Permit 7 o CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00429
° COMMUNITY DEVELOPMENT DATE ISSUED: 8/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: COMMON SENSE
Project Description: TI - fire sprinklers
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: 1,149 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: N PARKING:
VALUE: $ 13,803.00
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
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 8/15/2007 $148.30
[TAX] 8% State Surchari 8/15/2007 $11.86
[FLS] FLS Pin Rv 8/15/2007 $59.32
Total $219.48
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 - t 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 5 .246.669• : c .332.2344.
Issu d By: i / giAiLtall ' P ermitteeSigna re: ; V� ; � ��
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 Ire rrorectlon system (+1 DJ
(�3 50s 5 e " & �
�
Building Permit Application FOR OFFICE USE ONLY
City of.,Tiggird Received / 07 / Permit No.: A
13125 SW Hall Blvd., Tigard, OR 972 Plan Revie - te a a
B Phone: 503.639.4171 Fax: 503.598. � C I E® Date/B v '' Pt i:J G(0 Other Permit:
T I GA R U Inspection Line: 503.639.4175 D ate Re /Metho 5A t �1 See Page 2 for
Internet: www.ti gar d-or. g AUG 1 5 (IJU / ov G Notified/Method f� i Supplemental upplemental Information
CITY OF T j REQUIRED DATA: I- AND 2- FAMILY DWELLING
TYPE OF �gopw �31 VlSf0{lt
❑ 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.
❑ 1- and 2- family dwelling 1p.Comercial /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: �e�q U(`)•tc.� �� r `tyy t a New dwelling area: square feet
City /State/ZIP: ' PO(klu n l
ct� q "I ^""" Garage /carport area: square feet
(ui Idg. /apt. no.: O I Project name: Com 5en6e. 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.
f ∎re. 3p` In 11 I n � Valuation: S i 3 3.00
1 �'1 C� Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: Z
Name: Type of construction: l g
Address: Occupancy groups: 13
City /State/ZIP: Existing: 1 IA/
Phone: ( ) Fax: ( ) New:
Cg APPLICANT ❑ CONTACT PERSON NOTICE
Business name: -De 4TH f { re. -rnC . I�, All contractors and subcontractors are required to be
Contact name: Ti rn Crl no 1, n- 4 -ef l- Ie,i�, 3c crbl c VI,k licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /1/7q.---- 5(,o 7*)rJ A ie_. jurisdiction in which work is being performed. If the
City /State /ZIP: 'j7 rr - anc OK r 4 /� G applicant is exempt from licensing, the following reasons
Phone:
3)&00- (10a0 ) Fax:: `c 3 l0 " IOb O PP
E- mail:7'lm CJ /i o/P,R c1ye. Ct t I / Ue t So �1T. ci
i t CONTRACTOR BUILDING PERMIT FEES*
Business name: T 1 .;. c' M ira �n
c
(Please refer so fee schedule)
] 5 3iA) 7 9 Jc! Ave. Permit fee
Address:
n State surcharge (8% of permit fee):
City /State/ZIP: '6-+tc,nd. t /fi Ilk c iO`
Li
Fax: �� 0
(49U _4-40110 I� FLS plan review (Due u% of permit fen
Phone:
(�3l 6 � _ ID�� (Due upon applic
CCB lic.: (,/_ // 7y Total permit fees:
Authorized signature: Amount received:
kee-tdi: - et This permit application expires if a permit is not obtained
Print name: "c,d � 3,,,, rim, i c pate:,,/ nfG 7 + within 180 days after it has been accepted as complete.
�( J \ Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Pamiu\FPS- PnmitApp doc 03/23/06 440- 7613T(I I /OLCOM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe w ork to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
Addition El 1 -10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 90
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes JJ A
Information: _ Hazard Group 1 i�
Density o-
Design Area I 5 (100
K. Factor 5.(0
Sprinkler Project Valuation: $ 15
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ / J AA
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ N /
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: N p sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $ 91
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.
