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Permit v , :, CITY O F TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00465 ° COMMUNITY DEVELOPMENT DATE ISSUED: 9/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB -00300 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 ZONING: I - SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG PROJECT: PROFESSIONAL LIABILITY FUND Project Description: Fire sprinkler TI for Suite 300 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: $ 27,817.00 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 Contact #: PRI 503 - 620 -4020 FAX 503 - 620 -1058 Reg #: LIC 64174 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/5/2007 $243.72 [TAX] 8% State Surcha 9/5/2007 $19.50 [FLS] FLS Pln Rv 9/5/2007 $97.49 Total $360.71 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 503.246.6699 or 1.800.332.2344. I Issued By: "A . _ 4 ,L _, Permittee Signature: x Q'1� t ` - in 1 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. Luastra11y I lUI 11111 t1I1I,11{.a11V11 x • • . • • • City of Tigard Recei ved s p 6' n Permit No - P dQ y - 13125 Sw Hall Blvd., Tigard, OR 97223 Plan Review ■ Pht;Ne• 503.639.4171 Fax: 503 598.1960 Other Permit: �1 �� T 1 G A R l7 Inspection Line: 503.639.4175 �� p 1� ES..) Date/By /t' J Date Ready/By 9 1w" el See Page 2 for Internet: www tigard- or.gov Notified/Method /�� i /C Supplemental Information �� y — 0- 'Tj , . •, TYPE'OF `WORI V `,' _ , " . ` ,/ `i P a, <REQUIRED„DATA. U -,AND 2- FAMILY'DnV,ELLING- igkNew construction ❑ Do' © Nis10,N Permit fees* are based on the value of the work performed. G Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑�� -�,�, equipment, materials, labor, overhead, and the profit for the If' ' � ' ' .I,' - "'s•' ' . �) i ' i , z •ti ' work indicated on this application. �R.� } „ , G,�TEG'ORYt •'rg, ONS' t E' 4. �.,,• :`9t�','ya�.a�"- : ?,Yv....� - �,., >. _.. � ,. .._ ,... .. .r t :` x: r � fr'+ 5 fa ❑ I- and 2- family dwelling Commercial /industrial Valuation. S ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other Number of bathrooms: �f?,,��'� Y i�1 a t�'" �," ' 4w JOB SITE>`7NFORAT,ION � FAD � - N' LOCtT,IONI ` ; b¢f r ` Total number of floors: +i, �,ae a. .. 'Jtiti . . , . Z. �, .•, • .., . •� � ;• �at.��f +�. ... cj.: 1`.�`;l sue' Job site address: '� U\ U er n 'O O V1i S F er( New dwelling area: square feet City /State/ZIP: I r n(2,.. I .7 q 1 u+ l' Garage /carport area square feet f is Suit e Idg. /apt. no.: Project name: ; iikaiv ` itilIIPIg JrArAild/ al Covered porch area: square feet Cross street /directions to job site I o fO lox.A-1, kikil , i'y /JT, Deck area square feet Other structure area: square feet f REQI IRED a CQ 0-14§41 U,SE'4EQKL �t j Subdivis ion: 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 equipment, materials, labor, overhead, and the profit for the r:.1> S :�.rvti ?�L {q54? - �i 'K�; '.• t .w ry .t� .x�xcr- � ° ; .n '• l ; ,� , s. l , � ,', ,+it i DESCRI414 b ' WORI4� i ; ; ei ,.'i 1,�K of �; c +y+: work indicated on this application. trrf+cA.t fei F i r e , 6pri YlIA Ier Valuation: S e 17 9-0 Existing building area: r square feet New building area square feet recta +tT 'aA;4AtFF'r6itrx.,ilth' tt�:d vrznr. .. a.. � irC ER CIX 4 ', ' '�I 3' ; i ; i '; ' ' 0 :'iTEI PA ' Number of stories Name: Type of construction: Address: Occupancy groups. City / State/ZIP: Existing: Phone. ( ) Fax: ( ) New: VI ,. _~ *APPL gta °0 ps l-LP OWO.' Y i.A _s, 2 . * ' y � d • t'A;, " AN Business name: : I4c .. t- l �' ' . All contractors and subcontractors are required to be t° 1 fty,An.1 l Held 1 v( Q,('iarcx} licensed with the Or on Construction Contractors Board Nl Sli Contact name: / (J g under ORS 701 and may be required to be licensed in the Address: 11/7q5 S 7arld Ave, jurisdiction in which work is being performed. If the City / State/ZIP: ?or ta , O a e' 7 (� applicant is exempt from licensing, the following reasons Phone: (503) C 90 —C IO • a J Fax: • (503) n - I 5 $ E- mail.�LC I - -4cA ire. W(rl // j e . 9-0 f aV r.c m. t ,{>$. q u v p � �r .ut,:.i,� •x y'���rx��it.�;K�va. ` �vd.,ry X�ry .' a .� -T id•;�:; 'f +";..`; ,6 t . . K __ CONT T R_ n ., , ,� t i , rr • r Me.r �, r.,r>� � ;t • i„•,' v+��� C;•.0 . �' �x����4 °i�s<,+6�k- f,�,s�:?r�i�4abP:�.i +� � , ° � J ' BltIL�IG�PRi�i1.'GIF EE S, >�� .! �J s+t Business name ( f it f Permit refer fee: 0?s/3, 7 a Address: «7 9 t, a noL Ave. ^ ` n r q State surcharge (R% of permit ice) / ` 9. City/State/ZIP _(� 0 { C f /� i FLS plan review (40% of permit fee): Q 7 i i? Phone: (C ) �� - gOa6 Fax ( 1.a2�� /O (Due upon application./ _ CCB lic . G cog Total permit fees 3‘, . `7( - Authorized si YO■I ' f/ Amount received /-`_ this permit application expires s if .r permit is not obtained Print name: f'le id �, t rbrc (? Date. / /0 7 within 180 drys alter it has been accepted as complete. C1 l • Fee methodology ,et by Tn- County Building Industry_ Service Board I .nwldmg'Pcmuu,FPS -I' rmwlpp dot: 03/23106 i.i0-16i i rl I I.ol coNvw En, City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information }, rY i,+. +k k + m., --..^. y �.t.•• t�/ ' <{� �; �4 . ,,: 1 Wl N } t' �: n ] .r '+ t", •:q; .,i.#: + 'b� .rk�Y'J`. "°' tlflN , D,escnbe a done. ` ; ,, t� ,, `'�uuSttiM gVKA.N Fg rFg.?�; �,4gC4 ,V 1.) 1, New 2.) Modification to sprinkler heads only. ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ "Alteration ❑ 1 1+ heads: Plan review required. ❑ Repair Number of sprinkler heads- Additional description of work: ,.,x ^.'SkL�Sf, •fry 4 =Y'5+" .C•$HX1zf 7a=t"J u:P adtx ...Ir, a,.` .fi h V.' JF ;y � ' ir, eaof System,,(Complete,K 0,rii .01:i applicalilelnaM, ?%r,..c *.' -.� - '; e`, , ' t as < R ; i f , x Ii ,, ..^ ;14,,,H;6444,-:-. d. ' i ra , a•,' , e r . � ���� , '4rr ' ��'� •...�y'.t� ' �•� S �f ' . '!,ZCNf'` ��`+& 5 �,1�' �, •'�1��� ?� �� R^ '4� � ` ' a k Y >�"1 �, � dT,n �. � okf Commeiciamioinkie'rot }� . ,� } ts T . 4 „)461 , ' `�+ i It : ' r ,i.1” ,,u,!,c.,,,:.Y.•.°.'..., ,ls� :b;d.3a;4,.V.1^ a . 7 r n t,f:., ., ,.t 0- \ -a' ,'-,,%•414..,0,;, , pc Wet ❑ Dry Additional Standpipes AlA Information: Hazard Group (i Density it- :'' ,,. Design Area 1600 K. Factor 5-(?9' Sprinkler Project Valuation: $ , aC) Jria'{d -S.� t G'h.3Sd /,f ik'k,vi3f4sUS9lf�Y' ✓- 44'1?S k�etUyu�'ln•� t' 'h l'a` '�f W ��Y '� i t�a � °t� /•' ' Ig 7. A3e' I H u ppress i on1Sys 4 ., `r ' . , "�.',' atO ,;h 1, r .�'• ' Hood Project Valuation: I $ A) � t �'• '+1r�YI `1 r r ;a t,� '�0 il't'�7 ." :,t ] t 1 rK� G f !- .` .', "'+ ,, .,4 , �' c t ` p S{ f:,,,i.` 4 � t i, r u fy}y. s ,��t( ;l � n�f � t t �!� �a ��,}} d ■ 't,� L i t 1k i��f f a� F ,';' i 13 e . ' i 4 15 t�0,, 4F L i ts , d r . > 1 . 3 ' 4 � 't � 7•) � C" .y Ire t � 1 1 -V :. '„ : : � " rY 7 t " " 3 , � ly , +, t. t ., ,i y. • ..r�, ,,.s ��1�.te .„ ■tiu'u:.� . , , � I�� ,. , , • � . "' . k' ( rf � � t 4r,, :a fs _ � � * i � '�r� , _M• u. � �' ,, • .1,-,:.i ; d t, . � . .'i"'t Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ AI A , .,.�, vie i� ix' •,r, � - t '• '1W�' J "' w •f-" :.•y;� '� r ,;� "rf:'+'�G:ir :� sb k'fi �;r�'' - - c ,µ' � F .. � f•fG�`tf���` � k� , .� i ;u�asf° ' �,, 'oi� %r1;�� ,.'Y�'S:,��'l,�{� ` � � �' '��i y '�� ��i '�`+'�4'S�� `,��f -', °�^'�; t' - .� ' ' Re $IC1 en S D — er; Starid:Alone S, , Iste ' In 1 � A dh �, � . y ' E � ` w , • ' : : ::3:r t „,. „•, .,.. +,,,,, ,A6, F:LAW,o `,... `4JY:,,,„ ,,,, �Gl 0 ..,„,.„,„�Ss:l+Y„.., „,:„,. :,7 7.tzo?iU M',•f��,•-f' :i�Ky:-,wt , tS..Azw r,1'L ', Square Footage: Permit Fee : , '• v�; F �:' .h:aTt ,,' ::� , 4;, 0 to 2,000 $187.50 ` 61 y,4 r,, ; y 001 to 3 600 2 � s ' 'a ,:� , ' • _ ` � ,, r.:‘ , . , 3,601 to 7,200 $292.50 ! <<;fi �, i ”` ' ' 1 . , •.! , : ' , i 7,201 and greater $381.50 . n _ 'S4'` ,k0 Sprinkler Project Square Footage: N� 1� ' sq. ft. t r.+; r b o �} � Y- < N '� � ti,b: � wqi le", -� �;{ �. � (g. �! Sv % �i �Sw'F �G� Y. t 1, gtAVAf ,� >�. �Fiie PcotecugnOP.,eiinliT,,ees: , ; 41 f; „�u , r;,,ya Project valuation subtotal (see . A, B & C above): $ 9.7 $17, . Permit fee based on project valuation (see fee schedule): $ 305# $ • Permit fee based on square footage (see D above): $ Ai A, State Surcharge (8% of permit fee): $ At/, qc FLS Plan Review (40% of permit fee): $ I 0-9, 3as • TOTAL: l $ 05a . 