Permit MIA -CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00093
Pike COMMUNITY DEVELOPMENT DATE ISSUED: 2/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-03400
SITE ADDRESS: 11740 SW 68TH PKWY 200 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Building 4, 2nd 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: 449 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 8,350.00
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 #: PRI 503- 364 -4566
FAX 503 - 364 -0617
Reg #: LIC 76884
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/15/2007 $129.70
[TAX] 8% State Surcharl 2/15/2007 $10.38
[FLS] FLS Pln Rv 2/15/2007 $51.88
Total $191.96
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. T 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 OU by calling- 03.246.6699 or 1.800.332.2344.
Issue By: fl. ` Permittee Signa re: ;:: f .' i.dfii2V /, -
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.
Eire Protection System .
r O._ a
Building Permit Application FOR OFFICE USE ONLY
City of Tigard l'' � � V news 15 0 I yid- Pew No 1A a ri
13125 SW Hall Blvd., Tigard, OR ` 7223 0 P� Review
' o Other Permit:
Phone: 503.639.4171 Fax 503.598:1960 q �� � , . pa �g y ; $ $` ®� ���
TI G A R D Inspection Line: 503.639 � 2. ,� ' c y Dat2�Ready /By: 1uris: H See Page 2 for
Internet: www.tigard - or.gov \ 1�fled/Method: Supptemeatalluformatlou
TYPE OF WOR14 , ^ 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
Addition/alteration/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUt TTON work indicated on this application.
❑ 1- and 2- family dwelling ❑ Comercial/ ndustrial Valuation: $
m
❑ 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: L t S (ot j-c,x 4j New dwelling area: square feet
City /State/ZIP: ^C' j u CI -122-1) Garage/carport area: square feet
Suite/bldg. /apt. no.: leak I Project name: 1-1-/Gi - jlL r E Covered porch area: square feet
4/
Cross street/directions to job site: 5/ )/ f/ ' �= Deck area: square feet
Other structure area: square feet
00 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.
b J (o -7 At r ir r►pre) j 4 Smelt . Valuation: $ 135- G
AAA; 5 •17 Do t� / S le Fl e_. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER I ❑ TENANT Number of stories: 2_ 51752-r6S
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing.
Phone: ( ) Fax: ( ) New:
%APPLICANT CONTACT PERSON NOTICE
Business name: vv , A.,i 8 M All contractors and subcontractors are required to be
Contact name: . �� licensed with the Oregon Construction Contractors Board
3 under ORS 701 and maybe required to be licensed in the
Address: eo 4s4c 0-7 i jurisdiction in which work is being performed. If the
_ 7 applicant is exempt from licensing, the following reasons
City/State/ZIP:
3az - aPPIY:
Phone: (4(9JJ ) 4,1.1— bc, I Fax: : 6b ) 3 0-1 1 . 06 / 7
E-mail: : K O SGt(.e -,...r F` i`r e. P rw ,. Coesr
CONTRACTOR BUILDING PERMIT FEES*
Business name: &4 V� 2 c /�/ /r,gyK fPkaserel�rfo
,
` l v Permit fee:
Address: j Z 7 State surcharge (8% of permit fee):
City/State/ZIP: SL(Q,t,,L t C77 (,?e-_ FLS plan review (40% of permit fee):
Phone: ( j) 2 ( — Lice, 6 cJ ( I Fax: ( 7) 36 L, - Ob / 7 (Due upon application.)
CCB lic.: '71C( (6 l/ Total permit fees: g / .9‘
Authorized signature: f�'"'f i -;"3-0 7 Amount received:
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 /Buld'eog\Pamrts\FPS- PamitApp.doc 03 /23/06 440- 4613T(II/02/COM/WEB)
CITY O:F TIGARD Rt=.
BUILDING DIVISION PERMIT #:2er `7 - cc o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 s' 1,11111 ..
INSPECTION WORKSHEET FOR DATE: 4,c= O7 TIME: PAGE:
SITE ADDRESS: (( RCS CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: T1 G6 42427 C
OWNER: PHONE #:
CONTRACTOR: C ,__e6 -(-7.1 k . E .._ PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message (' ALAV-04- t
Corrections /Comments /Instructions:
tat__
ir
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ ALL FQR INSPECTION ❑ ADDITI NAL F ES ASSESSED
Inspector: P Date: 7/ (5 7Phone #: (503) 718 l -2-