Permit v 'CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00340
° COMMUNITY DEVELOPMENT DATE ISSUED: 10/9/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D D -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SIRIUS COMPUTER
Project Description: Relocate (4) existing heads and add (4) new heads.
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: 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: $ 1,400.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545
PORTLAND, OR 97224 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 804 -8272
FAX 503 - 620 -6141
Reg #: LIC 63846
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/9/2008 $62.50
[TAX] 12% State Surch 10/9/2008 $7.50
Total $70
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 -0 00. You may obtain a copy
of these r- -s or • : t que s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue• By:Q� t Permittee Signature.
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.
prit
Buildin Per mit AQ cation
Fire Protection System FOR OFFICE USE ONLY
Per
City
Received Permit No Q n_,, 7,/ O
II `J of Tigard g Date/By: � C r o ' /du Pi`�k�� c3Y
• 13125 SW Hall Blvd., Tigard, OR RECEIVED
23 Plan Review
C Phone: 503.639.4171 Fax: 503.598.191 �C Date/By: Other Permit:
Inspection Line: 503.639.4175 v T O Date Ready/By:
TI GA RD tur ®See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: l� Supplemental luf
TYPE raillboitiG DIVISION REQUIRED DATA: 1- 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.
❑ 1- 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 Total number of floors:
S Job site address: ISS, g J — J e..Io A /'w y New dwelling area: square feet
City /State /ZIP: A ethyl) 61 ' 7ZZ¢ Garage /carport area: square feet
Suite/bldg. /apt. no.: ,g Project name: galas eoviit .. 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
DESCRIP'TION OF WORK c ,y/i work indicated on this application.
, / o'41 ¢ kX ISI �► G 140 el 1/V J / / t t Valuation: $ 140C.
4 N y , - 1 0 NeS Existing building area: square feet
Cw New building area: square feet
*PROPERTY OWNER ❑ TENANT Number of stories:
ne n r
Name: ij mis7 Type of construction:
Address: h5 j1 3 (JO /A / 317d Occupancy groups:
City /State /ZIP: Poxnkigo R 9722 Existing:
Phone: (!'o3) 624 4 -tj12 0 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
!
Business name: , ' -fl) /� P �� (. ! D * All contractors and subcontractors are required to be
iskvec Cont act name: 1 :34 Rf0 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 0, Sox z3 o''4 ( jurisdiction in which work is being performed. If the
City /State /ZIP: 77 6 r 0 9 7 ` I applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: Ai ,p Wf /�y 4L (Please refermjeeschedule)
/�
f Permit fee: i&Z Sa
Address: 7000 ;0 /r7 nPk fit • f/ ��
/1- State surcharge (8% of permit fee): V)
City /State /ZIP: 77a/472 01 1 72 3
Q / FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: /$3Z -161 Total permit fees: 10"
Authorized signal
Amount received:
This permit application expires if a permit is not obtained
Print name: ,5U Cr b , p,c4,e,roS Date: / A0 t yog within 180 days after it has been accepted as complete.
/' • Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\FPS- PermitApp.doc 03/23/06 440- 4613T(I1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
Addition 1-10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
k' Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
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: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $ &291)
Permit fee based on square footage (see D above): $
I Za / State Surcharge (41% of permit fee): $ 7 Cr)
FLS Plan Review (40% of permit fee): $
TOTAL: $ �7
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 \FPS - PermitApp.doc 2
CITY OF TIGARD . -
,
BUILDING DIVISION PERMIT #: BUP200 8,00340
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/9/2008
Phone: (503) 639 -4171 ` 1,P4 4j• F ��
Inspection Requests (24 Hrs.): (503) 639 -4175 � .
INSPECTION WORKSHEET FOR DATE: 10122/2008 TIME: 7:OOAM PAGE: 19
SITE ADDRESS: 15575 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SIRIUS COMPUTER
DESCRIPTION: Relocate (4) existing heads and add (4) new heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503-804-8272
Inspection Request Scheduled For: Date: 1W22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 077033-01 503-804-8272 N
Corrections /Comments /Instructions:
LIT, P.: S al PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ra CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: I0 1/3 S Phone #: (503) 718- a
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