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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00424 y " I!i DEVELOPMENT SERVICES DATE ISSUED: 10/30/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101DC -00300 SITE ADDRESS: 13535 SW 72ND AVE SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: JURISDICTION: TIG 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 -1HR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 26,564.00 Remarks: Installation of fire alarm system. Owner: Contractor: PACIFIC NW PROPERTIES RURAL ELECTRIC 9965 SW ALLEN BLVD 5285 NE ELAM YOUNG PKWY #A900 SUITE 115 pp��II� Q�RR p HILLSBORO, OR 97124 B Ptione T SOl7 -4ZT- 71� Phone: 503 - 648 -6696 Reg #: LIC 47478 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 10/20/00 $235.30 27200000000 Fire Alarm Insp Final Inspection 5PCT CTR 10/20/00 $18.82 27200000000 FIRE CTR 10/20/00 $94.12 27200000000 PRM2 CTR 10/30/00 $63.00 27200000000 (additional fees not listed here) Total $571.48 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe rm itee Signature: ✓/ Issued B Call 639 5 by 7 p.m. for an inspection the next business day �-- � - --' ^�5- ��0 `~_' _ __- _ '`~' 9-(/ ----__'111 ---_ a� SdD. • / ' / --' '-- - ---------�----- -----'-----------��-------�---- ------ --- --' t C_ __ — -^ - -``--`- -- -- -`-`---` ----- /�� 14t - - . _-- _-_ __ - _ - _ - - _ � -'_ - ___---- _-__--_ - .} .. -_-.+��-'-- ' -- _ _--- _ __- _ _ - - _ �� .�i _ _-_ _ _-� ---- --' ---- ----' -- - ----- -- ' ' - _ CIT O TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00424 � DEVELOPMENT SERVICES DATE ISSUED: 10/30/00 k._ - ' II 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 SITE ADDRESS: 13535 SW 72ND AVE PARCEL: 2S101 DC -00300 SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: JURISDICTION: TIG 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: 0.00 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: $ 26,564.00 Remarks: Installation of fire alarm system. Owner: Contractor: PACIFIC NW PROPERTIES RURAL ELECTRIC 9965 SW ALLEN BLVD 5285 NE ELAM YOUNG PKWY #A900 SUITE 115 HILLSBORO, OR 97124 one TON, OR 97005 B rh Phone: 503 - 648 -6696 Reg #: LIC 47478 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT CTR 10/20/00 $235.30 27200000000 Fire Alarm Insp Final Inspection 5PCT CTR 10/20/00 $18.82 27200000000 FIRE CTR 10/20/00 $94.12 27200000000 PRM2 CTR 10/30/00 $63.00 27200000000 (additional fees not listed here) Total $441.48 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe rm itee • Sign. re: ili: 5.6 �/% . 40 — Issu: d By: i / ' / / Call 8 9-4175 by 7 p.m. for an inspection the next business day , y � . Building Permit Application , Date received: /d /// 0D Permit no.: ettr o oo -EJO V.2 ,: 'Ill City of Tigard _! .� Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By:. I Receipt no.: %, Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: TYPE OF PERMIT O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 'New construction 0 Demolition L. O Addition/alteration /replacement 0 Tenant improvement sg Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION L Job address: AL • , - i _ 3 , S �. , 1 RffllnaeIPEIIIIIIII Bldg. no.: Suite no.: 1 Lot: Block: Subdivision: , ,d -' Tax map /tax lot/account no.: Project name: ? yt mix , r,, Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST KEN ac, V(A) to Pr ,, ( Floodplain ,septiccapacity,solar,etc.) Mailin: address: ak, , r 1 & 2 family dwelling. ropziza ,+ State:0 < ZIP: c 0 Cf 5 Valuation of work $ Phone: O' / k26 >o 1• E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) Phone: Fax: E- mail: Commerciallindustriallmulti- family: CONTRACTOR Valuation of work $ Existing bldg. area (sq. ft.) t) i Business name: , / et i^►c New bldg. area (sq. ft.) y5,'r VISZEM Address: '. E3 5 • L u BcA 1✓ Number of stories aN EnigAMMIIMIIIMEZEMII ZIP: ` 7 " 4 Type of construction .1 Ai Phone: 4 . b ivi Fax: E -mail Occupancy group(s): Existing: CCB no.: 1f 7 q 3 kr 0/ New: L City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGil \EEIi Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP:. Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the No all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist, All provisions of laws and ordinances goveming this 0 visa o MasterCard work will be complied with, whether specified herein or not. Credit card number: Expires Authorized signature: k Date: Name of cardholder as shown on treat card Print name: Cardholder signature Amount $ Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00/03M) A f y Fire Protection Permit Check List A.) A New ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: • Additional description of work: • Type of System (Complete A or B as applicable): A.) Sprinkler Wet ❑ Dry ❑ Standpipes Additional Hazard Group Information Density • Design Area K. Factor Sprinkler Project Valuation: $ • B.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes Cut Sheets Fire Alarm Project Valuation: $ ( �j qs -� !P , Project Valuation Subtotal (A & B): $ / 9, s9S, 4 26 4 Permit fee based on valuation (see chart): $ ,35. 30 9i.3o x(03 8% State Surcharge: $ /9 23 . sodr FLS Plan Review 40% of Permit: $ 9V /-2- 1I9.3v Z r,� TOTAL: $ y� .2y I: \dsts \forms \FPSchecklist.doc 10/04/00 i Building Permit Fee Chart .. , r r Project Valuation Permit Fee Tax F&LS Total 8% 40% 12,000 62.50 5.00 25.00 92.50 2,001 3,000 72.10 5.77 28.84 106.71 3,001 4,000 81.70 6.54 32.68 120.92 4,001 5,000 91.30 7.30 36.52 135.12 5,001 6,000 100.90 8.07 40.36 149.33 6,001 7,000 110.50 8.84 44.20 163.54 7,001 8,000 120.10 9.61 48.04 177.75 8,001 9,000 129.70 10.38 51.88 191.96 9,001 10,000 139.30 11.14 55.72 206.16 10,001 11,000 148.90 11.91 59.56 220.37 11,001 12,000 158.50 12.68 63.40 234.58 12,001 13,000 168.10 13.45 67.24 248.79 13,001 14,000 177.70 14.22 71.08 263.00 14,001 15,000 187.30 14.98 74.92 277.20 15,001 16,000 196.90 15.75 78.76 291.41 16,001 17,000 206.50 . 16.52 82.60 305.62 17,001 18,000 • 216.10 17.29 86.44 319.83 18,001 19,000 225.70 18.06 90.28 334.04 19,001 20,000 235.30 18.82 94.12 348.24 20,001 21,000 244.90 19.59 97.96 362.45 21,001 22,000 254.50 20.36 101.80 376.66 22,001 23,000 264.10 21.13 105.64 390.87 23,001 24,000 273.70 21.90 109.48 405.08 24,001 25,000 283.30 22.66 113.32 419.28 25,001 26,000 290.80 23.26 116.32 430.38 26,001 27,000 298.30 23.86 119.32 441.48 27,001 28,000 305.80 24.46 . 122.32 452.58 28,001 29,000 313.30 25.06 125.32 463.68 29,001 30,000 320.80 25.66 128.32 474.78 - . 30,001 31,000 328.30 26.26 131.32 485.88 31,001 32,000 335.80 26.86 134.32 496.98 32,001 33,000 343.30 27.46 137.32 508.08 33,001 34,000 350.80 . 28.06 140.32 519.18 34,001 35,000 358.30 28.66 143.32 530.28 35,001 36,000 365.80 29.26 146.32 541.38 36,001 37,000 373.30 29.86 149.32 552.48 37,001 38,000 380.80 30.46 152.32 563.58 38,001 39,000 388.30 31.06 155.32 574.68 39,001 40,000 395.80 31.66 158.32 585.78 40,001 41,000 403.30 32.26 161.32 596.88 41,001 42,000 • 410.80 32.86 164.32 607.98 42,001 43,000 418.30 33.46 167.32 619.08 43,001 44,000 425.80 34.06 170.32 630.18 • 44,001 45,000 433.30 34.66 173.32 641.28 45,001 46,000 440.80 35.26 176.32 652.38 46,001 47,000 448.30 35.86 179.32 663.48 47,001 . 48,000 455.80 36.46 182.32 674.58 48,001 49,000 463.30 37.06 185.32 685.68 49,001 50,000 470.80 37.66 188.32 696.78 a3s, 3 /f , dcz. I:\dsts \forms \feechart.xls 10/01/00 'y i /.2 1 •. 5't; ' o Fire Protection Permit Application Plan Check# CITY OF TIGARD' Commercial or Residential Recd By 13125 SW HALL BLVD. Date Rec'd TIGARD, OR 97223 Print or Type . Date to P.E. (503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST .. Permit # . Called Job Name of Development/Project Type of System (Complete A or B as applicable) 72nd Ave Building Address Address S 13535 SW 72nd Ave; Tigard A.) Sprinkler Wet ❑ Dry 0 Name Standpipes Pacific NW Properties Owner Mailing Address Hazard Group . 9665 SW Allen Blvd #115 Additional • City/State Zip Phone Information Density Beaverton, Or 97005 503/626 -3500 Name Design Area not vet determined Occupant Mailing Address K. Factor • City/State Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name B ) Fire Alarm (Sprinkler or Rural Electric, Inc. (. Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 0 Prior to permit 5285 NE Elam Young Pkwy #A900 issuance, a City/State Zip Phone Individual Component YES al spy Cut Sheets of all licenses Hillsboro, Or 97124 503/648 -6696 .B.1) Fire Alarm Presject Valuation $ are required if State Const. Cont. Board Lic.# Exp. Date $19 , 595. UO expired 47478, a in COT database 10 /00 Project Valuation Subtotal (A & or B) $ dat Name Permit fee based on valuation n/a $ Architect Mailing Address (see chart on back) 5% Surcharge $ City/State Zip Phone FLS Plan Review 40% of Permit $ Describe work A.) New J{ Addition 0 Alteration 0 Repair O TOTAL to be done: $ 400.46 B.) Modification to sprinkler heads only: fire alarm 1. 1-10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and system 2. 11 += Plan review required • the location of the nearest hydrant. 1 hereby acknowledge that I have read this application, that the information given is Number of sprinkler heads: correct. that 1 am the owner or authorized agent of the owner, and that plans submitted Additional Description of Work: are in compliance with Oregon State laws. Shure of Owner/Agent Date A.) In Existing Building ❑ New Building XX 10 /10 /00 Building Paul A C ontact Person �$ FOR OFFICE USE ONLY: No. of stories: Plat # MapITL#: 2 • Sq. Ft: 45,800 Notes Occupancy Class Type of I I struction is \firesupr.doc • , � 0 ,, • i CITY OF TIGARD BUILDING PERMIT FEES TOTAL • STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40 %) (5 %) FEES 1 -1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601 -1,700 28.00 11.20 1.40 • 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001 -3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001 -5,000 50.50 20.20 2.53 73.23 5,001 -6,000 56.50 22.60 2.83 81.93 6,001 -7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001- 10,000 80.50 32.20 4.03 116.73 10,001- 11,000 86.50 34.60 4.33 125.43 11,001- 12,000 92.50 37.00 4.63 134.13 12,001- 13,000 98.50 39.40 4.93 142.83 13,001- 14,000 104.50 41.80 5.23 151.53 14,001- 15,000 110.50 44.20 5.53 160.23 15,001- 16,000 116.50 46.60 5.83 168.93 16,001- 17,000 122.50 . 49.00 6.13 177.63 17,001- 18,000 128.50 51.40 6.43 186.33 18 ,001 - 19,000 134 ; -50- -53:80 195.73 19,001- 20,000 140.50 56.20 7.03 203.73 20,001- 21,000 146.0 58.60 . 3 212.43 21,001- 22,000 152.50 61.00 7.63 221.13 22,001- 23,000 158.50 63.40 7.93 229.83 23,001- 24,000 164.50 65.80 8.23 238.53 24,001- 25,000 170.50 68.20 8.53 247.23 25,001- 26,000 175.00 70.00 8.75 253.75 26,001-27,000 - • 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001- 29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 _ 32,001- 33,000 206.50 82.60 10.33 299.43 33,001- 34,000 211.00 84.40 10.55 305.95 34,001- 35,000 215.50 86.20 10.78 312.48 35,001- 36,000 220.00 88.00 11.00 319.00 36,001- 37,000 224.50 89.80 11.23 325.53 37,001- 38,000 229.00 91.60 11.45 332.05 i:\firesupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION Y_ M - 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP _too 647;4 Date Requested oltr AM PM BLD Location _ ��' �w � � Suite MEC Contact Person Ph PLM Contractor Ph (931 SWR Pig) Tenant/Owner ELC Retaining Wall ELR Footing L Access: Foundation FPS Ftg Drain Crawl Drain ( Inspection Notes: SGN Slab _ SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mis . F' PAS PART FAIL BING Post & Beam' Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer - Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other D ate ( n Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.