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Permit '` BUILDING PERMIT ih, CITY O F TIGARD PERMIT #: BUP2001 -00192 ,� �� ; � DEVELOPMENT SERVICES DATE ISSUED: 6/1/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00800 SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P BLOCK: LOT: 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 3,000.00 Remarks: Addition and relocation of 30 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 #: SIC 64174 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT CTR 5/30/01 $72.10 27200100000 Sprinkler Final 5PCT CTR 5/30/01 $5.77 27200100000 FIRE CTR 5/30/01 $28.84 27200100000 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 -0010 through OAR 952- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Pe mr ittee Signature: ' 1 / 4d- -- Issued By: "01' 4 T Call 639 -4175 by 7 p.m. for an inspection the next business day . gyp- 77 S1/3 / . . • 4111‘ Buildi . ° "I�I�" City of / Date received: JIM/ Permitno6/0 / —D0/9� — Project/appl. no.: Expire date: CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By:.. f keceipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: 4 k/°..2D 0 /-DD / /ot l&2 family: Simple Complex: TYPE OF PERMIT ' ❑ 1 & 2 family dwelling or accessory Commercial/industrial ❑ Multi -famil ❑ New construction ❑ Demolition 'Addition/alteration/replacement *Tenant improvement Fire sprinkler , alarm ❑ Other: JOB SITE INFORMATION Job address: I 1 A ., r a 01 • A Bldg. no.: Suite no.: Lot: Block: , Subdivision: Tax map /tax lot/account no.: Project name: g aMT _I D A Description and location of work on premises/special conditions: Ati c I.Alt Mik/_ ' 1. A • All • vo ■ ■ ■ - - I, dt OWNER FOR SPECIAL INFORMATION, USE CHECKLIST CM -1 Rill ( Floodplain ,septiccapacitJ,solar,etc.) Mailing address: 1 & 2 family dwelling: City: State: ZIP: Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) E ll! ' . Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) EarAlro a 1'a ZIP: q---1,_ _ 1 Other structure area (sq. ft.) Phone: (Pap- l.}pa) Fax: ,_ 6 -ibs6 E -mail: Commercial/indostrialmulti- family: CONTRACTOR Valuation of work $ 3 d EIMIZEI Existing bldg. area (sq. ft.) - New bldg. area (sq. ft.) Address: i A _ ' ./Q� Number of stories City: ate a i a 123 �t.� — . Type of construction Phone: , ,t- 1 `► Fax: Ip>0- b. $ E -mail: Occupancy group(s): Existing: CCB no.: , New: City /metro lic. no.: `q Notice: All contractors and subcontractors are required to be ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under . `r & HEIIMI provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person A g Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ 10(0 • 1 I Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this ❑ Visa 0 MasterCard work will be complied 'th, hether pecified herein or not. Credit card number: Expires / 414M / 'ia �� 5 1111 O Authorized signature. ..i....-A......,4 Date: Name of cardholder as shown on credit card Print name: "1 \Arit1E l_ E15 LEA Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/OOICOM) Fire Protection Permit Check List A.) ❑ New lir Addition aAlteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: 2D Additional description of work: Type of System (Complete A or B as applicable): A.) Sprinkler Wet a Dry ❑ Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ 3 OOa • B.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A & B): $ 3 a Permit fee based on valuation (see chart): $ /O 8% State Surcharge: $ S, 77 FLS Plan Review 40% of Permit: $ 02e, 7 TOTAL: $ /0 6 . / i:\dsts\forms\FPSchecklist.doc 10/04/00 2001/07/10 15:00:05 Honeywell ProtectionNet Center Page:2 /2 1 0 " 4 Customer Alarm Activity Report For Dates 07/03/01 -- 07/03/01 HONEYWELL PORTLAND 15495 S.W. SEQUOIA PARKWAY PORTLAND,OR 97224 Phone: 5039683387 Fax: 5039683397 Attn: TOM WIITALA PAC TRUST 15115 S.W. SEQUOIA PARKWAY PORTLAND,OR 97224 q o ©/ —61° /off Customer ID 7246010512 ADD Protected Premises Address: �_ACIEIC CORPORATION- PTR231 232 tit" OIA PKWY - 111 prrO 7 638200 Day Zone Event Time Comment Jul Tue 3 COMMENT 10:55A REQUESTED OFF LINE UNTIL 1300 SYS COMM 10:55A USER IN TEST MO 10:55A 000:02:04 ALL ZONES SYS COMM 10:55A CHUCK MASSEY - DELTA FIRE 2 ALARM 11:10A VS 2 ALARM 11:10A VS 3 ALARM 11:14A WF 3 ALARM 11:14A WF • &s p CITY - OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 2LV / - 0 u / 9 Date Requested AM PM BLD Location / r//5 Sw " -x914 /o w Suite MEC Contact Person v Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear • Framing ■■_ '•V/aby 'i Ti s- &lea: - j} Insulation a / I ` Drywall Nailing 'a �; g �� 1 • ti 64K-1/3 Fir _Ei[e.$prinkle Fire Alarm Susp'd Ceiling Roof Misc: \ in 1J. v �^ W LLC� I/ 4 , / 0 PASS PART FAIL // PLUMBING 2 4 , Rat) 4e-4/01 C � — � Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains 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 PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA J O t he oach /Sidewalk Date a "7/ 3/b I /L f. -- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.