Permit • � CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 00044
�� DEVELOPMENT SERVICES DATE ISSUED: 2/22/2005
"� ��' I - 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 PARCEL: 2S112DD -01600
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: 5 -1 HR : 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:
VALUE: $ 2,000.00
Remarks: Sprinklers.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 684 -2928
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/7/2005 $62.50
[TAX] 8% State Surchar1 2/7/2005 $5.00
[FLS] FLS Pln Rv 2/7/2005 $25.00
Total $92.50
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 rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issue. By: I NY jA. . % ,
Sign it e — i"/ `�
Signature: y
Call 639 -4175 by 7 p.m. for an inspection the next business day
If 'Fire Protection S p `� `� f t1'O w TT
is
Building Permit • ,p I' &A � �'� / FOR OFFICE USE ONLY
• ,
City of Tigard [[Q O 7 2005 Da t ceived e/B y:'� y /
�7 Penult No.. 1)-20 c� 005 v�f %�/z/
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review Y
Phone: 503.639.4171 Fax: 503.598.1960 � ^: NON + Other Permit:
�N� 05
Inspection Line: 503.639.4175 Y O F TIGA • . . , . a '-I 1 � Da�B y ; I y Date Ready/By: m ®See Page 2 for
w
Internet: ww.ci.tigard.or.us BUILDING DNIS • Notified/Method:IC\ Supplemental Information
' ; TYPE OF WORK ; . _ ..• ' .„ ;•,,.-'• : .- _ REQUIRED DATA 1- AND 2- FAMILYDWELLING
❑ 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
- work indicated on this application.
CATEGORY OF CONSTRUCTION •_Er ",.' ; .; 'ti :. - = , PP
Valuation: $
❑ 1- and 2- family dwelling IN Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
. , . JOB SITE INFORMATION AND LOCATION , :r .,, Total number of floors:
Job site address: t54i3 S .S v J • S_u % A. QkW� New dwelling area: square feet
City/State/ZIP: �v p'T'F-��� / �Q Garage/carport area: square feet
Suite/bldg. /apt. no.: I oo Project name: S�cu, ° (C , 33.L 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.
. \11N2d Mead Valuation: $ 7-poo'
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑• TENANT - Number of stories: r
Name: 1011.6 F C.., egAtavi / 5s L. L . F. Type of construction: S I L
Address: 1S S0 5, uJ • S G¢,got A FKu)Y `315O Occupancy groups:
City/State/ZIP: 11 &A go O� Existing:
Phone: (St)) ( - 63 Fax: ( 9 ) 3 ) 6z 'Z? SS New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE . -
Business name: 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: ( ) I Fax:: ( )
E -mail:
CONTRACTOR
Business name: wVk . FIQz- nA BUILDING PERMIT FEES* . '
Address: logs-- s, W , gU,
�JD Please refer to fee schedule.
City/State/ZIP:
ct ,, I U Fees due upon application
Phone: (93 ) 664-214s z- Fax: ( 5)3 ) 6fM s 7
CCB lic.:
6'[ / ®17 Amount received
Date received:
Authorized signature: This permit application expires if a permit is not obtained
1 within 180 days after it has been accepted as complete.
Print name: 2 irm /� R f Date: z (i 1 0S • Fee methodology set by Tri- County Building industry
111 Service Board.
i:\Building\Permits \.FPS- PennitApp.doc 12/03 440 46I3T( /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:.ti, _ =.' ,;� :. ��,
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition El 1 -10 heads: No plan review required.
tg, Alteration 11+ heads: Plan review required.
❑ Repair A
Number of sprinkler heads: `t'
Additional description of work:
Type of System (Complete^ A, B, C or D as applicable):
• A.) Commercial Sprinkler ry -
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 2OC30`
B.) Type I . Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)" • b •
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: sq. ft.
Project Valuation Subtotal (A, B & C): $ 7-000
Permit fee based on valuation (see attached chart): $ ' bZ, $27
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ ,57
FLS Plan Review 40% of Permit Fee: $ 7.75:0O
TOTAL: $ yz, 58
Plan review requires a completed application and 3 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\Forms\FPS Checklist.doc 12/29/03
CITY OF TIGARD
BUILDING' DIVISION PERMIT #: BUP2005.00044
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 31/0/2005 TIME: 7:30AM PAGE: 51
SITE ADDRESS: 15496 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: SECURITYCO,INC.
DESCRIPTION: Sprinklers.
OWNER: PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684 -2928
Inspection Request Scheduled For: Date: 3/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 001126 -01 603- 684 -2928 N
Corrections /Comments /Instructions:
../1111 4 �._
l N
Il
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: 3/ 10 #: (503) 718-