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Permit d ITY O TIGARD PERMIT #: BUP2002 -00226 11 � DEVELOPMENT SERVICES DATE ISSUED: 6/12/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -00200 SITE ADDRESS: 15862 SW 72ND AVE 150 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I -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: : 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: , IMP SURFACE: PRO CORR: PARKING: VALUE: 4 3 0z Remarks: Addition of 1 sprinkler head and relocate 3 existing heads. Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST PORTLAND, OR 97224 TIGARD, OR 97223 Phone: Phone: 620 -6140 Reg #: LIC 63846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection PRMT CTR 6/12/02 $62.50 27200200000 Sprinkler Final 5PCT CTR 6/12/02 $5.00 27200200000 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Pe mi ittee Signature: aY1 a 01, 1N (�;,�� -L ,, U-- o i V- _ u Issued By: ,(A-J Call 639 -4175 by 7 p.m. for an inspection the next business day r i u i ld i ng Permit Application • A � Datereceived• r� -op- Permitno.. A 7( ,�y}„� � ";:''i'i; ' 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) 5984960 Case file no.: ' Payment type: Land use approval: 1 &2 family: Simple Complex: T%'I'L OF PER1111 ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ "Multi - fancily ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ' Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE lNFORI1ATION Job address: ; ka ` toly - ZND ' It I ' = /,7' Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: 1-721M ' Description and location of work on premises/special conditions: ! .11 4 iP" J - / 4-11 A : (6e 4 ., r. 1 01 te• :, // ONNEIt FOR SPECIAL INFORMATION, USE CHECKLIST MEOW > (Fluodplain, septic capacity, solar, etc.) Mailing ad r " ss: rar. 0 G4) .- t - >. - D / a/1 1 & 2 family dwelling: 11332.1r0 ' ILEMINIIMEMYZal ZIP: 'j Valuation of work $ Phone: {'7 t r, © Fax: 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.) /Mee 'P' , q e'/‘? Covered porch area (sq. ft.) Mailing address: ' jGf'. ` Deck area (sq. ft.) -Mate: 0 zip EMU.' Other structure area (sq. ft.) Phone: 62°,- fp I T A Fax: b70- Po '; Commercial/indnstriaumalti- family: 430 CON r RAC! OR of work $ Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: !/ / State: 0 i2 ZIP: ' A . Number of stories ./ Type of construction Phone: Fax: E -mail: CCB no.: Occupancy group(s): Existing: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARC1I I l I c 7Ul ;SIGNER licensed with the Oregon Construction Contractors Board under Name: 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: :NGINFFR Name: Contact person: Fees due upon application $ L1 Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examin" • this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information. attached checklist. All provisions of , ws d ordinances governing this ❑ Visa ❑ MasterCard work will be complied w' whether s , • herein or not. Credit card number: / Expires Authorized signatu - V `, "- .. 6 / 7 l /oz. Name of cardholder as shown on credit card Print name: /5RU • Pg re,s $ 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 (6ro0/COM) Fire Protection Permit Check List 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, B or C as applicable): A.) Sprinkler Wet ❑ Dry ❑ Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ 450°E-- 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: $ Project Valuation Subtotal (A, B & C): $ 4.3O` - Permit fee based on valuation (see chart): $ _(0252 8% State Surcharge: $ S °� FLS Plan Review 40% of Permit: $ TOTAL: $ t0- i:\dsts\fomns \FPSchecklist.doc 06/07/01 • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST lild- BUP — 0 6 2 Received / i. Date Requested AM PM �� - Uo z_Z / Location t ��D o- , Suite MEC Contact Person iO �► i Ph ( ) 2 ZU - /5, .5 PLM 1 Contra Ph ( ) SWR UILDINO Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post &Beam � 1 .til'I Shear Anchors 4 Ext Sheath/Shear Int Sheath/Shear ' Framing , Insulation /J Drywall Nailing �/ ���_� I Firewall Fire Sprinkler au_ Mr-O d e t_i / , , , Fire Alarm Susp'd Ceiling / ' / v �7 d ' /. :4 1 / —'_" /C .9 7 e/ X / Roof ` . 171111Wg :� Other: — Final f ' ` cL/ j i P A S S F L PLUMB {" =W - Post & Beam Br Under Slab / ���� Rough -In , Water Service Sanitary Sewer BraWIEFLIO l PAIrta_All- ; 1 ' , � Catc Drains r I — t Catch Basin / Manhole Storm Drain / Shower Pan { Other: �� Final PART FAIL r '_ � mrs / . — MECHANICAL — Post & Beam Rough -In A � + _ Gas Line Smoke Dampers AIMMINFMMINV Final PASS PART FAIL Ilil ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm . Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date f i Inspector Ext Other: Final • DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour ` LIILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP r0 Received Date Requested 7 /1, AM PM ' BUP Location / S g �P 7 o� ..Y14 A -v-R -- Suite MEC Contact Person Ph ( ) f!o - e 3 ' — 6P/L/ 0 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire Fire Alarm Susp'd Ceiling Roof Other: 4 129 _PART FAIL • ' BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer _ Rain Drains - Catch Basin / Manhole fes\s„.. 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: ❑ Unable to inspect — no access Fire Supply Line 7 1 9 /J ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL