Permit BUILDING PERMIT
I TY O F TIGARD PERMIT #: BU P2007 -00450
COMMUNITY DEVELOPMENT DATE ISSUED: /27/2
s o0 7
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: COMMON SENSE
Project Description: Fire alarm.
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: 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: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES STEELHEAD TECHNOLOGIES INC.
15350 SW SEQUOIA PKWY #300 -WMI 1520 NW 6TH CT.
PORTLAND, OR 97224 GRESHAM, OR 97477
•
Phone: Contact #: PRI 503 - 910 -9440
FAX 503 - 585 -4474
Reg #: LIC 168965
•
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/27/2007 $83.95
[TAX] 8% State Surcha 8/27/2007 $6.72
[FLS] FLS Pln Rv 8/27/2007 $33.58
Total $124.25
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 95 - 001 -0100. You may obtain a copy
of these rules ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B • l/ / / Permittee Signature: Af, . .
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.
Buildi. g Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Date /B : Permit No.: i
G 1 - �r..■ 0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ,� �l, r rsti7
11111 a . Phone: 503.639.4171 Fax: 503.598.1960 Date/B : 1/1/ I TI AW, Other Permit:
TI G A li D Inspection Line: 503.639.4175 Date Ready By: Juris: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK 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:
Job site address: / ' 3 c7 ✓D rid New dwelling area: square feet
City /State /ZIP: T , 41 Q 7Z2 S/ Garage /carport area: square feet
Suite/bldg. /apt. no.: a o " I f Project name: D A7 sP N1. 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.
} � , n 6�
y i !� r ft__ A-104.40% �A-104.40% Valuation: $ S
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: PtT�. c d C 1--;' S 0 r— Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) 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: BUILDING PERMIT FEES*
Address: / 5z Y ) ( }�,I (Please refer to fee schedu J
City /State /ZIP: Dp C� Structural plan review fee (or deposit):
W QIli
FLS plan review fee (if applicable):
Phone: ( ) ?/c2 7 l/O Fax: (1-19.3 55 V 7 Y .
CCB lic.: /6 $O t 'o� Total fees due upon application:
7 . Amount received:
Authorized signature: This permit application expires if a permit is not obtained
r s -----' within 180 days after it has been accepted as complete.
Print name: , _ Date: • Fee methodology set by Tri -County Building Industry
Service Board.
1: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(0 Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1: \ Building\ Permits \ BUP-COM PermitApp.doc 02/23/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00450
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/27/2007
Phone: (503) 639 -4171 ghioNEA l;
Inspection Requests (24 Hrs.): (503) 639 -4175 "'J..
INSPECTION WORKSHEET FOR DATE: 11/2 . 07 TIME: 7 :Q0AM PAGE: 45
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: Fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: STEELHEAD TECHNOLOGIES INC. PHONE #: 503.910 - 9440
Inspection Request Scheduled For: Date: 11126/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
908 Alarm final 060149-01 503 9149440 N
Corrections /Comments /Instructions:
T .--- 6
,
A; • . ' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL / r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ _ Date: ii Z6/07 Phone #: (503) 718- Z
. Z/
FIRE ALARM INSTALLATION CERTIFICATE
After completion of an installation, modification, or addition of a system or single station detector (excluding a one or Iwo family
residence) the licensee shall complete and present this certificate to the owner or their representative or post the certificate freer
the main control panel according to the Fire Alarm Rules 28TAC §34.617
QISTRIBUTION: Original to owner or posted on site at control pine!. Copy 1 to main authority having jurisdiction. Copy
2 Certifying /inn to retain in their office for access by SFMO.
•
•
Property Name: QG 0.0040/261 .�dt/S Type Of Installation: The system complies with the following codes and standards.
Bldg. or Floor No.: P C C 2S . . . , , ,Nero , .. . ,Code pr$td... Year/Edition Code or Std. YeaNEdition
t i � I . 'r, ,P 1 1, r 'r
Street: ,T_ / I , -, r , i4'. ✓ Modification I' FPA 72 r ,r , f IBC / IFC
City / Zip: / glitter livcr �!�(, " Addltidri NFPA 70
WIYY [���1
I.. ... ..
.... ...1 T r .
Name of CERTIFYING firm! ,f is,. 4 ' 4 i 6
_ . II -I -t -� ,i .1 I ,t I I It t .l 111 I4 f-I-- I -!-F -H j I Imo -
City / §tatp I �ip . ! , i of� f r L 'q:7 4 , . , ; .: I , Name of hlareit Flie Ibei i I , i I I .i L.;, r I. 1 , g • t r c ' r
Phan'? Numbdr: , ,:', JO.,'V 'VO.I ,i , , , ,., , . , . ,. give depith'1er1tinott-e1 i'4ane: i . , I i i , 1 ,1 , r r • I
. • < • ' / , ' • , S • . , • . , 'Erdef,�ell Y, Ptionb MIUmb®r: , , : , : , : ,
. . • a: n�� w n �m.l
em. rmi .omsn.lwrw��n
n�wmInm.limsm�mi ■ , • ����sss�aaa�w flSSSo•
11�11.wOlsrl�n �nilte�r i II Ii II . • - • , • •
, . ��
I S S . T N , ^ - 1' '
0
Cbntrol Parcel Merldfacturer'. • : el 0 • ,,,,. • . , Mt d0l i /. - . t. I ' , bitted. ',57 I
Chebk Il the applicable systeh► tjipbs • alb ►)al wale installed by hie etiov. Oertifying dim Or the • • -tall typ= (o In Which the fink ad& hio • rcetib s or additions.
