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Permit
CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00038 DEVELOPMENT SERVICES DATE ISSUED: 2/18/2005 .,� 46" I - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10575 SW CASCADE AVE 130 PARCEL: 1S135B6 -00501 SUBDIVISION: ZONING: I -P 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: 5N : 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,880.00 Remarks: Fire sprinkler for phase 1. Owner: Contractor: AMB PROPERTY L P FIRESTOP CO BY TRAMELL CROW NW INC PO BOX 230545 8930 SW GEMINI DR TIGARD, OR 97281 -0545 AVE RTON, OR 97008 one Phone: 620 -6140 FEES Reg #: LIC 63846 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/3/2005 $148.90 [TAX] 8% State Surcharl 2/3/2005 $11.91 [FLS] FLS Pin Rv 2/3/2005 $59.56 Total $220.37 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. Issue By: ,,( (LA/1/`O ,Vo� Permittee - Signature: 9 ? s � � 1 r wF Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection System /0.575 Sup Ca., (24ak ik' III .•/A Bufildlnrg Permit Application FOR OFFICE USE ONLY Received Building _ p , Date/B —5 Q,, ' ermit No.: (A. _ /" 5, a 1`s' City of Tigard RECEIVE ;� Planning Approval Other \ DateB No : 13125 SW Hall Blvd. Plan Review ''. I X - 7W Other Permit Tigard, Oregon 97223 ^ Date/B Permit i Pert No Phone: 503- 639 -4171 Fax: 5 03 8- 0--- 8 i lp, '1Ir�,\ Post-Review V1eW C nd Use Inte www.ci. T _ _ No 24 hour Inspection Request: �43 73 IG iv Name/Method um Su See Page 2 for BUILDING DIVISION Su. elemental Information TYPE OF WORK . 1 REQUIRED New ''RE � : ' <� •�� ❑ construction 0 Demolition _ I &7 FAMILY " • Ri Addition/alteration/replacement ❑ Other: - CATEGORY'OF CONSTRUCTION _'' - - - Note. Permit fees* are based on the total value of the work performed Indicate ❑ I & 2- Family dwelling �]C Commercial/Industrlal the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ . - - ' _ ' JOBSlT1'; :INFORMATION•and'.LOCATION ' No. of bedrooms: No. of baths: Job site address: /0575 sij-ekge,4tE AVE Total number of floors Suite #: /30 Bldg. /Apt. #: New dwelling area (sq. ft.) Garage /carport area (sq. ft.) Project Name: W E/1ZCON Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Y 4 M a rr Na ©- 4/err-A)1,04 , • Other structure area (sq. ft.) REQUIRED DATA: M Subdivision: COMMERCIAL - USE ,CHECICLIST. ,Y' Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate - • .DESCRIPTION OF WORK - - ' -- the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Valuation $ to $$D Existing building area (sq. ft.) . New building area (sq. ft.) Number of stories ❑ PROPERTY OWNER . • 1 . . TENANT Type of construction Name: t �'p,J Occupancy group(s): Existing: New: Address: /05 7S S - Ck3edAE- City /State /Zip: T/ 641,61 oR 9M3 Phone: F ax: NOTICE: All contractors and subcontractors are required to be Tit APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: /)/1r5 To, e0 ' l jurisdiction where work is being performed. If the applicant is exempt , j Contact Name: ,' ei / , .Sot/ from licensing, the following reason applies: Address: P 0, i s' vx Z30S4,� City /State /Zip: 77 0 9 ) Phone: (,20 -61 412 I Fax: 620 - 6 14 E-mail: . -. BUILDING.PERMIT.FEES * -• : . . „ Please refer to fee sched'ule.: - CONTRACTOR - ° • • - ' - f Business Name: I' / /1 -f f / de- Fees due upon application...... .... . $ Address: 7000 51/t 147 City /State /Zip: 7 - /4 020 6 97223 Amount received $ Phone: & - & 14a Fax: 620 -6 14 I Date received: CCB Lic. #: 4,S24 Authorized Date Z/0 Signature Notice: This permit application expires if a permit is not obtained within T j� ^) 180 days after it has been accepted as complete. 