Permit 1, ° CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00484
COMMUNITY DEVELOPMENT DATE ISSUED: 10/3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136 DC -04400
SITE ADDRESS: 11945 SW 70TH AVE ZONING: C -
SUBDIVISION: DARTMOUTH SQUARE LOT: 030 JURISDICTION: TIG
PROJECT: DARTMOUTH SQUARE
Project Description: Installation of fire alarm system. .
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: PARKING:
VALUE: $ 9,100.00
Owner: Contractor:
DARTMOUTH SQUARE, LLC CAPITOL ELECTRIC CO, INC.
7165 SW FIR LOOP # 100 11401 NE MARX STREET
TIGARD, OR 97223 PORTLAND, OR 97220
Contact #: PRI 503 - 255 - 9488
Phone: FAX 503 - 255 - 1966
Reg #: LIC 48748
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/12/2007 $119.70
[TAX] 8% State Surcha 9/12/2007 $9.58
[FLS] FLS Pin Rv 9/12/2007 $47.88
Total $177.16
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 rul- - : - • questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss -d By: / // / i(/ j/ Permittee Signa
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.
1 t %4 --- 7d u- ANY
.Building Permit Application FOR OFFICE USE ONLY
A Received 9 J / 9 9
City of Tigard DateB : / �' 07 PermitNo.: �J
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie a �
Phone: 503.639.4171 Fax: 503.598.1960 I�I Date /B : //'/i(g 1 !�] Other Permit:
Inspection Line: 503.639.4175 ^ • Date Ready :y: / / rnn ' ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method g /' O i Supplemental Information
S ph Le._ iaru_ <_-1 •a fit. f i
TYPE OF WORK REQUIRED DATA: 1 -%IND 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
f/ 74, JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I1939'SW 70 Ave New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: DARTMOUTH SQUARE, SHELL Covered porch area: square feet
Cross street/directions to job site: 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.
INSTALL BUILDING FIRE ALARM SYSTEM PER PLANS Valuation: $9,100.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: CAPITOL ELECTRIC COMPANY, INC. All contractors and subcontractors are required to be
Contact name: DAN WILSON licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11401 NE MARX STREET jurisdiction in which work is being performed. If the
City/State /ZIP: PORTLAND, OR 97220 applicant is exempt from licensing, the following reasons
apply: /f 9.2!7
Phone: (503) 255 -9488 Fax: : (503) 255 -1966 7.46
E -mail: dan @cepdx.com 9• 5s
`
CONTRACTOR 9 / 7 7- /4' '-
Business name: Capitol Electric Company, Inc. BUILDING PERMIT FEES*
Address: 11401 NE Marx Street
Please refer to fee schedule.
City/State /ZIP: Portland, OR 97220 Q
Fees due upon application ll 1 . 744°
Phone: (503) 255 -9488 Fax: (503) 255 -1966
r/ Amount received
CCB lic.: 48748
Date received:
Authorized signature:
k ..."----� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: DAN WILSON Date: 09/05/07 * Fee methodology set by Tri- County Building Industry
Service Board.
i:t Building \Permits\BUP- PcrmitApp.doc 12/03 440-4613T(1 I /02/COM/WEB)
20 e 4a?
^i CITY OF TIGARD ,
_
BUILDING DIVISION PERMIT #: BUp2007- 004L34
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2007 I Y; Phone: (503) 639-4171 yr h �i�6,
I Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:OOAM PAGE: 36
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH UARE_T.._ ___,
DESCRIPTION: � rtstailation of fire alarm stem.
OWNER: PHONE #:
ti j CONTRACTOR: CAPITOL ELECTRIC CO, INC. PHONE #: 503 - 255- 94t3$
Inspection Request Scheduled For: Date: 11/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
990 Alarm final 077935-01 503-519-9347 Y
Corrections / /CC mentss /Innst tructions:
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4 pA3S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0" Date: Y Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 004t34
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 10/3/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 II '1. V
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7 :0OAM PAGE: 53
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: Installation of fire alarm system.
OWNER: PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO, INC. PHONE #: 603 - 255 -9488
Inspection Request Scheduled For: Date: 11/&2008 Pour Time:
a s
Code # Inspection Description Confirm # Contact # Mes; ,g • 7 0' '
998 Alarm final 077677 -01 503- 519 -9347 Y
1
Corrections /Comments/ Instructions:
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❑ P SS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
‘� �'� � ate: 1 I Ill[ Phone #: 503 Inspector. D ( ) 718 -