Firb Alarrh/Ev dilation I�ira dth ectilti __, Stribke dirnliei• bntlioti ,. Spb ii ier Syi46m.Su rb iiirl _ o j ,1 ,
Voice I�ofiiicajdn ; ,, EIbvattir s: oh rdl 1-ii/At Cdktf�liighutbc4n Mdghitic•doo� Hbldidr /Releaa� , : , : • i ! ; , t I;
I I I i tl L , II III I , �yy I , i ,, .l l I I , I, I, l I I l i 1 t • i I I ,' _ I i I i , { 1. • l u
' IN�4IA�I �E�I . I - I • � �V� C� � S &rI P�CAT IO N APP S U ��F t �I S t b ! I CE$ .. i al �tCUlt � 4 'Y LE .. CI 0UI S TYLE/C SS
., e 1 ■ :, eMa.tl� d !,1 _„ ,ITM�te, L ,,, , I 01�i tit) 3Ilyit� I 'Vuitelt : I r � .1 61 ii f& u 't - , •.Qi}ahQhx„
Smok ®� btebtbrs , ` , I' UOI _ 1 iii . i-ibn1 or,imd , : � bi , „ Vioti ttinli f S i0rib I ; 61_ N 4 Y dr B t 1 t , .
bleat bbtebtors lsblatldrl r 1 ddleb 1 b�r>S �3 ; ; Higi, / lb�r All bra Lir� P L ,i .� 6 _ �lb z dr A _ , I ,
DLit Snioke bafeotors � ohert Su$prbssioh 5 eker , ,, Friel t�'u�ib 1 I.. , SLd 7 , II . ,I ,. , .I ; , , .1 , ; .
debin dnioke bbtebtors �iNrihf �w iv$irch ,, Hdfn/Ohi{�4 /6trbtie , .. LI d L ,i ,., ,
I • , I lEid , FI I , u �I i �, .., I , I � .� ., .I C � I, a .l , t � I 1
Fire Atarrfi Bb�res dds 0 P�dteidtidri SOM Speakel. Gtr 'Obe . 1 . , tic r
II I I ^ v 1 r l _ i, 1 , y
. Pie Phbnes I , L , I
Ahndribibliidn Pone! •
m.1•1Iw�Iw=wM•Itwa I ' s7lIMnsns.ISa - , Bete ' memo ' nsns•1•e••ls.I•• •.l•1 s.i 1 , .I • NM seam.!
O111111 •10I1111/Ipw1MOIMIMUIf11M1NI1t111111MIMMIONDE11IINMPOfM! u11111111I1111111MIILI.II1111111 INuI.I1 uI rI IIN1MI U U U U U
• ti •' r 1 : ■ I , Re . Ord irt. s (en With rfri • nit dl = nri r'a si, nb u .)
Comp`riy i .i. ill 1 'I u; 1.1 Ih t.l !•1 : .1 I ,1 i , , I ,, lrlsirubtibhs ii.,' ritiirig4 o f�tib , tist rriairh a be
tl
d4 I biafti . , , :i t L 1 li 1 d , tl i ,I 1 d . ,1 11, I 1 i I • Irifbrhlati6n i6 aid 16 6itd iiihi gin mill einci tie ciiifloh Pldh ��
Pldnrithr+$ teiinid i,, ,u 1,. . Li ,, i , t, I,. ,II ,d I I I„ ,. 1,: e ibbiv1►�e4j,ih d bd lkieh s ►ie Jieq ►tekt d: 0
kiben IVuin. Plc br APS ' , , . . 1 , birbbri's rianleI , , , t ; ; , i i 1 t
c i � ., 1 I t , I �, , . i , , I L' I i I , i I i , I „ I I t.11 i , I ,
Dal µ I ,1 , ,1 Ii la ,y111�
e dr,.F 1 ,14dI , I , . I • i , 1 , , , 1 , , i , , I : ( , 1 I , , ; I ; I , . , doh, t h i s f r h i I t , l , , I 1 , I .I I I I , I 1 1 , . I I L Id ; i 1.I • L ,I, I I ,
Revis nrlErib�rk a lO �a� ei I t , I f J , ,I t .1 i ,I i
a wtntn�Itntntntntn�tsnttoatntn O , ii I ;t , a i i i d III I I 1 1 .I I L I L i I
ll , �„ T I •
heireby aiitifir bh 60ti Ii bttl'li rr0i`St� 0 tiiiti /,i Ii ti4ti to I6 Al
t �i fi 61 i t1 il'i 0 0 06 test d:a d �� Ii s
Sig iequiI�rite IA teiae Iiiel�rinei adiiei. Aft ti.4bl , thO tl I U dii, t agipik bl
With 'do i it 1i 9thh 1iid6
Arid the nuinufscituFoi't# IrSiitilldtid 1 . r T. Shte.
``tt I
.§iihal'ur0 of LidiriSe : _ S ucuhk6 lilyibbi1: 3261 ..t
Pl*itp" numb cif Lic•nee.. �inick / D si6nt!)d: ,
SF035 Pet i F IA