Permit t _ _ V
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00456
Z �li', DEVELOPMENT SERVICES DATE ISSUED: 7/24/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 310
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: ��j FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: r / FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 785.00
Remarks: Install 3 fire sprinkler heads and relocate 3 heads.
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 inspection
[BUILD] Permit Fee 7/24/03 $62.50 Sprinkler Final
[TAX] 8% State Tax 7/24/03 $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 (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: IL-,6 ,,Z
Pe mi ittee
Signature: / a . / Ar∎ �� _ p
If I
Call • . -4175 by 7 p.m. for an inspection the next business day •
a A Building Permit Application
. Date received oZ p Permit no.: 01 — G�f 510
�- °��: City of Tigard
- � �. Project/appl. o.: Expire date:
City ofTigard
Address: 13125 SW Hall Blvd, QVED
Phone: (503) 639 -4171 Date issued: By qv [Receipt no.:
Fax: (503) 598 -1960 JUL 2 4 2003 Case file no.: Payment type:
Land use approval: CITY OF TIGARn 1 &2 family: Simple Complex:
BU i ► a ..
TYPE OF PERMIT
❑ lft. 2 family dwelling or accessory II ❑ Multi- family ❑ New construction ❑ Demolition
WAddition/alteration/replacement C'Tenant improvement &Fire sprinkler /alarm ❑ Other.
JOB SITE INFORMATION
Job address: C ( S t RVNADbp6 LArE Bldg. no.: IL, Suite no.:3 l 0
Lot: I Block: Subdivision: I Tax map /tax lot/account no.:
Project name: 442Q ( M Q-ti k) S1 2V I CE's C R_P C) 214TZ O l'l
Description and location of work on premises/special conditions: 3
4-1-
12..E 1.f7r.�� - e—
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: PAc. rl? l (Floodplain, septic capacity, solar, etc.)
Mailing address: I� 5f� 5„, $ECc)ui ja PP.IA)I/ r o 1 & 2 family dwelling:
City: r iaii p.N , State: (�2 ZIP: Gi ?2 Valuation of work $
Phone ) (A* o w I FaxL ) 6 -Mc I E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: ax: E -mail: New dwelling area (sq. ft.)
Garage/carport area (sq. ft.)
Name: �%(12 �j '11bp c Covered porch area (sq. ft.)
Mailing address: C ?�gt1. 1 ) --FI it :9-72,2z Sr Deck area (sq. ft.)
City: —n q� l� [ State l� _ Other structure area (sq. ft.)
Phon irlw 0 01 Fax A I E -ma il: .--
CommercialMdustrlal/multi- family:
CONTRACTOR Valuation of work $ (SS
Business name: rl 1 C5:3 . Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address: CI '1..1- SLAD 'r(f711-elf Number of stories
City' IE)A _N I State: 1P rtZ 23 Type of construction
Phon plX,9, .1J4d Fax fo9 f till E-mail: Occupancy group(s): Existing:
CCB no.: 63$ (..}lp New:
Ci etro •'c. no.: _q Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: �f6l4- r.1 I-1- . 2.b tin 15E+ provisions of ORS 701 and may be required to be licensed in the
Address: 15'.5S0 D ` uDl A y 4 . jurisdiction where work is being performed. If the applicant is
City: Po e-I-Up-0 State: mi Z1P. 7 ,1 exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
• Name: Contact person: Fees due upon application $ (
Address: Date received:
City: (State: IZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard
work will be complied 'tlj, whether specified herein or not. Credit card number Expires
Authorized signature: i. y : . 1 •. j # , i/ L "/ a Name of cardholder as shown on credit card
Print name: (r G r✓ d ell / , _ ii it • Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 (6100/COM)
I .
Fire Protection Permit Check List
A.) ❑ New [Addition aAlteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required. .
Number of sprinkler heads: U4. 3
Additional description of work:
Type of System .:(Complete A;3 B or = ,Cas applicable <^ = > >:�:: .
A.) Sprinkler Wet ❑ Dry ❑
Standpipes
Additional Hazard Group
Information Density
Design Area
_ K. Factor
Sprinkler Project Valuation: _ $
B•) Type I - Hood Fire Suppression System
Hood Project Valuation $
C.) Fire Alarm -
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $ (cZ.
8% State Surcharge: $ DO
FLS Plan Review 40% of Permit: $ —
TOTAL: • $ (o"?, 5D
•
i:\dsts\forms \FPSchecklistdoc 06/07/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP — oo
Received r Date Requested �.a b AM PM BUP
Location l2 Co . C -0 RL.P' L )c d-z Suite / 6 MEC
Contact Person Ph ( ) — PLM
Contractor Ph ( ) SWR
Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
- •rm
Susp'd Ceiling
Roof
Othe':
0 ;4 - my-ART FAIL
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole /
Storm Drain 7 /
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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �o/� Inspect Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL