Permit •
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00395
DEVELOPMENT SERVICES DATE ISSUED: 8/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DA -01000
SITE ADDRESS: 06610 SW CARDINAL LN ZONING: I -P
SUBDIVISION: PP1995 -098 LOT: 001 JURISDICTION: TIG
Project Description: Fire sprinkler (4).
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: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 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: $ 700.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WESTERN STATES FIRE PROTECTION
15350 SW SEQUOIA PKWY #300 -WMI 13896 FIR ST STE B
PORTLAND, OR 97224 OREGON CITY, OR 97045
Phone: 503 - 624 -6300 Phone: 503-657-5155
FEES Reg #: LIC 104570
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/12/2005 $62.50
[TAX] 8% State Surcharl 8/12/2005 $5.00
Total $67.50
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. 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 que tions to O NC by
calling 503 - 246 -.699 or 1- 800 -332- 344.
Issued By: . 40,0 : / .40 _ Permittee Signatur Jn , �� u
_
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.
i
Building Permit Applicati iyED L OR OFFICE USE ONLY!' .%!...4:,' ' 4
Cl of Tigard Received," ^^ S � Permit No.: ` h � G
City g Date /By: 6 )0---0 l � /1� ;.005 —DOS 15
13125 SW Hall Blvd., Tigard, OR 97223 , . 1 t A 0 NOS Plan Review
Other Permit: �
.�' 'OW S(�j
��
Phone: 503.639.4171 Fax: 503.598.1 60 U •t T . .. ' a ., p d� ° f0 Date /By:
„ � �
Inspection Line: 503.639.4175 ! o' Date Ready/By: Juris: Ei See Attached Checklist for
Internet: www.ci.tigard.or.us �Y O TlG�� Notified /Method: Supplemental Information
.- u n G DIV1S1°"
I ' E L IN
� ,- A A <l AND2 F
S liYD G_
':�:_ TYP.E' F . W � ` RE [JIBED =D T
� •, , 10 ORK -zs -� Q
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
fir' A work indicated on this application.
M�
,,.., CATEGORY "OF_ :C GTION: _:,:: �, -7 >' - . 43
CONSTRUCTION
<___� -- z,we__.. _ ___�.:._ - °. ,3:, .ms)
Valuation:
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
�, a ,• :, :,.; . .,.: � .: ; ,':; Total number of floors:
. ,
sa: .::• -:=. �, • JOB 'S . I NFO RM - I -- AND: = - .: , , "' '''''-'-t''''---
Job site address: 6610 SW Cardinal Lane New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Umpqua Bank Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
t ' ` R E Q U I RE D „ DA T A: _ COM M EI CIAL ' - USE i C ECKL
Sublivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax vmap /parcel no.: equipment, materials, labor, overhead, and the profit for the
_
1 ;:. w ' i1 'ION' "OF WORK,. `r ° < r work indicated on this application.
add / relocate fire sprinklers for tenant improvement b Valuation: $$700.00
Existing building area: square feet
New building area: square feet
lf1, ,PROPERTYOV!'NER j -. , r �v" - `TENANT `,.:”
:Poi Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /Z1P: Existing:
Phone: ( ) Fax: ( ) New:
�' -: � T' R
' ivAEPLICANT ';
:CON A ' '3 i 3, 3: i
Business name: Western States Fire Protection Co. All contractors and subcontractors are required to be
Contact name: Darrell Fluit licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13896 Fir Street, Suite B jurisdiction in which work is being performed. If the
City/State /ZIP: Oregon City, OR 97045 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 657 -5155 Fax: : (503) 657-5182
E -mail: darrell.fluit @wsfp.us
_,,,e> 1. - , . .- CONTRACTOR :: ,. <: - , - , :
Business name: Western States Fire Protection Co. ,,,._�,,..:•;;. „�.�,_.;_ �_.�:•=:<3.:>�.:.. * rlria:;-.,,:e;
.� °� ""'<< %vBUILDING PERMIT_ <FEES,,'�;,:` =
Address: 13896 Fir Street, Suite B
Please refer to fee schedule.
City/State /ZIP: Oregon City, OR 97045
Fees due upon application
Phone: (503) 657 -5155 Fax: (503) 657 -5182
Amount received
1
CCB lie.: 104570 -; - b - 01
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Darrell T. Fluit Date: August 5, 2005 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Permits\BUP - PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
CITY OF. TIGARD
BUILDING DIVISION ., - PERMIT #: BUP2005 00395
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12/2005
Phone: (503) 639 -4171 .�� mir�ipuy�r�j�I i i i
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 8/16/2005 TIME: 7:05AM PAGE: 64
SITE ADDRESS: 06610 SW CARDINAL LW CLASS OF WORK:
SUBDIVISION: pp-996 -090 LOT #: 001 TYPE OF USE:
PROJECT NAME: UMPQUA BANK
DESCRIPTION: Fire sprinkler (4).
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624.6300
CONTRACTOR: WESTERN STATES FIRE PROTECTION PHONE #: 503- 657 -5155
Inspection Request Scheduled For: Date: 8/16/2005 Pour Time:
Code # Inspection Description Confirm # . Cont. • Message
299 Final inspection 0 -01 503 -6557 -5155 Y
Corrections /Comments /Instructions: MR - —
IMP" i ,s —epp. - ipr erjo ► NNW
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
g al t rik,, k
/&. Date: L% «0 Phone #: (503) 718 -