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Permit
14 .--_-- - CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00280 COMMUNITY DEVELOPMENT DATE ISSUED: 8/1/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 13AB -01201 SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 ZONING: I -L SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: SAFECO Project Description: Sprinkler flow indicator. 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: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 438 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:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 2,000.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES PACIFIC REALTY ACCOC IATES LP 15350 SW SEQUOIA PKWY #300 -WMI 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PORTLAND, OR 97224 Contact #: PRI 503 - 624 -6300 Phone: FAX 503 - 624 -7755 Reg #: LIC 153913 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/10/2006 $62.50 [TAX] 8% State Surchari 7/10/2006 $5.00 • [FLS] FLS Pln Rv 7/10/2006 $25.00 Total $92.50 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. Th. - . - - - set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions to OU . by calling 503.2 • .6•' •r 1 :10.332.2344. Aminma I ued By: , / di m / 4,_ th i , Permittee Signatur . � % i /1if ' ' 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. • IF ,02,x" Fire Prote , ion ystem oS 5-et) • Building Permit Application / : 1 tilt c)I l Icl: uI c)N1.) i Received � III City of Tigard A GE ' I Date/g . , Mil �, _ Permit No.:� . z I No _ r 4;4 4 13125 SW Hall Tigard, 223 Plan Review e � s � it: III ' Phone: 503.639.4171 .4171 Fax: 503.5981.1601 Q 206 DatdB i sf I � � Other Perm It 1) Inspection Line: 503.639 J U Date Ready : y: I ' " tug ® See Page 2 for I . i c; Internet: www.tigard - or.gov CO OF T IGAR D Notified/Met od T / /�> Supplemental Information pUILDING DIVISION , c,v)' 0oit.-t. ,..c)*.\ 1t- 'mac, , ,hr 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 1510 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ommercial /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: / / ___E„...., �� �a New dwelling area: square feet City /State/ZIP: 2;: d G ' Q 9 r 4/ Garage /carport area: square feet Suite/bldg. /apt. no.: 1 Project name: ,4��� 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: 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 i work indicated on this application. �.• .1P /,. siel� ...... .7 .1, ,..0.7� Valuation: $ �� Existing building area: square feet ` —/ New building area: square feet ��/ (PROPERTY OWNER I TENANT Number of stories: Name: , J , .1 - Type of construction: Address: ��$" j, j ,,,,, 74,,.....y�1GL Occupancy groups: Ii 3 City /State/ZIP: / 7 Da, d ��2 9 ���� ;;� </' mss Z Phone( .11 du Col Fax: ( ) ( d/ ❑ APPLICANT ❑ CONTACT PERSON 2`1' r NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax: : ( ) E -mail: • CONTRACTOR BUILDING PERMIT FEES* ��� /Av� (Please refe.mfe Business name: Permit Permit fee: �jp� r 5 Address: State surcharge (8% of permit fee): City /State /ZIP: o FLS plan review (40% of permit fee): • Phone: ( ) Fax: ( ) (Due upon application.) CCB Iic.: Total permit fees: 9 Amount received: 4 • Authorized signature: y T his permit application expires if a permit is no obtained Print name: Date: within 180 days after it has been accepted as complete. _ , - !l' • Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Pennits\FPS- PermitApp.doc 03/23/06 4404613T(11/02/COM/WEB) • • • City of Tigard: Fire Protection Permit Checklist , Page 2 - Supplemental Information 1 Describe work to be done: A ` ' 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): A.) Commercial Sprinlder ❑ 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 Sprinlder (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. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (8% of permit fee): $ • FLS Plan Review (40% of permit fee): $ TOTAL: $ 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 \Pcrmits \FPS- PcrmitApp.doc 2. • CITY•OF TIGARD BUILDING DIVISION PERMIT #: 2© 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 i ��. F j1h� Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 561 TIME: PAGE: SITE ADDRESS: (4,S( .0 72_- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: SF p_co OWNER: PHONE #: CONTRACTOR: 0 PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 7iq l q t`I Mk/ Corrections /Comments/ Instructions: r j_ ' 1 ( ■ e C .., F PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Date: 07 Phone #: (503) 718 - 2--At?