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Permit
I II a Calf OF TIGARD BUI PERMIT ° . . COMMUNITY DEVELOPMENT T E ISSUED BUP: : 0601 DA ISSUED: 12/5/2007 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 alarm system. 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,083.00 Owner: Contractor: SCHNITZER INVESTMENT CORP PERFORMANCE SYSTEMS INTEGRATION COR PO BOX 10047 7324 SW DURHAM RD PORTLAND, OR 97296 PORTLAND, OR 97224 Phone: Contact #: PRI 503 - 641 - 2222 FAX 503 -641 -1464 Reg #: LIC 150747 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcha 11/21/2007 $7.86 [FLS] FLS Pln Rv 11/21/2007 $39.30 [BUILD] Permit Fee 11/21/2007 $98.25 Total $145.41 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 ,' - • uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued B : A _ 1 A _„ig / Permittee Signature: 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. A O rw(v 4,4w ( y 4. Fire Prrete cticj System Building Permit ApplicatioJREE1VED FOR OFFICE USE ONLY City of Tigard NO V 1 i G A 1 / Received ` ;; / Permit hR /i D d I,0/ ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie 1 `© 'mil ` � Phone: 503.639.4171 Fax: 503.598.1Q T b (jr � H1�V Date r "k'/ ` Other Permit: T 1 G A R D Inspection Line: 503.639.4175 BUI Date Ready �J I tins' ® See Page 2 for Internet: www.tigard-or.gov L niI GOt UlSIO r Notifiea/Metho : y: �/L /�l _. Supplemental Information TYPE OF WORK 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 Ql 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: 130/0 SW 6 O rpi 1 / ¢Q New dwelling area: square feet City /State/ZIP: TAG 2 f 02 Q12 Z Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: / 04 ei 3 Covered porch area: square feet Cross street/directions to job site: FI c( fftc 012 <A-{ 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. 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: $ (0,081- Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: ]Z City/State/ZIP: Existing: Y Phone: ( ) I Fax: ( ) New: SCc_ L66.c. 7 1 *APPLICANT ❑ CONTACT PERSON ' NOTICE Business name: r - a x ervrGN444+✓e_E r - sxe^.s )� Ccap_ All contractors and subcontractors are required to be Contact name: �u L� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 3 Z¢ 5-G.J 7> -,4p, 2 jurisdiction in which work is being performed. If the City/ State/ZIP: 74-47--14.44> 9 1721- � applicant is exempt from licensing, the following reasons apply: Phone: ( 50)) 14I -" 2 2 L I Fax: : ( 510) 6 +/ -/ f b l E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: [f / /q e "w (Please refer lo fee schedule) Permit fee: 9 * d o v Address: City/State/ZIP: State surcharge (8% of permit fee): —7- O FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon application.) 6 . 39 CCB lic.: /co 74 ., I Total permit fees: Amount received: Authorized signature: /(. , [ , 14, (' This permit application expires if a permit is not obtain e Print name: ...e ' rte/ Ottit6- ' Date: 1 I /7_1 I �9` 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(11 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: 13UP2007 -00601 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2J5/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,— '�'.. INSPECTION WORKSHEET FOR DATE: 2/14/7008 TIME: 7 :0 PAGE: 11 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 alarm system. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION COR PHONE #: 503-641-2222 Inspection Request Scheduled For: Date: 2114/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 983 Alarm final 065039-01 503 - 969 -6949 Y n Corrections /Comments /Instructions: ' /T - 1 N l t�A cc) A4 " 1Z. - Po �T --- C,I____JS( • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % "ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: did:Ai Phone #: (503) 718 - Z.-‘y CITY OF TIGARD BUILDING DIVISION PERMIT #: g(Jp2007- 0(161 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17J6/2007 Phone: (503) 639 -4171 AraP cl Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 7 J17J2008 TIME: 2 :48PM PAGE: 12 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 alarm system. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION COR PHONE #: 503-641 -2222 Inspection Request Scheduled For: _Date: W13/2008 �- Pour Time: Code # Inspection Description Confirm # Contact # Me 14� ssa• - BG0 Alarm final 94 1 „ 1 r 50 -&i9 -2 -960 _ i/ Corrections /Comments /Instructions: {,.. � lr . „.. l , /� 1 lc' r 17.— G a i" L • C.: 111 0 C- O __r Cr W . ,.:k.........____ ......_..._ .____-- ` r / k N o .s.cyv /.4) t. (Zm -mil 012 '+ dt5S i lad K1 0 S 12„, ?, C e 64-0tC S CIS IJA-4e\ NI er IN PASS IP - A - IAL APPROVAL ❑ CANCEL ❑ NO ACCESS PIM • ' . L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Z-11 i 0 Phone #: (503) 718 - %k, CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00601 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/5/2007 Phone: (503) 639 -4171 kaAd voll l Inspection Requests (24 Hrs.): (503) 639 -4175 F_ INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 13010 SW 69TH PKW( 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: Fire alarm system. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: PERFORMANCE SYSTEMS INTEGRATION COR PHONE #: 503-641- 2222 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 063430 -01 503-291-6986 41110 �� C � So 10 - '1 Corrections /Comments /Instructions: l ig err - e--Lov ,--- ❑ PASS r - RTIAL APPROVAL '► CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR INSPECTION o • :: •NAL FEES ASSESSED Inspector: _ —0 Date: /// Veg Phone #: (503) 718 - Z �" ' r Wr