1:\ Building \ Permits\ FPS- Permiu \pp.doc
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 813012007
Phone: (503) 639 -4171 � ' °- ,,,S
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7 :01AM PAGE: 23
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - fire sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503.620 '1Q20
Inspection Request Scheduled For: Date: 11/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 SprinIder final 060313-01 503. 307 - 2105 N
Corrections/Comments/Instructions:
[titp - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: H 7 07 Phone #: (503) 718 - j
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2007 -0( 429
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/30/2007
Phone: (503) 639- 4171a " ,
Inspection Requests (24 Hrs.): (503) 639 -4175 F -�
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7 :00/0,4 PAGE: 4
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - the sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503-820-4020
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa• - 1:44.44,1" f iZ.
9' Sprinkier rough - in/test 059200 -01 503.956 -6290
Corrections/Comments/Instructions:
A /e1, ( - /___ . or,...4- 1
_0 . a - mo 2Z7_
16o —�� iz_ m a /N--k Z a Z-.
❑ PASS .e -' RTIAL APPRO A ❑ CANCEL ❑ NO ACCESS
❑ FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 11 / D Phone #: (503) 718 - g C
■
CITY OF TIGARD
BUILDING DIVISION .' A lt: PERMIT #: BUP2007 -�29
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2007
Phone: (503) 639 -4171 V ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 P 'I L.
INSPECTION WORKSHEET FOR DATE: 1015512007 TIME: 7 : 01AM PAGE: 56
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: UO2 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: 11 - fire sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 4020
Inspection Request Scheduled For: Date: 10/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
• 295 Misc. inspection 057000 -01 503-620.4020 !v
Corrections /Comments /In tructions:
■ At S _ ALA 111. G ii - P ��, / ci
—P—L-
❑ PASS `� 1 fTIAL R APPO 111 CANCEL ❑ NO ACCESS
❑ FAIL : _ 1 PECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i Date: l0 -re-- Phone #: (503) 718 - e--14-7
CITY OF TIGARD - . J
BUILDING DIVISION , PERMIT #: BUP2007-00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2.007 •
Phone: (503) 639 -4171 A .
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I L.
INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7:00AM PAGE: B
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - fire sprinklers
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503.620 4020
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
910 Sprinkler rough -in /test 055888 -01 503-307-2105 Y
Correctio s /Comments /Instructions:
6 tA/04,1,e-K. OArq LJ - Nt - 4)) /lf„c?SL_ U___
.igt,r
a4 /1/\,‘ Ltivv - 1 )/1"A- 0- —P'z--
T\i
Cris `Vit.A._ Lp / LLe-S1 -
V ....P.64 •
CDV-, \A&r, d 5
(4) C.A ■.,vv. ,.
o
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 Ins ector: Date: � Phone #: (503) 718 -
CITY OF TIGARD --
BUILDING DIVISION • , 1 PERMIT #: BUP2007 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2007
Phone: (503) 639 -4171 � i � l +ln
Inspection Requests (24 Hrs.): (503) 639 -4175 �' u �:_..
INSPECTION WORKSHEET FOR DATE: 9/5/2007 Ti : 7:00AM PAGE: 21
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - fire sprinlders
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: DELTA FIRE INC
�.T
r p2 PHONE #: 503- 620.4020
I
Inspection Request Scheduled For: (i$ Date: 9/5/2007
1).1:- Pour Time:
W /t/
Code # Inspection Description Confirm # Contact # Me -age
lik.i)
295 Misc:. inspection v 055157 -01 503-805-4518 Y
�"1 u) ' ' f .;.i2 L.-(, v «- - •-�•, ✓ r � -
� ,
corrections / C /Instructions:
\NI &k('. L S
-r?j'C'j LAA ( ..61, U _c _
0
PASS NO A
❑ SS PAR TIAL APPRO ❑CANC ❑ ACCESS
FAIL 111 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Vt 1,� v Date: / �� Phone #: (503) 718- 7.3.-.1
_ _