6v 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 tire suppression engineer, or NICET level "3" technicians. 1 ', Eiu \l'ern \l•1' ?- 1'er:nu. \rp 2 CITY OF TIGARD BUILDING DIVISION #: C311P2007 004 ;5 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/5/2007 Phone: (503) 639 -4171 ` Inspection Requests (24 Hrs.): (503) 639 -4175 ,.. — INSPECTION WORKSHEET FOR DATE: 1/4/2001 TIME: 7:01AM PAGE: 68 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL UABIUTY FUND DESCRIPTION: Fire sprinkler TI for Suite 300 OWNER: OPUS NORTHWEST LLC, PHONE #: 603916.8963 CONTRACTOR: DELTA FIRE INC PHONE #: 503620 - 4020 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 062465 -02 503-620-4020 N Corrections /Comments/ Instructions: PAS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Q FAIL j C ALL FOR INSPECTION ❑ A DDITIONAL FEES ASSESSED / L _ Inspector: v, . 7 — _ _ Date: �� Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 004f;5 13125 SW Hall Blvd., Tigard, OR 97223 y_. DATE ISSUED: 91� 1200'1 Phone: (503) 639 -4171 I :li � Inspection Requests (24 Hrs.): (503) 639 -4175 °_ INSPECTION WORKSHEET FOR DATE: 12/31/2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 16037 SW UPPER E300NES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: Fire sprinkler TI for Suite 300 OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916 -9963 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 -02 503 -620 -4020 N Corrections /Comments /Instructions: � / i■ .�OJ 1 4 'c 'Sr - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS �;;: 0 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 12-'11 17 Phone #: (503) 718- 2 — -(4 / CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 00465 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2007 Phone: (503) 639 -4171 il Inspection Requests (24 Hrs.): (503) 639 -4175 . ": _.. INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 :00AM PAGE: 72 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: Fire sprinkler TI for Suite 300 OWNER: OPUS NORTHWEST LLC, PHONE #: 50_91643963 9963 CONTRACTOR: DELTA FIRE INC PHONE #: 503.620 - 4020 Inspection Request Scheduled For: Date: 10/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 96 Misc. inspection 058089-01 503-620-4020 Corrections/Comments/Instructions: g o U!ter M - /// p -ASS A r , RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL M ''' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i - Inspector: _ Date: /0A 7 Phone #: (503) 718- �4 yr I - CITY OF TIGARD • BUILDING DIVISION PERMIT #: BUP2007 -00465 , • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2007 Phone: (503) 639 -4171 ril Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7:01AM PAGE: 49 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: Fire sprinkler TI for Suite 300 OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916-8963 CONTRACTOR: DELTA FIRE INC PHONE #: 503 Inspection Request Scheduled For: Date: 9/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 055631 -01 971 - 235.0081 dip Corrections /Comments /Instructions: lz_ .PASS % °ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % • ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ��� Date: /3/ Phone #: (503) 718- Z-C177 CITY OF TIGARD . _ BUILDING DIVISION . PERMIT #: BUP2007 -00465 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 915/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ...'III INSPECTION WORKSHEET FOR DATE: 9/612007 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: PROFESSIONAL LIABILITY FUND DESCRIPTION: Fire sprinkler TI for Suite 300 OWNER: OPUS NORTHWEST LLC. PHONE #: 503- 916 -8963 CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020 Inspection Request Scheduled For: Date: 9/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 055234 -02 503-620 -4020 N (___ 0 - '--.. I — Corrections /Com ents /Instructions: k I. Vs7 , ❑ PASS ❑ PARTIAL APPROVAL CEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \4 A_-- Dat I `�' Phone #: (503) 718- — ( - L 7/1