Permit IN ° ITY OF TIGARD BUILDING PERMIT
PE RMIT #: BUP2008 -00230
1 ., COMMUNITY DEVELOPMENT DATE ISSUED: 7/ /
23 200 s
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135BD -00100
SITE ADDRESS: 09600 SW OAK ST 230 ZONING: C -
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
PROJECT: CONFERENCE ROOM
Project Description: Fire alarm -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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 37 BASEMENT: sf AREA SEP. RATED:
STOR: 5 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 1,000.00
Owner: Contractor:
ASA PROPERTIES, INC MPD SYSTEMS INC
BY PAUL DEVILLE 10117 SE SUNNYSIDE RD STE F517
PO BOX 3110 PORTLAND, OR 97015
HONOLULU, HI 96802
Phone: Contact #: PRI 503 - 334 -6315
FAX 503 - 762 -2271
Reg #: LIC 179280
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/7/2008 $62.50
[TAX] 12% State Surch 7/7/2008 $7.50
[FLS] FLS Pln Rv 7/7/2008 $25.00
Total $95.00
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 b calling 503.246.6699 or 1.800.332.2344.
- 11111&
Issued B ice - d / 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.
CCOaO F Cam. - RC %o OW—
Building Permit Application
, ire Protection System FOR OFFICE USE ONLY
City of Tigard • Received 7 Q
DateB : f / Permit No.: r / g 36
° 13125 SW Hall Blvd., Tig. CEIV Plan Review
' Phone: 503.639.4171 Fax: 51 8.1960 Date/B : �" Other Permit:
T I G n R p Inspection Line: 503.639.4175 JUL Date Re. : Sun HI See Page 2 for
Internet: www.tigard -or.gov U U 7 ZOO `I Notified/Method: / .W , Supplemental Information
Is - - Si ■r
' '� M , wI51^� / REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El New construction BU' t " r I emolition �i 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: 9600 SW Oak St New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Suite230 Project name: Common Conference Room 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.
Add fire alarm horn/strobe for new tenant improvement Valuation: $$1,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER IN TENANT Number of stories:
Name: Plaza West LLC, do Norris Beggs & Simpson Type of construction:
Address: 121 SW Morrison Suite 200 Occupancy groups:
City/State /ZIP: Portland, OR 97209 Existing:
Phone: (503)223 -7181 Fax: ( ) . New:
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: MPD Systems, Inc All contractors and subcontractors are required to be
Contact name: Matt Chaika licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: see below jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) see below I Fax: : ( ) see below
E -mail: matt@mpd- systems.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: MPD Systems, Inc. (Please refer fo fee schedule)
Permit fee:
Address: 10117 SE Sunnyside Rd, Suite F517
City/State /ZIP: Portland, OR 97015 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 344 -6315 Fax: (503) 762 -2271 (Due upon application.)
CCB lic.: 179280 Total permit fees:
Authorized signature: _ Amount received:
This permit application expires if a permit is not obtained
Print name: Matthew Chaika Date: 7 -1-08 I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board.
I:1 Building \Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(II /02/COM/WEB)