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Permit to, BUILDING PERMIT CITY OF TIGARD PERMIT #. 131.i R2006-00079 � i DEVELOPMENT SERVICES DATE ISSUED: 2/28/2006 ..� I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRY RD BLD.E ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG Project Description: Fire sprinkler TI, install (3) new heads, relocate (11) heads. 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: 40 BASEMENT: sf AREA SEP. RATED: STOR: 1 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: $ 1,790.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545 PORTLAND, OR 97224 TIGARD, OR 97281 -0545 Phone: 503 - 624 -6300 Contact #: PRI 503- 620 -6140 Reg #: LIC 63846 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/2/2006 $62.50 [TAX] 8% State Surcha 2/2/2006 $5.00 [FLS] FLS Pin Rv 2/2/2006 $25.00 Total $92.50 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 - 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. Issued By: _ Permittee Signature: cz, A 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. RE6 ' boos , ' Fire Protecio�m ,retTy Bwlding Permit Application FOR OFFICE USE ONLY City of Tigard FEB Receiv:. / 4 - , 13125 SW Hall Blvd., Tigard, OR 97223 0 2� � 1 DateB�! N/Ij J _ � __� %i ,' /A Plan Revi Phone: 503.639.4171 Fax: 503.598.196 OF 1 1 A� '4 W Date. _ Ai/a Other Permit Inspection Line: 503 639.4175 :;III • !l Date Ready : y n '7 0 See Page 2 for Internet: www.ci.tigard or us BUILDING DIVISION ead Not R ead ethod: 4 A t O� U Supplemental Information ,s,;r; .;: E :.°. ., -=t: ;•, -,t1%= :- ,rak•. =. _ do.; =. ,.s;<�'.„ �,. rI t�:.r4,ri_'7 ;a:; . <" -+:`i 7 `/: - AK111 •'-ir"'" -' i- 'F- „',r ,' "- Ec'-s- L-v �a_s= :;s�' - ,�.. • •r •,ey: "'.:. • ^' = s . v ' v t . -,6 - ,-u= . il -. TYP ' OF A , ORK ; ,. >, -, tZz' n ' . °s DVS ELT ING` �. �:�,. E 7 �'�' ._ .t- -� s ,: =��:� , �i• 0 1 D�D�',�1 •':1 �.,AND.2�FAMII;Y' , - -�.. _ .., .,,1 :� '�;E�,S �o - `��s "..r^n<a�is�.zc: acn'n 4.o-�.r.� -�:, rra+2a.,'.-`Xr,� =rsv Ks�4 °_ :.,�- r<'•'�is`�. L•t .`�: *`�y>�x4. k���r' 3'�aCr..��;E -1 'al. ., *:. �.�L;wc � - eF.�R, t. °A�shcs_B �._.Ftra,'�nr51�i--::...�: ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all g Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the Wr ; '',n . :< < .r f , •*41, • -� • .1 :, - i 4iii i ii i .H-. .,:: • p °-*•- ? -'4, ., work indicated on this application. , ::+ ,., ,: - 1. a ,, aC A TEGORY F= , : :, •_ . • ti ,=i •. a PP `�< ^ �°. .�,.-,_'�.:•::��° . 5, 31' �5.,.. „��t., z. i�:: �. e;>=•: x�� �: eP. �m?,.IQs�tCOI�ISTRIIC^CIQlvri:?h �s�r`, x, -.- '• o r�.�.,;r�t``, „ „ ,,,-1-,,. ��..._I: ° <, \ -7 91) ❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ _ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms ,�' s-••ir,,,, w.5 ;'?' , s 'i%1"F ,,_; . :V:,7•3.�w:.We;• r .<1-£ ..7, s r_ F'” ^ z-':- r. -.,., '. _ - t ; ` Total number 0f floors: -,• z i ?'°:fe m s ? ,49,p-SITE= INORMATIO",v,P ∎Yr_ „.5 +LOCAI . _' ', ` , �, is_rrsc_sb =1„”- .�3 �.:: -,L`. ;. <Y:*'�2. ve[r. C..���r.a.,fi�`sz' ti °�y'b�:*-: °o�ra ,�_.,: z T wz_ �!as,°t°'�. =�' , .�. _ Job site address: i New dwellin area: square f ee t ZSO 5 .�,. � V� _ City/State/ZIP: tt ouAA -)A t n . C 2Zt4 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: S 1' r „ RA , Covered porch area: square feet Cross street/directions to job site: r N ` 1 Deck area square feet ' • TV t.] 1G-A • Other structure area: square feet M;, - sy.Ce+� xz.•.'Fba ML.r�'.�; .?�„ _;::u - - R aIlliaD;DA'TA. COMMERCI:AL CHECid.iST ' 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 equipment, materials, labor, overhead, and the profit for the pia• ., +�,t�r�:'`- ',S;Sd�•�i %' ,r �` - ,:?t`�+L*e�,..Kti,:'_ °r= .-�,� »�r�r •_..x ^ �:� <n R;� :r_r .M e. ^,,..,.,. �- : `c>„ - a ' *w '`a ” '''; e .'e;, 4,7 rs YTION'wOF,:'Wejiii _ y , ft 'taiTi'l'f74` - lIf. - �.t `D ,' ?&'e �.. work indicated on this application. '.��„' v � ' '�a °r :�.T�.s_�Sr'v > .:�. ��c'�h`��vy� = <, ", .:ws.:e�.•.r v,'�tC':, 3_. .an . x�,.,.. ,a TSh'. ,��J � ��r's e'�f�' ' 7, • -c\ - W W 1 3 new SPQ -Q S Valuation: $ 2_ e , I L e ci tt 1_ _ � - S Existing building area: s feet v � New building area: square feet r,i . Px ••)X13K'" .,. . ,:r.7, , 71,AA _ °.' - " , fie 6 t' '.T:,,5 :<- a sa , ,4' fri.A :T a :l° -A. R 3� ,6 , _„ "v 1 . 5 '.• gam._ " . : NANT s : `4` � r.• ' `P OPFRTY- OVY,•1V E R�N .',��� n- �- " °� ��� � � ,® s , r_i`:7 =� Ri v,k -•s. s: -+-•, ; -,..a, ,.. =� ___ ,. , 1:n' `raJ,_"�,`'Y «� �T� +s.a,�- rtt xaa' z+fi - Number of stories: s-s' Name: _ ner ___ S S. 2 S s Gi g • 1 Type of construction: s Z Address: 1 5 • U 1 p fL S e _ aON e_ S P P ‘) 1 Occupancy groups: 9 City/State /ZIP: �o M i Z� Q q 7 22� Existing: Phone: ( ) Fax: ( ) New: ° ''?A £ ";'d�.vb""`.�u„ ,!�a4"1`,ki r_F�',f ,�� <. _ cr.'}tx'; i ` 'K -; f, ¢° .:;2...:a.�R .� a „ ,;; "°` .... ,�r . ::APD.I�ICAIVT . ' = = ',1,';1=7:-.7r,7-° ° .2 ;: CONTACT PERSON- . . 7 , - : , . ', - - ,', : ::, ..- 'rf-`; Tr b ,�,p ��,�:,., ,max ?, Y, . , `rc: ( r •.��'s��: ',.%g--e:`,.° �` "'r;,'f, :tr,�: r. .,c ..x -'3= a:�'°� ! ,s�. :E: _ _ .p�; r .• ,t , e �t� .� .ca' _ r _ y- :.t�ta�'sr•_ ;�ta ° , �, �._. ' �x,�� �` °� . _ �, , � NOTICE'i,s' Business name: v-- t t c e S•gb All contractors and subcontractors are required to be Contact name: �p c�> licensed with the Oregon Construction Contractors Board 2 under ORS 701 and may be required to be licensed in the Address: P S , o. ON 2:05 4. t junsdiction in which work is being performed. If the City/State/ZIP: _ __ ll c applicant is exempt from licensing, the following reasons 1 1�dYL� 0 a . --12.1( apply: Phone: (6b3) ZO`I A27 Z Fax:: (6b3 to Z O - ( , E -mail: s�a. • r -, A;vy ,i ' ; : it _P,1 i' C .,°ONTRACT OR° : �, °N l- gtv4i„ _= s''c�•,:''^ �'° 2;`.” ': '' f`'`` ._ �: �s! .i.^cx?P;tY;trk�'S��: _. �' -,'�we °�;� ...,.° ",;:,, .a �., �f �.- ;�T -: i _:� .�. �s =: � rrart� t ar "' .v F _ ;�;� .a i` _ 6._ $...,,�� Business name: ciP_e_ s-I'rp _1. ; t ':f °mot•r: -,._,..�:�.w:i iE ,_� : ,- . =r'a`` s F BUILDINGk'PERMIT ,I F'EES *'' Address: �,>� : "3�'u.3: ,'_ ,� -_ =ems :aa " i�: - .3:°�.RZ ... >, . _s,.__ . P. U . C7k Z 3o S �}S Please refer to fee schedule. City/State/ZIP: — �t ela2_� ©e Cl -1 Z 81 Phone: Fees due upon application (57:13) %04- %2.72 n � Fax: 6,l CCB lic.: la 's il a � Amount received — �•C Date received: Authorized signature: This permit application expires if a permit is not obtained l i . 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 \Pertmts\FPS- PennitApp doe 12/03 440- 4613T(11 /02 /COM/WEB) Fire Protection Permit Check List x r�2,'R':€ r. �.;�s�,. �'.- „,m� -"., ; - 7 : ° _ y , ; v :a,, ; u� ; �r .,x.:: : �. =rt' <„RM,��„;w..�:r �^r� � e,�'L`rFr. �z� = ,-r_ -_ ':Describe' work to-:be-done ':.�, µ 'i� _�:• .� _ K u ; = : w :, � t -, ,,: ; w• ..; n�� >' - i .=r ....._ _.. .r. _�4. x a -�_.!_ ._ ...,. , . ^. �.F...... �.i�r1`= �i< -,., ,_�; i” >4'e nGndt2',. ix ��nSw- v:at'..a3?- � "'r <...w.�,A.(.......,"k'�:3 . .... ..... ..xe. -, .. ,,. 1.) ❑ 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: � ; - :;' L;; r. � `;;i:T- t>'�• �s3z2�; - °�'�sv >' .r�^ ;' @ %� "s� =,•,�.';.,,: " , „�-. _ - a ,.� e � 7r �..> .,�- p.. -�, - � � ° a' ;` £•d^ - i ",, {:i:2 f°Fq ?,,, -,- 'I'eyp System,(Com lete B C`o < D <a licable .,. , ;T: ° } �,✓• r.:�.:ar >sr��.'sr -t:,* bv��:' ", _ �;3; s. ��:k :a�:� ;�;- �«�,_ >n<u:-;, - r - z' s :j �'� "4'°k:2 "i a'e ;?, �,e:` • - ' ,,- �r6ie < °.:GC,.�:. , D` •sue s:<yir:. r;^ A:) �Commerc><al S,pr =mkler� •� �-�, �,,,` ° _ ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor - Sprinkler Project Valuation: $ .,�_.�y cw. i`+x`.'.,zafi'. s ` r. , +�,��'• ° -A!•' �,,L':'.3Y'.'h-a,.;^ , ^.' '^s'..;,..,_s:.. �, , - °_T'i! a•,x.:I'` r . BK)° T�ypeI I 'ooi3 -Fire Su'RPression�Systemit;p..; rm ¢,_ `� = A �:- ER. A�. _. n �� �- r .,� - a ,- �.�.arr.. <a.5 _- a�Ei=m t - �' ",��,.�'x�- srS,�,;. "L6�`:�'r t4 °��5.�`�iz;t:w:. Hood Project Valuation: $ ch' u > •::°°.ci3'�i"e.:^ ,.ra°vii s v `f,';,q` "r: ^f ,'•mow'•!';=- ;- PF:�S.;.a,s: s':.. •�':c ] "�;r�,� i :�,G. c ;.'G'i §:�?:; ^.,grtr:. ;;°:- •;:;�F,... "'�;daS:S` ^i.+fid ^�; t,�.u*�ss M =?r, k "' s °,� �. ,...x�.t�:�'..', .,_. = r,:: "- ',e . =, .t _,�.�., t:,` :�a,c rr�'err., G, F» e;Alar11 ",,: x ^,4, " 'ti`'' d^ ai^s' 4' s,, rop Ss . , ;t _.).'r.. ,,... -. n ., i..,r..i4.�;';s"�c�- .'#a'. °. �,!_,.4.`��,:�:,.`� . ^.�;. s° �° e.: �-: ?r.`:i� °..Y.;,ry+��?y���u -: ^�a. ,'��`"`�'� :�.'�"�r�,= r:s�:?,` ^�R ��.:;•'>_�.�, ° n s' - ..��. ,^� �� + .tea^ �,'3 - '�??a n�."3§� =i-w_• 25 Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ -.D: 11 8 Ma 1414. ' ri<rikler iitia ri` 5 W i .- , � ; - _° 'F � l,0: � M ' x,,...),.,.- ._....� .., ..•.._ _. ..P._..�.. ^ "._.,,.._ „�'S,...__ _. ,...,.o�.e�'System),�,���.� =<u> :�'�.`,:,� � �.� ������ � a� Square Footage: Permit Fee: • ,, - �a�; if : •' ��T i°r, ��; gin;' °'.`- ;'s - +^ +e ,, 0 to 2,000 $187.50 • 2,001 to 3,600 $232 "50 3 ,•,,w ; :,::n:, >�;� 3,601 to 7,200 $292.50 ` ` °' ;,;i, 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. • Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ 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 \Buildmg\Forms\FPSchecklist.doc 12/24/03 • l i CITY. OF TIGARD BUILDING DIVISION PERMIT #:,2 -0 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 'Ru ' Inspection Requests (24 Hrs.): (503) 639 -4175 �' "I I.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / ( aZ 5 CLASS OF WORK: SUBDIVISION: • LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3- /‘ - a 6 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Corrections/Comments/Instructions: • I S «1 I • —Nippy Ng, • • PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS ❑ FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A- \ � � Date: 6 � 6 6 Phone #: (503) 718 - ��