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- BU ILDING PERMIT
7111 C ITY OF TIGARD P ERMIT #: BUP2007 -00284
COMMUNITY DEVELOPMENT DATE ISSUED: 6/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA - 01300
SITE ADDRESS: 06640 SW REDWOOD LN 302 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 001 JURISDICTION: TIG
PROJECT: PORTLAND CLINIC
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Project Description: 54 new sprinkler 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: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 3 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WESTERN STATES FIRE PROTECTION
15350 SW SEQUOIA PKWY #300 -WMI 13896 FIR ST STE B
PORTLAND, OR 97224 OREGON CITY, OR 97045
Contact #: PRI 503 -657 -5155
Phone: FAX 503 - 657 -5182
• Reg #: LIC 104570
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/30/2007 $91.30
[TAX] 8% State Surcharl 5/30/2007 $7.30
[FLS] FLS PIn Rv 5/30/2007 $36.52
[BUPPLN] Addl Pin Rv 7/13/2007 $62.50
Total $197.62
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.
Issue y: / /4/ , ,i, P ermittee Signatu d7i
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.
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' Fire'Protection System
Building Permit t �pplicatio)I1 b � ECEIVED FOR OFFICE USE ()NIA ()NIA City of Tigard Received .
1 ° 13125 SW Hall Blvd., Tigard, OR 97223 pp,, AAdl p lea Rey; / .S / // '�
Phone: 503.639.4171 Fax: 503.598.1960 �t�� Syll 20O7 CI Q�
Date/B : ,t�l�
Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready : y: lur FA See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Lo iA 69 SG Supplemental Information
BUILDING DIVISION F:pktv o/ • l.l(M Fa 8r-e-r+
TYPE OF WORK REQUIRED 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.
❑ 1- and 2- family dwelling 9'Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: S _ _ New dwelling area: square feet
City/ State/ZIP: 1 �OJ c,fc\ 0 C1 - 722 21 Garage/carport area: square feet
Suite/bldg. /apt. no Project name: ?fi -}^1a r - N C`; ri ' Covered porch area: square feet
Cross street/directions to job site: ,- Q _ V / % Deck area square feet
0 • / i, . � / # A, 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.
Valuation: $ cJ l D uo _
Arid t 1 n e . W ,P h � I S �r ■ I � _ � �P r � I (�QAJ� Existing building area: square feet
Cet�In Cr s r\ Q.tn1 k€y' c v 4-s �� �t+1Ir A'l c�CJr —
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy u
P Ygro s: P
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
El ❑ CONTACT PERSON NOTICE
Business name: W P Ver h Sk .k en Vt re. 'p -\, in N All contractors and subcontractors are required to be
i �� P t licensed with the Oregon Construction Contractors Board
Contact name: r
�P"n under ORS 701 and may be required to be licensed in the
Address: f" %CI G Fir S-lye e 1 ` t S t e , 8 jurisdiction in which work is being performed. If the
City/State/ZIP: C ir\ G -t- O ci goys apply ant is exempt from licensing, the following reasons
a I
Phone: (So3) (05`7- 51. --5S I Fax: : (503) 6957 siea
E- mail: bre /1/lt . C ( U S% f r. US
t
COgTRACTOR BUILDING PERMIT FEES*
{Please refer to fee schedule
Business name: (Aie.S A•er O C fa Ae S \ r2 >° of , Tro4 on Permit fee: , 3,
Address: (3q (a Fir S�'re 2k - Su L 1•e, $
�1� 7 �y State surcharge (8% of permit fee): - 7.317
City/ State/ZIP:
reA r C R t / G FLS plan review (40% of permit fee): 2
Phone: (50 3) 6 , S7 ---t) S t S S Fax: (,fit/' ) 0 O S' 5I 8 p2 (Due upon application.) ✓ 6 • 5 a
CCB Iic.: i . Total permit fees: 73 5. /a
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: 'E'r e AAA (' t t t/Y1 C gte. 0 s - /as-/ * within 180 days after it has been accepted as complete.
