Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00466
° COMMUNITY DEVELOPMENT DATE ISSUED: 9/5/2007
TIGARD 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: OREGON STATE BAR
Project Description: Fire sprinkler TI for Suite 100
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: 2N : 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:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 16,206.00
Owner: Contractor:
OPUS NORTHWEST LLC DELTA FIRE INC
1500 SW FIRST AVE SUITE 1100 14795 SW 72ND AVE
PORTLAND, OR 97201 PORTLAND, OR 97224
Phone: 503 - 916 - 8963 Contact #: PR1 503 - 620 - 4020
FAX 503 - 620 - 1058
Reg #: LIC 64174
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/5/2007 $169.75
[TAX] 8% State Surcha 9/5/2007 $13.58
[FLS] FLS Pln Rv 9/5/2007 $67.90
Total $251.23
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.
4‘&4_,Li Issued By: P ermittee Signature: A i t : ., 4 , j r �_`,
I
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.
aY..••Y•ll� l ...• ....1 ( 111 I/..vw.. s.
City of Tigard E'V D Date/Bv t 0 07 Permit No.. c*07,eerZ/40
P SW Hall Blvd., Tigard, Plan Revic
'�: 9 • Phone: 503.639.4171 Fax: 503 598.1 Received Date/Br ,/ / -ifi1// Other Permit.
T I G \ R p Inspection Line' 503.639.4175 AUG .(, 2001 Date Ready /BYQ lure ® See Page 2 for
Internet: www.tigard- or.gov v Notified/Method,/ 7 3 �/1_ Su pplemental Information
F TY OF Fifl _ A onr-reao � S+ /,t¢V-
,.. a . } rYl ' , T YPE %1 � �" .�E REQUIRED DaTA'fl �AND•2 AYIIILY -**- LLli p
- :',4 ti r.} I. ..r. •' + - � �,J`t� '�+ iM•t� 'a- ,.Srf,T� r�=:. , k t,. ..m•, it , .h. , �..,•cc� r.,, a ; - r =��,.� - r.:r5`t.e +`�31
gkNew construction ti 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
° F 9!i" `` r3 rn C'ATEGOR. 0I/ - "' " '`u + ri : g 4 w work indicated on this application.
Valuation S
❑ I- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms.
nvti y.; w ,
1 ' . t °.„ "�s '�� B err I RINATh S{' iiti ` Q3e Total number of floors:
L;1 J'r��. s ri -,� t ^ r -'Y. , •. ^� rr'. =.c sa.., rty- :,, . aL -.,- n „ 'Frh•ma _d'.='H• ,
Job site address' I ( D p37 ( 0 iZool � e-r(U f�C� • New dwelling area: square feet
v _
City /State/ZIP: � f r n 17 � C( Garage /carport area: square feet
Sui Idg. /apt. no.: - rob f Project name: t( Covered porch area square feet
Cross street /directions to job site: D261 k2-) Deck area: square feet
Other structure area: square feet
V 61 7§00:14 4 01 1 4.414/0-
Subdivision: I 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
r ,r equipment, materials, labor, overhead, and the profit for the
`�
1 " - "' 'It. �``:. j, . iiiiel IPi'6f(ON10t 4012 -. ' ->_ iii iw 't?: work indicated on this application.
Valuation: S 10) e9406,- c tri6+al YlPr. Fif& 6priYl�ler
5El •len Existing building area: square feet
� ,n New building area: square feet
'VA4'F 6tt0.n'MS'A iiY��. Nf:+ni4 �° t .' .1.. r',:; '- LY- x^rx{tf,YN':l YM
Number of stories:
Q;;PRPERTYO FJi ' s {Y12`i •3GEN"
rl f L• Y. THII .r +; M"iA��. .. �P• N4:._ �'TPr'�r'e" °nK•
Name: Type of construction:
Address: Occupancy groups.
