Permit - ~ CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00236
DEVELOPMENT SERVICES DATE ISSUED: 6/2/2005
s '�I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 500 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: Relocate:(13) sprinkler heads, add: (4) 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: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 242 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: $ 5,873.00
Owner: Contractor:
TIGARD TRIANGLE I LLC MASTER FIRE CONTROL, INC
4650 SW MACADAM AVE STE 220 12125 SE HWY 212
PORTLAND, OR 97201 CLACKAMAS, OR 97015
Phone: Phone: 503 - 656 - 0782
Reg #: LIC 55377
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/2/2005 $100.90
[TAX] 8% State Surcha 6/2/2005 $8.07
[FLS] FLS Pln Rv 6/2/2005 $40.36
Total $149.33
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:
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
OFFICE solOFFICE usi; ONLY
Permit A 1 s :cation Received , ,{ USE
it E r ` / E D Da te ive y 6' v1 f/5 7..„1/. / P erm Bui it No t� �.3
L/ v Planning Approv 1 _2 - e Other
City of Tigard Date/By: \/ S' 11 D 74— Permit No.:
13125 SW Hall Blvd. �U�u 02 . Pla�� Review Other
Tigard, Oregon 97223 oo , Date/By: No.:
�
{, ' Land Use
Phone: 503- 639 -4171 Fax: 503 CIT �Il( ,� y ti, t960 t iIi ; Post - Review Case No.
Internet: www.ci.tigard.or.us OJ•� =° a" ^' e.!!.. Co DateB ntact Case : : See Page 2 for
24 -hour Inspection Request: 50 D/ND DIVISION Name/
Method: - 77 (..f - Supplemental Information
:. < TYPE OF WORK ,7 -; REQU
❑ New construction 'J Demolition ' n ` _i >& 2 :1t`AMIL WELLING` ; .. •
`! Addition/alteration/r - . lacement Other:
t''" `CAfiE . • RY OF CO STRU ' • N -. Permit fees* Note: Per fees' are based on the total value of the work performed. Indicate
01 & 2- Family dwelling IN COmmercial/lndustrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building Multi - Family
❑ Master Builder IIMI Other: Valuation $
> B Sfl E INFORMATION'and LO ATIDN , ,. , . i .: No of bedrooms: No of baths:
S','•
Job site address: /3 Z Z 15W LS D P,4,eK WA)/ Total number of floors New dwelling area (sq. ft.) . _ ,
Suite #: • 500 1 Bldg. /Apt. #: Garage/carport area (sq. ft.)
Project Name: U,./i ve- t ry OF P//OEAPI % T /. Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
5 w b g `'' / AX WA-y
S vv gA.i► Prod ST .. ; °RRQUIRED DATA:
` CO .R C4AL ' - USE CHECKLilS
Subdivision: I Lot #:
Tax map/parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
the value (rounded to the nearest dollar) of all equipment, materials, labor,
a? �., ..- DESCRIPTION OF_V�ORK overhead and profit for the work indicated on this application.
A-DD , + 14 D ReLock S9i2/I/KLeg. $ 5 8'73.
f�G/q DS fried/14 AN £X /ST /N�7 Valuation
Existing building area (sq. ft.)
5 )/ 7 . New building area (sq. ft.)
Number of stories
Type of construction
,;�- PR01'ABTIFUW,NER '.` - 1 0 ; TENANT =.:: , .: . Occupancy group(s): Existing:
Name: New:
Address:
City /State/Zip:
NOTICE: All contractors and subcontractors are required to be
Phone: Fax: licensed with the Oregon Construction Contractors Board under
_a'APPLICA:NT i.' 1- , 0 CONTACT PERSON.. , - provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City /State/Zip:
Phone: ( Fax: g>p iIlYCPERMTrFEES' , r
E -mail: ,. . 'Plea der to :fee sc1e `
:� 4 ,:' CONTRACTOR -
Business /14A51-6 e_ ,/24 CoNT7l?L Fees due upon application $
Address: /2 /2 S se WW1/ 2./e. Amount received $
City / State/Zip: SAG -m.�S., 69e..„ /70/S
Phone: 503 1004992 I Fax: Fo3 kci, a782._ Date received:
CCB Lic. #: 55 7
Authorized �- Notice: This permit application expires if a permit is not obtained within
Signature Date: h 2 '- 150 days after It has been accepted as complete.
/14A/ O4//t/A—/1,i 'Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
\Dsts\Pcrmit Fomrs\BldgPermitApp.doc 01/03 ,
i: . '
• 4e ,
Fire Protection Permit Check List
A.) ❑ New ❑ Addition FlAlteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads: S
Additional description of work:
I�r LocA7 4 13 ENcisvl) SPQl141( 6lt- 116ADS
4PD1/vC, 4 /JEW SP (L NEAPS
Type of :System (Complete or C as applicable): • ; _ s
A. ) Sprinkler Wet Dry CI
Standpipes
Additional Hazard Group
Information Density , / D
Design Area / coo 4
K. Factor
Sprinkler Project Valuation: $ S 73.
B.) Type I - Hood Fire Suppression System
Hood Project Valuation 1 $
C.) Fire Alarm
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $
8% State Surcharge: $
FLS Plan Review of Permit: $
TOTAL: $
Plan review requires a completed application and 3 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.
iNdsts\formslFPScheddistdoc 11/21/01
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -0036
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/2/2005
Phone: (503) 639 -4171 � R � n n� , �����li�'w�l�ii�� h
Ins Requests (24 Hrs.): (503) 639 -4175 ` :_..
INSPECTION WORKSHEET FOR DATE: 6117 /2005 TIME: 7:11AM PAGE: 89
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY OF PHOENIX EXPAN
DESCRIPTION: Relocate:(13) sprinkler heads, add: (4) sprinWer heads.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: MASTER FIRE CONTROL, INC PHONE #: 503 -656 -0782
Inspection Request Scheduled For: Date: 6/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinlder final 009474-01 503780 -9463 Y
Corrections /Comments /Instructions:
r
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""114 ILWEIMIELVI '
.\.._ \,,, ,..... - „„„,, N .
■
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL EES ASSESSED
0 7 Inspector: `� Date: Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION _ _ PERMIT #: BUP200& -00236
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2/2005
Phone: (503) 639 -4171 b m' ,e yPi41'f�Iih l �
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:09AM PAGE: 37
SITE ADDRESS: 13221 SW 68TH PKWY 500 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: UNIVERSITY_ OF PHOENIX EXPAN
DESCRIPTION: Relocate:(1133) sprinkler heads, add:_(4) sprinkler heads.
OWNER: TIGARD TRIANGLE 1 LLC, PHONE #:
CONTRACTOR: MASTER FIRE CONTROL, INC PHONE #: 503 - 656-0782
Inspection Request Scheduled For: Date: 6/3/2005 Pour Time:
Inspection Description Confirm # Contact # Message
p P
Code # Ins 'Ais,
910 Sprinkler rough -in /test 008363-01 503. 6556992 Y P
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V6 Inspector: Date: / // Phone #: (503) 718-