Permit ill a CITY OF TIGARD
BUILDING PERMIT
i :
PERMIT #: COMMUNITY DEVELOPMENT DATE ISSUED: 7/19/2007
00383
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: HEMCON
Project Description: Fire alarm.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: 5: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: 5: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 3,890.00
Owner: Contractor:
HEMCON MEDICAL TECHNOLOGIES POINT MONITOR
10575 SW CASCADE 7869 SW NIMBUS AVE.
TIGARD, OR 97223 BEAVERTON, OR 97008
Phone: 503 - 245 -0459 Contact #: PRI 503 - 627 -0100
FAX 503 - 627 -0110
Reg #: LIC 135901
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/19/2007 $76.80
[TAX] 8% State Surcha 7/19/2007 $6.14
[FLS] FLS Pln Rv 7/19/2007 $30.72
Total $113.66
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.
op i
Issued By: 1 Permittee Signature i t /... _ `�„ 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.
, 'Fire Protection System
• Y p r
Building Permit Apply po F v , , FOR OFFICE USE ()Nix
City of Tigard Received
13125 SW Hall Blvd., Ti DateB : Permit No.• "'CO W Hal Tigard, OR 9 I? 9 ` 9 2.31111115=4 l�s
g 1 1' C4 o0� Plan Review 1.
Phone W Hal 9.4171 Fax. 503 5 0 Plan R . /LA Other Permit.
TIC n R D
Inspection Line. 503.639.4 'y E f ,{ G » Date Ready/ ` Juns. ® See Page 2 for
Internet: www tigard -or.gt tl 3 JiC x Id JAR") Notified/Method• Supplemental Information
_ ,ThT °r 1; m
® New construction ❑ 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
0,1 ` t . . e work indicated on this application.
12 1- and 2- family dwelling ® Commercial/industrial
Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ID Other:
Number of bathrooms:
JOB isrrt iNFORIVIATiON 011) -'L 14107N ' • -`:71:k-14...--`- Total number of floors:
Job site address: 10575 SW Cascade Ave New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 130 Project name: HemCon Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: 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
T _ t equipment, materials, labor, overhead, and the profit for the
k� • ti?'_ e_ f
'''s ,i, - DESCRIPTIQ .0 ` `WORK - �. -.� - `4 • ' = work indicated on this application.
Modify /install fire alarm system Valuation: $$3,890.00
Existing building area: square feet
New building area: square feet
• ® ROPERTy.0w14 :B „ !_ _ a. ; ' t .2, ' r } r;, ®, �Sp, ; u * ;r` Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
t ` ® APPLICANT ;0 'Cd 11 A( I Q 1 ' ' ' }±t ` • NOTICE r ; ,
Business name: Point Monitor Corporation All contractors and subcontractors are required to be
Contact name: Steve Bruns licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7869 SW Nimbus Ave jurisdiction in which work is being performed. If the
City /State /ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 627 -0100 Fax: : (503) 627-0110
E -mail: sbruns @PointMonitor.com
.�,�� '�"•� ��;�;,;; CQ- LVTRA(,aT9R ..� �.'; 1. -� :,.; ., ', ..,.� V (3.PEIZL'IIT S® ,
Business name: Point Monitor Corporation r = base reje��ofe22�ieauYb). .��+i, ,
Permit fee: 7C a0 8
Address: 7869 SW Nimbus Ave
State surcharge (8% of permit fee): ( .1 O .6.54
City /State/ZIP: Beaverton, OR 97008
FLS plan review (Due u% of permit io n . )
Phone: (503) 627 -0100 Fax: (503) 627 -0110
(Due upon appli � JO .77_
CCB lic.: 135901 Total permit fees: 1 1 3.(41 -' ' -
- Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Steven M. Bruns Date: 7/19/07 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I \Bwlding\Permus\FPS-Permit App doc 03/23/06 440- 4613T( I i/02/COM/WEB)
•
CITY 'OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 0(4383
t:
- • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7f19/2007
Phone: (503) 639 -4171 414. l
m •
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/U2007 TIME: 7 :01AM PAGE: 30
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: Firo alarm.
OWNER: HEMCON MEDICAL. TECHNOLOGIES, , PHONE #: 603-245-M59
CONTRACTOR: POINT MONITOR PHONE #: 503-627 -0100
Inspection Request Scheduled For: Date: 12/5f2007 Pour Time: 14
Code # Inspection Description Confirm # Contact # Message L
9:1r; Alarm final 060843 -02 60352.3 -8802
Corrections/Comments/Instructions:
•
•
2 - d
I
P: -1 % 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL V ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector:, Date: Z 6 Phone #: (503) 718- �/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00383
13125 SW Hall Blvd., Tigard, OR 97223 ili r DATE ISSUED: 7/19/2007
Phone: (503) 639 -4171 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 _ F.
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 71
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: Fire alarm.
OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503 - 245 - 0459
CONTRACTOR: POINT MONITOR PHONE #: 503
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: a
Code # Inspection Description Confirm # Contact # Message
299 ll�
Fi nal inspection 052863 01 503 5726320
A4 1C/kite Y g'l
7
Corrections /Comments /Instructions: le,`",C Day
i
AiMi - trnZ
❑ PASS 2 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL KALL Fs." INSPECTION ❑ ADDITIONAL FEES ASSESSED , ;' 0
Inspector:
ti , Date: Phone #: (503) 718 - 7