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Permit
a CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00097 COMMUNITY DEVELOPMENT DATE ISSUED: 3/9/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 112 D D - 002 00 SITE ADDRESS: 15862 SW 72ND AVE 200 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: NATIONAL MORTGAGE Project Description: 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: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 14,612.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES DELTA FIRE INC 15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE PORTLAND, OR 97224 PORTLAND, OR 97224 Contact #: PRI 503 620 - 4020 Phone: FAX 503 - 620 -1058 Reg #: LIC 64174 FEES REQUIRED ITEMS AND REPORTS Description Date Amount [BUILD] Permit Fee 2/20/2007 $187.30 [TAX] 8% State Surcha 2/20/2007 $14.98 [FLS] FLS Pln Rv 2/20/2007 $74.92 Total $277.20 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: Permittee Signatu k, ^ ., S..., 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. a' 11 c a 1 vaco,aavaa UJaaclaa 1 3-(,.. .i-J 7) iv ' Building Permit Application FOR OFFICE uSE ONLY n City of Tigard ,� Received_ �, )0 Permit No.. 177 -- eoX,t7 13125 SW Hall Blvd., Tigard, OR 97, ° °° f � ‘ Plan Revie. Q : Phone: 503.639.4171 Fax: 503.59 Date/Be t- =r/ SI,p7 Other Pemt T I G A R D Inspection Line: 503.639.4175 fee , ©O1 Date Ready : y: 111 J tn,;,: BI Page 2 for Internet: www.tigard- or.govS \'; Notified/Method ' '? a 7� Supplemental Information � TYPE O W oR &� 0 1 ri �� O � A RE U D T - AND 2- AMILY DWELLING `` 03 1 Qu A A. I AN F ❑ New construction ❑ I0rl 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 ra Commercial /industrial Valuation: $ ❑ 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,,,, rl Ak ,_, - to, A New dwelling area: square feet City /State/ZIP: TOrtlavid, O(\ Ci 7 Aa s Li Garage /carport area: square feet Suite Idg.lapt. no.: up Project name: • • a I ,. 'tl • 0 ! I u .. e „ a , , overed 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: I 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. Valuation: $ Ill ( \ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT _ Number of stories: Name: Type of construction: Address: Occupancy groups: City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: Igt APPLICANT T ❑ CONTACT. PERSON NOTICE Business name: ` L�A f Ifc : Lflt All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: —rim ccu - n k P,r under ORS 701 and may be required to be licensed in the Address: Iu / Su 7atcl Ave. jurisdiction in which work is being performed. If the City /State /ZIP:' a�6 ©P1 et 7aa.0 applicant is exempt from licensing the following reasons Phone: ( Jp3 ) 600 - 4O9.0 1 F a x : : ( ) ( - . . - tOS 6 E -mail: T CO. d J4c Coal CONTRACTOR BUILDING PERMIT FEES* Business name: lkeA g tn =n( (Pleoaerefermjeesehedule) Permit fee: Address: 1/41C.6 )) ` na m City /State /ZIP: Po fA ncl n e n 9 au State surcharge (8% of permit fee) t F LS plan review (40% of permit fee): Phone: (53) 6,90— / d Fax: (Q3) (e) iO 05% (Due upon application.) CCB lic.: (oti 1714 Total permit fees: Amount received: Authorized signature: keta - .4 - i / This permit application expires if a permit is not obtained Print name: H eji I'I r�'b 60 t " gate: d41 b)07 ' within 180 days after it has been accepted as complete. C Fee methodology set by Tri County Building Industry Service Board. Ii Building \Permits\ FPS-Perm itApp.doc 03/23/06 440- 4613T(1Ii02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Peietilbe, work io doiie; 1.) El New 2.) Modification to sprinkler heads only: E Addition 1-10 heads: No plan review required. PE Alteration tc4 11+ heads: Plan review required. [I Repair Number of sprinkler heads: 7 Additional description of work: Type of System (Complete A, B, C �r D as apphcable) ... - — . — "-, = • ; ; " . ,>. - , •-• ''.1 : r Wet 0 Dry Additional Standpipes Nfr‘ Information: Hazard Group L..1(. Density , 1 Design Area 21 K. Factor ;;". (p 2. Sprinkler Project Valuation: $ 1 1.1 (pi B) Hood Project Valuation: $ AJ A- C) FireAlatm _ • ;';' • Submittal shall Battery Calculations 0 Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ Al A ' ' • " "`; ; ?: • „" Residential Spriiildei*(Siand Alone System) - 2 Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 :r; ...• - 7,201 and greater $381.50 Sprinlder Project Square Footage: A) A sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ 1L4 ( Permit fee based on project valuation (see fee schedule): $ 1157. SO Permit fee based on square footage (see D above): $ State Surcharge (8% of permit fee): $ l q,9<6 FLS Plan Review (40% of permit fee): $ 7L1. q TOTAL: $ c ,1, 77 , Plan review requires a completed application and 2 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:\ Building \ Permits \ ITS-PermitApp.doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 00097 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007 Phone: (503) 639 -4171 A l Inspection Requests (24 Hrs.): (503) 639 -4175 _'! J- 'II .. INSPECTION WORKSHEET FOR DATE: 4/2/2007 TIME: 7:02AM PAGE: 5 SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: NATIONAL MORTGAGE DESCRIPTION: Fire sprinklers. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: DELTA FIRE INC PHONE #: 503 -620 -4020 Inspection Request Scheduled For: Date: 4/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes - M 999 Sprinkler final 045848 -02 503 - 956.6290 f �� Corrections /Comments/ Instructions: ' (10 R kASS ' 'ARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS FAIL % 'ALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: L _ - ..-- Date: y Z 0 Phone #: (503) 718 III CITY OF TIGARD • de ` BUILDING DIVISION A PERMIT #: BUP2007- 00097 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007 Phone: (503) 639 -4171 p rdl Inspection Requests (24 Hrs.): (503) 639 -4175 .._' IL. INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:OOAM PAGE: 1 SITE ADDRESS: 15862 SW 72ND AVE 200 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: NATIONAL MORTGAGE DESCRIPTION: Fire sprinklers. OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020 Inspection Request Scheduled For: Date: 3/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mes = • 910 Sprinkler rough -in /test 045119 -01 503 - 956 -6290 ik'itik Corrections /Comments/ Instructions: e4 in piA Tel--/o\t, PASS , - .: . L APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / C . FOR INSPECTION ❑ ADDITION FEES, SSESSED Inspector: Sate: Phone #: (503) 718 - L,h Y a