Permit rri- CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DATEESSU 2 26 2007 00094
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Building 4, 1st floor, 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: 3N : 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: $ 10,319.00
Owner: Contractor:
PACIFIC NW PROPERTIES SALEM FIRE ALARM INC
ATTN: PAUL GRAM PO BOX 12789
P.O. BOX 2206 SALEM, OR 97309 -0789
BEAVERTON, OR 97075
Phone: 503 - 626 -3500 Contact #: pm 503-364-4566
FAX 503 - 364 -0617
Reg #: LIC 76884
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharl 2/15/2007 $11.91
[BUILD] Permit Fee 2/15/2007 $148.90
[FLS] FLS Pln Rv 2/15/2007 $59.56
Total $220.37
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 dired questions
to OUNC calling 46.6699 or 1.800.332.2344.
Issued By: , i � _4 .. d i4 Permittee Sign : 1 APB
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.
N
Fire Protection System
Building Permit Applic ` / I `�h FOR oFFICi USE ONLY
R..,,. d
City of Tigard �� 700 Date/B ► �l Permit N.. • ; -�4 � i ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Ph one: 503.639.4171 Fax: 503.598. 1 , Other Permit:
• Date/By: 2 - D����
T 1 G n R D Inspection Line: 503.639.4175 Date Ready /By: Juris: H See Page 2 for '
Internet: www.tigard or.gov a Notified/Method: Supplemental Information
TY T n r ' I r c Te 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
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: 111 4 P 5 Cog/ '-t,- A New dwelling area: square feet
City/State/ZIP: ilCr ) 0 g- 0"7221 , Garage/carport area: square feet
Suite/bldg. /apt. no.: 1,T' 15T-Fdik. I Project name: Tr-Gi-ck(N _ T11 E Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
t +�� C� }` 100 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: $ lo) '31C9
b6r-r.l to 'TG,/1 IC N�ro) i-o ,S ' .
5 .I 7 D is) •ga '5S J Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: 2_ 5-161— E
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
ix APPLICANT CONTACT PERSON NOTICE
Business name: SG,je-.iv-■ /lam ,4 4 ,y,,k All contractors and subcontractors are required to be
Contact name: i2 licensed with the Oregon Construction Contractors Board
3 under ORS 701 and may be required to be licensed in the
Address: Po &zk r �7 i jurisdiction in which work is being performed. If the
CL 7 applicant is exempt from licensing, the following reasons
City/ State/ZIP:
3� apply:
Phone: (4 j) . ;i0,1-1.490‘. I Fax:: (i 3 6.1 - 06 ! 7
E -mail:
R 1Ne.Jl` /n SG1Lt°...A:- n � . ;`r Q Gt1P.vl'et. ^ C._t ot
CONTRACTOR BUILDING PERMIT FEES*
Business name: cT�L�V� FCC �4,QyvL tPleaserelerlofeeschedute
Permit fee:
Address: 1 B 7K / 2 ) g `?
State surcharge (8% of permit fee):
City/ State/ZIP: S ` 0 7 7 CZ-- FLS plan review (40% of perrnit fee):
Phone: ($) 3l _ 4 o c, 1 Fax: (. cp7) 3 Ly _ p f 7 (Due upon application.)
CCB lic.: I Total permit fees: ''-'210 31
/ ' Amount received:
- `
Authorized signature: ��
6747 ` � -65-7 This permit application expires if a permit is not obtained
Print name: I Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building industry
Service Board.
I:\Building\Permits \FPS- PeamitApp.doc 03/23/06 440.4613T(II /02/COM/WEB)
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 7- ��iOce
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ''`�
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' !�-
INSPECTION WORKSHEET FOR DATE: 717i_ / TIME: PAGE:
SITE ADDRESS: ( (?ma ( lee CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: TGAciat) TR(4
OWNER: PHONE #:
CONTRACTOR:L.M A - tau PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
gad P
Corrections /Comments /Instructions:
►. Ili
❑✓P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
• 1* Date: ' Phone #: (503) 718-
Inspector: i ( )