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Permit
CITY OF TI�GARD BUILDING PERMIT PERMIT #: BUP2005 -00556 �� DEVELOPMENT SERVICES DATE ISSUED: 10/18/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG Project Description: Fire sprinklers. Move /relocate (3). 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: : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE4 9-76, ,50 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: 503 - 624 -6300 Phone: 503 - 620 -4020 FEES Reg #: LIC 64174 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 10/18/200: $62.50 [TAX] 8% State Surchari 10/18/200f $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 rule or direct • uestions to OUNC by calling 503 -246 -6 99 r 1 -800- 32 -2344. / Issued By: Permittee Signature: 1 4 J 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. I F re Protection System Building Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE Received Date/By: /O // VO 5" 66 Permit No.�f �Vd {��� 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review / //r Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 OCT 1 20 i T `A.,, ,. Date/By: Inspection Line: 503.639.4175 Date Ready/By: , 2 ' • ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: �J / i( • Supplemental Information CITY OF TIGARD _ — V - .. .... , -. .. .� • e. - .. .. - , - ! . - .... s ' ` i 1 . �" ., f I , Diu. UIRD,Da E 7 . 1. A _ x>� n �l► " - _ ::�' J n:�s� - ° - . a:. ____ •r.c: � . n� pia _ s ❑ 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 • . t;_:.:; ; work indicated on this application. '1 CATEGORY.OE CONSTRIICTIOIV= "-s�:'.f" " . . • : .;s �t ❑ I - and 2- family dwelling ,[Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: ` -• - • :.JOB• SITE - INFORMATION AND?LOCATION' i :• ''.:i o = .47. Total number of floors: I a New dwelling area: square feet Job site address: I � 3�b 5 W � , -� l �r�� City/State/ZIP: > A. 1 OR 9-1221 Garage/carport area: square feet . Suite/bldg. /apt. no.: I 4C1 Project name: Cemmlylopl SeriSe Covered d porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet = REQUIRED CON I1 US C)l�E Subdivision: Lot no.: Permit fees" are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the -r DESCRIPTION••OF-'WORI tri- iti ';;:rTS vto :i2. work indicated on this application. CX.� Ta � p / Valuation: $ i (, 5-6 ____ -_ c+ r I �fpl� - 1?3�L d V` 3 S�rY1�le � 11�tAf Existing building area: square feet New building area: square feet L ❑ " ,PROPERTY. OWNER'' . ':'_,,....:: - . I - '. "..TENANT . -: T". °.= Number of stories: Name: C6vvl ala►t r1512-2.yv1gthneet.j' Mot lsa O a l 4 Type of construction: � Address: i Sc.A � / $A 1 v_ " a ' I •, It us- Occupancy groups: City /State/ZIP: 1 rfcHAnc) t oz. ei'►Z24/ Existing: Phone: ( ) I Fax: ( ) New: APPLICANT I - CONTACT PERSON.: - - ... ,. ; *. -- _ Business name: c.. Ye. TAL , All contractors and subcontractors are required to be I t. T licensed with the Oregon Construction Contractors Board Contact name: �;0� Fil'� J r under ORS 701 and may be required to be licensed in the Address: ) q i 9 s - 5uss - -7Z s keruie jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: -- 1 > c,..4 . 40. ✓1.i i. 0i(& 9 1 - 12Zc./ a pply : Phone: (5 ) 4 Zv -qql z) I Fax: : (5-63 )(Q Z.0 -465 E -mail: • . CONTRACTOR. Business name: I re t J- -C BUILDING: PERMIT' FEES *::.. Address: 14.1--) 1 ' sc..„ d _ 602, rl14 • e,, Please refer to fee schedule I City/State/ZIP: --- p. 6 ,, t ( ��ZZ I Fees d ue upon application Phone: (S (p 2U— e/0Lc) I Fax: ( � ) (o Zo —l56$ Amount received CCB lic.: l /fin Date received: Authorized signature: � / /�/ This permit application expires if a permit is not obtained LL�� within 180 days after it has been accepted as complete. Print name: t j A R 15e, Date: ' • Fee methodology set by Tri -County Building Industry i t� ""t l/ Service Board. ■ Bwldmg t'crmns.EPS- PcrmuApp doe 11 '03 440.4613T( I /02/COM/WEB) CITY OF TIGARD BUILDING ' DIVISION PERMIT #:' IPzedos -co 5 13125 SW. Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A t I Inspection Requests (24 Hrs.): (503) 639 -4175 °:_— INSPECTION WORKSHEET FOR DATE: ( //Z'3 / . TIME: PAGE: SITE ADDRESS: l5 'SW ' E0 (.1:)t 4 (A-6 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ytALki 11.3_ DESCRIPTION: OWNER: PHONE #: CONTRACTOR: ©Lic n„_ .� PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 6 1 9 1 E12 A 1Ui — c7_7._7 - o 1 Corrections /Comments/ Instructions: _ , NEWS I Et I11' ‘1-Aili- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL N. ALL FOR INSPECTION ❑ ADDITI NAL FE S ASSESSED Alai 7 Inspector: Inn. Date: 1!3 ' �' P hone #: (503) 718- CITY_'OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00556 13125' SW, Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639 -4171 w 1. Inspection Requests (24 Hrs.): (503) 639 -4175 W I I.. INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 66 SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: COMMON SENSE DESCRIPTION: Fire sprinklers. Move/relocate (3). OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503- 624 -6300 CONTRACTOR: DELTA FIRE INC PHONE #: 503- 620.4020 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 019231 -01 503 - 620-4020 N Corrections /Comments /Instructions: d► , S4 p ,, 1∎ • _�j ye /s-i 1 tv /V , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO L FEE ASSESSED Inspector: Date: 0 ,S hone #: (503) 718-