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Permit CITY OF T BUILDING PERMIT PERMIT #: BUP2003 -00476 A NV DEVELOPMENT SERVICES DATE ISSUED: 9/8/03 " 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14160 SW 72ND AVE 110 PARCEL: 2S112AA -00900 SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H 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: 5N 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,669.00 Remarks: Fire protection. Owner: Contractor: SPIEKER PROPERTIES LP CASCADE FIRE PROTECTION 4380 SW MACADAM AVE STE 100 24023 NW SHEA LN. #110 PORTLAND, OR 97201 WOOD VILLAGE, OR 97060 Phone: Phone: 503 - 491 -8755 Reg #: LIC 89086 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 8/4/03 $139.30 Sprinkler Final [FLS] FLS Pln Rv 8/4/03 $55.72 [TAX] 8% State Tax 8/4/03 $11.14 Total $206.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. By: I 411P7 Issued B s _ �_ � mar .�. , i Permittee I l Signature: )( / Call 639 -4175 by 7 p.m. for an inspection the next business day /if /C sw�- zN°Avg Fire Protection System Building Permit, ction Systmeow 0„ t,I I I, 11 t N I likdidin - x, . _ ri < • . - . -- C�g.l7e City of Tigard =, _ <ua ,.• : 13125 SW Han sirs. r . , ., , Plan Boom _ • , o3 other Tigard, Oregon 97223 D Phone: 503.639.4171 Pax: SO3 598.1960 1 . j Datell3Xs Cos No Internet: www.ci•tigard.ar'.cs . - -- Contact aortal r ® sea Page: to 24 -hour Inspection Request 503-639-4175 `; , 1 NemelMedtod: 7/ ( 1 Senhereetel Intownekne 4 ';•` 'r rt:,rT ' t . I .. ! . t •. i7.4 i < . . t r i ilie. • 4 � pX 1 "' u � ;, . '� ' , y s n �'d ol, .ia. : n . {� .. '1i. � i:,' ;l'; d m: • �, il'8ti i S ' %�� �!.`�.. •! ° +:9�i�i3 ]_.I,_" . %S '"'�' �. . n > C1.,:;:!!rf. �. ,.:} , ;; C + i! • •� .�! !�i':� :.ru . . 1. � v !fj♦ �. {� w 'r t.t;?Fr.'�i• t' < t:. h.. t s: 2A'. t , i � : i s :t�: 11 W ..,L • on • Demolition t::; i t � p � , I � '.:y�� }. CJ ..a � .,.• �• 1 .IG . .. I t r . ±- .:.af • 7 b;:5wil� �f� l�ry� 1 • � i_• • itionialterati • < 1-J... i -' • t IM Other: — i r riii _•a h air• -- - i•. P tic :;:•. �..:.< .!.. . ,.: �c � -:.. ti�:�_�...__��1 ^� ' _�, 4 }'�+�:_ _ ._ . _. � ___lam$ N P era d t gob arc bated an the total valve ossbe work perBonrod, indicate • 18t 2-Family dwelling ►_4 the ratan (rounded to the nearest donat) °tar equipment, =term% labor, II Accessory Building IN Multi Family overhead and profit for the wets indicated on this apptterlaaR ■ Muter Builder ■ Other: - valuation _.... $ r:" 1 %;i r -t'•_r Fi t :, '7;ir' c! i19',';uy. '' . .e!‹..` No afbcdrooars: No ofbatbs: Job site address: 141 toe) 5W N 72�ud A ue_ ew d welliells w r of Hoots. Suite #: i /0 I Bldg./APO: ApBldg./APO: aw ng ea:et► (sq. (act. ft.) Project Name: Gsarrre not ot re Mt S N 11u35 MA tat Covered porch area tt Cross street/Directions to job site: Dedt area (sq. $) , Other si:tn ae area (sq. S.)...._ Me soiA,,Asim e5S C..NTeR „ It ���.��• j� < ��Si} r 3t r : 1: m:: ,•t ,.J kh i p ' k, }rtiJ 11} . •'� ' <:, P� t. ii y ) f ,!r.* �° .1: � �:(s,. b i,! Y r g V:11. 1I 0 : ;t. I 'Y t . o' f I ii , r � k� ' c''. '�;j 1'. ••l " :' ); , -.' d t , ". �': p lly 1 ' l i Subdivision: , Lot #: sr�!( 1 ,t ^ ,::_v. ! c ' The map/parcel #: NOM: Aortnit ibes* ere bated on the total value oldie work patterned. Indicate '' . : rz m;G ► anisowsu inoii7 -, i :i$,1:1 the ralnOCUnd e tQthe IOW* dono)ofall equipment, , A OOrt 100 of StassallK L aria N earns overhead and profit for do work indicated on tie application. Ta nr t Ato - r � nkpaoof ne T Valuation _..._...._..— .......... _ s Q 6(48 °—°. • Eaisdng budding area (sq, ft.)--- New building area (sq. ft.)..... _ ........ .• . : n�. Number of stores. 6 _: ic a:' � �. � aT';?:.��d�" 1���- "�i_�: •. t�i.:���41��:.rE��E; <.••. TYIO°atoamtruotion_ Name: A A P 1 E Kerr "Ra.tipaa-r i ac. Lp oecupncy fie): Nice: Address: 4380 SW MG IQaa.rv►G City / State/Zip: 'Booty" ti Og 97 2 01 Phone: Fax: : NOTICE: All contractors and are mulled to be s� 'Z',7 4b> 1�� ;lS [�F Vi' ° r _`' C' . :4i . licensed with the Oregon Conawotion Contractors Hoard trader �' .: provlclans of ORS 701 and mien bo required to be licensed b1 the Business Name: jurisdiction whore work is being paf'ormed. lithe applicant Is exeatpt Contact Name: from limning, the tbllowing reason applies: Address: City / State/Zip: . Phone: Fax:_ ,, . 6 Y , . -n . yn izErtfr • ;;L;,.. et t %' • ' ......Y,„01..,,....:,, 10 J '': .:lt ... ` 11 )) 1.' .'' . � ,, • l f .. :.. �, �• '�•, . • ■ tS. • E -mail: 141 ' '•, ' ` ; T h. S . : I'I , ., I r ` 7 ..or d ' - " ; : - :1.. T t �..• ' , F Fh.1 'IJT l� ` l I1 ' ; y u ± .,t 3uui:G I i'! „mx r...'1 s: : I;i ,,. 1 :, .r. ..fi v':, !y'. !;,,.• { kc[7JWS +fi:,„ ''. . .. •'; '��� ,.'�' i ci•r'4 , ao •P!:ZE_i -fi t)_ �.�f:;C ...'.•i's d•¢•. Y;<(:.r.,:.., B u s i n e s s N a m e : CM sG tr►el a e - Fk r prix J CD p. a due upon application.. S Adddress: &4 *023 ,'E SNEli L.v #/ /O City /State/Zip: 1I/000 Vi4. t s2 ?7„Q4,0 Mount received- s Phone: 49,1- g7r S 1 Fax: 491 - 87 8 Date received: CCB Lie. #: cA -se -AF -P40 yam/ r • AYttlorfZed wa d If a t Is not tl This Omitted within Signature; 7 � �- Da�:� r No 100 after It ties been mplet& A/Z0A1 DO.tl t)e // •rre methodology set by ThI- Coaety Baltding Industry Berrie Board. (Please print nets) iMstsTerreit Fomn%Hld$PerrnWpp.Ooe 01/03 TOOIPj (PPM II .30 41.LI0 096T968V05 rid OT :pT COO /BB/L0 . Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration t 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: \ Additional description of work: Type ofSystem (Complete A, B, C or D as a pplicable): - A.) Commercial Sprinkler , Wet g, Dry ❑ Additional Standpipes Information: Hazard Group ©RO ))JAK \- i Density . .20 Design Area ) 30.5Q. F- K. Factor ,57 ,6 Sprinkler Project Valuation: $ c4, 6 ,.. 65 '—�- B.) Type .I Hood Fire Suppression.; System Hood Project Valuation: 1 $ C.) Fire-Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ D.)- Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 . 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts \forms \FPSchecklist.doc 02/28/03 Pile Protection System • Building ' ermit Application Received FOR OFFICE USE ONLY :. Building Date/By: Permit No.: CI of Ti and Planning Approval Other ty g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Land U Phone: 503 - 639 -4171 • x: 503 - 598 -1960 -- " ;9I1' h Date/By: Case No Internet: www.ci.tigard.or. - � + i - - Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 03- 639 -4175 Name/Method: Supplemental Information TYPE O WORK REQUIRED DATA: ❑ New construction I ❑ Demolition 1 & 2 FAMILY DWELLING ❑ Addition /alteration/replaceme t I ❑ Other: CATEGORY OF CON ' RUCTION Note: Permit fees* are based on the total value of the ■•.rk performed. Indicate ❑ 1 & 2- Family dwelling ❑ Co ' ercial/Industrial the value (rounded to the nearest dollar) of all equipm t, materials, labor, overhead and profit for the work indicated on this a! Iication. ❑ Accessory Building ❑ Mul Family ❑ Master Builder ❑ Other. Valuation $ JOB SITE INFORMATION and L • ATION No. of bedrooms: No. of baths: Job site address: Total number of floors New dwelling area (sq. ft.) Suite #: 1 Bldg. /Apt. #: Garage/carport area (sq. ft.) Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) QUIRED DATA: CO I'' I RCIAL - USE CHECKLIST Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* .re based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (round • • to the nearest dollar) of all equipment, materials, labor, overhead and • ofit for the work indicated on this application. Valuati $ • ist' g building area (sq. ft.) Ne building area (sq. ft.) ■ m: er of stories ❑ PROPERTY OWNER 1 ❑ TENANT ype o construction Name: Occupan group(s): Existing: New: Address: City /State /Zip: Phone: Fax: NOTICE: All •.. ntractors and subcontractors are required to be DI APPLICANT , ❑ CONTACT P • ' ON licensed with the ' regon Construction Contractors Board under provisions of ORS '01 and may be required to be licensed in the Business Name: jurisdiction where w. k is being performed. If the applicant is exempt Contact Name: from licensing, the fol ' wing reason applies: Address: City /State /Zip: Phone: 'ax: BULDIN PERMIT FEES* E -mail: Please refe to fee schedule. C• • TRACTOR Business Name: Fees due upon application $ Address: City /State /Zip' Amount received $ Phone: 1 Fax: Date received: CCB Lic : — Authorize, Notice: This permit application expires if a permit is not obtained within Signatu : Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) • i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BuP 3- 00 9710 Received Date Requested q—/0 AM PM BUP Location `4{/ (0( &..C) 7Zt Suite l /n MEC Contact Person , Ph ( > ) 4 / - r ?5 PLM Contractor .•. f = 'L • Ph ) SWR IL D I ` ° Tenant/Owner ` � ELC Ong ELC Foundation Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire Sprinkler Fire arm Susp'd Ceiling Roof 11 PART FAIL ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In - Gas Line Smoke Dampers Final P. S PART F. EL / TRICAL Servic - Rough -1 I \ UG/Slab , • Low Volta • - Fire I- T ►, ina i Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • S PART FA TE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA D L 1 07 Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL