Permit 7
a CIT �, BUILDING PERMIT
Y OF TIGARD PERMIT #: BUP2007 -00590
`. .. COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: MANAGEMENT GROUP
Project Description: Fire sprinkler TI - Alteration and addition of (16) fire sprinkler heads.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
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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: 64 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,898.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Contact #: PRI 503 - 620 -4020
Phone: FAX 503- 620 -1058 .
Reg #: LIC 64174
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/14/2007 $69.65
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[TAX] 8% State Surcha 11/14/2007 $5.57
[FLS] FLS Pln Rv 11/14/2007 $27.86
Total $103.08
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.
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Issued By & Permittee Signature: _ 4 6 ce e ei.
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.
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Building Pelm Applicatio FOR OFFICE USE OlNI 1'
City of Tigard RECEW "y. Dazes ire: (f /I.( p7 PermitNo.: - �,po
:� w ° 13125 SW Hall Blvd., Tigard, Plan Revie B Phone: 503.639.4171 Fax: 5 960 A DaleBy �/' 0. ' l q • , Other Pe . it:
T I G A It D Inspection Line: 503.639.4175 ICU V 1 4 i uU l' Date Ready c y. A I .', H See Page 2 for
Internet: www.tigard- or.gov Notified/Method I, I Z 9/0 / I 16
Su lemental Information
�I SY ®F' 0lUlpA� orI-34/11 66
TYPE �I�� REQUIRED DA1G(l- 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.
El m
I- and 2- family dwelling g Commercial /industrial
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: iamb (YJi pa ritil,Na.l New dwelling area: square feet
City /State/ZIP: 9c) c 0R 1 01 70,9,4 Garage /carport area: square feet
` uite Idg. /apt. no.: a n I Project name: Ac e�.t. � mop Covered porch area: square feet
Cross street /directions to job site: (��, 4 r fn, 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.
V aluation: $ a g9 O rno
fl fe Sec. nlhl�r I
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:
jisz APPLICANT ❑ CONTACT PERSON NOTICE
Business name:` )0 Y Ile n (. All contractors and subcontractors are required to be
Contact name: N Girl Srr rtr b o k/ Ti YYl C ar pal-PA' licensed with the Oregon Construction Contractors Board
�,'\ under ORS 701 and may be required to be licensed in the
Address: I GI 7,b c )W ---/anadAve. jurisdiction in which work is being performed. If the
City /State/ZIP: t+)(-.Hand O(\ °r7 a a.(,f applicant is exempt from licensing, the following reasons
apply:
Phone: (��) C� 9,0 — 44d aO Fax:: 6 •,,, 0 —1
E -mail: he►ct, otelicteire .0011')1 +; m . e,14-6. 1 re . Corr[
CONTRACTOR BUILDING PERMIT FEES*
r-1 _ � P ( fe . A (Please refer to fee schedule)
Business name: \\ A,, Permit fee:
Address: itil /b CAN e.
City/State/ZIP: Th n C O R 9 7 9,a (l State surcharge (8% of permit fee):
��` t FLS plan review (40% of permit fee):
r
Phone: (P ' 7 co ld - (logo I Fax:53) ( _' � (Due upon application.)
CCB lic.: l.(/" 1 (7t/ Total permit fees: �¢
Authorized signature: - / Amount received: �( ( ,
-.4 , • This permit application expires if a permit is not obtained
Print name: He;1( ' � r' t ' Lr i eco( / Date: Ii / '14107 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
I:\ Building \Permiu\FPS- PermiiApp.doc 0323/06 4404613T(II /02ICOM/WFB)
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City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
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1.) • ❑ New 2.) Modification to sprinkler heads only:
Addition El 1 10 heads: No plan review required.
Alteration 14 11+ heads: Plan review required.
Repair
Number of sprinkler heads: l(P
Additional description of work:
Type of System (Complete A, B, C or D as applicable): .
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes /VA
Information: Hazard Group L 'l Y\F
Density .1(
Design Area l ��
K. Factor , ,
Sprinkler Project Valuation: $ 9Acieo irk)
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets p'
Fire Alarm Project Valuation: $ hAc
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: A) X sq. ft.
Fire Protection Permit Fees ^l
Project valuation subtotal (see A, B & C above): $ . CS.do
Permit fee based on project valuation (see fee schedule): $ ( ,(
Permit fee based on square footage (see D above): $ ,4,/A
State Surcharge (8% of permit fee): $ 567
FLS Plan Review (40% of permit fee): $ 9,;7 IS(
TOTAL: _ $ )Q), ()''
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.
I: \ Building \ Permits \ID'S- PermitApp.doe 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007..00590
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/20J1
Phone: (503) 639 -4171 /�a,�qp,� I *
Inspection Requests (24 Hrs.): (503) 639 -4175 F'I ��
INSPECTION WORKSHEET FOR DATE: 21., '000 TIME: 7 :00AM PAGE: 60
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Fire sprinkles TI - Alteration and addition of (16) fire sprinlder heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 4020
Inspection Request Scheduled For: Date: 2/6/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
999 10--� S
Sprinkler final 064555-01 503.59B -0652 _
Corrections /Comments /Instructions:
1 10 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I PA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z 6 Us Phone #: (503) 718 -
CITY OF TIGARD '+
BUILDING DIVISION PERMIT #: BUP2007 -00590
13125 SW Hall Blvd., Tigard, OR 97223 ( DATE ISSUED: 11/29/2007
Phone: (503) 639 -4171 gn ? +,II ' \ 5
Inspection Requests (24 Hrs.): (503) 639 -4175 `__-. 1
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: F ire sprinkler TI - Alteration and addition of (16) fire sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 -620 -4020
Inspection Request Scheduled For: /'� Date: 12!24/2007 Pour Time:
Code # Inspection Descripti n Vl Confirm # Contact # Message
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299 Final inspection 062087 -01 503. 956-6290 N
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1V1, FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ‘t V Date: I) /6 ? Phone #: (503) 718 -rW 2--y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00690
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2007
Phone: (503) 639- 4171� l
Inspection Requests (24 Hrs.): (503) 639 -4175 —Jar- '''I L.
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: Q02 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Fire sprinkler TI - Alteration and addition of (16) fire sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503.620-4020
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Min. inspection 061251 -01 971- 235 -0131 N
Corrections /Comments /Instructions:
ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r/ I . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I 0///6 7 Phone #: (503) 718- 42'7 _.i._
CITY OF TIGARD . ,r . - .
BUILDING DIVISION PERMIT #: t3Up 2007 0050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2912037
Phone: (503) 639 -4171'
Inspection Requests (24 Hrs.): (503) 639 -4175 .. IL
INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 15360 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: Q02 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Fire sprinkler TI - Alteration and addition of (16) fire sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503- 620 -4020
Inspection Request Scheduled For: Date: 12/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
205 Mine. inspection f1 K 061095 -01 503.620 -4020 N
Corrections /Comments /Instructions: " ' 7.-- � -- �! .— /4I
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• • -ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
\r AIL % ALL FOR INSPECTION ❑ ADDITION FE S ASSESSED
Inspector: Date: l Z / b ® Phone #: (503) 718- e---V
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