Permit CITYOF TIGARD BUILDING PERMIT
A, PERMIT #: BUP2006 -00439
DEVELOPMENT SERVICES DATE ISSUED: 10/6/2006
''I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 113AB -01201
SITE ADDRESS: 16535 SW 72ND AVE BLDG F ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Fire Spinkler
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: 49 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 4,920.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: 503 - 624 -6300 Contact #: PRI 503 - 620 -4020
FAX 503 - 620 -1058
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/11/2006 $91.30
[TAX] 8% State Surcha 9/11/2006 $7.30
[FLS] FLS Pin Rv 9/11/2006 $36.52
Total $135.12
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: 2, 4 &_ Permittee Signature: 1j'/
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.
CIT'"F I ARD ....) '-) $1n, -"act
BUILDING D I ON PERMIT #: BUF20QG00397
13125 SW Hall Blvd. Tig rd, OR 97223 D ATE ISSUED: 8/23/2006
Phone: (503) 639 -41 .VII?' �I
Inspection Requests ( s.): (503) 639 -4175 .____ • ' �..
INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OCE
DESCRIPTION: TI - walls and ceiling.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 6246300
CONTRACTOR: MATTHEW OLSON CONSTRUCTION PHONE #: 503892 - 0066
Inspection Request Scheduled For: Date: 10/3112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 039091 -02 503 -956 -6290 N
° I `i Pre-(15 ‘dc — K- — 019 lAk7 t t
Corrections /Comments /Instructions: ;'
&R._ 2Gc CO Z J T7 v
Out 2 - 004-3q 'S 1.9r--k-g
fLM 2,61f6 -- c19 10
1 ,,/--2 i ir i o f i i
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D J P-e--1 '1 lt - I . a0
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❑ PA El PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ F AIL ❑ CA FOR INSPECTION ❑ ADDITI AL F S ASSESSED
1/, ' Date: Phone #: (503) 718 / V 1 / -24��
Inspector: � "}� _
•
Fire Protection System /(S35 , Sec) ?2—'e
' Building Permit Application FOR OFFICE: USE ON LY
City of Tigard R eceived • /' PermitN..:� ,_ �0 , -od VS
III y 1• . . �0 0 Datd r �� l✓ tom--;:t B . 1/ � � �
13125 SW Hall Blvd., Tigard, OR 97223 �,! ,t �
Plan Review /w I /��
B Phone: 503.639.4171 Fax: 503.598.1960 D�eB
B. , , Other Permit:
TI G ,� It D Inspection Line: 503.639 Date Ready : y. ' 'a.A�- Set Page 2 for
Internet: www.tigard - or.gov - - - • �...... _. Notified/Methoal Supplemental Information
1
TYPE OF WORK REQUIRED DATA I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. - ‘s ,
Indicate the value (rounded to the nearest dollar) of all tl \
Addition /alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling Commercial /industrial Valuation: S
❑ 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: 1( > 7a� Ae. New dwelling area: square feet 1C
City /State/ZIP: �4L t(il op cy7aa4 Garage /carport area: square feet `\
Suite/bldg./apt. no.: r Project name: rte. �IY1Q( / 64:1[.S Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet v
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: f 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 �j
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
.rt �e L + ^ I Valuation: S II coo
1 �7 p 1�1 t
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: /
Name: Type of construction: 3
Address: Occupancy groups: l l f
City /State/ZIP: Existing:
'
Phone: ( ) Fax: ( ) New:
A APPLICANT ❑ CONTACT PERSON NOTICE
Business name: I e. 1\< I � All contractors and subcontractors are required to be
Contact name: /VGA ca p licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: )ti7ct P 50 -nakEPAQe. jurisdiction in which work is being performed. If the
City / State/ZIP: 0(4.\e,,(1d, Ork (110„..6144
applicant is exempt from licensing the following reasons
��2
apply:
Phone: 5o3 ) &IRO — tio&6 Fax: ( ) 6 ` n • 4 66 8
E - mail: Altak kv.b.) so ci+P1k ePice.. CDlYI
CONTRACTOR BUILDING PERMIT FEES*
Business name: `4 IYt min
(Please refer tojeesrbeduk)
I t Ci Permit fee: 136. 3.
Address: 41C1 g SW 7a Ave. I
City / State/ZIP: 01.4.tand c)i 97o� State surcharge (8% of permit fee):
FL S plan review (40 /o of permit fee):
Phone: (60) 6Odg I .40[Y.0 Fax: ( 510. O 4 beks (Due upon application.)
CCB lic.: Total permit fees:
Authorized signature: Ag • , . Amount received: 357 / ,
( / This permit application expires if a permit is not obtained
Print name: ► 1e(fA1 fCo f broo� ,/bate: 9 -7 -0 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
IaBuilding \PamitsWPS- PamitApp.doc 03/23/06 1404613T(11,02/COAVWEB)
il
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City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
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: 30
Additional description of work:
Type :of;SY§rem'(COEN:deie. B, or D as:applicable)
A.) Commercial Sprinkler r
[, Wet ❑ Dry
Additional Standpipes lit A
Information: Hazard Group
Density V\
Design Area ct
K. Factor
Sprinkler Project Valuation: $ 14 CIAO
IL) "Type. T - Hood Fire °Suppression , System :�' •' ; • ` '
Hood Project Valuation: 1 $ /V k
C:) Ftre Alarms
Submittal shall Battery Calculations ❑ Yes
include:. Individual Component ❑ Yes
• Cut Sheets
- Fire Alarm Project Valuation: $ N Pc
D.) Residential Sprinkles (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.
" r. Fire Protection Permit ✓.�" i:;
Project valuation subtotal (see A, B & C above): $ LJ ciao
Permit fee based on project valuation (see fee schedule): $ cH.3,
Permit fee based on square footage (see D above): $ /JA.
State Surcharge (8% of permit fee): $ . gc)
FLS Plan Review (40% of permit fee): $ ,jj.
TOTAL: $ 1 rj la _
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.
L \Buildin \Permits \FPS- PermitApp.dox 2
CITY QF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00439
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006
Phone: (503) 639 -4171 Aj �
Inspection Requests (24 Hrs.): (503) 639 -4175 �' . II�..
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02AM PAGE: 78
SITE ADDRESS: 16535 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OCE
DESCRIPTION: Fire Spinlder
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 6246300
CONTRACTOR: DELTA FIRE INC_' PHONE #: 503- 620 -4020
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 038456.01 503-620 -4020 L Y
Corrections /Comments /Instructions: f
/� ill►
li
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CA L FO' NSPECTION ❑ ADDITION L FEES ASSESSED
Inspector: Date: . Phone #: (503) 718-