Permit +� � T
IFY OF F TIGARD CARD BUILDING PERMIT
PERMIT #: BUP2005 -00098
� � l ll DEVELOPMENT O r
o ER9 I CES 639 -4171 DATE ISSUED: 3/11/2005
PARCEL: 2S 113AC -00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I -P
BLOCK: LOT: 025 JURISDICTION: TIG
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: a S at
Remarks: Add (2) upright heads & plug (1) at new exit way.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: 503 - 624 -6300 Phone: 684 -2928
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/11/2005 $62.50
[TAX] 8% State Surcha 3/11/2005 $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 questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 1:77
Permittee /
Signature:
Call 639 -4175 by 7:00 p.m. for an inspection the next 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.
Fire Protection System
Building Permit App! ' FOBV It FOR OFFICE USE ONLY
a
City of Tigard Da[ /Bed �/ Permit No 1'`�
A( S ' �
13123 SW Hall Blvd . Tigard. OR 97223 AM (� 1 1 2005 Plan Review
Phone 503 639 4171 Fax' 303.598.1960 1` 15/10' �' Date/By Other Permit: .
Inspection Line 303 639 4175 y � I Date Ready/By- funs, El See Page 2 for
Internet vvww 1 � Cl ci ngard or us CITY OF ri ,... Nottfied/Method• .' / (. Supplemental Information
- - BUILD , 1 DIVISION
u _ ,�. :-
TYPE OF'WORK '., : - - - ` REQUIRED-D'ATA: 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
ISI„Additionialteranon/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- -- - - -- CATEGORY OF - CONSTRUCTION' • -
work indicated on this application.
Valuation: $
❑ 1 - and 2- family d\'.elhne ' Commercial/industrial
❑ Accessory building ❑ Multi - family
Number of bedrooms:
❑ Master builder ❑ Other:
Number of bathrooms:
- :t,'',':'- "L ' _'- : -° - -° `` Total number of floors:
• ` i' d iv
OB SITE ` L IFORATIUN ` AND L:OC A'•T IO N" . ,
Job site ad "7 2- 5 5. U - O M t14 - P . M 1�9, J New dwelling area. square feet
Ciry/State/ZIP: .- Ti (,, Z.� C70.- Garage/carport area square feet
Suite/bldg. /apt no. 100 Project name. �` �'A$l -� ''T /\ E, L oki Covered porch area. square feet
Cross street /directions to job site Deck area: square feet
Other structure area: square feet
' ' 7 R QU ED l T_A .0 *14 RCIAL- USE,CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: , materials, labor, overhead, and the profit for the
r rt, . r x
DESCRIPTION 'OF, WORK ; ,: ,•, j
1 Z k work indicated on this application.
0 0 UkePit(� v�1 l' S h 0 P (� Valuation: $ gb
Existing building area. square feet
oNE- 4T tv�vV XC i to M oiav \Z! N
` , r �� � New building area: square feet
, W . -. . ROPERTY ' _' . - - ,;.'; :' ❑-TENANT =''\ ' Tri^,;i Number of stones:
Name: P/N,c" .i F1 g L" S bC(. � L.P. Type of construction
!
Address: ` . 5 5 3 3 . W , SG-LIc t Ac- .A b Y1 :A3 Occupancy groups.
City /State /ZIP J A Oa— Existing: Existing:
Phone: (S�3) ` C7� � Fax: (,5 3) 6z4'- 777s- New:
t - APPLICANT - - , . .:❑• CONTACT `PERSON. ., . - }• =-. .- - "NOTICE
Business name 5 1 4'M p,i�_ All contractors and subcontractors are required to be
Contact name I`^� 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: ( ) Fax. ( )
E -mail •
CONTRACTOR *i,,-7: ^.•c_: - ;, .a
Y. . . - . .• -. - ... _- •' a Fw','•4
Business name. 41. ' - '_ ' e r:'" r/ ���t�%a�. L ) 'BUILDING P FEES*
.Address. r \ n ,, 1 f
�a l 5 . W ' (Aiu bt Please refer to fee schedule.
City /State /ZIP -1--G o 0
Fees due upon application
Phone' (,3c 3) 6f34 -2ctz Fax (53) 604.- &5 7 Amount received
CCB lie.: 64 7
Date received
Authonzed signature This permit application expires if a permit is not obtained
., %" l within 180 days after it has been accepted as complete.
Print name / 0 Date c j/ !/1 / • Fee methodology set by Tn- County Building Industry
111 Service Board
1 Bu.lc,,z ?c.-a:a FPS- ?c-^:. >op ='S3 440- 4613T(I I /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done: - -
j 1.) ❑ New 2.) Modification to sprinkler heads only:
7 Addition I1 -10 heads: No plan review required.
- Alteration ❑ 11+ heads: Plan review required.
n Repair
Number of sprinkler heads:
Additional description of work:
tAPfly. \4- 3 k QuAk, joeA, tZiA) ,, p
Type of System (Coiii lete`A,. B,_ C or D' as applicable):
A.) Commercial
1S-Wet �✓ Li Dry
Additional Standpipes
Information: azard Group
D: sity '
Desi •. Area
K. Fac..r
Sprinkler ' roject V. nation: $ Z50
B.) Type I - Hood Fire`Siippreis ori
Hood Proje Valuation: $
C.) Fire Alarm • -
Submittal shall Battery Ca ulation' I I Yes
include: Individu.. Compone ❑ Yes
Cut Sh •ts
Fire Alar Project Valuation: S
D.) Residential Sprinkles (Stand . one' System)
Square Footage: Permit Fee: -
0 to 2,000 5187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50 - . _ 7,201 and greater $381.50 -
'prinkler Project Square Footage: sq. ft.
'roject Valuation Subtotal (A, B & C): $ ZOO
Pe It fee based on valuation (see attached chart): S 6,Z s o
Permit fe: s ased on square footage (D) (see fees above): S
State Surcharge 8% of Permit Fee: S S"%
FLS Plan Review 40% of Permit Fee: $
TOTAL: S t7
Plan re iew requires a completed application and 3 sets of plans at submittal. Plan review" -
fees are required at submittal.
"New fire protection systems require that plans hear the original seal of an Oregon
licensed fire suppression engineer. or NICET level "3" technicians
Forms FPS Cr..ccK st doc 12/29/03
C.
CITY OF TIGARD
BUILDING DIVISION ., PERMIT #: BUP2005-00098 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2005
Phone: (503) 639-4171 _ 1 IA"414111 4\
Inspection Requests (24 Hrs.): (503) 639-4175
..„_. --...
INSPECTION WORKSHEET FOR DATE: 9/12/2005 TIME: 7:04AM PAGE: 108
SITE ADDRESS: 07 SW DURHAM RD BLDG J CLASS OF WORK:
SUBDIVISION: PACIFIC BUSINESS CENTER LOT #: 025 TYPE OF USE:
PROJECT NAME: STASH TEA
DESCRIPTION: Add (2) upright heads & plug (1) at new exit way.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624-6300
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684-2928
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 015327-01 603-679-3271 N
Corrections/Comments/Instructions:
ne r 4 /r I
—0 /./...*'.......--- '
. PASS
fl PARTIAL APPROVAL pi CANCEL I] NO ACCESS
FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: (e/(vy 2 btwire-110 Date: - /2 -- Phone #: (503) 718- - 9 ve