Permit 1/' ' _
_ _,
,,, CITY - . TIGARD BUILDING PERMIT
PERMIT #: BUP2006 10010
Aovo J I DEVELOPMENT SERVICES DATE ISSUED: 3/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136DD-00200
SITE ADDRESS: 11560 SW 67TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 004 JURISDICTION: TIG
Project Description: Fire alarm for entire building.
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: 5N : 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: $ 4,285.00
Owner: Contractor:
JOSEPH GREEN POINT MONITOR •
PO BOX 1 4755 SW OLESON RD.
DONALD, OR 97020 PORTLAND, OR 97225
Phone: Contact #: PRI 503 - 292 -5533
FAX 503 - 292 -5512
FEES Reg #: LIC 135901
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/5/2006 $91.30
[TAX] 8% State Surchan 4/5/2006 $7.30
[FLS] FLS Pln Rv 4/5/2006 $36.52
Total $135.12
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 -40 : - ough OAR 952 - 001 -0100. You may obtain a copy ofthes s or direct questions to OUNC by
calling :03-246-6.1* . r 1 -8 0- 332 -2344. .
Issue ■ By: ! - _ ____ I �, Permittee Signat „pQ . / / . , /,�� �.
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.
s yi v S W 7
_ . mit Application E ®
TOR , oFrlCi use ONLY
City o1 _and , r ' 0y Received ., O l ■ Permit No /
(/ � 6 -r/00 /V
13125 SW Hall Blvd., Tigard, OR 97223 � �U� Plan Review
_ Plan Riew
Phone: 503.639.4171 Fax: 503.598.1960 1 t - I �`"ea `
O T ' ) 1i Y `; ' Date /By f 3/2 �� o ther Perm roa,4, /000.
Inspection Line: 503.639.4175 � 1 D j N O ,c1�Jl 'e' Date Ready /B y! /fi�t3 /� / See Page 2 for
Internet: www.ci.tigard.or.us / � Notified/Method: `y p` Al —ru Supplemental Information
6p4t w
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TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
® New construction ❑ Demolition • •rmit 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
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: ile55 sw (� /_ / 4 New dwelling area: square feet
City /State/ZIP: Portland, OR 97223 /igl Garage /carport area: square feet
Suite /bldg. /apt. no.: I Project name: Joe Green Building - Tenant Spaces 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.
Installation of the fire alarm sytem of the tenant spaces, tying to the Core & Shell Valuation: $$4,285.00
*sef>1, Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE •
Business name: Point Monitor Corp. All contractors and subcontractors are required to be
Contact name: Joanne Corrigan licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4755 SW Oelson Road Suite #102 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 07225 applicant is exempt from licensing. the following reasons
apply:
Phone: (503) 292-5533 I Fax: : (503) 292 -5512 ?.- W3
E -mail: jorrigan@pointmonitor.com y � 6,52
�,` CON TRACTOR REC EIVED 7�� � 1 icy
�,�. a
Business na : same as above
C BUILDING PERMIT FEES*
Address: MAR 14 2006
Please refer to fee schedule.
City /State /ZIP: CITY OF TIGARD
Fees due upon application 135:12..
Phone: ( ) Fax: ( ) BUILDING DIVISION
e I 6 8 Amount received
. {�
CCB lic.: 135901 a9 -�
r' Date received:
Authorized signature: *V fZi�,C., PAiallr This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Joanne P. .eorrigan Date: 3/2/06 * Fee methodology set by Tri-County Building Industry
Service Board.
is \13uilding \Permits \ITS- PennilApp.duc 12/03 440- 4613T(1 l /IIJCOM/WGIi)
.- -
CITY-bF.TIGARD
BUILDING DIVISION
PERMIT #: BUP2006,- 10010
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: $1240006
• Phone: (503) 639 474401ti#
Inspection Requests (24 Hrs.): (503) 639-4175 ;:l.E.
• INSPECTION WORKSHEET FOR DATE: 602006 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 11560 SW.67TFI AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN OFFICE BuiLp1NG
DESCRIPTION: [ Fire alarm for entire WiLdir_10
OWNER GREEN, JOSEPH PHONE #:
CONTRACTOR: POINT MONITOR PHONE #: 503-292-553$
Inspection Request Scheduled For: Date: 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 0314E38-02 . •503000-3004 Y
Corrections/Comments/Instructions:
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,VpAss D PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
• FAIL 0 CALL Fe - INSPECTION Ei ADDITI NAL FEES ASSESSED
Inspector: I 1 4
1 t Date: C Phone #: (503) 718-
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