Permit �• `� CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00107
I. DEVELOPMENT SERVICES DATE ISSUED: 3/30/2005
`--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 115AA -OTOOA
SITE ADDRESS: 16105 SW 108TH AVE BLDG B ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Building B, fire alarm.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: $ 4,000.00
Owner: Contractor:
OT2 LLC FIRE & SECURITY GROUP LLC
5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST
LAKE OSWEGO, OR 97035 CAMAS, WA 98607
Phone: 503 - 620 -4373 Phone: 360- 833 -9938
FEES Reg #: LIC 153226
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/30/2005 $81.70
[TAX] 8% State Surcharl 3/30/2005 $6.54
[FLS] FLS Pln Rv 3/30/2005 $32.68
Total $120.92
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. ��a���
Issued By: Permittee Signature: /e
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.
Firmtection System
.
Builsiitg- Permit Application= = _ . - OFFICE LSE ONLY
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°J � Date/fly., e/f3Date/fly., � I - 7 / (J`J �'� ri1 Pencnt No -: ��? 4 1 `4- f9 �' ®/Q
13125 SW Hall Blvd, Tigard, OR 97223 w plan Review' ( /1 P
A n . ' ::h D ar 05 �67-
Ffiutie: 503.639.4171 Fax 503.598.1964R 1 � ? CUM'? �a �c �� � l a„ S Oth P y � ] —
Inspection Line: 503,-639.4175 ' ? s:!, , . � 1 Date Ready/By: Jens: H See Page 2 for
Internet: www.ci.tigardor.us 'CITY OF T1GaAl3P. Novfied/M . ethod:5 D, f ? - Supptementatrnrormation
pint .P`liMc .110/1 1- It i ,� 100 \(� w I - \ -
litaigentatitt d Stevenson- 3'; cP ' Itt' "- , `�_=�'- �''- ;;; = = >'� �s ='= �- ° ::� =:- '�_= _�:: %�? %�=� Print name:. : Richer C St
k' Ig:.f3� nn
N construction Demolition =.�`' ''=
® ❑ :;; - TEA, .�.1 �!1l,Et- .�?l1k�IiY0 >?;
El Addition/alteration /replacement ❑ Other, Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar of all
;. %:-
F.'
,:= materials, _�.:'�:. nta labor overhead, d the �t for the
�� la, hrad an
❑ L and 2- family dwelling ❑ Commercial/industrial work indicated on this application.
❑ Accessory building ® Multi-family Valuation: S
❑ Master builder ❑ Other: Number of bedrooms:
%:
Number bathrooms:
f3
=r
of
Job site address: ` j 6 , ' °`i./ 0. <:.: <: . .. Tai number - of
City / State/ZIP: Tigartl l , 97224 , /t $ New dwelling area square feet
Suite/bldg./apt. no.: Project name: Oak Tree Apartments Garage/carport area: square feet
Cross street/directions to job site SE 108 & Duram Rd. Covered porch area: sgUate feet
Deck area square feet
Other structu area: square feet
1RE .:tl~+ re rt f 'IF tS i s
Subdivision: Lot no.:
Tax amp/ parcel no.: Permit fees* are based on the value of the work performed.
n i v ue rouniled tot n dollar) ca#e -#lte al he eatmst ollar of all
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.....:,..... ,P;.... ...................:......<.._. _..... ;...._......._. ..._...............,.........., ......,...., .......,,- ........,.,.... ui men materials, labor, overhead, and the for the
th profit �l P P
Fire Alarm Install for 5 hldgs. 3stories each. for sprinkler system monitoring anti work indicated on this application.
notification.
Valuation: /d G7Q O 9
Existing building area: square feet
New building area: square feet
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=°: :;t'�i`�'£'r Nut„ of "es: 3
' °;�' = =` stop
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Name: Type of construction: V -1
Address:
Occupancy groups:
City /State/ZIP:
Existing:
Phone: ( ) Fax ( )
New: V -1
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ly
,:
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Security Group LLC All contractors and subcontractors are required. to ,, e
axe required. to be .
Business name: Fire & .
Contact name: Rick Stevenson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2538 NE Everett Street jurisdiction in which work is being performed. If the
City / State/ZIP: 9807 • applicant is exemptfrom licensing, the following reasons
apply:
Phone: (360) 833 -9938 Fax: : (360)833 -1727 I� 9 y
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Business name: Fire & Security Group LLC ;;.; ;::,, >c = - :-.., > :::<;;..:,, :
° % %�G . .la S'` >�: s �,.
Address: 2538 NE Everett -.. , . .. .. .. ..___.. . - ......,..,..<.:...., ..
Please refer to fee sckedaie
City / State/ZIP: Camas, WA. 98607
Fees due upon application :
Phone: (360) 833 -9938 Fax: (360) 8331727
CCB- lie.; 153226 Amount received
Date received:
Authorized signature:
This permit application expires if a permit is not obtained
180 days after it has been accepted as complete.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BU 2005.00107
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639- 4171u "N4�u�ii e
Inspection Requests (24 Hrs.): (503) 639 -4175 J. `'� I
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 27
SITE ADDRESS: 16106 SW 108TH AVE BLDG B CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: QOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building B, fire alarm.
OWNER: OT2 LLC, PHONE #: 603- 620-4373
CONTRACTOR: FIRE & SECURITY GROUP LLC PHONE #: • 360-833 -9938
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1
998 Alarm final 018096 -04 503-453.2991
ill
Corrections /Comments/ Instructions:
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....
L
I PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
0
Inspector: Date: ` Phone #: (503) 718 -