Permit ;V
- w BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2005 -00555
*C DEVELOPMENT SERVICES DATE ISSUED: 10/24/2005
,-,441. A!' I- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DA -00104
SITE ADDRESS: 13333 SW 68TH PKWY ZONING: MUE
SUBDIVISION: FARMERS INSURANCE LOT: JURISDICTION: TIG
Project Description: Fire alarm upgrade.
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 : sf N: S: E: W:
OCCUPANCY GRP: B 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 56,000.00
Owner: Contractor:
F I G HOLDING COMPANY EC COMPANY
REAL ESTATE ACCTG PO BOX 10286
4680 WILSHIRE BLVD PORTLAND, OR 97296
LOS ANGELES, CA 90010
one: Phone: 503 - 224 -3511
FEES Reg #: LIC 49737
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/14/200E $503.62
[TAX] 8% State Surchari 10/14/200f $40.29
[FLS] FLS Pln Rv 10/14/200E. $201.45
Total $745.36
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. n A
Issued By: / � ,, � Permittee Signature: )1
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.
r , . iire*Prtltection Sy 6ro O M prtl1 Z"w^Iwc< ;ik P.
Building Permit A FOIL OFFICI1 USE ONLY
City of Tigard / v n wB 0 l 4 o L_ i t) . / 1906 -'O()YZ
13125 SW Hall Blvd., Tigard, OR 97223 / Plan Review �,
Phone: 503.639.4171 Fax: 503.598.19KT ' 2005 �/ rr . ,' 1 ,,. Date/By: , r - rm Other Permit:
Inspection Line: 503.639.4175 A
Date Rea. : y: ;� See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information q l
BUILDING DIVISION
9,,
,
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
❑ Addition / alteration /replacement '.Other: - v= equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
O t - and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
f.
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \ lin S Gg pPv\�v p 1 New dwelling area: square feet C
City /State /ZIP: \ 51.4„a OQ Al Z''1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: G Qv r e • s -T N v ... v A ,, Ci. Covered porch area: square feet i k _ _ _ _, „ . .
Cross street/directions to job site: Deck area: square feet
- 3( I» -13030 Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: sc ,UO0, ov $ nt.\ -2 co
Vi z, file -/ e. , )[X S* \ MS S\ \er
\\ `c nr \ cpb ‘f--‘ S S.4 t M— Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER I _ ❑ TENANT . Number of stories: 1/
Name: V Ar ‘Nev .,. 1,4 S r P ■ ( Type of construction: 2 - /h r
Address: \ 131\ S W C %I. Pp v t v W1 Occupancy groups: g
City /State /ZIP: • - \ v pro 0 it 0\1 a )1 Existing:
Phone: (S(1 3) '\- (.. Fax: (S03) ■.tkvs, C SO New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax: : ( )
E -mail:
' CONTRACTOR .
Business name: c C o v.--? - BUILDING PERMIT FEES*
Address: fJ 0 d y `p " i s /
Please refer to fee schedule
City /State /ZIP: ? \ \A 0lk q'1 a C - I
Fees due upon application '11 y5 3C
Phone: ( SUS) � 6 - S 1-1 -) I Fax: Sb1) c.‘5 -
Amount received
CCB lic.:
Lko‘,1, // /17--0, DD ate received:
Authorized signature: / C / g This permit application expires if a permit is not obtained
/( within 180 days after it has been accepted as complete.
Print name: i2 oq d 42¢ t Date: / D - / 3 , U , r • Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\FPS -PennitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
• CITY OF TIGARD _ - , •
BUILDING DIVISION ,.-.. PERMIT #: BUP2005 00555
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2005
Phone: (503) 639 -4171 Ay»mp hil,
Inspection Requests (24 Hrs.): (503) 639 -4175 '`' L.
INSPECTION WORKSHEET FOR DATE: 12/2/2005 TIME: 7:19AM PAGE: 29
SITE ADDRESS: 13333 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: FARMERS INSURANCE LOT #: TYPE OF USE:
PROJECT NAME: FARMER INSURANCE
DESCRIPTION: Fire alarm upgrade.
OWNER: F I G HOLDING COMPANY, PHONE #:
CONTRACTOR: EC COMPANY PHONE #: 503 -224 -3511
Inspection Request Scheduled For: Date: 12/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 022829 -01 503-415.9691 Y
Corrections /Comments / Instructions:
S % /& 0 OEf,J $/7L PL Te O/f 9` �l�L 4-
f7n7 /GNJ P1 J APP90 Uip P alt/,$
t
Zz977-9ol
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,12"1 04 -0G / e-- Date: 1 _5 ^O ) Phone #: (503) 718- Z75