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Permit
Acr V CITI( OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00092 l DEVELOPMENT SERVICES DATE ISSUED: 3/24/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 06650 SW REDWOOD LN 200 PARCEL: 2S112DA 01400 SUBDIVISION: PP1996 - 048 ZONING: I - 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: 60 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: $ 2,100.00 Remarks: Add (2) sprinkler heads & relocate (14) heads for TI. 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 - [BUILD] Permit Fee 3/9/04 $72.10 Sprinkler Final [TAX] 8% State Surchart 3/9/04 $5.77 [FLS] FLS Pln Rv 3/9/04 $28.84 Total $106.71 • 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 -0011 • .u• h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling .: ) 246 -669° .r 1- 800 -3� 344. Is ued By: 1 / w � /, .t _ - Perm' Signature: i t / ' r C II I 63: -4175 by 7 p.m. for an inspection the next business day ‘cso si,..• Aeounk Fire Protection System . e.fic40,- . . BuildinwaPermit Applt.ct tion Received ■ . • FOR OFFICE USE ONLY .--,. - -- - --,---:', -.... Building / i C C°\I Date/By: 9 Planning Ap. oval Permit No.: if 74/ Other City of Tigard VIk Date/By: Permit No.: 13125 SW Hall Blvd. 1 Vsilk Plan Review Other Tigard, Oregon 97223 .N, - 6,4. I , A Date/By: 3-'1 -0 y Permit No.: Phone: 503-639-4171 Fax' qg : 50368 c '1, Post-Review Land Use , 4 ._ l irS/Iii Date/By: Case j9. Internet: www.ci.tigard.or.u0 :.....-4._!.. 'IL. Contact J . ji .• El See Page 2 for 24-hour Inspection RequestegIPM-4175 Name/Method: , , /Q1 , Supplemental Information '. ;- ':: : ' :..- `. ;;Y : -=''..., : ; . • Mt i C i FAY , O — R:k:; ', • : ::: : :i- . . , . -: '''''''''''' :' ill New construction El Demolition EselffAmky-D:WCUANG,:.-,!::-,i.,;,:,--:,;,:-,,-..,;,:e IE Addition/alteration/replacement 1 Other: .- -tATEWRY;(0WONSTAUCTION;;:—.,: - ...- ,_-',.:,c Note: Permit fees* are based on the total value of the work performed. Indicate 0 I & 2-Family dwelling ig Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. 0 Accessory Building [1] Multi-Family ID Master Builder 0 Other: Valuation $ -:.' : ',;110,1CSITEIINVORIOTION4iiitittiCATION': .":. l'"'".''' : l No. of bedrooms: No. of baths: Job site address: (a50 13)12_-E LO-A3G. Total number of floors New dwelling area (sq. ft.) Suite #: 21)0 Old'/Apt.#: I C., Garage/carport area (sq. ft.) Project Name: C 5;0:-"- A - p e cr: ,kp , Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) DE /7% ,. . ' :::T , • . 4 ,- '' ' 5";'-, V___ ".-. :: Subdivision: Lot #: Tax map/parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate :AIESCRIPTIONt1OFAYORK:,;:::-,':.J.-Ve.:V.:,-."-;:,:',',... the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. AAA 2_ p 0_4:n JC-1-4-iP-- k2LL.c1-4) Eat) co-i )L v_. ka4_,L) Valuation $ 2.4 ()cell Existing building area (sq. ft.) New building area (sq. ft.) Number of stories PROPERTir, OWNER:'..' Type of construction Name: pa- Occupancy group(s): Existing: New: Address: ID 50 Erfot IN A. PApkwa-y 4 3DD City/State/Zip: POI '71 Lp , oe. 97224 Phone(istz;5)( ( CD Fax (50) 62t.t.- 7-75s NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ia-APPLICANTS '- - ',-',;. ':...,-'' 1=1.:CONTACTIERSOSC:`,.>: j provisions of ORS 701 and may be required to be licensed in the Business Name: p 5ipp cu jurisdiction where work is being performed. If the applicant is exempt Contact Name: N2_i_tc.E. P , from licensing, the following reason applies: Address: c3.52t-t 5L3 . T - l4-e__ 5T7 City/State/Zip: - ri 6 A2_N i 1 9722) Phone :(5') / _ (,-,140 Fax 6 l k1 1 :'--..,_;-,:',-,,, ' .,'', -- - :..-- --.--, - - E-mail: — _ , , r . ., , :.. .::. • S...:,' Ple.06,rerer;:iO4.0801pitile;:::i'-: Business Name: R P_E CD . . Fees due upon application s It)1071 I Address: q3S4: Su O -- 1 - 16e6 Si - City/State/Zip: -- FIGAR:6 DP_. 972 2.3 Amount received S Phone (95),) blD-640 Fax:(Se.)620-(,,,iq ( Date received: CCB Lie_ #: 63S46 Authorized . . - i,„ i i is not obtained within - Notice: This permit application expires if a permit S ig nature : ordiffiLLA11 ' I I 1 r A , Date: --11/bq 180 days after it has been accepted as complete. MP 4 7; F w .. SizErnDec * Fee methodoloa set by Tri-County Building Industry Service Board. 9 (Please print name) i: \ Dsts \ Pern Forms \ BldgPermitApp.doc 01/03 -- ., ' Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: 0' Addition ❑ 1 -10 heads: No plan review required. 0 Alteration a 11+ heads: Plan review required. ❑ Repair �1� Number of sprinkler heads: N� Z_ 12�,1©oadt-e_.— t L Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) .Commerciat.:Sprinkler Wet ❑ Dry ❑ Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ Z(c o B.) Type I - Hood'Fire Suppression System Hood Project Valuation: $ C.), Fire' Alai;th • - .. Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ D.) ResidentialSprinkler (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): $ 2 l op '_° Permit fee based on valuation (see attached chart): $ -72.10 Permit fee based on square footage (D) (see fees above): $ ... State Surcharge 8% of Permit Fee: $ 5;1 FLS Plan Review 40% of Permit Fee: $ ,ga TOTAL: $ 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. is \dsts \forms \FPSchecklist.doc 02/28/03 CITY OF TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP -0 O 1� Received Date Requested 3 AM PM BUP Location ' (o /T c Suite 42. dv MEC Contact Person Ph ( ) (3/ - G 1 .7 4 ,;- l) PLM Contractor Ph ( ) O < `/b 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 A Iiu O Drywall Nailing Fire ire Alarm Susp'd Ceiling • Roof Other: 4 PART FAIL P MBING 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 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, ' r Please call for reinspection RE: / Unable t• inspect — no access Fire Supply Line ADA Approach/Sidewalk Date fivo Inspector Other: Final DO NOT REMOVE this inspection re ord from e job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING ' Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST /e a � Received 2 2 Date Reque � '`�' d � � AM c U ��1 P � QiMi2 qZ Location �/69c3 / d- , ( /lil. ( -. Suite EC apoq 00/02.- Contact Person Ph () Z_S PLM Contr Ph ( ) SWR BUILD Tenant/Owner g fJ ` C--6-2.,e ELC Footing ELC Foundation Ftg Drain Access: dte/k 4i4 G S `Z ELR Crawl Drain Slab Inspection Notes: CGL,�� _ v SIT Post & Beam / % ' / Shear Anchors Ext Sheath/Shear Int Sheath /Shear l' 4 4 n ° 5 : Framing (J`�' X' ✓ V� ✓' Insulation \ -b C v4z Drywall Nailing Firewall 7 Fire Sprinkler d 1 4 --0 00 �2 C v (� f U�- W 1 v-- Fire-Alarm g-- 4 -- 04) a 0 C Susp'd Ceiling Aila- & Roof 100 1 e "?_,•c , U ` f, - GO 09 Z C Z C./ kr\a_. ) _ A_ PART FAI Oa / LA - Cf C� 2-1 C C 0 U O � f ��`e I RING Post & Beam %I �V�/ t �o�' —U[/ 1 OZ. Cv (1 7�- `� ' k , tS D Under Slab Rough -In Water Service -_ Sanitary Sewer Rain Drains /} Catch Basin / Manhole //• Storm Drain i Shower Pan / � Other: V Final � 1 ��� � FAIL / 6 � ,�'� c p /,.. „..- k PA:= 4 13 Post & Beam f[ri V i" Rough In oc'ov Il Gas Line S • . - Dampers 1, 0, h,(-'J r' p PART FAIL {{// V (/ RICAL W . 0 Service lh 1 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 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA D Approach /Sidewalk � © Inspector //..f Wig. � 1-:41 Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL