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Permit
• III ..a,_'1` CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00333 COMMUNITY DEVELOPMENT DATE ISSUED: 7/11/2007 • TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112 DA -00800 SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG PROJECT: PAC STAR Project Description: Fire sprinkler TI 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: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 120 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N 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: $ 3,016.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC. 15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM PORTLAND, OR 97224 TIGARD, OR 97223 Contact #: PRI 503 - 684 -2928 Phone: FAX 503 - 684 -9657 Reg #: LIC 64077 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/25/2007 $81.70 [TAX] 8% State Surcha 6/25/2007 $6.54 [FLS] FLS Pin Rv 6/25/2007 $32.68 Total $120.92 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 B = ' pJ Permittee Signature: , ,...2.--e./ .( 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. Fire Protection System r D BuiL4it4 Permit App. - .0 II ' FO. : OFFICE USE ONLY Plan Received City Hall Blvd., Rrd Tigard, OR 97223 ,1 Dat : 6' I! 7j � P r 1 1 'v � Phone: 503.639.4171 Fax: 503.598.1960 f g Date/ R a ev ii� f� r © Other Permit: Inspection Line: 503.639.4175 ( >11 ] �� i- ' Date Rea. e e See Page for Internet: www.ci.tigard.or.us CITY i ok 1 12)10 / Date Re /Method: lj Supplemental 2 Informati on , P�1i Q F- WORK--,- -- - --- REQUIRED DATA: 1- AND 2-FAMILY ; DWELLING_. (l New construction r1 D iion 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 XI Commercial /industrial Valuation: $ El 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: I5O55 43 .c.e_ u.o ia. Par-wat j ) ()n New dwelling area: square feet City/State/ZIP: p „, A ni t q z z4 �l Garage/carport area: square feet Suite/bldg. /apt. no.: `�'� r Project name: pA ' 1,, S 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: 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. Aid 1- Yt IOC !,1 � --g r< Sr e; A kl r,r- Gt Pad n A S Valuation: $ 3, v v_ rei l4jv- C ( -- 6r �Crla ✓i l i.Wl.� rov e/Y1G�'ld , Existing building area: square feet U� New building area: square feet ❑ PROPERTY OWNER ❑ TENANT - Number of stories: Name: Type of construction: 4'l fir „-A.orti Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: occ P..2 @GC LoAr (2c$ ❑ APPLICANT. ❑ CONTACT PERSON NOTICE Business name: 5e roro rI G r (,Pk / v All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: w4.4 CONTRACTOR / . Business name: 5- re. Pr0-7 l eC-fl O✓) T�^C r BUILDING PERMIT FEES*' Address: q o 9 t Sw Sur et h2.rvN Please refer to fee schedule City/State/ZIP: / /X. 0( n Q q 7 .223 / Fees due upon application Phone: (503) �O _ r ZG] 2 .8 Fax: (�3) 6 FSq- 9fa57 CCB lic.: 6O T D 77 Amount received / Date received: Authorized signature: This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: /, a/(f / A-7 .- 4 4JJ Date: 6 - .5 -07 * Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \Pemiu\FPS- PennitApp.doe 12/03 440- 4613T(I1/02/COM/WEB) - CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2007 Phone: (503) 639 -4171 A*40141t Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 73 SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PAC STAR DESCRIPTION: Fire sprinlder TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -684 -2928 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message •— 052184 -01 503.684 -2928 N Corrections /Comments /Instructions: Plg(A( k ov (-1 A A la PASS U P - IAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL r/ LL FOR INSPECTION ❑ ADDIT •NAL EES ASSESSED 6 Inspector: Date: 0 Phone #: (503) 718 - - CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00333 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11 /2007 Phone: (503) 639 4171 A 4agpi�l Inspection Requests (24 Hrs.): (503) 639 -4175 F:_-. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 72 SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: PAC STAR DESCRIPTION: Fire sprinkler TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 604 - 2928 Inspection Request Scheduled For: Date: 7/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 052185-01 503. 684 -2928 N Corrections /Comments /Instructions: ASS /RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL '1 ✓LL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED Inspector: Date: M Phone #: (503) 718- //‘ 11