City /State/ZIP: Existing:
Phone ( ) Fax: ( )
•'vin .... - +G v.cn 't'4''. , ,. a z.r New:
% V' j` cs� � ,.. �' �-�7 :'W' i oC+ ` fa9M•:lti; u, �. a'r n:G1F
( " � g'/'i�PP 90 PIT ,.:.P *': � I"s` ti P, = �COV'.��;4e70Y.,0403 . 7 . ; :.•naa r r _
i �s,�,•S" r..• ..yi.: a, f r� ...v _7•�;�.. .:e ,,.,+�.• +.w,r, ' !t ' yx t '.V., " , . 44, P S?'' V v ''', JS y k .. i
V 4. 4l�ta & � ;` 4
Business name: T 14 Y . e / YZC . All contractors and subcontractors are required to be
Contact name: AktcI/tAe( 5 + .}. / )t /Ai licensed with the Oregon Construction Contractors Board
� yam under ORS 701 and may be required to be licensed in the
Address: 1117q5 tW 7arir.L Av - jurisdiction in which work is being performed. If the
:ne
City /State /ZIP: Mr..k- vide . O a C' 'Z (( applicant is exempt from licensing, the following reasons
��11 ^ ^ p apply.
Phone: (50 ) . ■ • _ • Fax.. ( 5 ) , r�0 - t I5s.
O
E ./ /.. :� /..' ' / "' /. t :�' ilii (. " . hl
�1"r�`yd.: ,. t •
� ? l�:•'dty :t 7�ed � }'e,�vl r: •. ; .r -'. *.rld` t a1�' ��v
4 r >ca, *� ? '+. „ ' '.f�' it s C \ ' CR CCT , R, `. srJ,'l � 1 " o s " .� 31 ' s t .
i��alwr.Kbr�,.• „i�J?I'4Ps�- �'P..d�t „v�'a`'�, � • ! Q .vt.}. `• �` x3� :$lt�tf.�.�..n'sa.�e��.". i 1`s "� x+3 -� R, t!•T FEE � :; e . . � �`
,••+.. �r.-.+ .r, + lF � '�. BUIL:DLV P E V !�
/, ”. (� fit f et, ,:m k ,F `
Business name: i F. 1,r - r, r r)_ P /ease R er.ro ee:s fe de ,
/ Permit fee ( 75
Address (f 7 96 6e,3 7a ooL Ave. YYY �j
City/State/ZIP 2)c-,{4 r., fla( Q o -Tao.. Ct State surcharge (1t %of permit lee) 73, a
t 1 /� FLS plan review (40% of permit fee). / . • 9,
Phone: ( C - (l0� Fax. ( _x•,/12) t ��' 10 /Dee upon nppllccrtrnn.l (�
CCB lie qi 7tf `^ Total permit fees as` , a
Authorized signature. -
-
/ Amount received
-
IL .4 , � il� ..- This permit application expires if a permit is not obtained
( Date within 1911 days after it has been accepted as complete.
i Print name e L � r� re N- �s�al i Q 7 4 • Fee methodology ;et by In-County Budding Industry
Ser' ice hoard
t '.O uIdmg Perm u.4 pp dot: Ol t_ l,c, 3-1() -401 7 ri 1 I. (CCII I,WIEtl,
• City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information -• \_
■
�is•W \1 iYF,.% `!4!a 4 Y, ♦• 4 i �•L K� fS / Yf A N' S 1.:: 9.Lrlt•,'�,1 !'ir �41�� �1}• 'ff f ,
Describ, ii51l esdoi,17.e . ie �:c�,. rti „ ..R gWan . a� • :` , r U :r
1.) tg, 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:
vKvabURS 'i :,,d7�X.V1w�� .F.'a,i�t .+"A �.:� �V ',++�: � ,•„ of �:-• e ; -. u � ; � , y , .
