Permit BUILDING PERMIT
TIGARD
CITY OF P ERMIT #: BUP2002 -00525
i�', I' ,, DEVELOPMENT SERVICES DATE ISSUED: 1/9/03
- ,. I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15800 SW UPPER BOONES FERRYRD A -300 PARCEL: 2S112DD -00701
SUBDIVISION: OREGON BUS. PARK II 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: 5N : 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: $ 2,500.00
Remarks: Addition of heat & smoke detectors for fire alarm system.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ADT SECURITY SYSTEMS
15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone:
Phone: FAX684 -7297
Reg #: 503- 469 - 752844
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 12/6/02 $72.10 Final Inspection
rm
[TAX] 8% State Tax 12/6/02 $5.77
[FLS] FLS Pln Rv 12/6/02 $28.84
Total $106.71
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) 2 • -.699 or 1- 800 - 332 -2344.
, ,
Issued By: � L..! �! _,-
A . C142441.4 124
Perm ittee
Signature: 2 I /d--�A.
Call 639 -4175 by 7 p.m. for an inspection the next business day
FireYrQtection System
Building Permit Application ,
},` Date received:/ a op. Permit no.: A/44•27.9—€05A 5
rvoili - City of Tigard H EC E E
Project/appl.no.: 4 /NY date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 DEC 0 6 2002 Date issued: II Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: BUILDING DIVISION I &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory O Commercial/industrial O Multi - family ❑ New construction 0 Demolition
0 Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm O Other:
JOB SITE INFORMATION
Job address: W i O �L j ti�W Iv rg112all. Bldg. no.: Suite no.: 300
Lot: Block: Subdivision: rj ; a 0 Tax map /tax lot/account no.:
Project name: O Al i Lt ILI)1 i'a► J.N
Description and location of work on remises/special conditions: I 4 STALU i'4 G El `Z E.. CON T RoL 1>A M E
AN D EV>✓l. 1 F EAT ,A simre D- tE Cr°Z -S
OWNER ` FOR SPECIAL, 1NFORMATION, CHECKLIST
Name:
IP A 0.--112—LA-Cr '' . (Flood plain, septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: Fax: E -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: Commerciallindustriallmulti- family:
• CONTRACTOR 1'' Valuation of work $ Z SOO
EITEMIBMIMISKMMTUllana Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address: RA
Number of stories
City: ; 1, V E Q State° R, ZIP: 91 a • tm Type of construction
Phone: a MAMMA MI E-mail: Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
• ARCI IITECf /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: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.: •
Phone: Fax: E -mail: 1
ENGINEER •
Name: Contact person: Fees due upon application $ ,
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: • Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all junsdicuons accept credit cards, please call junsdtction for more information.
attached checklist. All provisions of laws and ordinances governiw this ❑visa ❑ MasterCard
work will be compl - I • ith, he �• spe ' ed herein or not. Credit card number: / /
Expires
Authorized signature: d 141 , • 11, i .4 Date: I ' -lp -OZ Name of cardholder as shown on credit card
/ ' /
Print name: / 07) ` E-U EN Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4444613 (6A0O/COM)
•
Fire Protection Permit Check List
A.) ❑ New ❑ Addition "❑ Alteration LI Repair
B.) Modification to sprinkle,�,he�ads only:
Describe work to 1. 1 -10 heads: No plan`review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
Additional description of work:
Type of_System (Complete A &.o`r. C'as applicable): . : " .
A.) Sprinkler . Wet ❑ Dry ❑
Standpipes
Additional Hazard Group
Information Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation $
C.) Fire Alarm
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ttl
Cut Sheets
Fire Alarm Project Valuation: $ . 500.00
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
TOTAL: $
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.
is \dsts \forms \FPSchecklist.doc 11/21/01
CITY OF TIGARD 24 -Hour
BUILDING ' Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received Date Requested AM PM
Location /S gO0 Q1212. ~,PQ Suite F- 1 MEC
Contact Person Ph ( ) 0 PLM
Contractor Ph ( ) �° � � � SWR
�JILDING� Tenant/Owner � � �3-P ELC
Footing ELC
--- -Foundation
Ft Drain Access: o S S _4 y 5e ' 0-L-) ci ELR
Crawl Drain
Slab Inspection Notes: _ 3D-0 SIT
Post & Beam
Shear Anchors l /j
Ext Sheath/Shear / CJ / 17 1
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
ire AI
Susp'd Ceiling
Roof
Other:
ART FAIL
PL ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
. Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date / I nspector J eitv7
Ext
Other:
1
•
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL