Permit • + � BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2006 -00051
^, ���; A DEVELOPMENT SERVICES DATE ISSUED: 1/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 020 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: TI Fire alarm addition.
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 177 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: $ 1,000.00
Owner: Contractor:
TIGARD TRIANGLE I LLC PERFORMANCE SYSTEMS INTEGRATION COR
4650 SW MACADAM AVE STE 220 7759 SW CIRRUS DRIVE
PORTLAND, OR 97201 BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 641 -2222
FAX 503 - 641 -1464
FEES Reg #: LIC 150747
Description Date Amount REQUIRED ITEMS AND REPORTS .
[BUILD] Permit Fee 1/12/2006 $62.50
[TAX] 8% State Surcharl 1/12/2006 $5.00
[FLS] FLS Pin Rv 1/12/2006 $25.00
Total $92.50
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 C 95 -0 - 01 1 grough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli g 503 -246 • • : o 00- 332 -2344. ( -
Iss e d By: . 0 p.:/ i Permittee Signat -. _, ,,,, 4_ ___P ;
I
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.
`3c ] 5 — 'x"' ' tge06 DO Cow en)
Building Permit Application w Received
�o FOR OFFICE USE ONLY
Q ��
City of Tigard
�Cj � , Date/By: / " / i — 06 Permit No.: !d) 7 i
13125 SW Hall Blvd., Tigard, OR 97223 �, Plan Review Other Permit:
i
Phone: 503.639.4171 Fax: 503.598.1960 �� '1 `'� �� " � 5C ; i�^ Date/B : , /
Inspection Line: 503.639.4175 \ r - . ^' _ t Date Read B y : ' ," See A tachd Checklist for
Internet: www.ci.tigard.or.us - OF 1
�Dv , S1ON Notified/Method: /f(S/ Q (/ jD � Supplem t n ec
..tr, Jl Vr •
TYPED QU I %% � ATA: 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: Tenant Improvement equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 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: 13221 SW 68 Pkwy New dwelling area: square feet
City/ State/ZIP: Tigad / OR / 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: J Project name: Health Net of Oregon Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
(too,e_r-, /s /z 29-. "/-4 n Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST'S
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. /
Fire Alarm Addition Valuation: $ /a-no C/
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑° TENANT , Number of stories:
Name: Type of construction: ' B
Address: Occupancy groups: 3 1 7
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE "
Business name: Performance Systems All contractors and subcontractors are required to be
Contact name: Patrick Stine licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7759 SW Cirrus Drive jurisdiction in which work is being performed. If the
City/State /ZIP: Tigard / OR / 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 641 -2222 I Fax: : (503) 641-1464
E -mail:
CONTRACTOR '
Business name: Performance Systems
BUILDING PERMIT FEES*
Address: 7759 SW Cirrus Drive
Please refer to fee schedule.
City/State /ZIP: Tigard / 97008
Fees due upon application
Phone: (503) 641 -222 Fax. (503) 641 -1464
CCB lic.: 150747 II ,^, Amount received
151 A C W Date received:
Authorized signature. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: A � � Date: 01/16/06 * Fee methodology set by Tri -County Building Industry
� Service Board.
i:\ Building \Permits\BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WEB)
CITY OF TIGARD /3 coo s
BUILDING DIVISION PERMIT #:aop6—
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_—_— "''L.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 3 _. I 6 U fi OX CLASS OF WORK:
SUBDIVISION: LOY #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 _ co Po ime: ,,p
Code # Inspection Description Confirm # Contact # Message
q 478 k*2141(i Coo o 3--5-44 3--5-44 l <<
Corrections /Comments /Instructions: -A3-- 2D37
1► ,
1 _' .� MI i i —.el /yaw - � �� r iy i - -.
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ! CAL FOR INS'. CTION ❑ ADDITI AL ES ASSESSED
Inspector: / / Date: 6 Phone #: (503) 718 -