6 /e u er r �' , " *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i \Dsts \Permit Forms\BldgPermrtApp doc 01/03 • 'v/ Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. • Alteration i 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 6 7 Additional • : scription of work: Type of System omplete A, B, C or D as applicable): i A.) Commercial S • inkier Wet E ry ❑ Additional Standpipes Information: Hazard Group 4 /6M" Density 40.10 esign Area /q . Factor S: Sprink -r Project Valuatio : $ /p / ggpeo B.) Type I - Hood Fire Suppressio System Hood P ''ect Veit!. ion: $ C.) Fire Alarm Submittal shall Battery Calcul. i-•ns Yes ❑ include: Individual Com i . ent Yes ❑ Cut Sheets Fire Alarm Proj - t Valu . ion: $ D.) Residential Sprinkler (Stand Alo - System) Square Footage: . ermit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkle. Project Square Footage: sq. ft. Projec aluation Subtotal (A, B & C): $ Permit fee bas • on valuation (see attached chart): $ Permit fee based o quare footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ TOTAL: $ Plan revie requires a completed application and 3 sets of plans at submittal. Plan rev fees are required at submittal. "Ne , ' fire protection systems require that plans bear the original seal of an Oregon F -ensed fire suppression engineer, or NICET level "3" technicians. e \dsts \forms \FPSchecklist.doc 02/28/03 . ' CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00038 1315 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2005 Pho ne: (503) .639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 3/24/2005 TIME: 7:09AM PAGE: 64 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HEMCON EXPANSION DESCRIPTION: Fire sprinkler for phase 1. OWNER: AMB PROPERTY L P, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 620 -6140 Inspection Request Scheduled For: Date: 3/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 002656 -01 360-903-7364 N l S PR l V1 RA/AC 0617V Corrections /Comments /Instructions: V - 0 7 - - 00 9/6' o 5 cl-k ,;/ I dp t L. ////// SS ❑ PARTIAL APPROVAL fA4eEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f3jZ k'O M 8 �1 L0 C � Date: - —2 -7 _> Phone #: (503) 718- 2-7 CITY OF TIGARD 24 -Hour . BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST �y BUP (90 .003 ZS Receive . Date Requested 2 �� AM PM BUP Location / O 5 7s Suite /36 MEC Contact Person 61.a,e — P__/ Ph ( ) 30q--w,1-7,D Contractor Ph ( ) SWR BUILDING Tenant/Owner 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 Fire All... , Fire Alarm Mr Susp'd Ceiling Roof �•� Other: ice\ � " Final PASS r FAIL PLUM :41; Post & Bea 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 ' -II for rei' spection RE: \ k1/4 , r . ❑ Unable to inspect — no access Fire Supply Line ADA '/- Approach/Sidewalk Date t`, Inape N 4 Ext Other: Final DO NOT REMOVE this Inspection record from the job site. • PASS PART FAIL CITY OF TIGARD ' 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST 1 P Receiv d Date Requested a AM M BUP 7004- 075 Location (c S 7 S Suite /3 MEC Contact Person - frift-6c2__/ te Ph ( ) ply —g' 7c PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner /K)/ -t°Y ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- c � � fl� Drywall Nailing • - . Firewall e ,,J• rankle • - Flrw Alarm --‘ , C p JI 106-0 1 , • I ditt=' 'o. 8. Sus 'd Ceilin. • Roof Other: L060? � (� � Final / PASS FAIL PLUM 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 b- •re 1 ext inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call r reinsp ction RE: N� 2 Unable to inspect — no access Fire Supply Line Z 45-44ivi ADA Approach/Sidewalk Date Inspector Ext illv Other: Final DO NOT REMOVE this inspecti., n record from the Job. site. • PASS PART FAIL