Permit j, i
"i f q CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00444
° COMMUNITY DEVELOPMENT
DATE ISSUED: 8/22/2007
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC - 00100
SITE ADDRESS: 15675 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
PROJECT: NIKE SOCKS
Project Description: (5) Fire sprinklers
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: 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: $ 675.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRE SYSTEMS WEST INC
15350 SW SEQUOIA PKWY #300 -WMI 600 SE MARITIME AVE #300
PORTLAND, OR 97224 VANCOUVER, WA 98661
Phone: Contact #: PRI 360 - 693 - 9906
FAX 503 - 289 -2208
Reg #: LIC 49732
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/22/2007 $62.50
[TAX] 8% State Surcha 8/22/2007 $5.00
Total $67.50
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 di � t questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By � ,e, Permittee Signature: /O
,/
- -
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 R ECEt\ ED
Building Permit Application FOR OFFICE USE ONLY
1111 " City of Tigard :. `'J • w ' 200 DateByd O 7 �f�y' Permit 7 —.�7/ //
13125 SW Hall Blvd., Tigard, OR 972 (IF Plan Re - //'r r
I , Phone: 503.639.4171 Fax: 503+St411.1196W TIGARD w Other Permit:
TIGARD Inspection Line: 503.639.4175 3 U ILDING DIVISION Date Read /B 3 " El See Paget for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 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 Valuation: $
® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /5 S () ? c.) Aiv; New dwelling area: square feet
City /State /ZIP: 'YA4 Dye/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 4/ AP _$ c 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 (3) upright, (1) pendant and relocate (1) pendant sprinklers Valuation: $$675.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Nike Type of construction:
Address: 15675 SW 72 Avenue Occupancy groups:
City /State /ZIP: Tigard, Oregon 97223 Existing: x
Phone: ( ) Fax: ( ) New:
� APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Fire Systems West All contractors and subcontractors are required to be
Contact name: Richard Case licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 600 SE Maritime Ave. Suite 300 jurisdiction in which work is being performed. If the
City /State /ZIP: Vancouver, WA 98661 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 693 -9906 Fax: : (503 -) 289 -2208
E -mail: dickc @firesystemswest.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer tofee schedule)
Business name: Fire Systems West
Permit fee:
Address: 600 SE Maritime Ave. Suite 300
State surcharge (8% of permit fee):
City /State /ZIP: Vancouver, WA 98661 0
FLS plan review (40% of permit fee):
Phone: (360 -) 693 -9906 Fax: (503) 289 -2208 (Due upon application.)
CCB lic.: 49732 Total permit fees:
\ Amount received: C 2‘
thor signature:
This permit application expires if a permit is not obtained
/ ` within 180 days after it has been accepted as complete.
Pri t narpts: Richard J90-17 7 Date: 8 -20 -2007
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(1 I/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00444
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2007
Phone: (503) 639 -4171 A� * l,
Inspection Requests (24 Hrs.): (503) 639 -4175 'f I
INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 82
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARKIN LOT #: Q02 TYPE OF USE:
PROJECT NAME: NIKE SOCKS
DESCRIPTION: (5) Fire sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360- 693.9906
Inspection Request Scheduled For: Date: 10126/2007 4 Pour Time:
Code # Inspection Description Confirm # Contact # Mes = •
999 Sprinlder final 058362 -01 503-539 -4432
Corrections /Comments /Instructions:
i►; - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V t<)?__----- - l 0 /Z Wn Z- L -Crz Inspector: Date Phone #: (503) 718-
CITY OF TIGARD
et
BUILDING DIVISION PERMIT #: BUP2007 -00444
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2007
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 -�- 1.
INSPECTION WORKSHEET FOR DATE: 8/24 /2007 TIME: 7:00AM PAGE: 79
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE SOCKS
DESCRIPTION: (5) Fire sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360- 693 -9906
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me -. -
910 Sprinkler rough -in /test 054551 -01 503 - 539 -4432 • D
Corrections /Comments/ Instructions:
PASS . PARTIAL APPROVAL III CANCEL ❑ NO ACCESS
FAIL %A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 8 Z�O 7 Phone #: (503) 718 - 2-C/7
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- -_ - - • SCOPE OF WORK
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BUILDING KEY PLAN
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