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Permit BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2004 -00268 DEVELOPMENT SERVICES DATE ISSUED: 6/24/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 06650 SW REDWOOD LN 290 PARCEL: 2S112DA -01400 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 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: 2 -1 HR : sf N: S: E: W: OCCUPANCY GRP: B 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: $ 1,575.00 Remarks: Fire suppressent. Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST PORTLAND, OR 97224 TIGARD, OR 97223 Phone: Phone: 620 -6140 Reg #: LIC 63846 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 6/8/2004 $62.50 Sprinkler Final [TAX] 8% State Surchari 6/8/2004 $5.00 [FLS] FLS Pln Rv 6/8/2004 $25.00 Total $92.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503 • • -6699 or - 800 - 332 -2344. Issue • :y: I ,�!. ±�•- �- Permittee Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day sp ReDwoa. 4.AaE# 2 D ire Protection System �. fA„ N+ r naeiae6e . Building Pe JM ion FOR OFFICE USE ONLY Received Building Q Date/By: Permit No. f PdDD I/ QZj a( g J City of Tigard JUN U 8 2004 Planning Approval Other Date/By: Other No.: I - eV o2aii 13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other Tigard, Oregon 97223 BUILDING DIVI$I$N Date/By: 6- I- ON /4SA Permit No.: Phone: 503- 639 -4171 Fax: 503-598-196U /ua ,t -' Post-Review iew Date/By: Case Use www.ci.tigard.or.us ° __.. 24-hour Ins ection Request: 503 -639 -4175 Contact Juris.: EI See Page 2 for P 4 Name/Method: Supplemental Information .: ., : . ''T:,YPE'OF WORK:: : '- - � .. . . .. � , - • ,,. . ,,... r . :.'._'.: Q E DsDA ' A:' ,.; : '" ; ' • 111 I �: - c: = ': `� ❑ New construction Demolition � &'2•F V1!ELLIN _ � ��,�' � ��� - Addition/alteration/replacement ❑ Other: CATEGOR OFCOSTSTRUCTION : ',: - ;-- • �:;; Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling `:1 Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi - Family El Master Builder ❑ Other: Valuation $ ?.- 'i;JOB'. SITE: INFORlUTIONsandI- LOCATION'_' . °' No of bedrooms: No of baths: Job site address: (460 Si Mu' L , LAID E #2Q0 Total number of floors New dwelling area (sq. ft.) Suite #: 2.10 Sp, Apt. #: ) 4, Garage/carport area (sq. ft.) Project Name: FAIRWAY iliDE.T<- ,A(-,E Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) RICA c CDR POPATE C E JT R-_ 4 REQUIRED:DATA i : ' i s `;, ' ';3 : `'•; .4, - "'COMMERCIAL - USE, CHECKLIST ' tea = Subdivision: I Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate - DESCRIPTION.OF. ` ,:,-4 i , ;' ; : : ` = -, the value (rounded to the nearest dollar) of all equipment, materials, labor, J J I n „ J ©# )O CL�.b overhead and profit for the work indicated on this application. _LiF _ JS Valuation $ IS 'a -' Existing building area (sq. ft.) New building area (sq. ft.) • Number of stories l`L PROPERTY' OWNER-_:- - 10- _TENANT ... ... Type of construction Name: Pp} -Ca-p li c„-r Occupancy group(s): Existing: Address: 1535O 5u) 5 tctA- P &y - t New: City/State /Zip: (app._1 , Off. °'7224 Phone:(Spr) (0214 -300 Fax: (9,76) 6214.-7-255 NOTICE: All contractors and subcontractors are required to be APPLICANT licensed with the Oregon Construction Contractors Board under [] CONTACT PE RSON: provisions of ORS 701 and may be required to be licensed in the Business Name: Ft raEsTvp CO _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: 512,ue1✓ P2So►3 from licensing, the following reason applies: Address: PO Sox- 23cS 4 S City /State /Zip: — rje a , De_ q 72s I -DStiS Phone: 63,5)102.1),_614b1 Fax(SD QJ- 6)4 ( • E - mail BUILDING PERMTTFEES* .,; - - :- �, CONTRACTOR Please refer to fee schedule., - Business Name: C. STbP CE) • Fees due upon application $ 92 Address: PO e c v 23054 S City /State /Zip: - nra ag.� �, q � j ( Amount received Phone:( $ �0,) b2D- 614 DI Fax: (caP) 2 o- 6 L -/ Date received: CCB Lic. #: ( Authorized - / Notice: This permit application expires if a permit is not obtained within Signature: e // ...t .t a . i? �` ��,/,, il A : , [ ►,•te p1 D 180 days after it has been accepted as complete. [ Fr )1 I t)/ *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) is \Ds ts \Permit Forma \BldgPermitApp.doc 01/03 A Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: 1. Addition ❑ 1 -10 heads: No plan review required. a Alteration a 11+ heads: Plan review required. CA Repair Number of sprinkler heads: )1 Additional description of work: d- k caa+ 10 S Type of System (Complete A, B, C or D as applicable): A.) Commercial.Sprirrkle'r Wet ❑ Dry ❑ Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ ► S'1 S' B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Project Valuation Subtotal (A, B & C): $ j5 - 2 S a ' Permit fee based on valuation (see attached chart): $ 62 5o Permit fee based on square footage (D) (see fees above): $ — State Surcharge 8% of Permit Fee: $ S. 00 FLS Plan Review 40% of Permit Fee: $ ?S. Do TOTAL: $ 9 2. SO Plan review 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 bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i : \dsts \fortes \FPSchecklist.doc 02/28/03 CITY OF TIGARD 24 -Hour BUILDING Inspectipn Line: (503) 639 -4175 INSPECTION DIVISION Busin ss Li e: (503) 639 -4171 MST BUP �� Y2Z QS Received Date Requested AM PM BUP Location �� C1/4-) r' N Suite MEC Contact Person Ph ( ) PLM 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 Fi ae►aII •eS • Fire Alarm Susp'd Ceiling Roof 0� Ot • 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 \ / I _ � Rough-In ,I 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: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL