Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00474
4 ' 0 4 , 01 , DEVELOPMENT SERVICES DATE ISSUED: 1/24/01
" "J �° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11308 SW 68TH PKWY PARCEL: 1S136DA -00100
SUBDIVISION: ZONING: MUE
BLOCK: LOT: JURISDICTION: TIG
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 1,321.00
Remarks: Alteration to fire alarm.
Owner: Contractor:
BENENSON 68TH PARKWAY OREGON ELECTRIC GROUP
KEY LLC, THE 1010 SE 11TH AVE
BY FIRST AMERICAN TAX VALUATIO PORTLAND, OR 97214
WPoneSTER, MA 01615 Phone: 234 -9900
Reg #: LIC 203
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm lnsp
PRMT CTR 11/21/00 $62.50 27200000000 Final Inspection
5PCT CTR 11/21/00 $5.00 27200000000
PLCK CTR 11/21/00 $25.00 27200000000
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemtitee /
Signature: P .# , 1 44 ; II , r
Issued By: - _ /`, /vim �;� ,
Call 639 -4175 by 7 p.m. for an inspection the next business day
EO ' d lel01
1Y /18/avuu eta. set ram
0I & 2 family dwcUliag or accessory xiikEbmmeraalluadustiel O Multi dangly Cl New conga:AO4
0 Addidanfalaacstiionheplacemont Wren= impseventeat 0lgrt:sprinkler/alarm 0 Oder.
Job add= 2 181oeTc VI a t...
Lot
dtvo4:
]°rOjGr,10a�'p AetAr� T.nfr� S9— '
Oescdptioa and location of work on pmeniseslspodal conditions:
Namtn F,rayide rroal rh
Matliat addeeSS:
City:
Pharr.
lY i'E OF PIR1111
Adder
Q t .
Phone:
.noonA
Cayeaseem lie, anon
ze/ze'd
, • BuildingPermitlkpplication
City of Tigard
Addctxs:131Z5 SWIM Rind, Tiigted, OR 97223
Phnom (903) 6394171
Paz: (S03) S98 -1960 61110e D - 00
Load use approval:
AI'PLIC
FOR SPECIAL. INFORMATION, USE CHECKLIST
(Flood pliio; scj�ticc�p�cii . ;?o1 r
Ott'tI
ptt+ne�s °neatin'
lice:
Nee OREGON $lectric. Group
piing 40t1010 S 1 1 t Ave
O►: Portland Stalc:O' 97214
Phone: 503 -234- > Sum
Sushi= oat=
City :
Moon=
I beteby cattily I have
attached checklist. All
wad: w1U be earnplied
Authorized elipumae:
1
Ilipmaik
of _ws
Sum!
IStatm
ARt-111iLt7 /U1
Kure: IZiP:.
1 Ilk
ed and ettmniaed this
and the
,1 -24-0
•
Piro Al j rm AAA_nn
Otto f (off' ° r r
I Tax mephsx lot/aocount: no.:
1 & 2 fully dwei lint
V aluation of sods.....,_....
No. of bedroomalhaths _._.._. -.._
Total number of floors
New dwelling aem (sq. t.)
Canoga/carport u (q ft) __—
Coveted poxh .r (sq. f) ---
Deck Inca (sq. ff.) ..._ .... _.._. -
Other =leoarl arcs (eq. ft) ...•..._—
t ostri8Umu1t1 -L�y:
V ahl.oa of o r k- Y.....I/.........w.•rl...w
Maxing bldg. area (al t2) _..,..:......_
Now bldg ma (sq. R.) . _... _.. «... _..
>t.ses arraeshnldee es dose ea neat nee
0 Demolition
Tyge: of consRVCdon _
Omupamoy gto IO: Exile:Ler
New:
Notice AZ eoatrsocots and subcontractors are requbed to be
Besmear with the Oregon Calstoleden Conttoaer Its Boaid under
provisions of ORS 701 and way be required to be licensed in the
jueimdietitm where work is being poemmed. If the applicant is
etitetapt from using, ate following reason applies:
Pees due upon application - _ S
Dam: received:
Amount received .... ...
Pitacc refer to fee schedule.
