Permit C ITY OF TIGARD BUILDING PERMIT
: ;: ° PERMIT #: BUP2007 -00564
COMMUNITY DEVELOPMENT DATE ISSUED: 11/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CC -00200
SITE ADDRESS: 08376 SW PFAFFLE ST ZONING: R -25
SUBDIVISION: CARRIAGE HOUSE APARTMENTS LOT: JURISDICTION: TIG
PROJECT: CARRIAGE HOUSE APARTMENTS
Project Description: Replace existing fire alarm dialer with new dialer.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R1 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: $ 835.00
Owner: Contractor:
ANDREWS MANAGEMENT LTD MASTER ALARM LLC
11336 SW BULL MOUNTAIN RD #103 1110 NW FLANDERS
TIGARD, OR 97224 PORTLAND, OR 97209
Phone:
Contact #: PRI 503 - 222 -5083
FAX 503 - 227 - 4992
Reg #: LIC 125364
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/30/2007 $62.50
[TAX] 8% State Surchart 10/30/2007 $5.00
[FLS] FLS Pln Rv 10/30/2007 $25.00
Total $92.50
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 rulgsare.sett 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 63.246.6699 or 1.800.332.2344.
Issu d By: 1, a00/ - Permittee Signet re: pli 4}—
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 requited on the job site at the time of each inspection.
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Bending Permit Application FOR OFFICE USE ONLY
City of Tigard REGE Dac ed Per ikNo.:.� 4 5 -
q 13125 SW Hall Blvd., Tigard, OR 97223 P lan Review � .
C . Phone: 503.639.4171 Fax: 503.598.196 C T 3 O 2007 00 DateB : 41111111.W ��Ib Other Permit:
T 1 G A R D Inspection Line: 8 03.63 . 4175 COOP TI C Date R By: �� ® ®See Attached Checklist for
Internet: www.ti ard -0r. ov Notif ethod: 6 Supplement Information
LO {± { T
TYPE OF WORK REQ , ' ED 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.
❑ l- and 2 -family dwelling Valuation: $
❑ Commercial/industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ® Other: apartment Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 8376 S.W. Pfaffle New dwelling area:' `T t `square�feet
City/State/ZIP: Tigard,Or. 97223 Garage/carport area: - • •I'sguar •
Suite/bldg. /apt. no.: Project name: Carriage House Apartments 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. •
Replace existing Fire Alarm dialer with a Silent Knight Model 5129 dialer Valuation: . $$835.00 .
Existing building area: . square feet
New building area: . square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: _. _. _ -
Name: Type of construction: .
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be .
Contact name: 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: ( ) I Fax: : ( ) -
E-mail: _. •
CONTRACTOR .
•
Business name: Master Alarm LLC Phillips Electronics BUILDING PERMIT FEES*
Address: 1110 N.W. Flanders (Please refer to fee schedule
Structural plan review fee (or deposit):
City/State/ZIP: Portland, Or. 97209
FLS plan review fee (if applicable): t;
Phone: (503) 222 -5083 Fax: (503) 227-4992
CCB lic.: 125364 /DA (v 9 Total fees due upon application:
Amount received:
Authorized signature: !` t This permit application expires if a permit is not obtained
Print name: David Smith I Date: 10/23/07 * within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
1:\ Building \Permits\BUP- PermitApp.doc 03/21/06 440- 4613T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION . • PERMIT #: I3t1P2007- 00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/1/2007
Phone: (503) 639- 4171�.� ��� i qci Inspection Requests (24 Hrs.): (503) 639 -4175 . �...
INSPECTION WORKSHEET FOR DATE: 3!6/2006 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 08376 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: CARRIAGE HOUSE. APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: CARRIAGE HOUSE APARTMENTS
DESCRIPTION: Replace existing fire alarm dialer with new dialer.
OWNER: ANDRE1NS MANAGEMENT LTD, PHONE #:
CONTRACTOR: MASTER ALARM ILC PHONE #: 503. 222 -5083
Inspection Request Scheduled For: Date: 3/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes - - - q" ----
236 Misc. inspection 066126-01 503 -2.22 -6083
4 '6,r Corrections /Comme-nos
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A ACSS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V/: (/tom L Ins ector: Date: 3 / l �, / Phone #: (503) 718- �4