Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00079
$ I �Ia DEVELOPMENT SERVICES DATE ISSUED: 3/19/02
�'� 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 113AD -01900
SITE ADDRESS: 16600 SW 72ND AVE B -10
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L
BLOCK: LOT: 009 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 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: $ 20,700.00
Remarks: Voluntary improvement to the existing fire alarm system.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HONEYWELL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PKWY
PORTLAND, OR 97224 STTER100 R 7224
Phone: 503 - 407 -1102 P Pho a N 5 a 0P96&3333
Reg #: LIC 57824
ELE 26207CLE
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm Insp
PRMT CTR 3/7/02 $244.90 27200200000 Final Inspection
5PCT CTR 3/7/02 $19.59 27200200000
FIRE CTR 3/7/02 $97.96 27200200000
Total $362.45
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.- These rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 -332- 344.
Pe rm ittee ,)
Signature: 4 --
Issued By: 61, 4,A__ gi, v„„
Call 639 -4175 by 7 p.m. for an inspection the next business day
/ 4, /r oz-
/ Building Permit Application
A Date received: °/ 1 C Permit no.: 13 1 )7,9 1 c ° p_ ,no
; 4»y City of Tigard Project/appl. no.: Expire date:
City f Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 1 �
o Phone: (503) 639 -4171 Date issued: B) 43 1 Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
. TYPE OF 1'1 10111
O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
O Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm ja. Other i/aG WI N-'�L y in, p vry ie "c
JOB SPIT. INFOI(\IA I
Job address: /i&' $ 0 7 . wio' e Bldg. no.: /Ga Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.:
Project name: G i i, r— i ,✓ - . rc_5
Description and location of work on premises/special conditions: //O L c[ ", 7 rZ- y 1A-t Pv ve h • - ' 17,,e
X IS. pig F / 2 ' AZ 14-2M •y s 7 42 (pi •
O11'NER FOR SPECIAI. INFORMA'LION. USE CHECKLIST
rffliffifflriblPMEEI (Floodplaiu, septic capacit), solar, etc.)
Mailing address: /_ „ _ .4„, ,✓' 'Air P 1 & 2 family dwelling:
EnrdiAMMSIMIIMI State: Ora ZIP: 9'7 V/ Valuation of work $
Phone: -3 z4 , LIMEMEM E-mail: No. of bedrooms/baths
Owner's representative: C . x N c C rq 7-4 A , ,, , Total number of floors
Phone: 1 /V3- 3q$ E -mail: New dwelling area (sq. ft.)
A 1' I' L l CA N I Garage/carport area (sq. ft.)
EMMEMENFORMIE Covered porch area (sq. ft.) ..
Mailing address: 45 5.L, se rro:,q ',gk _ Deck area (sq. ft.)
State: 0 Z IP: L -97 -7-0! Other structure area (sq. ft.)
D 7 . 1 n1� Commercial/industrial/multi- family:
Phone: E, -� as Fax:�l��s 359'8 E -mail:
(ON'I'RAC ()It Valuation of work $ ,2 , '7Ca
Existing bldg. area (sq. ft.)
Address: New bldg. area (sq. ft.)
5 y9 s S_� t� f7 ��'`� • Number of stories Z
IMMOSEEMIMIlli
Stater ZIP: G > •7-g- , /
Phone: ' 6, . 5oc Fax: Ig 359 ,' E -mail: Type of construction
CCB no.: 7S-V-4/ group(s): Existing:
New:
City/metro lic. no.: e/6 / M era. o Nodce: All contractors and subcontractors are required to be
A R C I I I I 1:(`171) ( S I G N E R licensed with the Oregon Construction Contractors Board under
Name: N //a-- provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
l:N'(.1NF:I:It
.� Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard
wort will be complied wi whet 'fled herein or not. Credit card number prr s
Authorized signature: Date: 3/7/0 'z— Name of cardholder as shown on credit card
Print name: M K P4-, :. tFe,r— cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00ICOM)
VA
k pp
• . O
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Fire Protection Permit Check List
A.) ❑ New a Addition ❑ Alteration ❑ Repair
B.) .Modification to sprinkler heads only: /1/4//A---
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
Additional description of work: .
V oL „,p/Tr)-(t j r,, p mov on -Pl -) T fio The Qxt S ■+1 I:,
AZ 04-{z-M c y--2,t_
Type of System (Complete A or B as applicable):
A.) Sprinkler Wet ❑ Dry ❑
Standpipes
Additional Hazard up
Information D 1 y
esign Area
K. Factor
Sprinkler Project Valuation: $
• B.) Fire Alarm
Submittal shall Battery Calculations Yes ❑'
include: Individual Component Yes la
Cut Sheets
Fire Alarm Project Valuation: $ 917', '7a
Project Valuation Subtotal (A & B): $ VO, - 7od
Permit fee based on valuation (see chart): $ � 9 0 .
8% State Surcharge: $ / .5 /
FLS Plan Review 40% of Permit: $ q J, 1
TOTAL: $ 3.6 A,, yS
i:\dsts\forms \FPSchecklistdoc 10/04/00
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -417;
Business Line: (503) 639 -4171 ST
INSPECTION DIVISION
.. ' � bdd 7
` � UP be �
Received Date Requested 7 AM PM -- BUP
Location / 4 Co dU 7? /11 d Suite i e- t a MEC
Contact Person ) 9 CO 33 33 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner cge t ( ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: �' , SIT
Post & Beam = . -'—
Shear Anchors
Ext Sheath/Shear
Ina Sheath/Shear e972..r. Framing Insulation %; 4/A
Drywall Nailing
Firewall
r
Susp • Ceiling ,� /� Roof
"Leo `fliP6 G/ �' ✓� /.0
Final -
PAS • AIL
PLUM I C% � /��•
Post & Beam � , fie `r / 'S,
Under Slab /"°- / `�
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: — Unable to inspect - no access
Fire Supply Line
ADA Date % �� OZi Ins actor Ext
Approach/Sidewalk p
Other:
Final DO NOT REMOVE this inspe ' i r ecord from the Job site.
PASS PART FAIL
04/29/2002 09:50 RC FLIGHT DYNAMICS -) 95036243681 NO.764 1;01
CITY OF TIGARD 24-Hour Go re...,oe
BUILDING • Inspection Lino: (603) 6394176
INSPECTION DIVISION ' Business Line: (603)6394171 , � � 4 . L...7 L...7 � 7c1
Kax c03- , , ..
Received Date Requested, y N J L AM PM , - BUP
1Location . tion ff ice. !! L,, d 7/i el T 1 '•'%''.. suite 6 - I MEC
Contact Person . --. j €' t ',...�1. - •) 8 .3 3 33 Punt
Contractor Ph ( ) = SWNR •
BUILDING Tenant/Owner . r: .! p1 . ELC
_ ng ,� .
Foundation - ?_ - 1 . / ..'' - ` 77. .;,..- \ :' .,: .' J rc t -.7 %i-. ELC
i _ ` J _ y ' r � C- Y .' .'• w l �� t• ELR • Rg Drain
Crawl Drain .: 1 t - -1 � c`_T * .. , " if y 1
Stab Inspection otes: SIT
ee ,r-..--
t� &Beam
Shear Anchors -
ExI Sheath Shear
Ire Sheath/Shear ,i .i f A
Framing . illitIfit5-7
Insulation 4 Nailing .: 1 .
.. ottes
r1M44
). . .e../ I . .
Root iE;Odi / ..2 .0' .l �`.e.54 s;.; ,./ .rr..
other: ' .
Rnal
'PLiIM
•
‘:€7. dr " - . 6,/eLs ...444.t.,s e.'.
.
� e b m ',,4 r 1 ,' f3"
Under Rough -ln Y - Z. - - 0 1- •
Water Service
Sanitary
t;e Dlgie6 r R e-P id- 4 e 1 n in et - �c._d i s i- :.-e zap e .-.
CdtOh Basin / Manhole a. I ( .l‘G C f; r Do MS Lcs i t v .4 -ern A,___l`s0 r- t
Storm Drain
Shower Pan
Other. _
Anal ,.....4;;
PASS PART FAIL
MECHANICAL a ii. u . t c...1- ...
Post A seam r, : ' r
Rough -In ` —. `._`
Gas litre 4..1..+a et f., et,* c 17 P7— .L.tM i \
Smolm Dampers
.Anal
PASS PART FAIL '
L
Service
Rough -In
llc/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before• , . - pection. Pay at City HA 13125 SW Hall Blvd
PASS PART FAIL
ant ❑ please cell (or reinspection AE: • . ••'' ❑ Unable to inspect - no access
Fire aupply Line 4 / . /.../ , .. ADA
Approachf5ldewal C tat ✓ leapeCbor J
--, Eit!
Other: f � , / To 'e S
Fatal DO NOT REMOVE this Maps - . • r Br an the job site. .
PART FAIL' COs &2 - 349/