Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00423
AA, DEVELOPMENT SERVICES DATE ISSUED: 8/30/2006
'�' I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DA - 00102
SITE ADDRESS: 13221 SW 68TH PKWY 400 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: Fire sprinkler system. Agilent Technologies
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: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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 HYDRO TECH FIRE PROTECTION
4650 SW MACADAM AVE STE 220 PO BOX 40
PORTLAND, OR 97201 BRUSH PRAIRIE, WA 98606
Phone: Contact #: PRI 360 - 256 - 2816
FAX 360 - 256 - 2817
Reg #: LIC 104778
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/30/2006 $62.50
[TAX] 8% State Surcha 8/30/2006 $5.00
Total $67.50
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 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: &2..41J4#{/L 6 - Permittee Signature: 01'1 c ' ( 0�
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.
AUG -30 -2006 12:07P FROM: HYDRO TECH FIRE 3602562817 TO: 15035981960 P.2
:
. Fire Protection System II
Building Permit AnplicatiU - wiz lit t /i' I' 1(• I. 11.11? ()NIA
City of Tigard Received
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13125 SW Hall Blvd., Tigard, OR 97223 AUG 1 Plan Revi
Phone: 503.639.4171 Fax: 503.598.1960 :1 ' ,,;'! I I '` Date/8 . Other Permit:
Inspection Line: 503.639.4175 ,-!, :�_!_ Date Ready/Sr bait: ® See Page 2 for
Internet: www.ci.tigard.or.us 1 1 J . - Notified/Method: 1 Supplemental Information
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❑ 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
-- .... ,' ..., ., ::'.•,4. 4 4' work indicated on i this application.
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❑ 1- and 2- family dwelling gICommercial/iindustrial Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other Number of bathrooms:
`fin t. i w I" new; a(inrx n r yt'it�t ` ir",�� � „', r 1 �x Total number of floors:
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Job site address: 13221 S W 68TH PKWY # #400 New dwelling area: square feet
City/State ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 400 I Project name: AGILENT TECHNOLOGIE Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: 2S 101DA - 00102 equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
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T. I. FIRE SPRINKLER SYSTEM
Existing building area: square feet
New building area: square feet
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1. _ : ry�r �@ 9 ' ,;T: li ,� ;:,.,!f gal Number of stories:
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Name: TIGARD TRIANGLE LLC Type of construction:
Address: 4650 S W MACADAM AVE STE 220 Occupancy groups:
City /State2IP: PORTLAND OR 97201 Existing:
Phone: ( ) Fax: ( ) New:
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Business name: HYDRO TECH FIRE PROTECTION . INC . All contractors and subcontractors are required to be
Contact name: REED HAMANN licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15218 N E CAPLES ROAD, P . 0. BOX 40 jurisdiction in which work is being performed. if the
/State2lP: applicant is exempt from licensing, the following reasons
Cit
y BRUSH PRAIRIE, WA 98606 apply:
Phone: ( 360) 256 -2816 I Fax: : ( 360) 256 -2817
E-mail:h drotechfire@.west.net
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Address: 15 218 N E CAPLES ROAD , P . 0 . BOX 40 Please refer to fee schedule.
City /State/ZiP: BRUSH PRAIRIE, WA 98606 Fees due upon application $67.50
Phone: ( 360) 256 -2816 I Fax: ( 360)256-2817
/1 Amount received
CCB lic.: 104778 9,\ a k itl
i Data 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: KERI J HAMILTON Date: 8 -30 -2006 I • Fee methodology set by Tri- County Building Industry
Service Board.
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