Permit CITY OF TIG , R D BUILDING PERMIT
PERMIT #: BUP2004 -00108
� i�l y DEVELOPMENT SERVICES DATE ISSUED: 3/15/04
' ---� 13125 SW Hall Blvd., Tigard, OR 97223 (5031 639 -4171
SITE ADDRESS: 12254 SW GARDEN PL BLD1 PARCEL: 2S101 BB 01500
SUBDIVISION: CROW PARK 217 ZONING: C -
BLOCK: LOT: 003 JURISDICTION: TIG
REISSUE: ,(, FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT C `� 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:
- BSM-T- - ?: MEZZ ?: REQDSE_T_BACKS 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: $ 606.00
Remarks: Adding one new sprinkler head in the unisex bathroom
Owner: Contractor:
SPIEKER PROPERTIES LP BASIC FIRE PROTECTION INC
4380 SW MACADAM AVE STE 100 8135 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97201 PORTLAND, OR 97211
Phone:
Phone: 503 - 285 -1855
Reg #: LIC 48641
FEES REQUIRED INSPECTIONS
Description Date Amount Final Inspection
[BUILD] Permit Fee 3/15/04 $62.50
[TAX] 8% State Surchart 3/15/04 $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: ? ( • ' ,.."
I
Pe rm ittee -
Signature: v � ,��
s i l
Call 639 -4175 by 7 p.m. for an inspection the next business day
$
' Fire PrOtecti n System
wildin Perm
g it Application FOR OFFICE USE ONLY
City of Tigard Received Date /B , 0 •, 1 Permit N.:,, 4, 'et 5
13125 SW Hall Blvd., Tigard, OR 97223 I Plan Review
Phone: 503 639.4171 Fax: 503.598 1960 Date /Bv Other Permit:
Inspection Line. 503.639 4175 " All Date Ready/By Juns Ei See Page 2 for
Internet www ci.tigard.or us Notified/Method. Supplemental Information
- �" TYPE F 'W, RK" ` D D
. <.• _�,'",; O O °RE DIR ATA'; >1`= AND:2- FAMILYQWELLING' "'
❑ 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
' ' ' ` F U '
CATEGORY'OF' "CONSTRUCTION ` `;'`y' ; :; work indicated on this application.
� - 'r� .. ,,. ,
..mss "�� ",r,:,. <,�: -: <> - s�.,A�.< .. - ,, . „ `>'�,�
❑ " - and 2- family dwelling ® Commercial /industrial Valuation: $
1-
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑_Master_builder _❑ Other: Number of bathrooms:
Total number o
� �; -' JOB SI'Z'E' -; INFORMAT =ION AND LOEATIgN = ' ;.,,, of floors:
Job site address: IEC BUILDING - 12254 SW GARDEN PLACE New dwelling area: square feet
City/State /ZIP: TIGARD, OREGON 97223 -8246 Garage /carport area: square feet
Suite/bldg. /apt. no.: Protect name: I.E.C. BUILDING Covered porch area: square feet '
Cross street/directions to job site: SW HALL BLVD / GARDED PLACE, W OF HWY 217 Deck area: square feet
Other structure area: square feet
T;.
REQUIRED, ,:c,g IMERCIAL= US E;C IS,
,��. ., ,.,,:ter �•'<.
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, �- _ ,. ._' _; W overhead, and the profit for the
,", '° r::�� . �,
,; ° RDES CRIPTION <<OF ORK;�> work indicated on this application.
ADDING ONE NEW SPRINKLER HEAD IN THE NEW UNISEX BATHROOM 108 Valuation: $$606.20
TIE IN TO THE EXISTING BUILDING SPRIKLER SYSTEM Existing building area: square feet
New building area: square feet
y ' " ., ®b PROPERT Y`'`OWNER:, F% ,; ®s' TENANT''; ; Vii' Number of stories.
Name: IEC OF AMERICA Type of construction:
Address: 12254 SW GARDEN PLACE Occupancy groups:
City/State /ZIP: TIGARD OREGON 97223 -8246 Existing:
Phone: ( ) Fax: ( ) New: B
'APPLICANT;, ; , :CONTACT ° PER
;SON :
x r;' <� '_' N O T ICE . .. �',� '
_ . °�, -,.., ;i � . ,. ;, ;:
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Business name: BASIC FIRE PROTECTION, INC. All contractors and subcontractors are required to be
Contact name: TODD CRIVELLONE licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address 8135 NE MLK Jr. BLVD jurisdiction in which work is being performed. If the
City/State /ZIP: PORTLAND, OREGON 97211 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 285 -1855 Fax: : (503) 285-0713
E -mail:
Business name: BASIC FIRE PROTECTION, INC. UII
I DNGPERNIT,ES* <.
-rte;, . - :' I FE
C a. t':� :,,j '_t;.,,
Address: 8135 NE MLK Jr. BLVD -
Please refer to fee schedule.
City/State /ZIP: PORTLAND, OREGON 97211
Fees due upon application $67.50
Phone: (503) 285 -1855 Fax: (503) 285 -0713
Amount received
CCB lie.: 48641
�_ Date received:
Authorized signature: � ,,,#'
This permit application expires if a permit is not obtained
G O within 180 days after it has been accepted as complete.
Print name: TODD CRIVELLONE Date: 03/15/04 * Fee methodology set by Tri-County Building Industry
Service Board.
i \ Budding \ Permits \FPS -PernitApp doc 12/03 440- 46I3T(I I /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line (503) 639 -4171 MST
Received A ' 2q p Date Requested y 2 Z —O ` M / 7 PM BUP
Location / 2 ZS 47 1 ,'t d .40.frt 1 l Suite & d / MEC
Contact Person GL Ph (=) ZP S / 8:713
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
-Ext- Sheath /Shear -
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
ire Sprin der
re harm
usp'd Ceiling
Roof •;
Other:
' • PART FAIL
• BING
C l411". •
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: •
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: E Unable to inspect - no access
Fire Supply Line `
ADA �. �i4
Approach /Sidewalk Date Inspector { Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL