Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2002 -00031
4. DEVELO BMEr Tigard, R ICES 639 -4171 DATE ISSUED: 2/5/02
/ Hall
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD PARCEL: 2S113AB -00600
SUBDIVISION: BAN?QO CREEK ACRE TRACTS ZONING: I -L
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: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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:
Remarks: Relocate add sprinkler under existing suspended ceiling. 10 heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 620 -6140
Reg #:
LIC 63846
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 2/5/02 $62.50 27200200000 Sprinkler Final
5PCT CTR 2/5/02 $5.00 27200200000 ^I 1 "I� .....
F.% Total $67.50
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes O
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 1
952 - 001 -0010 through OAR 952 -01 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1 -800 • ;2344.
Pe rm ittee / _I&
Signature;` 0
/
Issued By: (,r.2 ' ki4
or
Call 639 -4175 by 7 p.m. for an inspection the next business day
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Undergaiund cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
4 Inspection Description Date Passed By
Drywall nailing
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils
Welding Lab Final Mechanical rough -in
Concrete Lab Final Fire damper
Duct work
Bolting Lab Final Smoke detector
Structural observation Mechanical final
Fireproofing Lab Final
Final inspection
PLM - Plumbing Permit
BUP — Fire Protection System Permit Inspection Description Date Passed By
Plumbing underslab
4 Inspection Description Date Passed By _ Crawl drain
Sprinkler underfloor /slab _ ` Post/beam plumbing
Sprinkler rough -in �i/ 7/ Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
_ Foundation walls Plumbing final
Sprinkler supply lines - Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils 11 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04 /17/01
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00031
Ti ; ,. DEVELOPMENT SERVICES DATE ISSUED: 2/5/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB -00600
SITE`ADDRESS: 16160 SW UPPER BOONES FERRYRD
St&DIVISION: BMW CREEK ACRE TRACTS ZONING: I -L
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: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: a B THS: IMP SURFACE: PRO CORR: PARKING:
VALUE: 4 /00(1. a 0
Remarks: Relocate add sprinkler under existing suspended ceiling. 10 heads.
Owner: Contractor: •
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 620 -6140
•
Reg #: LIC 63846
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 2/5/02 $62.50 27200200000 Sprinkler Final
5PCT CTR 2/5/02 $5.00 27200200000
Total $67.50
•
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 -0 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1 -800 ' ;2344.
Pe rm ittee \,
Signature;/ _
Issued By: 0.-4,--
Call 639 -4175 by 7 p.m. for an inspection the next business day
T"
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Building Permit Application
Datereceived: Permit no.:•j0 op,
..`F
oill ^ • City of Tigard 6
Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 72
Phone: (503) 639 -41 Date Issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑Jommercial/industrial ❑ Multi-family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement Q( Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 1 , ((p 0 51.41 13 .., ' - ' ?-1) Bldg. no.: - Suite no.:
Lot: Block: Subdivision: ?etLTgt1 T 6 u5r /V8% , ' Tax map /tax lot/account no.:
Project name: E 1
Description and location of work on premises/special conditions: ge- 10 t E A P I) 5 7IZ i s4 iL ler s u Arpg.
Ill •4/4DEP _
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Cr, RLJS( (Floodplain, septic capacity, solar, etc.)
Mailing address: / 14,,( Z o r, pi,, dv 1 & 2 family dwelling:
ENIRZE ZIP: - Z.Z Valuation of work $
Phone: , -( OD 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.) t
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.) I
City: State: ZIP: Other structure area (sq. ft.)
Phone: 1 Fax: E -mail: Commercial/industrial /multi- family: t?.
CONTRACTOR Valuation of work $ 1600
Business name: F 11ze5Tb P C-0 • - Existing bldg. area (sq. ft.)
BITSMEM ; 4 5 LA/ 72 G ' . 5 jiiimi New bldg. area (sq. ft.)
Stated ZIP: - 'L2.3 Number of stories
Phone: 6 .o _ , / ♦ (
Fax: ' j E -mail: Type of construction
CCB no.: Occupancy group(s): Existing:
New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /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:
ENGINEER
• Name: Contact person: Fees due upon application $ Pp 7. 50
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 jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard
work will be complied • , whethe�erein or not. Credit card number. / /
Expires
Authorized signature: Date: Name of cardholder as shown on credit card
Print name: C..." n Tr / 1 � 4 at Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (MoaCOM)
t
ii
4
Fire Protection Permit Check List ' •
A.) ❑ New ❑ Addition ErAlteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads: ( 0
Additional description of work:
•a <�i1��w � n'.s w,e7lrT psi- izw: -�_ u = - •r' Sk,i
5.Typeia.t.$ istem (; omplete,_A'_ Ye,o Cias appl cable): i
A.) Sprinkler Wet I Dry ❑
Standpipes
Additional Hazard Group (-1qk 1
Information Density , (0
Design Area
K. Factor S< 6
Sprinkler Project Valuation: $ fovo°
•
B.) I - Hood Fire Suppression System
Hood Project Valuation $ /�-
C.) Fire Alarm }'
Submittal shall Battery Calculations Yes ❑ 'i.J/A
include: Individual Component Yes ❑ // ;
Cut Sheets N(�
Fire Alarm Project Valuation: $ •
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $ 6 5 ['�
8 %, State Surcharge: $ G .. 0
FLS Plan Review 40% of Permit: $ /114
TOTAL: • $ to ?. 5
is \dsts \forms \FPSchecklist.doc 06/07/01
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175 •
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 2O� OQD3I
Received Date Requested 2_ f 7 AM PM BUP
Location / I / 10 f(I Suite MEC
Contact PersonC Ph ( ) Co PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner � f j2.9_4 ELC
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation -
Drywall Nailing
Firewall
i- arm
Susp'd Ceiling
Roof
Other:
) PART FAIL
BING
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 D a t e 2 ) 1 ( Inspector I Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL