Permit -- a . CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00097
° COMMUNITY DEVELOPMENT DATE ISSUED: 4/8/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113AB -01201
SITE ADDRESS: 16575 SW 72ND AVE BLDG F ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: CONVERGINT TECHNOLOGIES
Project Description: Installing horn and strobes.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF 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: 55 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 4,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CONVERGINT TECHNOLOGIES
15350 SW SEQUOIA PKWY #300 -WMI 2040 SE POWELL BLVD
PORTLAND, OR 97224 PORTLAND, OR 97202
Phone: Contact #: PRI 503 228 - 8522
FAX 503 - 228 - 8521
Reg #: LIC 148358
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/2/2008 $76.80
[TAX] 12% State Surch 4/2/2008 $9.22
[FLS] FLS Pln Rv 4/2/2008 $30.72
Total $116.74
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 the rules or • = t questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ed By: it ' `1.,. _� i� Permittee Sign - � _ : iI ,1 Q o ,
Call 503.639.4175 by 7:00 a.m. for an inspection at 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.
-- )31ridiq Permit Application
Fire Protection System FOR OFFICE USE ONLY
Received gr �! �p
City of Tigard � DateB : A' Pennit No.: / "1/_ avor 0 ll 7 • 13125 SW Hall Blvd., Tigard, OR 972 23 Plan Review
' � C Phone: 503.639.4171 Fax: 503.5• "�t(! cOkkiE
Da teB : M%IA irk pin Other Permit: L ,. a" i
. r I G A R D Inspection Line: 503.639 ®� D Ready 1/ , p luris: Page 2 for
Internet: www.tigard- or.gov f Y �( �® Notifie� ethod: 7 �0 �� p Supplemental Information
F � � ,3f-SIGA� � .I - �?
TYPE OF WOW' _ l W _S% UIR DATA: 1- AND 2- FAMILY DWELLING
')%i . o • on Permit fees* are based on the value of the work performed.
❑ New construction ■' o i 11 Indicate the value (rounded to the nearest dollar) of all
dition/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 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:
'�g
Job site address: Z/ 2 _r/ / e:19N New dwelling area: square feet
; City/State /ZIP: 6#.1 �lr d OR 2.. 4/ Garage /carport area: square feet
Suite/bldg. /apt. no.: F (Proj c Q t name: / \ C a v1x t , �J��,'•7
, � f- C `Covered porch area: square feet
Cross street/directions to job site: �" ' V 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.
d j — „_, /,c-A/pr, aA r Valuation: $ j DD�
/•l ' Existing building area: square feet
New building area: square feet
X ROPERTY OWNER ❑ TENANT Number of stories:
N am e: 9, :2_c_ Type of construction:
Address: ��D �v., A- Ti �celpanc groups:
City /State /ZIP: n0 /l A , � e it �� 97,v,.0 9' Existing:
Phone: ( ) / v Fax: ( ) New:
P PLICANT ❑ CONTACT PERSON NOTICE
Business nam : All contractors and subcontractors are required to be
e licensed with the Oregon Construction Contractors Board
Contact name: f
�/sj/7/ ,'/L7,./ 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: 3f' Ce2 �.7 ' )
E -mail: �,, ��
CONTRACTOR (WA ( (2t7(n / (botra J ' BUILDING PERMIT FEES*
Business name: � 1 (Pkose refer tofeeschedule
� _ � / t kV()I00/ eS Permit fee: —7C . go
Address: p (,tJy�(� OWE State surcharge (12% of permit fee): / t a �,
City /State /ZIP: /a /L - 2_40 -J p2 5 J 741 o
FLS plan review (40% of permit fee):
Phone: ( yap —
) - SS 2- I Fax: ( ) (Due upon application.) .
CCB lic.: ( q $ 35” 5 Witt !/ Total permit fees: ! / .7�
Amount received: llvv
Authorized signature:
��.-- This permit application expires if a permit is not obtained
Print name: . i Date: y /�/ /5.-
- * within 180 days after it has been accepted as complete.
le rs Fee methodology set by Tri -County Building industry
Service Board.
1: \Building\Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(1I /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
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):
A.) Commercial Sprinkler
❑ 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: $
C.) Fire Alarm •
•
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
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 (12% 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: \Bull ding \Permits \FPS- PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: BUP200B 0(3037
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/f3/2008
Phone: (503) 639 -4171 "'°r;�l�l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,"__—
INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVERGINT TECHNOLOGIES
DESCRIPTION: Installing horn and strobes.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CONVERGINT TECHNOLOGIES PHONE #: 503- 228 -8522
Inspection Request Scheduled For: Date: 6/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 071286 -01 503-840 -0551 Y
Corrections /Comments/ Instructions:
C o Pt a=' ■ L c- -o277 L —
���� PASS ❑ ` ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL r� ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: 6 l 64 Phone #: (503) 718 - L-C
II
CITY OF TIGARD
BUILDING DIVISION
- PERMIT #: I31JP2008- 000! 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/8/2008
Phone: (503) 639 -4171 ,df ° ,,, i
Inspection Requests (24 Hrs.): (503) 639 -4175 F_ t
■
INSPECTION WORKSHEET FOR DATE: 6/6/2008 • TIME: 7:01AM PAGE: 46
SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVERGINT TECHNOLOGIES
DESCRIPTION: Installing horn and strobes.
OWNER: PACIF=IC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: CONVERGINT TECHNOLOGIES PHONE #: 503-228 -8522
Inspection Request Scheduled For: Date: 6/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 070974 -01 50322.8.8522 N
Corrections /Comments /Instructions:
Ilium
I MOO
❑ PASS %PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
'I� FA1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A_-__________ �� Date: 6 16 /6 Phone #: (503) 718 - 2-‘7
w,