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Permit ,CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00329 COMMUNITY DEVELOPMENT DATE ISSUED: 7/3/2007 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 sprinkler. 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 5,812 sf N: S: E: W: OCCUPANCY GRP: Fl TOTAL AREA: 5,812 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 16 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: Y REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 33,252.00 Owner: Contractor: HEMCON MEDICAL TECHNOLOGIES DELTA FIRE INC 10575 SW CASCADE 14795 SW 72ND AVE TIGARD, OR 97223 PORTLAND, OR 97224 Phone: 503 - 245 -0459 Contact #: PRI 503 - 620 -4020 FAX 503 - 620 -1058 Reg #: LIC 64174 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/20/2007 $350.80 [TAX] 8% State Surcha 6/20/2007 $28.06 [FLS] FLS Pin Rv 6/20/2007 $140.32 Total $519.18 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 thes- • -s o •' - t questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Iss ed By: / / , / Iff, j ' Permittee Signature, -k C� � i . / 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. , r ire rrotection system 10'575' st,° CJ C6k E. ildin Per it.,Applicati 'RIVE FOR OFFICE USE ONLY City of Tigard Date/By We/ SL Permit No. 13 0 P2c0? - a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ► III Phone: 503.639.4171 Fax: 503.598.1960 JUN 2 0 2007 Date/By ar" , 7(3 err Other Permit N) 1)7nrci. _ 00 r 1 TI G A It D Inspection Line: 503.639.4175 Date Ready/By / Juns See Page 2 for Internet: www.tigard -or gov C 1 Y OF r B 1 1i `� a � ►' iotified/Meihod 110 Supplemental Information �j f�tE ry A- , 7l3/ ((( TYP -' 2 , I t < ...1r 11 V ' 1 IV , dir RE t UIRE I DATA: I- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all C A Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I - and 2- family dwelling .Commercial /industrial _Valuation $ ❑ Accessory building El Multi-family Number of bedrooms. ❑ Master builder ❑ Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors Job site address: +O -5 75 v ! t> ` �" aorcic Q� , New dwelling area: square feet City /State /ZIP: 7 0 � `^ � 7 � 0 ' Garage /carport area square feet Suite/bldg. /apt. no.. C Project name Herd. nn'ce,l'i -Ie e Covered porch area square feet Cross street /directions to job site: Deck area square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST 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 DESCRIPTION OF WORK . . work indicated on this application. n � n • Valuation: $ 33 cam` 7 a. i' lie Spf n iii l ff Existing building area: square feet New building area square feet ❑ PROPERTY OWNER ' ,,,. ❑ ;TENANT Number of stories Name: Type of construction: Address Occupancy groups. City /State /ZIP• Existing: Phone: ( ) Fax•( ) New: APPLICANT ❑CONTACT ;PERSON NOTICE — Business name lJel4, f 14P TfC • All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board /A "� Contact name: �(� S. A , I•e g �" ° � 1 under ORS 701 and may be required to be licensed in the Address: (tf7g5 ,J 7a _A jurisdiction in which work is being performed. If the City/State/ZIP' t' b - 1- Ictn^i O P a ,:9..9.1-f apppply ant is exempt from licensing, the following reasons Phone: (50S) Cvdx - Fax. ( ffo3 ) (0a p- 10575 E -mail: . ` , - CONTRACTOR BUILDING PERMIT FEES* Business name 1) , T- r, cite., (Please refer tn fee Perm mitfe fe • • Address. f 6 1/95 no) 7a /+ 4vp State surcharge (8% of permit fee) City /StatelZlP • 261-4..t I '' p ( 'I �a� L r FLS plan review (40% of permit fee). Phone i 503 ) (e 9 0 - 105'- Fax: (r �9f ) , _ (o5 (Due upon application.) CCB lie.: ( 711 Total permit fees Authorized signature: geze,A- Amount received This permit application expires if a permit is not obtained Print name Held i S� fool n U Date: &49.0/0 , within 180 days after it has been accepted as complete. lJt f ' • Fee methodology set by Tri- County Building Industry Service Board I \Bwidme\Pemuls\FPS- PermuApp doc 03/23/06 440- 4613T( I I /02/CON/WEB) City of Tigard: Fire Protection Permit Checklist ' Page 2 - Supplemental Information 1.) El New 2.) Modification to sprinkler heads only: is Addition ❑ 1 -10 heads: No plan review required. ►� Alteration 71 11+ heads: Plan review required. ❑ Repair ( Number of sprinkler heads: ` Co Additional description of work: _ - a ,, _ .__ �_ ,d 'F. � -w :: .,, . .- �t.:_<�ee..�l- ,ris-Y.::r.,4r, . r , t . ;,�_ `�h',Aj.,; �T � - e siem�? Com �lete = =�A; B �C'"oi >D��as�,a lic_a_lile � s {�� �'�_ c ����'��" "'��''�:�'�' r• � -- :t��.U- - - - 4 ,., _ .y : �>- :rya -':' �r,,y,� -- r; t s f n �, i „` - >'e,�;; - ^.r F -.ir �.�': ti,;;.' `ti'•• ^. : r ' : " , a'�' e y_� ,, n�.,� �:.. �Y_�,.F' � "��i +, =� p..Y t :d !%:,•� + i ��' \t: W �, ;' 't. ; j� .,�� s;4 ii � S�'�": - . < f�`� i lc 9,..�,•r•,` v �� - _ '_t r F:.. : :l:.ei _ ercial f � r . � : -� 7 i ��. '•'(� , r t t t',_iN ...�� 4 t n.', =.`;- �'+`„�•, -,. ,i�r` .. �1',ri SR}*r'�` "y'.Y tN :k.iy "" Comm',S dder � ru ,. .,.n,_- i • `.E . ? r .• - '„ s ir ,- f �.':':: c 'i,F.- �r7:��r.'. >;i %:r CAI Wet ❑ Dry Additional Standpipes f Information: Hazard Group h Vile, Density 0 • e Design Area (J€.( a, ono K Factor 5, Sprinkler Project Valuation: $ 3.5%.b B)' ?;Type.I Hood;Fie'SuppressionrSysteiri ;. s,7 i+� `f` 4 5 '. :.- �. s;,.,,., Hood Project Valuation: $ ,)A tF= :: :t'µ k -L' -� _'. »;,'..0 -'- ar.- _ kr`� rs - ,n :o7,t�" �a t s.`8_ r_ ^j. ' @�� ` •f.— ;';�.,�; ;, �W.F, tLi ��1 ��t,_ ..3 �. }; )�."is il`7, Y'U: ..11- �. e I�.�. Nt'- ^[,��;..[.'4. . }�.. 4 r!`•S: d.'rl �r.,/i.Cs , „�' ', .i � `r. i`(,,,�t ' ;5��� rb � sot `- .1�'�L�e u.,t i, - %, ,.r.�, b -, h• �S ?. va. ��t�� "�� af+.. o n ...: ,i� �C ��''!! •'^ y r ..�•., .r�. �i.��' ar �" - -� " . � � - r ,. .,; t% ..a_ �� ,�: 1 Fire Alarm y ayT ' - • . 7 ar y'1 < .t1' � 3,�'�; 'Y �'•�s �k�x ..�. , r��• � c,�'� - _ y a .sn =z' R :,4 JU {s.G�n x b, n . +:tr„c^;`;, _ ^*.;fruri6;. X�:,, :?ri.., : -� , p�f Fi „� -', ''a _� n ., Q4> Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ /VA. ,.,,1 K.. _ F' - .. K = 'i.1-1:.� :?;.. �.. hti h e. a:„�r: Jr ° '°.� J- - .'4��'� v:i: ± .'r ' :.7r:i': • #' � 'f - •tF` -� i_i..a ,. ''f.. %.: xa,.e �Aury� %.s:: - '��:, ��, - .q,, -J. tif,:i ,� >4'v \.-\;.: ��;:'� ^: " , ` �, - 't=S ; ,ir.�,"�� ' ^�; tir:iy; y;� ^•. >y. - - � } .d' `t i - .L �.�w . � .h - v .'iF . � T,y Y'�r - y 4 - - - <`3• ' <D 'Residential , S irinlder Stand 'Alorie __.... ...,_._ r:w,. _. ,_ d._ _. - - - '' „e_ �-��- emu• _ �,`�_x< Square Footage: Permit Fee: ';' \" r kf' O to 2,000 $187.30 2001 to 3,600 $232.30 r ' r § : { ;; " t +,k. 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: /l)A7 sq. ft. ��. - ...,:..,':� �_ r,•ty� . �,?; �: _,.�,- � .::::,; ? -, -., .- tj' �'; Fiie: �Ptocecgon�Perintt ,- Fees;,�;Y,u: , •d•> ���_ -,,,:. ,�� >:�= f.':;��,.: ��,; :Y,'�F1 ,•t,:. �3's�:, -,,,,� Project valuation subtotal (see A, B & C above): $ 33 a Permit fee based on project valuation (see fee schedule): $ '60 Permit fee based on square footage (see D above): $ Alp State Surcharge (8% of permit fee): $, Q(Q FLS Plan Review (40% of permit fee): $ I/40,59, TOTAL: $ , Qc� 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 Eire suppression engineer, or NICET level "3" technicians. I \liuddm \Pcrmrs \PPS- Pcrmu- \ppdoc 2 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. III BUILDING DIVISION T I G A R D, TRANSMITTAL LETTER TO: DATE RE D: DEPT: BUILDING DIVISION 'ia ' / i Eli L --t NOV - ' 007 . ._..i G%Y Ifiottip FROM: -= _ _ , SW _,`' NGDWISION COMP. • ) 4 PHONE: 0 PC;-- go , 6 �_' —' • ■ RE: 1 A >S7 5 , c›. % 1 !, • Paq 06a a q • F ' t • . I . ress V (Permit/Case Number) (Project name or subdivision name and lot numbe ) ATTAC I' D ARE THE FOLLOWING ITEMS• Copies: Description: / f o I 'es: Description: Additional set(s) of plans. Revisions: 1`%r 1 -1 � L L4' Cross section(, .. d details. Wall bracing and/or lateral analy 'f s. loor /roof frami . Basement and retaining walls. eam calculation Engineer's calculations. 0 er (explain): REMARKS: FOR OFFICE USE ONLY Ro o ermit Technician Date: Initials: F es Due: n Yes o Fee Description: Amount Due: ter ` $ ( Special i� — Th Instructions: �� Re s rint Permit s er PE): ❑ Yes [I t ❑ D wail& Applicant Notified: Date: Bri %• `SVM W I•\Buildmg \Forms \Transmittal Letter - Revisions.doc 4/4/07 14795 S W 72nd AVENUE ED E LTA, PORTLAND, OR 97224 LETTER OF TRANSMITTAL FIRE, I . ��e #° 503-620-4020 DATE 11/6/2007 JOB NO. 07 -3801 ATTENTION: RE: Hemcon TO: City of Tigard 10575 SW Cascade Ave. 13125 SW Hall Blvd. Tigard, OR 97223 VIA: Mail \\\\I 0 t1 COPIES I NUMBER I DESCRIPTION 3 Sheet 1 -1 of 1 Revised Drawings For Permit # BUP2007 -00329 THESE ARE TRANSMITTED as checked below: X For Approval _ For Review and Comment n For Your Use _ Approved As Requested Submit copies for distribution REMARKS: REPLY REQUIRED: OYES ONO BY DATE: BY: Matt Staley/HS Customer Engineer File CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 00329 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 7/312007 .Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/ TIME: 7:01AM PAGE: , SITE ADDRESS: 10576 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: ' PROJECT NAME: HEMCON DESCRIPTION: Firs; sprinkler. OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503- 24E4459 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 62(3.4020 Inspection Request Scheduled For: Date: 12/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinldor final 060766 -03 603- 523 -8802 N Corrections /Comments/ Instructions: • • • • 4 PAS ' r PARTIAL APPROVAL ❑ CANCEL El NO ACCESS NI FAIL / � CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ' Inspector: Date: Phone #: (503) 718- � , I r /,-` CITY OF TIGARD I BUILDING DIVISION PERMIT #: BUP2007 -00329 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 702007 Phone: (503) 639 -4171' Inspection Requests (24 Hrs.): (503) 639 -4175 „.. "'I �� INSPECTION WORKSHEET FOR DATE: 10/15/2007 TIME: 7 :01AM PAGE: 9 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Firo sprinkler. OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503 - 245.0459 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 6204020 Inspection Request Scheduled For: Date: 10/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 057619 -03 503 - 523 -6802 41111 , Corrections/Comments/Instructions: R5° o t1 �o' 0 t4 • ❑ PASS 4 R �ATIAL ' e. 5 • = El CANCEL ❑ NO ACCESS r FAIL MALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / ■Date: l0 /s-- Phone #: (503) 718 - Z49____X. CITY OF TIGARD BUILDING DIVISION r PERMIT #: BUP2007 -00329 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2007 Phone: (503) 639 -4171 ' +� Inspection Requests (24 Hrs.): (503) 639 -4175 , ' F'I �.. INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 3 SITE ADDRESS: 10575 SW CASCADE AVE_ 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Fire sprinkler. OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503.2450459 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 - 4020 Inspection Request Scheduled For: Date: 9/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # M- : ge 910 Sprinkler rough -in /test 056186 -04 503 -523 -8802 Y Lt-ik Corrections /Comments /Instructions: :c /g ❑ PASS r1 RTIAL APPRO ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. Date: Phone #: (503) 718- - % • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00329 • 13125 SW Hall Blvd., Tigard, OR 97223 PY == DATE ISSUED: 7/3/2007 Phone: (503) 639 - 41711�"� 4p Inspection Requests (24 Hrs.): (503) 639- 4175�!+r °'I_I INSPECTION WORKSHEET FOR DATE: 8/28 /2007 TIMEr -7.:00AM PAGE: 1 SITE ADDRESS: 10575 SW CASCADE AVE 130 .` .CLASS OF WORK: • SUBDIVISION: CASCADE BUSINESS CENTER LOT #: —1TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Fire sprinller. OWNER: HEMCON MEDICAL TECHNOLOGIES, • ' #: 503 - 245 -0469 CONTRACTOR: DELTA FIRE INC PHONE #: 503 Inspection Request Scheduled For: Date: 8/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 054758 -05 503-523-8802 Y Corrections /Comments/ Instructions: / // ❑ PASS / rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / • ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. a - Date: g o P �- .hone #: (503) 718 - s � 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007- 00329 13125 SW Hall Blvd., Tigard, OR 97223 '` DATE ISSUED: 71312007 Phone: (503) 639 - 4171 A Inspection Requests (24 Hrs.): (503) 639-4175 ,' INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 61 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Fire sprinlder. OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503- 245 -0459 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 - 4020 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 053059 -01 503-620-4020 N Corrections /Comments /Instructions: ECD © Pt �� aT ❑ PASS I� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL W _CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: �� 0 7Phone #: (503) 718 - 26 47 • 1 CITY OF TIGARD _ BUILDING DIVISION ' 4 : V PERMIT #: BUP2007 -00329 13125 SW Hall Blvd., Tigard, OR 97223 ''", DATE ISSUED: 7/3/2007 Phone: (503) 639 -4171 Awitprk 4 • Inspection Requests (24 Hrs.): (503) 639 -4175 1! INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 56 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Waigalga OWNER: HEMCON MEDICAL TECHNOLOGIES, PHONE #: 503 - 245 -0459 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # • . - . • I Description Confirm # Contact # Message 299 inal inspection 119 S( 052889-01 503-620.4020 N Corrections /Comments / Instructions: /Vo - /2"� & Gf r�:s 2 /47 S �r0'� .3' • S ° lb r 1 ( qt 0 410/ / . '' - -t--,.... kJ s---(-) Ar c . v ill■ C -Q---1-- _----eld 6<__. ( j2j" ( \ ft' ' " .__ ... PARTIAL APPROVAL $ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED a Inspector: 'i - Date 27 /a' ') Phone #: (503) 71$ -2` Y2 —Y