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Permit • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00013 `�y4 DEVELOPMENT SERVICES DATE ISSUED: 1/9/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400 SITE ADDRESS: 15350 SW SEQUOIA PKWY 100 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT: 002 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: 3N : sf N: S: E: W: OCCUPANCY GRP: M 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,000.00 Remarks: Modification of 8 sprinkler heads. Owner: Contractor: PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC. 15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM PORTLAND, OR 97224 TIGARD, OR 97233 Phone: Phone: 684 -2928 Reg #: uc 000640 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In Sprinkler Final PRMT CTR 1/9/01 $62.50 27200100000 SPOT CTR 1/9/01 $5.00 27200100000 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe rm itee Signat -: Issue. : y: p '..�.lt�� • ,• '/ A/ Call 6 9-4175 by 7 p.m. for an inspection the next business day • Building Permit Application .Ai Date received: /- 2-0/ Permit no.4[(Ppe/ / / , ' , 3 i i il City of Tigard Project/appl.no.: Expire date: City oJTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: I &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory 0 CommerciaUindustrial ❑ Multi- family 0 New construction 0 Demolition 0 Addition/alteration /replacement ❑ Tenant improvement ligt Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: (536pS � u,0 i a k b o o o ,t � Bldg. no.: Suite no.: C)(,) Lot: I Block: (Subdivision. 'Tax map /tax lot/account no.: Project name: 6-f-ai <bVt C 4< Description and location of work on premises /special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: __ /4t h (Flood plain, septic capacity, solar, etc.) Mailing address: 1 & 2 family dwelling: City: I State: I ZIP: Valuation of work $ Phone: (Fax: 1E-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.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: 'State: 'ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commerciallindustrial /multi- family: CONTRACTOR Valuation of work $ 1 000 Existing bldg. area (sq. ft.) Business name: V\1 Itt, Ei Y? "P YO't ion New bldg. area (sq. ft.) Address: 610 . • IP _ • SAL •I1 Number of stories City: - 11 CL rd State: OR ZIP: q 7223 Type of construction Phone: 1„_-; ' z$3 Fax:( .,,. E -mail: Occupancy group(s): Existing: CCB no.: (4,..4-0-7 -j New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: 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: I State: 'ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ 92 .50 Address: Date received: City: (State: (ZIP: Amount received $ Phone: I Fax: 1E-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 0 Visa 0 MasterCard work will be complied with, wh a pe • herein or not. Credit card number: / / /''7 L)f Expires Authorized Signature: Date: Nam of cardholder as shown on credit card Print name: 2 /C/f/k2U RO ti-g, Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44o -46l3 (6/00/COM) • \ ti Fire Protection Permit Check List A.) Li New Li Addition ■ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: 8 • Additional description of work: Type of System (Complete A or B as applicable): A.) Sprinkler Wet a Dry Li Standpipes Additional Hazard Group • Information Density Design Area K. Factor Sprinkler Project Valuation: $ I ,coo • B.) Fire Alarm Submittal shall Battery Calculations Yes Cl include: Individual Component Yes Li Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A & B): $ WOO Permit fee based on valuation (see chart): $ l3.2, 50 8% State Surcharge: $ 5 • 00 FLS Plan Review 40% of Permit: $ 2S • Ofd TOTAL: $ X1 . eO is \dsts \forms \FPSchecklist.doc 10/04/00 CITE" OF.TIGARD BUILDING INSPECTION DIVISION - 24eHour Inspection Line: 639 -4175 Business Line: 639 -4171 MST ° BUP 47 GU /3 Date Requested a� v AM PM BLD Location / 7 3 .S51> 5c' SA a O fa, Suite MEC D I Contact Person S4 v j3u c/C Ph SW — ' / Z95' PLM Contractor Ph SWR 4111:1! B.:r1 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 Insulation Drywall Nailing jSri F e larm Susp'd Ceiling Roof Misc: RT FAIL :ING 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 Approach /Sidewalk Date 2/8/0 ' Inspe Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST Jar 24 -Hotir 1nsOection Line: 639 -4175 Business Line: 639 -4171 BPS BUP —(-X" Date Requested /2-- O / AM PM BLD Location 1 - 57) r Suite W MEC v� Contact Person Ph „ PLM 107 Contractor Ph SWR D Tenant/Owner S ELC dr*" Retaining Wall ELR Footing Acces Foundation c' �,� _ (_ ,, / ithed6 r FPS Ftg Drain �� SGN Slab Crawl Drain Inspecti n N to G/ D SIT Post & Beam °'a0 s�,h - ov !/ � Ext Sheath /Shear �/ 7 0 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Alarm Susp'd Ceiling Roof Misc: --' PART FAIL B )\ Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rai rains In PART FAIL IC Post & Beam Rough In Gas Line Smoke PART FAIL TRICAL 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 /17_/ Approach/Sidewalk he Date / Inspector 7MA Ext Final PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.