' Type;,of S:cra illkComplete A B , D applicable):, , 'e � ,' Yit••� 'i _ -o• :A �
t r YE 'l 1�2'
C vs a l t' ;t s �, = ' y" r Gr , `vicYle i J 7 � r F••
1 �r.nn 1 ,,,to iaY r ry
+1':I" y $ 1. L • r + i \ , S r y. r n 1y tt{. -
;A') °Co Spnnklet R ••ts , • T ... M Tl 1� • I }i } i \ y J n ' 1 i t R, t . ..t
0:,1,.« 0 '! :ara .:.tH$'e.. r.:t il.#316vii+ te+.ti O- ra. L - r. - ,
r, Wet ❑ Dry
Additional Standpipes . it/A
Information: Hazard Group I; ia11‘'
Density j
Design Area 1600
K. Factor 5 -(
Sprinkler Project Valuation: $ j(p g..0C AO
i- � �„+�' �er,� pxi�' 3A1:.��Y.�u�' r�'k>�#4 uWdw•�q } • ' li �4 • W! i �S" " r
tI',B?)s 'T; p4.TOR od Eire�Supp lair a$:5 0743'8' 4', : •. _ . \ ? r: _.,,IM + �:. ,a ,;i+ M ._ .
Hood Project Valuation: $ Ai' i H
f` r
T b& d tg n l " k, 1 s \ I ' I r � 1 r l i ! � :fit
x R i k",',u \ i rill j }fit •,,:.` 1 1 • ;
'� y p� f K i t� }"`�t �i Ri36
C : lie• . .vl. 1 rtiJ '3 i \yak PI' 0 , a 41 "" ?S � i ' k ,, ti
` -A w rL"Fia 4.R 4 y ,A f t A� f 2�'V `J '1. i %' t F iir•�{-
?3:F�� o'.r�f9�tNYw 4���1 �,. a�'v.' }X�. a_ if . >, d: I -n
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ / V
l 1�ro1 `n H�tiCs P , t t ": ' 1 `b � '" , a ti 5i . p. ,'',�
`r\��iai :�5� •. ����r� , ° 4\: ,c� - i� • e r . � " •. � v ,� �h � � .'^�ra . ^, %`,A.:§ t �I �:t ;ir •�'� �� �14t_ �
,lD Residential S p • rinkler Z ( S\tand:,Alone,S , y s em'`:�•x• -t : �� �0a ''
a:::7:J'.w. ' zt}YF,• ::.^mtozixror,,,z,gm - , . . „u z..rs ::W 4.4= race. kiefr_lSttlfec:\�.•t..T .\i t;rt;.Ce'il ra i06,73 l:t. ,.4.7.1 . ' �`.zL•; �il ° *zi,i,..
Square Footage: Permit Fee: $;,...,r,;-':;',.1t"' v $. ` N ;' a
0 to 2 ,000 $187.30 ' + , ' '' " , ,
t
;� ,: r, �,,y' , 'i " t� ?' t c , , { ':�q
2.001 to 3,600 $232.50 . n Me, '
3,601 to 7,200 $292.30 'rti�, •. {, ,r it ,,i' �4,f; ;t
7,201 and greater $381.30 r j ' tii t ' . ''' ....V06444§;%+1 '
Sprinkler Project Square Footage: A ' sq. ft.
{[ a : .:5-• i� t as -a\vi•„�. a Ni"?J +i(V• "i,6 [ R1 x• "�A �
`y `�?��r I a `f "" aigi .414 �r sPcC Eelibill ermi<trFO ZNi + ; � ggi a� Ott , + 3 ?;�j
Project valuation subtotal (see •A, B &C above): $ 1(Q � a,p( o . AID ,
Permit fee based on project valuation (see fee schedule): $ p� 50
Permit fee based on square footage (see D above): $ /VA.
State Surcharge (8% of permit fee): $ i(.0 ,
FLS Plan Review (40% of permit fee): $ ga , C2 0
TOTAL: I $ 30 5 , (p P—
Plan revie« 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 tire suppression
engineer, or NICET level "3" technicians.
I \ Building \Pcrnnt, \ \I•I'S - Permit. \rr,i'c 2
CITY OF T'IGARD
BUILDING DIVISION PERMIT #: BUP2007 -00466
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2007
Phone: (503) 639 -4171 'ZIP
Inspection Requests (24 Hrs.): (503) 639 -4175 F_
INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7 :00AM PAGE: 63
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Fire sprinlder TI for Suite 100
OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916-8963
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 9/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 056104 -01 971-235-0082 N
Correction _ .. i. Instructions:
=- . G I ! C) ;.moo
a 1 W/C1(
e�
B L 1. 7 ( ■ J
f----f-_________
❑PASS it __ 't mm.-- = _ ". AL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: — Date: 7 zy 07 Phone #: (503) 718 -2-CV •
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 0(1466
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2007
Phone: (503) 639 -4171 ,, 11 i
Inspection Requests (24 Hrs.): (503) 639 -4175 .�'!+i I —.
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7 :00AM PAGE: 35
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Fire sprinkler TI for Suite 100
OWNER: OPUS NORTHWEST LLC, PHONE #: 503- 9%8963
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 62.0.4020
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
795 Misc. inspection 059159-01 971-235-0082 N
Corrections /Comments /Instructions:
LO �1) 1 Si o
r
❑ PASS P4;;„,,% ' : ' ' : e ,- ❑ CANCEL ❑ NO ACCESS
❑ FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ///7/7 Phone #: (503) 718 - ZC7
up-
di
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Bt1P2007- 00466
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/f f2007
Phone: (503) 639 -4171 j'
Inspection Requests (24 Hrs.): (503) 639 -4175 "_ L.
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7 :01AM PAGE: 76
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Fire sprinkler TI for Suite 100
OWNER: OPUS NORTHWEST 11C, PHONE #: 503916 -6963
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620 -4020
Inspection Request Scheduled For: Date: 11/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 059715.01 971 - 235.0082 N
Corrections /Comments / Instructions:
t N ) -4b (— i rS ( 9 /O L C Kc9.O
to 6
❑ PASS ErA - ° - sr!` AL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ / Date: / I )/ Phone #: (503) 718- Z‘
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 004(.66
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9'±;/20U
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' I —
INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7 :00AM PAGE: 47
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Fire sprinkler TI for Suite 100
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916 -0963
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess •e
2.05 Misc. inspection 060105-01 971 - 235 -0082
,.....e----.
Corrections /Comments /Instructions: 1 M` Pt f
14) , / cli ( 478
MI
❑ PASS Clip RTIAL APP AL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' /,' C ' • - SPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: Date: Z 6 11 / o Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: k.3UP2007 -004G6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/70()7
Phone: (503) 639 -4171 60 41
Inspection Requests (24 Hrs.): (503) 639 -4175 ^'.::.
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Fire sprinkler TI for Suite 100
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916 -8963
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 1/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 062465 -01 503.620 -4020 N
Corrections /Comments /Instructions:
•
PAS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
a AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: Date: I 7 d Phone #: (503) 718- _ Ao
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t3i)P 007 004f;6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5!)007 Phone: (503) 639 -4171 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ........ 'l I..
INSPECTION WORKSHEET FOR DATE: 12/31/2007 TIME: 7 :00AM PAGE: 29
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: Fire sprinkler TI For Suite 100
OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916-8963
CONTRACTOR: DELTA FIRE INC PHONE #: 503- 620 -4020
Inspection Request Scheduled For: Date: 12/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 062346-01 503 620 -4020 N
Corrections /Comments /Instructions:
NLI<,, SigL - Ti C_�
NI c7 i 1 2,,I.--74--/ - y
❑ — ❑ PARTIAL APPROVAL 111 CANCEL El NO ACCESS
[I, FAIL) A CALL FOR INSPECTION Ill FEES ASSESSED
i r
' 41,/
Inspector: I � L O ∎ Date: I Phone #: (503) 718- L
IP