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Permit .ix i -- : T y , C CITY OF F TIGA D BUILDING PERMIT r� PERMIT #: BUP2008 -00367 w / r COMMUNITY DEVELOPMENT ^ DATE ISSUED: 11/13/2008 -40 t 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 D D -01600 SITE ADDRESS: 15495 SW SEQUOIA PKWY 150 ZONING: I - SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: Altering (1) sprinkler head. 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: 2N 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,900.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545 PORTLAND, OR 97224 TIGARD, OR 97281 Contact #: PRI 503 - 804 - 8272 Phone: • FAX 503 - 620 - 6141 Reg #: LIC 183279 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/13/200f $62.50 [TAX] 12% State Surch , 11/13/200E $7.50 Total $70,00 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. / f Issued By. �� `_�� Permittee Signature: VlJ 9 0' ` I �� 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. 14' Per mit Application si y ' q t�4� *'+? �4M5u�:"'•�ti�F.�>'�,'��'��x�si� � �'�.r �l �lL . 't�;: l Fire Protection System "1 , . FORoF r F � a'R�� row ��0 CI of Tigard _, �. Received Permit No.: jf ` g Date /B : / Aray ,,� � if �"'Lf,36o 7 ts, `' +" ° 13125 SW Hall Blvd., Tigard, 0 NO: . Plan Review ili sYG C .: • Phone: 503.639.4171 Fax: 503 \• °:� i_.' r �R ` Date/By: Other Permit: .r G ' Inspection Line: 503.639.4175 1 7-5 ' Date Ready /By: Juris ® See Page 2 for ;:1111 r RD. Internet: www.tigard or.gov \0' Q4) Notified/Method: 7'4 ) Supplemental Information ° c "% 00 TYPE OF ViTt \,° • REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ Nev construction n O o� Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all I ' 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 INFO TION AND LOCATION Total number of floors: Job site address: 1S415 S .C-rivom 4'i4?y It is-0 New dwelling area: square feet City /State /ZIP: 100 iv ® , DR 112.2.4. Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: S 'E _ grR 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 • J DESCRIPTION OF WORK 1 , . work indicated on this application. IN s / / L f - ( IUD � i N , M / retie //•I , S b Valuation: $ /700 '.- /N s S - i A ii t s Arr t/ ma /iv c Existing building area: square feet C Gy' /� New building area: , square feet • 'PROPERTY OWNER ❑ TENANT Number of stories: Name: A macs r Type of construction: Address: Ir35 S -0 - ' 4 ' vo / *w0 #3C Occupancy groups: City /State /ZIP: h / rC D ©2 97 ZZ4° e Existing: • Phone: (S(f$) 6 0_b O O Fax: ( ) New: APPLICANT - CONTACT PERSON NOTICE Business name: fber5 e CO - All contractors and subcontractors are required to be Contact name: Acre- I34 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: "MOO S v) 6' P7 //dr jurisdiction in which work is being performed. If the City /State /ZIP: T7 & ke® 6 ie '97273 applicant is exempt from licensing, the following reasons apply: Phone: ( 3 ?09 g273 Fax: : ( ) E -mail: CONTRACTOR ‘ BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: e 0 • �02 � � �� Permit fee: � • Address: Q0 /3ak 730r4� o $v y �-� � � / State surcharge (12% of permit fee): City/State/ZIP: / / G kaD ) FLS plan review (40% of permit fee): ---8--- Phone: (f 3) 670 614o Fax: ( eb 3 ) 670 NI (Due upon application.) CCB lie.: /F 9 1} / Vi 6 Total permit fees: /0 Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: 13/J V y- ,¢0 Date: / (//3/0 it within 180 days after it has been accepted as complete. r * Fee methodology set by Tri- County Building Industry Service Board. I\Building\Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11/02 /COMJWEB) 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. g„, Alteration 11+ heads: Plan review required. Repair Number of sprinkler heads: Additional description of work: / ,uriJ'a k kx db• PIP/ /0 i Type of System (Complete 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 1- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes - include: ' Individual Component ❑ Yes ' Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: O 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 (12% 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. I: \Building\ Permits \FPS- PermitApp.doc 06 /25/08 2 CITY OF TIGARD , BUILDING DIVISION °� PERMIT #: Rt1E 2008 - 00.31,1 13125 SW Hall Blvd., Tigard, OR 97223 A / / DATE ISSUED: 11/13/20013 Phone: (503) 639 -4171 " Inspection Requests (24 Hrs.): (503) 639 -4175 2:$ INSPECTION WORKSHEET FOR DATE: 11/14/2008 IM 7 :OOAM PAGE: 11; SITE ADDRESS: iaei% SW SEQUOIA PKWY 150 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: ;PI:.(: SPACE DESCRIPTION: Altering (1) sprinkler head. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: FiRESTOP co PHONE #: 503.804.F072 2 Inspection Request Scheduled For: Date: 11/14/2008 Pour Time: Code # - Inspection Description - Confirm # Contact # Message 999 Sprinkler final 078087 -01 603.0048272 N Corrections /Comments/ Instructions: (:)k 7 ,:. PASS ❑ PARTIAL APPROVAL I I CANCEL n NO ACCESS 7 FAIL 1 I CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED <<l 46r Inspector: i l � " Date: Phone #: (503) 718 -1 1 N\