Permit CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2005 -00116
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DEVELOPMENT SERVICES DATE ISSUED: 4/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 250 ZONING: I -P
SUBDIVISION: PP1996 -048 LOT: 002 JURISDICTION: TIG
Project Description: Fire sprinkler TI, alteration of (11) heads.
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: 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: $ 1,675.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Phone: Phone: 620 -4020
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/25/2005 $62.50
[TAX] 8% State Surcharl 3/25/2005 $5.00
[FLS] FLS Pln Rv 3/25/2005 $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
calli 03 -246 ..• 9 or 1 -80'. 32 -2344.
Iss e d By: ! . - _/ ,,, .,_! ' Permittee Signature: yV/6AM' q
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.
• •
Fire Protection System r j
-- , A
Buildin Permit Application / �/�� FOR OFFICE USE ONLY
B i
City of Tigard IV DateBB : A'j:±f o. 1. i• i , . -eon
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ajL Other Permit:
Phone: 503. 639 "4171 Fax: 503. 598.1960 l d ('� Date : `/jv
Inspection Line: 503.639.4175 •`' " ` Lu ` !i `AI B Date Ready/By: ,. J ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: ,_,5 � j Qr a Supplemental Information
. BUILDING DIVISIPN ,Vi
604t. w /W\e \ \
TYPE OF WORK � .
, E REQUIRED WORK 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
a ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling Xo mmerci dustrial 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: (0(Q rSI.J at c ) [Q, Q New dwelling area: square feet
City/State/ZIP: '—j- 3 0 "17 Garage/carport area: square feet
Suite/bldg. /apt- no.: a sO Project name: k ittrP -i1 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: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
• DESCRIPTION OF WORK " work indicated on this application.
Valuation: $ / 7S-
Existing building area: square feet
New building area: square feet
L . ❑ PROPERTY OWNER [ ' KTENANT ' - " Number of stories:
1 Name: 1-k3 T Type of construction: 2 if
Address: ( 3 (- 0 LiO� 11 Q Occupancy groups: $ 36,
Cit /State /Z IP: ! eye_ L 7 a O`(4 Existing:
Phone: ( ) I Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON . • . NOTICE , ' ,
Business name: _g v of t V • All contractors and subcontractors are required to be
Contact name: FM licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /''79.S a ` j�,Aj jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons � �7
6 apply:
//cc 3 e
Phone: v p — /�� Fax:: (55967,e) _ /c5
E -mail:
CONTRACTOR
Business name: `p a o cet1/4 _-cL xz1 � BUILDING PERMIT FEES*
Address: i!� I . ���AreL Please refer to fee schedule.
City /State /ZIP: r . t 4 610 I d
Co !�,,� �r-� Fees due upon application �,
Phone: (�.� �� Fa ®� �° — �d5 �
Amount received
CCB lie ":
Date received:
Authorized signature: ' /t - This permit application expires if a permit is not obtained
e within 180 days after it has been accepted as complete.
Print name" /j _. . C / Date: -3 0 , 4(/7 • Fee methodology set by Tri -County Building Industry
ir Service Board.
■ .Umiding)Pernms.FPS- Perm'App doc 12103 440.4613T( I I /02/COM/VEB)
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CITY OF TIGARD
�
BUILDING DIVISION PERMIT #: BUP2005-00116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2005
Phone: (503) 639 -4171 449 , [ r � l\
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I L ..
i i
INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 59
SITE ADDRESS: 06650 SW REDWOOD LW 250 CLASS OF WORK:
SUBDIVISION: PP1996 -048 LOT #: 002 TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: Fire sprinlder TI, alteration of (11) heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 620 -4020
Inspection Request Scheduled For: Date: 4/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message Ca'
999 Sprinlder final 005042 -01 503620 -4020 Y �R 1.-
5-r L 56 - 9
(Tc. ck:c S°3 30 2'o�
Corrections /Comments /Instructions:
5 yL.Eg r 7 .,0).eiL 0i(
----ASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL 4. CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
,f4 ,
Inspector: Date: tc(4 / Z I /O( Phone #: (503) 718-