Permit IN a CITN "OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00242
° COMMUNITY DEVELO DATE ISSUED: 7/23/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY 190 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Conference room. Adding and altering (16) sprinkler heads.
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: 2 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: $ 1,800.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Contact #: PRI 503- 620 -4020
Phone: FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/15/2008 $62.50
[TAX] 12% State Surch 7/15/2008 $7.50
[FLS] FLS Pin Rv 7/15/2008 $25.00
Total $95.00
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. •9 or 1.800.332.2344.
(---- t abik ,
Issued By: --___< - Permittee Signature: 1
■■—• PP (11/,,,---
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.
aJcE C t2cto`t C u5
L'ermit App
c .
i Otection System ♦ FOR OFFICE USE ONLY ;
City of Tigard Received
City g i DateBv: �� �r' Permit No.: �
•
• • 13125 SW Hall Blvd., Tigard, OR 9 %e ` A Q Q Plan Revie �"
s Phone: 503.639.4171 Fax: 503.598. 1 J 1 • DateBv / 7 4 %KO � Other Permit:
T I G, R U Inspection Line: 503.639.4175 `V� Daze Re.r.y/By: ® See Page 2 for
Internet: www.tigard- or.gov JV ® �eN..) � Nonfied/Method: �/: rLM Supplemental Information
l l 2- fnlTn■
TYPE OF WO___ � REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Deition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded 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 ACommercial/industrial
Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ID Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: j g 9(' . ?,, c , , , New dwelling area: square feet
City/State /ZIP: - i - An ,r, ( (1 (3,� J Garage /carport area: square feet
(Suit Idg. /apt. no.: (� Project name: 1 / Covere porch area square feet
s
_� (`1 C7 I tC�l� 1 �►P:tY ` >r1(11�r�lZ p q
Cross street/directions to job site: C(1 n C-e 'e.�le, 12 \Qn m Deck area: square feet
Other structure area: square feet
- REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S 1 '�
I" 1 r C. r (11/,1�, �C� . �,�;
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:
f" APPLICANT ❑ CONTACT PERSON NOTICE
/
i
Business name: e (\-� YI ('Qt ,ant'- - All contractors and subcontractors are required to be
Contact name: H P t (1 1 n rh ft ) lk',�� r-� t ( 1 ne r tv ��( licensed with the Oregon Construction Contractors Board
V under ORS 701 and may be required to be liensed in the
Address: 114 7C 6 3( ) 7t (l�) / .9 6 , ,, jurisdiction in which work is being performed. If the
City /State /ZIP: � n �- ki�� n CSR 97 �! applicant is exempt from licensing, the following reasons
rr��,nn 140(9,0 6)i216‘ apply:
Phone: (5( \3 (n(940 - Fax: : CJOr'i `- I , r l c
E-mail: he;( -- e I4- 0- C ;Q,rxm
CONTRACTOR _ BUILDING PERMIT FEES*
7t:X
Business name: P.� -j_ l t ( Q } �n�-�. (Pfease refer tojeesehedrrfe
/� Permit fee: c A b
Address: I ' 7 95 3 ().) or) h
State surcharge (12% of permit fee):
City /State /ZIP: vn r+i -And,� C R 0 7 � � 1,' 0 7 . J O
FLS plan review (40% of permit fee):
Phone: (no (7) . 0 ._ LORD Fax: 3) 1/ _ °t (Due upon application.) p5 . V h
CCB lic.: Cog 1 Total permit fees: 9 5.00
Authorized signature:>' Amount received: 5'
Rlik,", rl., Je )loci' ^� .'� -� This permit application expires if a permi not obtained
Print name: He:, d'i l Date: 1/C1/0 within 180 days after it has been accepted as complete.
' Fee methodology set by Tri -County Building Industry
Service Board.
1 Building •Permits \FPS- PermitApp.doc 03 /23/06 440- 4613T(11,02tCOMLWEB)
• r
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
g, Addition 1 -10 heads: .No plan review required.
Alteration 11+ heads: Plan review required.
❑ Repair •
Number of sprinkler heads: -1,0
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
\Vet ❑ Dry-
Additional Standpipes Al A-
Information: Hazard Group
Density , 10
Design Area
K. Factor 5 CP
Sprinkler Project Valuation: $ 1 Fir. Dv
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ N f A
C.) Fire Alarm •
•
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ MA.
•
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 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: ALL, sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ too. no
Permit fee based on project valuation (see fee schedule): $ ,
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): S , 60
FLS Plan Review (40% of permit fee): I $ as , 00
TOTAL: $ Q 5 Po
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
I:A Building vPen FPS- Per^.0 App.doc 2
PPIII PIPPF-
- CITY OF TIGQRD _
BUILDING DIVISION PERMIT #: gUP2008 OU242
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2008
Phone: (503) 639 -4171 41 %0 i
Inspection Requests (24 Hrs.): (503) 639 -4175 '_
INSPECTION WORKSHEET FOR DATE: 7124/ . )8 TIME: 7:OOAM PAGE:
SITE ADDRESS: 12909 SW 68TH PKWY 180 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: T1GARD TRIANGLE COMMONS
DESCRIPTION: Conference room. Adding and altering (16) sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 4020
Inspection Request Scheduled For: Date 7/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 073140 -)1 503 -956 -6290
it
Corrections /Comments /Instructions:
Al
4 ` VA PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
s
❑ FAIL /! C _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 61 Phone #: (503) 718 -2—