2 / Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building 'Pttmits'FPS- PermitApp.doc 03/23/06 440 -4613T(II /02ICOM/WEB)
' CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00284
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &: o/2007
Phone: (503) 639 -4171 fro {ems (e'�
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' F 'iI�
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:04AM PAGE: 92
!e 6 YO .chna- 3 0D—
SITE ADDRESS: 1 c eE a yJIA PKIdW '200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: 2/1 new sprinkler heads.
1
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: WESTERN STATES FIRE PROTECTION PHONE #: sQ3r57 1;155
Inspection Request Scheduled For: Date: 10/2/2007 Pour Tim • .
Code # Inspection Description Confirm # Contact # M sage
910 Sprinkler rough -in /test 056724 -01 971 -409 -3141 N
Corre tions /Comments /Instructions:
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ar L.,,,,-e_r (4.._ Le/vx_12 ?
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❑ PAS'. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: 503) 718 - 2-Y21'
CITY OF TIGARD
BUILDING DIVISION f R PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2007
Phone: (503) 639 -4171 '' mm41, i.l+ ;
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/2712007 TIME: 7 :01AM PAGE: 68
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SITE ADDRESS: 05G40 SW REDWOOD LW 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: REIMERS & JOI.IVETTE INC PHONE #: 5M-22R-7691
Inspection Request Scheduled For: Date: 11/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 ,. _ -r ,
orrections /Comments /Instructions: o
1■• 0_0 - 0 0 _i � � • ►« - �1\
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IrA -A _ 4 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL � CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ! Date: (A d 7 Phone #: (503) 718 -Z
CITY OF TIGARD
BUILDING DIVISION , A PERMIT #: SUP2007- 00284
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 020/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °'I I ..
INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7 :01AM PAGE: 63
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: 54 new spunkier heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: WESTERN STATES FIRE PROTECTION PHONE #: 503.657 -5155
Inspection Request Scheduled For: Date: 11/16!2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 059667 -01 503.657 -5155 N
Corrections /Comments /Instructions: /
NC o r '• C o a _ %- tPL IS o c, - S/ (�/
-01 •Ql
R.-� -- A1y
❑ PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL % ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // S� C5 Phone #: (503) 718- e 7 7 , /
...
11
CrFY OF TIGARD
BUILDING DIVISION ' ,= PERMIT #: BUP2007 -00284
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20/2007
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 _- ' i l.. ■
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 73
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: 54 new sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: WESTERN STATES FIRE PROTECTION PHONE #: 503- 657 -5155
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 0558716-01 503-657-5155 N
Corrections /Comments/ Instructions:
_ 1i
" I 19
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
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Inspector: 40 Date: Phone #: (503) 718 -
CITY OF TIGARD Ic Zuo'1 - o 0 2 g V
BUILDING DIVISION a PERMIT #: B �c3-�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2012007
Phone: (503) 639 -4171
A �p�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'_!+� °`'f I
INSPECTION WORKSHEET FOR DATE: 10/512007 TIME: 7:01 &J PAGE: 5
SITE ADDRESS: 05640 SW REDWOOD IN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: Ti
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: REIIWERS & JIOLIVE(TE INC PHONE #: 503- 2„2jf'� -7691
Inspection Request Scheduled For: Date: 1015/ ?007 Pour Time:
Code # I sspection Descriptio � Confirm # Contact # Message
287 s Suspended ceiling I �" - 057062 -01 503. 816-4507 N
Corrections /Comments /Instru .'ons:
CP"rea e k .4. t 4 10 . i • . 5 - ■ ,
\e%A W 5 t A. 2\ \20, 1 V ( l!7 t (4*
1 .0 tO I I (0 q
3, 1 ;U
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6 0 (.5\-e-v\-----.
PAN =s t 1\ t` t l t l (�
I ' 1 10 ' '. o < ICY) 16 ( I Q.
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❑ PASS ;cl PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �' V V Date: I Po 7 Phone #: (503) 718- 2,4i4