Permit h, CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT PERMIT D : B 3/2008 -00622
DATE ISSUED: 1/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DC - 04400
SITE ADDRESS: 11945 SW 70TH AVE ZONING: C -G
SUBDIVISION: DARTMOUTH SQUARE LOT: 030 JURISDICTION: TIG
PROJECT: DARTMOUTH SQUARE
Project Description: Fire sprinkler system for new office building.
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 487 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: Y PARKING:
VALUE: $ 45,000.00
Owner: Contractor:
DARTMOUTH SQUARE, LLC HYDRO TECH FIRE PROTECTION
7165 SW FIR LOOP # 100 15218 NE CAPLES RD
TIGARD, OR 97223 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 1/3/2008 $338.75
[TAX] 8% State Surcharl 1/3/2008 $27.10
[FLS] FLS Pln Rv 1/3/2008 $135.50
Total $501.35
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 503.2 • -.•'9 or 1.800.332.2344.
Issue • By: 1,, / / '/ Permittee Si • ature: ; , ,1,...- 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.
Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Mt E® Received A �7 � permit No .er616.22
13125 SW Hall Blvd., Tigard, Plan Review =17.",
Phone: 503.639.4171 Fax: 503.598.1960 q �ll' 1 Date/B : a�l��!► tlr� Other Permit:
® 6 2UU1 _-
Inspection Line: 503.639.4175 D EC P' j l Date Ready : : ® See Page 2 for
Internet: www,ci.tigard.or.us Notified/Method: A g �' Supplemental Information
G►TY of TIGARD. / ,,M
i iii N? i RK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition ' ermit 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.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
L t liK JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 141 j VV 70 AVE New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: segrronSETTREIRASi
� G Covered porch area: square feet
Cross street/directions to job site: J, rw I y ,(>�v Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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.: TL 4400 equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
INSTALL NEW WET FIRE SPRINKLER SYSTEM STARTING 5'0" FROM Valuation: $ 4
BUILDING
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: DARTMOUTH SQUARE LLC. Type of construction:
Address: 7165 SW FIR LOOP SUITE 100 Occupancy groups:
City /State /ZIP: TIGARD, OR 97223 Existing:
Phone: (503)598 -3440 Fax: (503)598 -3450 New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: HYDRO TECH FIRE PROTECTION INC, All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: JOSH SMITH under ORS 701 and may be required to be licensed in the
Address: 15218 NE CAPLES RD jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: BRUSH PRAIRIE, WA 98606 apply:
Phone: (360) 256 -2816 I Fax: : (360) 256-2817
E -mail: josh @hydrotechfire.com
CONTRACTOR
Business name: HYDRO TECH FIRE PROTECTION INC, BUILDING PERMIT FEES*
Address: 15218 NE CAPLES RD Please refer to fee schedule. I
City /State /ZIP: BRUSH PRAIRIE, WA 98606 Fees due upon application)
Phone: (360) 256 -2816 I Fax: (360) 256 -2817 Amount received 3t.
7 CCB Iic.: 104778 ' ,
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: w. T M Date: /2 -On * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building\Permits\FPS- PermitApp.doc 12/03 440.46l3T(II /02/COM/WEB)
.,
CITY OF TIGARD • _
BUILDING DIVISION PERMIT #: BUP2007-00622
AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 "^ qp W 1!.
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7 :OOAM PAGE: 37
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SCTUAR1 —_-
DESCRIPTION: spnnMer system for hew* officelAuildnq
OWNER: PHONE #:
CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360. 256.2816
Inspection Request Scheduled For: Date: 11/17/2008 Pour Time:
Code # 0 Kispection Description Confirm # Contact # Message
998 Alarm final 077934 -01 503-519.9347 Y
Corrections/Comments/Instructions:
(
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �/ al......,,_ P Date: I / b F-- Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION t3UP20t�7- Ot?8 ?2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/20118
Phone: (503) 639 -4171 , i la
Inspection Requests (24 Hrs.): (503) 639 -4175 _'!!+� Ni..
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK: v
6 A , i
SUBDIVISION: DARTMOUTH SQUARE LOT #: Q30 TYPE OF WV ∎, S
PROJECT NAME: DARTMOUTH SQUARE a 0 DESCRIPTION: Fire sprinkler system for new office building.
OWNER: PHONE #:
CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360-256 -2816
Inspection Request Scheduled For: Date: 11/6/2008 Pour Ti -
l : 0'
.
Code # Inspection Description Confirm # Contact # Mes a
999 Sprinkler final 077710 -01 360. 256.2.816
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Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
"FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Da te: V Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION : A
PERMIT #: RU P2007 00622
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/7008
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ! t__.
INSPECTION WORKSHEET FOR DATE: 4/8/2008 TIME: 7:OOAM PAGE: 11
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOtJTH SOUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SOUARE
DESCRIPTION: Fire sprinkler system for nevi office building.
OWNER: PHONE #:
CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360 - 256-2816
Inspection Request Scheduled For: Date: 4/8 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - - . - 1 I . 6 d
910 Sptinkior rough -in /test 068046-01 360-256-2816
Corrections /Comments /Instructions: T‘r'z,' °-
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❑ PASS P PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES SSESSED
b 71
Phone Inspector: Date: q Phone #: (503) 718-(1
CITY OF TIGARD ; ,,4.14 , A BUILDING DIVISION \)i btf PERMIT #: 13UP2007- 00622
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3 /20013
Phone: (503) 639 -4171 ,yj�l�
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °:..
INSPECTION WORKSHEET FOR DATE: 4/7/2000 TIME: 7:O1AM PAGE: 33
SITE ADDRESS: 11R45 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: Fire sprinkler system for iu3w office building.
OWNER: PHONE #:
CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360 - 256-2816
P PLY -C/
Inspection Request Scheduled For: Date: 4/7/2000 OA' Pour Time:
Code # Inspection Description Confirm # Contact # Me ge , a v
910 Sprinkler rough -in /test 067963 -01 360.256-2816 Y
Corrections /Comments /Instructions: - 1■ri IA ,CfS(03
s
V
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❑ PASS ❑ PARTIAL APPROVAL XCANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY .OF TIGARD
BUILDING DIVISION �� PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: •
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: - TIME: PAGE:
•
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: '
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
, r "
.
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message ',
Corrections /Comments /Instructions:
11)
❑ PASS PARTIAL APPROVAL 9 ❑ NO ACCESS
n AIL ❑-• CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
. i1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EUP2007 -00622
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2(108
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 "__J,
INSPECTION WORKSHEET FOR DATE: 4/4/2008 TIME: 7:02AM PAGE: 23
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: f sprinkler system for new office building.
OWNER: PHONE #:
CONTRACTOR: HYDRO TECH FIRE PROTECTION PHONE #: 360 - 266 -2816
Inspection Request Scheduled For: Date: 4/4/2008 Pour Time:
Code # Inspection Description Confirm # - Contact # • Mes a e
99 5 Min. inspection 067883-01 360- 2E&7816 Y
Corrections /Comments /Instructions:
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R4SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ��� Date: 1 / Phone #: (503) 718- `� '