Permit CITY OF TIGARD
, BUILDING PERMIT
PERMIT #: BUP2003 -00629
� DEVELOPMENT SERVICES DATE ISSUED: 11/10/03
- �i 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: S1 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: $ 2,500.00
Remarks: Addition of (2) hose valves for rack storage area.
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 10/27/03 $72.10 Sprinkler Final
[TAX] 8% State Surchari 10/27/03 $5.77
[FLS] FLS Pln Rv 10/27/03 . $28.84
Total $106.71
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.
Issued By: Zi.44-7.-r...c �� ,i--
Pe mi ittee
Signature: .07 ce phi 4 7C ( '(J
Call 639 -4175 by 7 p.m. for an inspection the next business day
- Fire of �Nion
/ r T FOR OFFICE USE ONLY
din g Permit Application Received a ��, n /
,� ED Date/By: /b /a� 3 Pe Buildi No.: i UJp�y> s fQ
0 ° 9 7_
City of Tigard QaCJE D anning Approval Other
f DateBy: Permit No.:
13125 SW Hall Blvd. �� ,, Plan Review Other
Tigard, Oregon 97223 r�`}('`� 2 a 0 Date/By: &PO /6,6 Permit No.:
Phone: 503- 639 -4171 Fax: 503=5 -1960 4ril1t' �t� I�� Post - Review Land Use
1 I 1 Date/By: Case No.
Internet: www.ci.tigard.or.us V OF TlG' Contact J�u ys El See Page 2 for
24 - hour Inspection Request: 503S DM Name /Method: '7/(� Supplemental Information
6
TYPE OF WORK REQUIRED DATA:
❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING
® Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION Note: Permit fees' ire based on the total value of the work performed. Indicate
111 1 & 2- Family dwelling ® Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
1
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths:
Job site address: 14 t ( 5.u.). 12, Aoe. Total number of floors
New dwelling area (sq. ft.)
I
Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.)
Project Name: Ca, N IRAc EA. AO is kI11Zs Mw r Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
REQUIRED DATA:
COMMERCIAL - USE CHECKLIST k,,
Subdivision: Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate (7:s
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment; materials, labor,
overhead and profit for the work indicated on this application.
ADD rt1ON o'F Nosh coNNecttoN
Valuation $ t SO
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories VP}
❑ PROPERTY OWNER 1 ❑ TENANT Type of construction 1
Name: Occupancy group(s): Existing: 5
New:
Address: •
City/State /Zip: __..)
Phone: Fax: NOTICE: All contractors and subcontractors are required to be
APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: (up ssE .0 ln.J C_ jurisdiction where work is being performed. If the applicant is exempt
Contact Name:' w R ,oti,JSO/J from licensing, the following reason applies:
Address: n 4 D a3 N E St.ke l.av - *V- \
City /State /Zip: Lpac,A, V ij_AGe D 91,960
Phone: r 3 4q1 g i gs I Fax: 503 491. £S - 76ie
BUILDING PERMIT FEES *,
E -mail: Please refer to fee schedule.
CONTRACTOR
Business Name: C,AScADE ttc f fft CXtO i) ex) Fees due upon application $
Address: 2.4.0a.3 Ng St4e4 1.. 1 \0
City /State /Zip: Moot 00.} - IR GE Q2 910in Amount received $
Phone: Go' 49 R'755 I Fax: S03 Lizti gZ (og Date received:
CCB Lic. #: If q p' c
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: Ya�Jll/YI.Q Date: 180 days after it has been accepted as complete.
/*00 aatzll *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name) /�/� ,
i:\Dsts\Permit Forrns\BldgPermitApp.doc 01/03 p 3 . / / t I
Fire Protection Permit Check List
Describe work to be done:
A.) ❑ New • B.) Modification to sprinkler heads only:
A Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
14porrsoN OF 4ose GoNNeGTtON
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry ❑
Additional Standpipes •
Information: Hazard Group • •
Density
•
Design Area " - * •'''
K. Factor
Sprinkler Project Valuation: $
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: $ -
Pian 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 \fortes \FPSchecklist.doc 02/28/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 75
MST
INSPECTION DIVISION Business Line: (50 -- 00 Go Z�
Received // __ Date Requested � AM PM BUP
Location f ) (0 ) 2- °-- Suite k 0 MEC
Contact Person Ph ( ) PLM
Contract ( Ph ( ) SWR
•
Tenant/Owner 'S v‘ ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ' _ u G SIT
Post & Beam
Shear Anchors ' — c <.■ OLP2_,A
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1/11
Roof V
• t
O 11N-- 11"'UUU �I
■
PART FAIL
• BING
Post & Beam r �' -
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
PASS PART FAIL
ELECTRICAL
Service
Rough -In ,
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Ell Unable to inspect — no access
Fire Supply Line
ADA
(c) Approach/Sidewalk Date Inspector _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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