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Permit Ziff)! OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00588 II COMMUNITY DEVELOPMENT DATE ISSUED: 11/28/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DA - 00100 SITE ADDRESS: 13010 SW 68TH PKWY 140 ZONING: C - P SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 007 JURISDICTION: TIG PROJECT: PACIFIC SOURCE HEALTH Project Description: Fire sprinkler TI - add (13) heads and relocate (14) 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: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 71 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 : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,700.00 Owner: Contractor: SCHNITZER INVESTMENT CORP AFP SYSTEMS INC PO BOX 10047 19435 SW 129TH PORTLAND, OR 97296 TUALATIN, OR 97062 Contact #: FAX 503 - 692 -1186 Phone: PRI 503 -692 -9284 Reg #: LIC 67534 FEES REQUIRED ITEMS AND REPORTS Description Date Amount [BUILD] Permit Fee 11/14/2007 $69.65 [TAX] 8% State Surcharl 11/14/2007 $5.57 [FLS] FLS Pin Rv 11/14/2007 $27.86 Total $103.08 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 : . 4•.••" •r 1.: 332.2344. Iss 6 ed By: . L / Permittee Si • 4 u NI 1 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. Fire Protection System Building Permit Application FOR ()EVICE USE ONLY City of Tigard PS:.- . 9 Received , / DateB . / ® D , Y / SW Hall Blvd., Ti: ' . Plan 13 • II • Phone: 503.639.4171 F... 51'. 98.1960 DateB • • p hi ( Permit No.: D Other Permit: T I A R U Inspection Line: 503.639 1 -4 20o Date Ready/By: ru " • ® See Page 2 for Internet: www.tigard - or.gov A g Notified/Method: 11 $ 07 j/f, Supplemental Information TYi W 'DIVISION QumED DATA I- AND 2 -FANIII Y DWELLING ❑ New construction f 1)molition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement 0 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: S ❑ Accessory building ❑ Multi -family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: . - • JOB SITE" •INFORMATION AND LOC '• . Total number of floors: Job site address: 13010 S (4 69'N New dwelling area: square feet City / State/ZIP: 17 6AR4 OR Garage /carport area: square feet Suite/bldg. /apt. no.: 1,4i) Project name: I N Ct Ft C S 0 V RC O Covered porch area: square feet ( Cross street/directions to job site: gamproN . 4, Q I7 t H /1_ _�wi Deck area: square feet JQu Y M TO $1 re f' Other structure area: square feet REQUIRED DATA COMMERCIAL -USE CHECKLIST•_ _` Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of. all equipment, materials, labor, overhead, and the profit for the ' • DESCRIPTION OF: WORK ' work indicated on this application. A11120 13 P6kt0$N'r% - 4Zsc.�x r4T e ' Valuation: ^�©O CPO PE�oci+vrs Existing building area: A square feet New building area: square feet " " < •❑ PROPERTY :OWNER I ..TENANT . . . Number of stories: Name: P.c 1'1, C So eto- Type of construction: Address: 1 30 10 S W 6i 441 -F t Occupancy groups: City /State/ZIP: �ut o Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑CONTACT PERSO . NOTICE ` Business name: P F P & % -rewt. Jc All contractors and subcontractors are required to be Contact name :JlMN, licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 1135 %1nl 1 DA " Ave- jurisdiction in which work is being performed. If the City / State/ZIP: '� A DR applicant is exempt from licensing, the following reasons apply: Phone: ( SI)3) 69..).- 17._ sM I Fax: : ( ) (.9A-186 E -mail: J ` is P S Vs . C. U r`' • CONTRACTOR F BUILDING PERMIT FEES* . Business name: l< 1 1 P S gT &�S L. C (PleaseiejeYPe tfee 69, Address: I el Q 5 S Q P fee: -1 W I 1 City / State/ZIP: �i vt 0 • State surcharge (8% of permit fee): 5, 5 7 . FLS plan review (40% of permit fee): g • Phone: ( ) (, la _934N I Fax: ( ) bg1—i I %4 (Due upon application.) e 7. CCB lic.: 6`) 5 3ti Total permit fees: Authorized signature l 8 Amount received: 1 d 3,06 (� This permit application expires if a permit is not obtained Print name: Sth 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- PermitApp.doc 03/23/06 440-4613T(I1 /O2JCOM/WIB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be do ne: 1.) ❑ New 2.) Modification to sprinkler heads only ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete, A, B; .0 or D> as.:appLcable). 1 ' A.) Commercial S punkier ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinlder Project Valuation: $ B)� Type I Hood Fire,Suppression`: System Hood Project Valuation: 1 $ C) F ir e : Ala` ; Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ i y D) Residential Sprinkler".(Stai Aka* System) , Square Footage: Permit Fee: 0 to 2,000 $18750 2,001 to 3,600 $23150 ==° 3,601 to 7,200 $29150 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. ` Fite Protection Permit, Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (8% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "Nev" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\ Building \Permits \FPS- PemutApp.doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: LUP2007- 00688 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1112812007 Phone: (503) 639 -4171 yea , ° i ll & Inspection Requests (24 Hrs.): (503) 639 -4175 �' �' Iii INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 19 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: Fire sprinkler TI - add (13) heads and relocate (14) heads. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: AFP SYSTEMS INC PHONE #: 603 -C92 -9284 Inspection Request Scheduled For: Date: 1117/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 063428 -01 503 -291 -6986 6'� t-� 0-0S-in Corrections/Comments/Instructions: .iJl P' , . :' ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 17 /20 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -005$8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2007 Phone: (503) 639 -4171 i v , , Inspection Requests (24 Hrs.): (503) 639 - 4175. INSPECTION WORKSHEET FOR DATE: 17./4/2A07 TIME: 7:01AM PAGE: 25 SITE ADDRESS: 13010 SW 68TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: Fire sprinkler TI - add (13) heads and relocate (14) heads. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284 Inspection Request Scheduled For: Date: /214/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkier rough- initest 060739-01 503-692-9284 N Corrections /Comments/ Instructions: • tk" • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL %A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / I f Phone #: (503) 718 -