Permit I p C!WY OF TIGARD BUILDING PERMIT
I : PERMIT #: BUP2007 - 00251
COMMUNITY DEVELOPMENT DATE ISSUED: 6/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 401 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
PROJECT: HEALTH NET
Project Description: Fire alarm extension.
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: 2 -1 HR 1,716 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 1,716 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 4 BASEMENT: sf AREA SEP. RATED:
STOR: 4 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,000.00
Owner: Contractor:
TIGARD TRIANGLE I LLC PHOENIX ELECTRIC CO
4650 SW MACADAM AVE STE 220 PO BOX 14037
PORTLAND, OR 97201 PORTLAND, OR 97293
Contact #: PRI 503 - 231 - 8006
Phone: FAX 503 - 235 - 4300
Reg #: ELE C89
FEES LIC 162753
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/5/2007 $72.10
[TAX] 8% State Surcha 6/5/2007 $5.77
[FLS] FLS Pln Rv 5/3/2007 $28.84
Total $106.71
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.
�, ,�� Permittee Signature: `\ ' '
Issued B
Y. �/ /./i /G 4,
Call 503.639.4175 by 7:00 a.m. for an inspection that bus 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.
L5 2 2- ( -S(ii-3 T 4-4c/
Building Pen bit Application
./ Fire ProtectiOniSystenl ((�� e � FOR OFFICE USE ONLY
City of Tigard RECE " ED Date B , �i� Permit N,.. 050 7.... q(7y1
• ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan �J,
C Phone: 503.639.4171 Fax: 503.598.19 - 3 1007 DateB Re :il�� �// N�� Other Permit: •
T 1 G A R D Inspection Line: 503.639 T Date Ready/By: C ' ` Juris' ® See Page 2 for
Internet: www.tigard- or.gov CITY ®F IGARD Notified/Method: 5/ NV , Supplemental Information
BUILDIPIG ®11fISI0N — Dpoke, u-Sktcc1 Le.kt I�. a, ss&Ay- �a y,�a - r
TYPE OF WORK REQUIRED DATA: 1- AND - FAMILY DWE LNG
❑ 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling XCommercial/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: l 32,1 1 S- cog pAsvc.,44.n New dwelling area: square feet
City/State /ZIP: — Ti' . rp,re, I, O (Z, Garage /carport area: square feet
Suite/bldg. /apt. no.: LJO Project name: 1"t,e_tPclrT\,, . Covered porch area: square feet
Cross street/directions to job site: 6 $-t"‘ PiaeKw0 i. u,$ a..,-e_ Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: 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.
c Ce Al- A Q vv■ 2,i- -cr--vt N. vv.- T O e X t, t S - N� Valuation: $ 3 at o
_�` Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 4
Name: Type of construction: — (3
Address: Occupancy groups: ?
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New: / 7 1 (o st
,APPLICANT 0 CONTACT PERSON NOTICE 11
Business name: , .‘OLh I%L r LeL•t(L\C. L. LC.... All contractors and subcontractors are required to be
Contact name: g1j Q p \«? Z L 6�''r licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ?CD bO 11/4'10-1 jurisdiction in which work is being performed. If the
City /State /ZIP: Pb l2" L IN f ( , 0 Q. 9 7 Z of 3
applicant is exempt from licensing, the following reasons
Q apply:
Phone: ( b3) 2 - I — BOO (.o t Fax: (::)3 ) 2 3s- - x{30 (D
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: P�OC IN 1 E\.- ¢.C--N N \ c_ LL.. c. (P refer P fee: Permit fee: Z IJ
Address: Pp X 1 L I b 3
A • p, State surcharge (8% of permit fee): S �'1Z
City/State/ZIP: P OQ - 'R. O I� - 1 7 Z1 3 FLS plan review (40% of permit fee): -3-712,43'4
Phone: (9)3) 23 ` — q I Fax: (S 2_35 -x-{30 0 (Due upon application.)
CCB lic.: I ( '2 S' ry. `/ (l AO C -j-' 1 /'b g Total permit fees: 1 el \
Amount received:
Authorized signature: tS-Not.t.i This permit application expires if a permit is not obtained
Print name: %,,..5%-k--.\ WvZ k I Date: S -3 -O7 within 180 days after it has been accepted as complete.
v \ J * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits\FPS- PermitApp.doc 03/23/06 440-4613T(II /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
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, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
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: $ 00 o/
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $ p
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $ 2,. S-(
TOTAL: $ 1A 1 O to
Plan review requires. a completed application and 2 sets of plans at submittal. Plan reV 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.
I: \ Building \Pemvts \FPS- PemiitApp.doc 2
CITY OF TIGARD .
BUILDING DIVISION
A 41/-------, ,, •
PERMIT #: BUP2007- 00251
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2007
Phone: (503) 639 -4171 :p q iii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/8 /2007 TIME: 7:01AM PAGE: 52
SITE ADDRESS: 13221 SW 68TH PKWY 401 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: HEALTH NET
DESCRIPTION: Fire alarm extension.
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: PHOENIX ELECTRIC CO PHONE #: 503- 231 -8006
Inspection Request Scheduled For: Date: 6/8/2007 6,l7 Pour Ti /
Code # Inspection Description Confirm # Contact # ssage 1 1
998 Alarm final 049697 -01 503- 307 -2652 Y Utd(&e--°L
Corrections /Comments/ Instructions:
NJ e ■11/1. 1 v .
i . / ._ _ • _ I i
. ' E ( , ` 200 — 00 2 ( • (e /(e /a ) . ...L - Aid
1
� ,L _ C. , b 1., ; 6 ''t'.o 1 t1:02_
U)--\ a O'c) t l'. 0 _ I l : O2
- , 1 i \ -
... ilratti �6..��: , % a a i I I : 0 7
.. IVAithilr'w iiMP -
- ► 9
k 0 t uA vvw.J \it ' ei9e
m iJrt,‘,,e, r A --\-1) iii,L/ 0.1,xit - ',Ls .
[i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \Z, Date: `� /�G Phone #: 503 718 -�
P C )