Permit 1, a „CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00526
° COMMUNITY DEVELOPMENT ` ` ,. DATE ISSUED: 10/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA-01400
SITE ADDRESS: 06650 SW REDWOOD LN 190 ZONING: I - P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: OREGON STATE TREASURY
Project Description: Alteration of (6) fire 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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 30 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: $ 1,867.00
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: Contact #: PRI 503- 620 -4020
FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/11/2007 $62.50
[TAX] 8% State Surcha 10/11/2007 $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 dir- t questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By. I " , / d Permittee Signature: p l : A _ a
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.
, r II C r I VI•G\iiuii oysLvIII
( • Building Permit Tigard Applic � o _ i ° FOR OFFICE USE ONLY
Cit of ' r ecelved !o o Permit No.: `r�
"� ...y. �� 4 /p '� 7 ' � ✓OC�
III a 13125 SW Hall Blvd., Tigard, OR 97223 b Plan Review
B Phone: 503.639.4171 Fax: 503.598. t 1 Date/By Other Permit:
Inspection Line: 503.639.4175 U oo Daze e
Ready/13y: (% im+ ' ® for
T I G A 11 D
Notified/Method: / /D %/ / 7 Supplemental See Page 2 tnformatton
Internet: www.tigard- or.gov Cr/ 1 UV I L U n ��
' iiiiiii.WAIG DIVISION _ • _ 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
Addition /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 Commercial /industrial
Valuation: S
❑ 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: G( On New dwelling area: square feet
City /State/ZIP: `thr-14( ( t GR 9719-aN Garage /carport area: square feet
Suite/bldg. /apt. no.: t9 Project name: OR f c 11 Q4, 1 iNO50fi 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: 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.
1r2, r)()(1 rl III ler Valuation: S
17.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT ,. Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 1 4_ c , f ( re, aen C. All contractors and subcontractors are required to be
Contact name: i leild t e c rb ro0 cLlti ,A licensed with the Oregon Construction Contractors Board
n - j � I under ORS 701 and may be required to be licensed in the
Address: ) 1 /7 9 6 no 7arx-I - jurisdiction in which work is being performed. If the
City /State/ZIP: "PQcikal t OR (7,0,(� applicant is exempt from licensing, the following reasons
py� /
apply:
Phone: (Q l5 00 - ti � Fax: : 16o3) c a o /nag'
E-mail: hencti5tl IYe C.OityL
CONTRACTOR BUILDING PERMIT FEES*
Business name: �1 } .-1 re, 7/710 C - (Please refer to fee schedule
Permit fee: j (p2 , 5
Address: Jti-7 5 F)03 7and me.
City / State/ZIP: i `--IQ nd R '7 (,( State surcharge (8% of permit fee): , O
FLS plan review (40% of permit fee):
Phone: (5C6)(4 _ti0ao I Fax: (3 9(') ' (Due upon application)
CCB lic.:( q/ 7L/ Total permit fees: 4 67. 57 D
'�� /� /� VV/ / w ' Amount received:
Authorized signature: XD
�-►� This permit application expires if a permit is not obtained
Print name: (CMG( �,. ` If.bY(� 1I, /� Vte: WV 9 /() 7 , within 180 days after it has been accepted as complete.
G� U Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Penniu\FPS- PcrmuWppdoc 0323/06 4404613T(I1 /02/COWWEB)
City of Tigard: Fire Protection Permit Checklist ,
Page 2 - Supplemental Information
',Describe work'.to be done:. _. ,�.. �`'
1.) ❑ New 2.) Modification to sprinkler heads only:
1 Addition 8 1 -10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
❑ Repair �D
Number of sprinkler heads:
Additional description of work:
:Type of System (Complete B, C or D as applicable): `:``
YP Y ( P � � .
A.) Commercial Sprinkler `
• A Wet ❑ Dry
Additional Standpipes 4)A
Information: Hazard Group 1 .' I h+
Density `0, I C)
Design Area MA-
K Factor 5, (p 9-
Sprinkler Project Valuation: $
B.) Type I - Hood Fire `Suppression System. _ . ��`" • .
Hood Project Valuation: I $ /U k
C.) Fire Alarm :
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ /TA-
`D:) Residential Sprinkler (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: Al sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ ) V,
Permit fee based on project valuation (see fee schedule): $ (pa,
Permit fee based on square footage (see D above): $ /)A
State Surcharge (8% of permit fee): $ 5 .00
FLS Plan Review (40% of permit fee): $
TOTAL: $ , (, 7. 50
Plan review requires a completed application and 2 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 \ Building \ Permits \I'i'S- PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION A , . PERMIT #: DUP2007 -00526
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/ 11/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'� L.
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 : 00AM PAGE: 10
SITE ADDRESS: 06650 SW REDWOOD LN 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: OREGON STATE TREASURY
DESCRIPTION: Alte..ration of (6) fire sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
909 Sprinkler final 0513741 -01 503-956-6290 N
Corrections /Comments /Instructions:
sa
► . r%. 4! .
'I we' ► -
, • ��---
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i� I Date: / Phone #: (503) 718 -
CITY OF TIGARD -
BUILDING DIVISION . . PERMIT #: RUP2007- 0ti526
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639 -4171 . 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 !�- " I � ..
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 06650 SW REDWOOD LN 190 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: OREGON STATE TREASURY
DESCRIPTION: Alteration of (6) fire sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 6204020
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 057861 -01 503-620-4020 N
Corrections /Comments /Instructions:
•
OU
PA -� ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
o
Inspector: Date: I 6 Phone #: (503) 718 - 4y