The URL can be used to link to this page

Permit B CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00155 �� DEVELOPMENT SERVICES DATE ISSUED: 4/6/2004 '�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: • 15570 SW PACIFIC HWY PARCEL: 2S110DC -02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT: 011 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: 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: $ 1,800.00 Remarks: Fire sprinkler TI, relocating (6) heads & adding (3) new heads. 11/15/04: reinstated for purpose of final inspection for 30 days. *— Owner: Contractor: TIGARD, CENTER LP AFP SYSTEMS INC _9777 WILSHIRE BLVD #609 19435 SW 129TH BEVERLY HILL, CA 90212 TUALATIN, OR 97062 Phone: • Phone: FAX- 692 -1186 Reg #: 1nt6F692- 90 FEES LIC REQ8 ED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 4/6/2004 , $62.50 Sprinkler Final [TAX] 8% State Surchari 4/6/2004 $5.00 [HRBLD] Hourly Buildit 11/15/2004 $58.41 [HRTAX] Hourly 7% St 11/15/2004 $4.09 Total $130.00 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 by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: ,� - Permittee I < Signature: /., –/`" ` �,"� . Call 639 -4175 by 7 p.m. for an inspection the next business day _,. CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00155 s �11 DEVELOPMENT SERVICES DATE ISSUED: 4/6/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15570 SW PACIFIC HWY PARCEL: 2S110DC -02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C -G BLOCK: LOT: 011 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: 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: $ 1,800.00 Remarks: Fire sprinkler TI, relocating (6) heads & adding (3) new heads. Owner: Contractor: TIGARD, CENTER LP AFP SYSTEMS INC 9777 WILSHIRE BLVD #609 19435 SW 129TH BEVERLY HILL, CA 90212 TUALATIN, OR 97062 Phone: Phone: FAX- 692 -1186 Reg #: RW692- 9084 FEES LIC REQUI INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 4/6/04 $62.50 Sprinkler Final [TAX] 8% State Surchart 4/6/04 $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 (59 .. : - • 9 or 1- 800 -332 -. 344. .. AO / (ut4.194 Is ed By: ! , 1; 14_, � L Pe rini - - .-- Signature: �� l 4 Call 639 -4175 by 7 p.m. for an inspection the next business day APR -05 -04 04:36PM FROM - Automatic Fire Protection 5036921186 T -096 P.002/003 F -193 ,. — - Received / �,/ Building Date/B G 0 5 � r Permit No.: # "i "4,` 5 icy of Tigard RECEIVE k Planning Approval / w, Other 13125 SW Hall Blvd PDate/B Review (— Penult No.: Tigard, Oregon 97223 ate/ y: Other �� 1 Pax: 503- MttI9 1 t;0 2I .!' l ' ' PO - v Permit No.: Phone: 503 - 639 -417 :/ " \ � "p, : { ; t Post - Review Land use Internet: www.ci.tigard.or.us C I TY OF TI � f I Date/I3 ' Case No, 24 -hour Inspection Request: 50' DIVISION Contact funs.: Q See page 2 for Name/Method: Su • temente/ Informatio TYPE OF WORK New construction [I Demolition '. REQU RED DATA: Addition/alteration/replacement ❑ Other: 1 & Z>E<Ai1� X DWEL�I1vG • • • _ CATEGORY OF CONSTRUCTION . Note: Permit fees' are based on the total value of the work performed. Indicate ET 1 & 2- Family dwelling (1 Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, Accessory Building ❑Multi -Fax overhead and profit for the work indicated on this application. ❑ Master Builder [] Other: Valuation $ . JOB SITE.INFORMATION and LOCATION .... of bedrooms: No. of baths: Job Site address: / 55 70 S (/ P0-4.4.4 i- Total number of floors _ Suite #: Bldg. /Apt. #: U New dwelling arca (sq. ft.) Project Name: ! y G ei ort area (sq. ft.) Covered porch area (sq. ft.) Cross street/Directio s to jo site Deck area (sq. ft.) 14 tA C I ° 1 ckt.,. 1 el oe K Other smicturc area (sq. ft.) Subdivision: Lot #: ... ; • • • -. %L•7RCTA. • .. . ,. . , • • ,, - x .. Tax map /parcel #: Nate: Permit fees• are based on the total value of the work performed Indicate •.:DESCRIPTION OF WORK. - •.: the value (rounded to the nearest dollar) of all equipment, materials, labor, W tom" Al (el ? � } ! n te 1 - AAA overhead and profit for the work indicated on this application. 4- f • . A t., ..,"t. =1 f dJ.1k+:: L". . Ak.4 t Valuation S L p� 0,,.D o' J .::, ; •, r ,•. ;-{! - Existing building area (sq. ft_) 50, 000 New building area (sq. ft) 3 D O O Number of stories. 1 j ; PROPERTY OWNER • 1. TE TA NT : • - :` � - Type of construction Name: giQuiam Occupancy group(s): Existing: Address: 1 L 1 New: City/State/Zip: S w < e,.0 ' � : "T� s � l .�, j OK Phone: NOTICE: All contractors and subcontractors are required to be l] A>PPIICA • CO NTAC'Y PERSON: licensed with the Oregon Construction Contractors Board under Business Name: F S„ , _ ,, provisions of ORS 701 and may be required to be licensed in the a ' _c jurisdiction where work is being performed. If the applicant is exempt Contact Name: �� r� A4i Nc from licensing, the following reason applies: Address: 154 . Li 1 tc; ' h k JE , Cit /State /Zi : T.,,,' - y am ,—. C K Phone: :.?: , .r , ,u Fax: %� T.),a 1p 6 - • E -mail: Jtt..(w I�FP S`r5. CQ1M •il3intphte•FERIV iliii, - - w,.::: . . teafieTefer to fee.sc]tediite.. . . . • ; '. . • , .. ., .. . CONTRACTOR Business Name: � Fees due upon application S Address: j / City /State /Zip: Amount received g CO 7, 5 0 — Phone: I Fax: Dare received: CCB Lic. #: b7 S34 Autho Authorized ere: ,, Race: Notice: This permit application empires if a permit is not obtained within J p 180 days after It has been accepted as complete e1 1 Wl iirk./e: (Picnic print name) 'Fee methodology set by Tri -County Building Industry Service Board. i : \DsrsWermit fotms\B1dgPermirApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION QIVISIPN Business Line: (503) 639 -4171 • .4 al' Received (*)17 Il 3 7 Date Requested V AM PM BUP Location / 5 5 70 /JQ!C:� f — Suite MEC Contact Person G R h ( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner .2(.0 L ELC Footing g ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Co y � �� y" 1 "fj h q Cr Ext Sheath/Shear Int Sheath/Shear Framing' Insulation Drywall Nailing Firewall - re Alarm usp'd Ceiling Roof , Other: - Wag PART FAIL • ,.- ING 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 111 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line rl ADA Approach/Sidewalk Date G 9 `y L/ Inspector 7 Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL