Permit pflg OF CITY TIGARD BUILDING PERMIT
��� OF PERMIT #:
r P2007 -00208
COMMUNITY DEVELOPMENT DATE ISSUED: 3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 150 ZONING: I -
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: XO COMMUNICATIONS
Project Description: Add 1 horn strobe.
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: B 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: $ 1,000.00
Owner: Contractor:
AMB PROPERTY L P SIMPLEXGRINNELL LP .
BY TRAMELL CROW NW INC 6305 SW ROSEWOOD ST
8930 SW GEMINI DR LAKE OSWEGO, OR 97035
BEAVERTON, OR 97008
Contact #: PRI 503- 683 -9000
Phone: FAX 503 - 675 -6521
Reg #: LIC 149921
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/13/2007 $62.50
[TAX] 8% State Surcha 4/13/2007 $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 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: fi 6 .44 Permittee Signature: ' _
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.
1.
Building Permit Applicatio
ii Fire Protection System n EC FOR OFFICE USE ONLY .
City of Tigard
Received
Date/By: f t 5/0/ ,� — Z S
1n 3 P ermit No. • 2 4 :
.2 9 13125 SW Hall Blvd., Tigard, OR 97223 9007 Plan Revte j �,/
Phone: 503.639.4171 Fax: 503.598.1960 APR 13 L 1 Date/By: Other Permi 0 ...�D If
TIGARD Inspection Line: 503.639.4175 q OF g,A � 4 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov
CITY O Liu : • ± , Notified/Method: Supplemental Information
'TYPE OF 'WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling X Commercial /industrial
Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
� S "q-s site address: l 5t c 4S cc, c.9--e._ New dwelling area: square feet
City /State /ZIP: 'T G ..,. -& t 4 � �3 Garage /carport area: square feet
Suite/bldg. /apt. no.: { S Project name: )( _ D Ce34- ,.vtexu.vt. t'Cc.J4 s. AnS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
1 Valuation: $ (D —
,. ,/ / r, s JYD
FX- / STS Al /4--C' 0_4,-1244_4' Existing building area: square feet
r f /2-6 New building area: square feet
` ❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors.are required to be
Contact name: licensed with the Oregon Construction Contractors Board
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: ( ) I Fax:: ( )
E -mail: •
CONTRACTOR BUILDING PERMIT FEES*
� /l (Please refer to fee schedule
Business name: I _� ( 6 vti c ,i Permit fee: ' t r6Z. ' •
Address: .
City/State/ZIP: K (-0 , /�oSr �JO S�. State surcharge (8% of permit fee):
Cit
y (�S f ✓P ,„ d D 3s-- FLS plan review (40% of permit fee):
Phone: (S'b3) C c 1 j Fax: (SW) .�S- ( (Due upon application.)
CCB lie.: / Cl/ l * 2/ Total permit fees: 4'
n
OP
/
Amount received:
Authorized signature: p' i
- / This permit application expires if a permit is not obtained
Print name - . C i avv�Q V-�-\ ` , -D // `/ - -. Date: t../ / / 0/0 7.__ * within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \FPS - PermitApp.doc 03/23/06 440- 4613T(11/02/COM /WEB)
r `ry
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:
Typ 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 (8% 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: \ Building \Permits \FPS- PcrmitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: BUP2007- 00206
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2007
Phone: (503) 639 -4171 ����4W�gli;�y 'f t
Inspection Requests (24 Hrs.): (503) 639 -4175 ' .
INSPECTION WORKSHEET FOR DATE: 4/16/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 10575 SW CASCADE AVE 150 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: X0 COMMUNICATIONS
DESCRIPTION: Add 1 horn strobe.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: SIMPLEXGRINNELL LP PHONE #: 503.683 -9000
Inspection Request Scheduled For: Date: 4/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 046509 -01 503. 683 -9000 N
Corrections /Comments /Instructions:
•
k PASS I • . RTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL h• FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: Phone #: (503) 718 -