Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00275
�, DEVELOPMENT SERVICES DATE ISSUED: 7/5/2006
i
I-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S 101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY 410 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinklers
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: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 1,396.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: 503 - 624 -6300 Contact #: PRI 503 - 620 -4020
FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/5/2006 $62.50
[TAX] 8% State Surcha 7/5/2006 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: klifilitt ' .4-ei
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. Ffre Protection System
Building Permit App FOR OFFICE USE ONLY
RECEI I 4t Received ,boa
City of Tigard Date/By: <i gi5 PemritNo. . "15
13 1 25 SW Hall Blvd.. Tigard. OR 97223 Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 U 1 4 " Date/By: Other Permit:
Inspection Line: 503.639.4175 JUL 0 ,.- ...+'• 1� . . Date Ready/By: I Lis RI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method �` /' -"`_` Supplementallnformadon
CITY OF TIGARD
guium,
:a � te '.rREQf1IREDtDA
: _..... ,....;;; LrOH WORD: - = _='� ._...._. 'TA.1� A� . D _.,.n - -� •�• `
0 New construction I ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
13 ,Additiorvalteration /replacement I ❑ Other: I equipment, materials. labor, overhead. and the profit for the
CATEGORY'OF CONSTRUICTION T ''''' • `' ?$' "-. -'z' work indicated on this application.
Q I- and 2- family dwelling 11Commercial /industrial I Valuation: S
Accessory building I ❑ Multi- family Number of bedrooms:
❑ Master builder I ❑ Other: _ Number of bathrooms:
1" r .r Total number of floors: • JOB' ST1l I1VF ... . lON. ANID- I.O�i'IIOPi�' • - ri d ; =.
Job site address: 1 a 9O 9 503 ( OA ?4s Y ---1 New dwelling area: square feet
City/State /ZIP: ?O A no,,, di CI 9,1414 Garage/carport area: square feet .
Suite :bldg. /apt. no.: t( 16 Project name: 1 :I 7 6.an'Jle. AbmonTteldv Covered porch area: square feet
Cross street/directions to job site: ll. Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials. labor, overhead. and the profit for the
-
t i40 �:aa Yt work indicated on this application. - �DFSCR )�!CIUN- OF-WORK^ ��" -t2��y ' v�
:.� Valuation: S ';')(i'(,r
Existing building area: square feet
I New building area: square feet
Q: PROPERTY: OWNER _..' . ... TENANT : •: ` "' ;S` Number of stories:
Name: NOL vie n TA-1.c Con'pcinv I Type of construction:
Address: Occupancy groups:
CityiState'ZIP: I Existing:
Phone: ( ) I Fax: ( ) New:
Iit APPLICANT • • • , -- 0 CONTACT PERSON-: _ .. :. ;:..:_. .
. :.. :� :':, .:',-
NOTICE`: .aY .C,.:.•..- ‘„}t4= "
Business name: v2Ak c'kre I All contractors and subcontractors are required to be
I Contact name: L Sin licensed with the Oregon Construction Contractors Board I
/UCI� lP. under ORS 701 and may be required to be licensed in the
Address: ILl 7 O( 6 fl z n lido , 1 I junsdiction in which work is being performed. If the
I� , . applicant is exempt from licensing, the following reasons
City /State'ZIP: p', C•NCtyrk t Q1 \ q- / aa.ci / F r ' aPPly:
Phone: l 60?..)) (013 — (.{('1r ,� !�,11,� ti► � I Fax: : (63 ) tl � '�7 � `0 - i 058,
E -mail. /UQ Q 5 d ll� V ^ '1 c
CONTRACTOR
Business name: l i e. BUILDING..:PERMIT FEES *•
• . address: '1 1 4 79 4) "/AtA Ave • ! Please refer to fee schedule
' Cu State: ZIP: c A nod( I Q Q G 7 a a...0
Fees due upon application
Phone: ( 503 ) & go - 1,1O6 ' Fax: ( 6071 loan - Lohg
Amount received
L CCBlie.: („i 1 1L4
`� Date received:
.Authorized signature: Ifiebti: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
r Print name: dP ttal &c vbr-Q I,^ 1 k Date: - 7/3/D 6 • Fee methodology set by Tri -County Building Industry
�
bbb444 ail+ Service Board.
• Iluudinc Pcrmns EPS•PermnApp due c 1 03 040 -4e13Tt I 1 /02/COM/WEBI
CITY TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00275
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2006
Phone: (503) 639 -4171 4 ' u m�91ll'�
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7 : 06AM PAGE: 62
SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL TITLE
DESCRIPTION: Fire sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620.4020
Inspection Request Scheduled For: Date: 7/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Niisc. inspection 034039 -01 503-620 -4020 N
Corrections /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI AL F ES ASSESSED
11 ‘
V A, , t Inspect Date: P hone (503) 718-