Permit •
Pp .„., i- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00628
COMMUNITY DEVELOPMENT DATE ISSUED: 1/2/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113BA-00400
SITE ADDRESS: 07632 SW DURHAM RD 130 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 -00020 LOT: JURISDICTION: TIG
PROJECT: UNITED HEALTHCARE
Project Description: Fire alarm.
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: 2N : 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,600.00
Owner: Contractor:
OPUS REAL ESTATE OREGON IV LLC CAPITOL ELECTRIC CO, INC.
1000 SW BROADWAY 11401 NE MARX STREET
1130 PORTLAND, OR 97220
PORTLAND, OR 97205
Phone:
Contact #: PRI 503 - 255 -9488
FAX 503 - 255 -1966
Reg #: LIC 48748
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 1/2/2008 $62.50
[TAX] 8% State Surchar 1/2/2008 $5.00
[FLS] FLS Pln Rv 1/2/2008 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Munidpal 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 -s- •rth 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 5 .23 46.6699 or .:::.- 2.2344. ju, —
Issue By: 0 PermitteeSigna Ir , 1 I irk
r
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.
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Fire Protection System
Building Permit Applicatio CE NE FOR OFFICE USE ONLY
Rece 1 � '^ ' /
OtherPerm
City of Tigard Date /B II o Pernut No. ��/O
13125 SW Hall Blvd., Tigard, OR 97223 y �
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Phone: 503.639.4171 Fax: 503.598.1960 t, Date /By: /�✓ — 3/ — U 7 i[:/s/
Inspection Line: 503.639.4175 Date Read /B turn:/ � See Page 2 for
TIGARD Internet: www.tigard- or.gov CITY OF TIGARD No Method: / �7 � ' ' ® Supplemental Information
BUILDING D IVISION V w/ - -
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 ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job -site address: 7632 SW Durham Road New dwelling area: square feet
City/State /ZIP: Tigard, OR 9722397223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 130 Project name: UHC Tenant Improvement 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: 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.
Install fire alarm notification devices in tenant space. Valuation: $1,600.00
Horn /Strobes (4), Strobes (3) Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing: B
g�
Phone: ( ) Fax: ( )
New: B
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Capitol Electric Co., Inc. All contractors and subcontractors are required to be
Contact name: Dan Wilson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11401 NE Marx Street jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97220 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 262 -0411 Fax: : (503) 255-1966
E - mail: dan @cepdx.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Capitol Electric Co., Inc.
Permit fee: 62.50
Address: 11401 NE Marx Street
State surcharge (8% of permit fee): 5.00
City /State /ZIP: Portland, OR 97220 n
FLS plan review (40% of permit fee):
Phone: (503) 255 - 9488 Fax: (503) 255 - 1966 (Due upon application.) 25.00
CCB lie.: 48748 Total permit fees: 92.50
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: Dan Wilson Date: 4/27/07 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( I I /02 /COM /WEB)
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: BUP2007 -00628
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /,t /0`.l3
Phone: (503) 639 -4171
A r 4 �I
Inspection Requests (24 Hrs.): (503) 639 -4175 a^' ;, ='I L. •
INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 :00AI PAGE: 37
SITE ADDRESS: 07632 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR 1889-00020 LOT #: TYPE OF USE:
PROJECT NAME: t)NITE D HEALTHCARE
DESCRIPTION: Fire alarm.
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: CAPITOL ELECTRIC CO INC PHONE #: 5Q3,.255 -9488
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 062478 -01 971 - 5063072 Y
Corrections /Comments /Instructions:
•
4M11111 Alif PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: Al Phone #: (503) 718-