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Permit to CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00449 f DEVELOPMENT SERVICES DATE ISSUED: 9/22/2004 ' � J I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 06650 SW REDWOOD LN 105 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: : sf N: S: E: W: • OCCUPANCY GRP: 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: $ 993.00 • Remarks: Fire protection TI alteration of (9) sprinkler heads. 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 Reg #: LIC 64174 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler inspection [BUILD] Permit Fee 9/22/2004 $62.50 Sprinkler Final [TAX] 8% State Surchan 9/22/2004 $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: p Permiftee Signature: ��r / Call 639 -4175 by 7 p.m. for an inspec ethe next business day • Buing Permit Application FOR OFFICE USE ONLY City of Tigard Received permit No.�g C 13125 SW Hall Blvd., Tigard, OR 97223 Dan Review 1) �/L�°2"Qd� �'� �/ Phone: 503.639.4171 Fax: 503.598.1960 Plan Review \ Other Permit: Inspection Line: 503.639.4175 t�i� Date/By: P _ Date Ready /By: 1 ® See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: � l r Supplemental Information TYPE OF WORK REQUIRED DATA: I- 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 Y.-addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the Vv CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I - and 2- family dwelling Gmmercial�ndustrial 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: Cte3Co SlA_J,ti(,4.90 / l New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg. /apt. no.: ) 05 Project name: C 00.k US , C Covered porch area: square feet ' Cross street/directions to job site: `4 Carp L) C 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. Valuation: $ 9'47 Existing building area: square feet New building area: square feet . ❑ PROPERTY OWNER I TENANT Number of stories: Name: CO Q X l S / T ' p C - Type of construction: Address: C ^� 5:1 7 � ) G4_,, Occupancy groups: City/State/ZI`P:tl�R,,r- n / oR c7 ) gi Existing: : Phone: l�� Fax: ( ) New: %APPLICANT ❑ CONTACT PERSON NOTICE Business name: ( All contractors and subcontractors are required to be Contact name: �--t n licensed with the Oregon Construction Contractors Board ,/Q ` under ORS 701 and may be required to be licensed in the Address: )61795 �l ' 7 ! S c o 7 (1. jurisdiction in which work is being performed. If the City/S tate/ZIA1y(-Ji/ Q 7a� applicant is exempt from licensing, the following reasons // ,�,, ^ apply: Phone: �3(Q .Q —(_,A)).0 Fax: : f 33) ( _-f(j5 E -mail: CONTRACTOR' Business name: �LX L /i4k r _ '/ t Q ^ BUILDING PERMIT FEES* Address: /(, 74 S c i d,3 ` -'p 1 A. U . City /State/ZIP:�O". a , OR. 9 7 a V - r . Please refer to fee schedule. � C 1 6,51g Fees due upon application G 7 • p Phone: .D3 lS0 � . -- (Q f3 Fax: & 3 Ca 2 ,�( CCB lic.: cog / - (� Amount received �i C ` - Date received: . Authorized signature: YY This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name• ` - e ARCC O 1 { - - j�/((�/ Date: 1 at 1n • Fee methodology set by Tri-County Building Industry v ��/ `• ^ Y Service Board. i\ Building \Permits\BUP•PermitApp.doc 12/03 440- 4613T(I I /02/COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP ° D y -o 0 Received Date Requested AM PM BUP • Location Suite lv 5 MEC Contact Person 9 Z - Ph ( ) c ' a D , d ' 0 PLM Contractor Ph ( ) SWR BUILDING 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 Fire Sprinkler 7 Fire Alarm Susp'd Ceiling r Roof 1�MIOPW 0 1 : . - � �..T FAIL 1 - v1TlTT�T� �'_ Post & Beam Under Slab ��■ ,Ki - Rough -In OPOISFir Water Service // � - Sanitary Sewer Rain Drains Catch Basin / Manhole r Storm Drain 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 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL