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Permit „ ' BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2006 -00235 Trial DEVELOPMENT SERVICES DATE ISSUED: 5/31/2006 - - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB-00101 SITE ADDRESS: 16101 SW 72ND AVE BLDG A -120 ZONING: IP SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: Add (1) head & relocate (1) head. 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: $ 350.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545 PORTLAND, OR 97224 TIGARD, OR 97281 -0545 Phone: Contact #: pRI 503 620 - 6140 Reg #: LIC 63846 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 5/31/2006 $62.50 [TAX] 8% State Surcha 5/31/2006 $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 direct questions to OUNC by calling 503 - 246 -6699 or 1 -$00- 332 -2344. ■ Issued By: i , �1_ /� Permittee Signature: ;d ik A _, ` \, . ■ Call 503 - 6394175 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 , v . Building Permit Apat14 \` ' FOR OFFICE USE ONLY �f City of Tigard P Received,/ 13125 SW Hall Blvd., Tigard, OR 97223 ���� Da 11 g Plan n R Review Phone: 503.639.4171 Fax: 503.598.1960 :� - . I /'• A hJ:a li B Date : Other Permit: Inspection Line: 503.639.4175 3,:,.:44- - ' Date Ready/By: 0 See Page 2 for Internet: www.ci.tigard.or.us �� � � Notified/Method: Supplemental Information T th, OF WORK ., . REQUIRED DATA: 1 - AND 2- FAMILY DWELLING 2Qew construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ULAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling 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: (( (O t Sw - ? Z , A Ive • - (ZD New dwelling area: square feet City/State/ZIP: '---- ?c,.2tla, v ,,1 , 62_ . 91 1-2-4 Garage/carport area: square feet Suite/bldg. /apt. no.: l Zp Project name: ct t MC..O tYsAvN, Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE C13ECKLIST 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. 0,e___.1 rr Valuation: $ 'J SD Existing building area: square feet New building area: square feet • ❑ PROPERTY OWNER-:. RTENANT Number of stories: Name: c UAZtL 0 ,,,, Type of construction: Address: 1 ( o 10 ( SW ? Z''`' 1f.e at) Occupancy groups: City/ State/ZIP iRc' e - -,- , ©+ . oZ ZZ9- Existing: Phone: ( ) Fax: ( ) New: APPLICANT IX,CONTACT PERSON NOTICE Business name: ie, .k._,,, _ All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board to E'° under ORS 701 and may be required to be licensed in the Address: 1 •?...10,(_\. jurisdiction in which work is being performed. If the : .J q--)2...k,- applicant is exempt from licensing, the following reasons City/ State/ZIP � c A 02 b apply: Phone: (26) 5 - 0 t f _ g L72_ Fax::( ) E -mail: • CONTRACTOR Business name: Fz_ s-b? <-? � BUILDING PERMIT FEES* . Address: k 20 5 S Please refer to fee schedule. City/State/ZIP` a icA D12.- ck7 IA( • QS c4 S Fees due upon application ( Q7,5Z) Phone: ( ) g m _ 2 Z Fax: ( ) p Amount received CCB lic.: ev. . 4 ,t--(2 43. j / Date received: Authorized signature: ]1 ' M This permit application expires if a permit is not obtained l � L 1 1 within 180 days after it has been accepted as complete. Print na e: v� 4 Me v Date: �3f i oco, *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\FPS- PermitApp.doe 12/03 440- 4613T(11 /02/COM/WEB) Fire Protection Permit Check List Describe work to.'be done : 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, B, C or D -as applicable): = E , A) ' Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ -11)4, Type I ILood Fire - Suppression System . Hood Project Valuation: $ :.C.) Fire Alarm: 4 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_ ;y 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:\ Building\Forms\FPSchecklist.doc 12/24/03 CRY-OF TIGARD trop BUILDING DIVISION PERMIT #: Ze106— 60 Z 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A 1 Inspection Requests (24 Hrs.): (503) 639 -4175 " 'I L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: ` ( Q' 5 to -72_ lit 12. 0 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: Q V PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message '`Z5 6i - - (904c---- Corrections/Comments/Instructions: r /----N 1 . l 4 ( \ l4, e p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 01 1k Date: D& Phone #: (503) 718- 2 : -