e ilaalt Ilul rcelme tmpt=flitme.ydrae I rag owe mamba
this ova& a Masocud
Cl. t old eI&Z2! �
Brom
°dm: Lis _ Den Surhba.cr $
o®mtaer r�eos 7►moattt
Nod= 'thus pasta application aspires if a potmil is not Anima within 180 days after it has Imo mewled to eoreple®. 4 413 (600000l0
5 2e. Q ea s s-
VS:ET Seel- PE -WC
•
Fire Protection Permit Check List
A.) ❑ New aAddition ❑ Alteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
•
Additional description of work:
Fire Alarm Add -on
Type of System (Complete A or B as applicable):
A.) Sprinkler Wet ❑ Dry ❑
Standpipes
Additional Hazard Group
Information Density
Design Area
K. Factor
Sprinkler Project Valuation: $
• B.) Fire Alarm
Submittal shall Battery Calculations Yes II
include: Individual Component Yes xi
Cut Sheets
Fire Alarm Project Valuation: $ 1 3 2 1_ nn
Project Valuation Subtotal (A & B): $ 1321.00
•
Permit fee based on valuation (see chart): $ 62.50
8% State Surcharge: $ 5.00
FLS Plan Review 40% of Permit: $ 25 _ nn
TOTAL: $ 9 2.5 0
•
i:\dsts \forms \FPSchecklist.doc 10/04/00
Building Permit Fee Chart o - , •
Project Valuation Permit Fee Tax F &LS Total
8% 40%
12,000 62.50 5.00 25.00 92.50
2,001 3,000 72.10 5.77 28.84 106.71
3,001 4,000 81.70 6.54 32.68 120.92
4,001 5,000 91.30 7.30 36.52 135.12
5,001 6,000 100.90 8.07 40.36 149.33
6,001 7,000 110.50 8.84 44.20 163.54
7,001 8,000 120.10 9.61 48.04 177.75
8,001 9,000 129.70 10.38 51.88 191.96
9,001 10,000 139.30 11.14 55.72 206.16
10,001 11,000 148.90 11.91 59.56 220.37
11,001 12,000 158.50 12.68 63.40 234.58
12,001 13,000 168.10 13.45 67.24 248.79
13,001 14,000 177.70 14.22 71.08 263.00
14,001 15,000 187.30 14.98 74.92 277.20
15,001 16,000 196.90 15.75 78.76 291.41
16,001 17,000 206.50 16.52 82.60 305.62
17,001 18,000 216.10 17.29 86.44 319.83
18,001 19,000 225.70 18.06 90.28 334.04
19,001 20,000 235.30 18.82 94.12 348.24
20,001 21,000 244.90 19.59 97.96 362.45
21,001 22,000 254.50 20.36 101.80 376.66
22,001 23,000 264.10 21.13 105.64 390.87
23,001 24,000 273.70 21.90 109.48 405.08
24,001 25,000 283.30 22.66 113.32 419.28
25,001 26,000 290.80 23.26 116.32 430.38
26,001 27,000 298.30 23.86 119.32 441.48
27,001 28,000 305.80 24.46 122.32 452.58
28,001 29,000 313.30 25.06 125.32 463.68
29,001 30,000 320.80 25.66 128.32 474.78
- 30,001 31,000 328.30 26.26 131.32 485.88
31,001 32,000 335.80 26.86 134.32 496.98
32,001 33,000 343.30 27.46 137.32 508.08
33,001 34,000 350.80 28.06 140.32 519.18
34,001 35,000 358.30 28.66 143.32 530.28
35,001 36,000 365.80 29.26 146.32 541.38
36,001 37,000 373.30 29.86 149.32 552.48
37,001 38,000 380.80 30.46 152.32 563.58
38,001 39,000 388.30 31.06 155.32 574.68
39,001 40,000 395.80 31.66 158.32 585.78
40,001 41,000 403.30 32.26 161.32 596.88
41,001 42,000 410.80 32.86 164.32 607.98
42,001 43,000 418.30 33.46 167.32 619.08
43,001 44,000 425.80 34.06 170.32 630.18
44,001 45,000 433.30 34.66 173.32 641.28
45,001 46,000 440.80 35.26 176.32 652.38
46,001 47,000 448.30 35.86 179.32 663.48
47,001 ' 48,000 455.80 36.46 182.32 674.58
48,001 49,000 463.30 37.06 185.32 685.68
49,001 50,000 470.80 37.66 188.32 696.78
•
I: \dsts \forms \feechart.xls 10/01/00 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hoti Inspection Line: 639 -4175 Business Line: 639 -4171 , 00 Y-7Y
Date Requested \ — (} - 6 ■ AM PM BLD
Location i 3� �1 (g `� - k Suite MEC
Contact Person Ph L, Z(e 1 g PLM
Contractor Ph SWR
GUILD" Tenant/Owner 1, ELC
Retaining Wall �� 2ere5+0 Q0 0/8
Footing , / q
Foundation Access: V l�- � �e ' �� FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam std - 3 2_ (f / o J
Ext Sheath /Shear
Int Sheath /Shear � \
/
Framing K. in -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ry—
usp'd Ceiling �f�Q® 6 J 5
Roof -7
• .SP 5-/ N
AS PART FAIL � 4- / /?J/ d / a ( J
UMBING % /.s - /A/o 1_ —' ,I. @ate ��-
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P T FAIL
ELECTRICAL
i rp
Rough In
Fire a
0A76 0A)PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date / /z3 b if Inspector C*- 1✓ I� ' C Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.