:Fa1l
DESCRIPTION: OWNER: E'ts;_,';1-f P- s ; 1Y PHONE
CONTRACTOR: .~1 L_El_FiE~AI l t_( tiid:lLU~ IE IN(_ PHONE
Inspection Request Scheduled For: Date: }s;)f;)?.j7(;~; Pour Time:
Code # Inspection Description Confirm # Contact # Message
9If) F=ire alarm rough-in 0141 3~-),07 ~,rJ~ r3?,( F. kf1D I,s
Corrections/Comments/Instructions:
Z_ /2 Win.!/-Yt
❑ PASS TIA VAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 0 A-'6' It. r-7 Phone (503) 718-
CITY OF TIGARD 1 j 0
BUILDING DIVISION PERMIT I;?,~i->;r~►r;°r y;.1~
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: t(?1 } //;x4;1;;
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1111/21);17 TIME: /.l12AM PAGE: i i
SITE ADDRESS: ()6 t o ~I ?t [ ~ I 37(1 CLASS OF WORK:
SUBDIVISION: F'f1Glt-1C, t 0,41'~a;~:4', i,u '1 4, LOT 002 TYPE OF USE:
PROJECT NAME: («~f SY TFWM -
DESCRIPTION: ) ir~ .'trgl`~
OWNER: FtE_A;- PHONE
CONTRACTOR: ING. PHONE
Inspection Request Scheduled For: Date: 11/112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
ina 4?rs#t~`r _r11t1_a3t;C~fo4xi /
Corrections /Co mment" Zf nstruc't ons *4--
7 ;7 P&
N EPA
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED I
Inspector: Date: ( ) V Phone (503) 718- I
I