Permit .
Ali CITY OF :1% IGARD' �� PERMIT #: BUP2000 -00444
DATE J l , DEVELOPMENT SERVICES BUILDING PERMIT
ISSUED: 11/2/00
„� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01403
SUBDIVISION: ZONING: C -G
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: M 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,325.00
Remarks: Tenant Fire Sprinkler SYstem NFPA 13 -
Owner: Contractor:
MEIER & FRANK BASIC FIRE PROTECTION INC
621 SW 5TH AVE 940 NE LOMBARD ST
PORTLAND, OR 97204 PORTLAND, OR 97211
Phone: 503 - 241 -5341 Phone: 285 -1855 •
Reg #: LIC 48641
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT DLH 10/27/00 $37.23 2000 -1096 Sprinkler Final
FIRE DLH 10/27/00 $59.56 2000 -1096
PRMT CTR 11/2/00 $111.67 27200000000
5PCT CTR 11/2/00 $11.91 27200000000
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 ar- set forth in *A 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules • - -ct qu: do , --o OUNC by calling (503) 246 -1987.
Permitee //
Signature. 411P /4 /.,..,
Issue. By: 1 i � �...� _ !i u _•�. v
Call 639 - 4+75 - by 7 p.m. for an inspection the next business day
-`° g o - ° 6 1 1
I ' Building Permit Application
l Date received: Permit no.:
07. {�•� : y'�" City of Tigard
°- -, Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: I &2 family: Simple Complex:
TYPE OF PERMIT
❑ I & 2 family dwelling or accessory ® Commercial /industrial ❑ Multi- family ❑ New construction ❑ Demolition
I■ Addition/alteration /replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 93005.Lo. \Ai S}1. S 4OA/LR QL0n Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: M( -lFfrL t (-y, Darn ( -?htr T 5 To(LL.
Description and location of work on premises/special conditions:
jDD 1Tita► - k. M.. 5 14. Room_ 0 Roo rL O BTth► N I D Pitc m. MFIALNI Y tit S
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: ME. E.I. P.R._ $ ' 1.1.44.. (Floodplain, septic capacity, solar, etc.)
Mailing address: ( Z I S. W . SIN nv e.. I & 2 family dwelling:
City: 100 0- CLA ra0 State: c ,t. ZIP: Ct7 204. Valuation of work $
Phone: 241- S341 LEEZERE E -mail: No. of bedrooms/baths
Owner's representative: D O N rip a L RLY Total number of floors 1
Phone: Fax: E -mail: New dwelling area (sq. ft.) -4-/A1
APPLICANT Garage /carport area (sq. ft.)
Name: lai-S lL F _ b 0 Covered porch area (sq. ft.)
Mailing address: ej N e Tf _ l,0 ItNF3/A0
Deck area (sq. ft.)
y POttr�t.J>, Other structure area (sq. ft.)
City: Sta te: C1i ZI P: 91 Zl ( Commercial/industrial /multi - family:
Phone:14 S - l'6 S� Fax: US-CA 13 E -mail:
CONTRACTOR Valuation of work $ eo t 3 Z S
Business name: 5 S I L Rot- P/t,,tSG�„ t..l Existing bldg. area (sq. ft.) 1z I N/l
New bldg. area (sq. ft.)
Address: 9. 4-0 NI . a... Loyv`,bth IV> 2.
City: ' 0 ItiTL/ M 6 State: ipt ZIP: ' '7 21 1 Number of stories
Type of construction 5 12.LCiC / S TL
Phone: 2I3S - i S S S Fax: 20 S. o•1 L3 E -mail: Occupancy group(s): Existing:
CCB no.: 4 2 L 41 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 $ qC 11
Date received: 10 -2:7 —vv
City: State: ZIP: Amount received V i'l.4° $ 901 A/ r14 A tLA
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 ❑ visa ❑ MasterCard
work will be complied w' , whether specified herein or not. Credit card number: / /
/ `',r/' '' Expires
Authorized signature: Date: A-7-00 Name of cardholder as shown on credit card
Print name: ID /Ct2OS t-to u a Cardholder signature $
_ L t. Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6/00 /COM)
Fire Protection Permit Check List
.A.)__❑ New ❑ Addition KJ Alteration Li 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.
uuc
Number of sprinkler heads: O -1r NA,►M hno S
Additional description of work:
Aoo w S 14.44•444. ttra A . acsc,l� tettrf4s r'
'' a' &Q Pat ne -or4 L3 C t'3 0 I letet5
Type of System (Complete A or'B as applicable): -
A.) Sprinkler Wet Iffi Dry ❑.
•
Standpipes
Additional Hazard Group (7 ro t C 231 )
Information Density .11
Design Area Soot
K. Factor
Project Valuation: $ 10,32.5
B.) Fire Alarm
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A & B): $ 101 32.5
Permit fee based on valuation (see chart): $ d q-8.
8% State Surcharge: $ 11.91
FLS Plan Review 40% of Permit: $ S °[, S 6
TOTAL: $ 2.20 , 3'7
is \dsts \forms \FPSchecklist.doc 10/04/00
CITE" Or..�TI(ARD BUILDING INSPECTION DIVISION
24 -Hou Inspection Line: 639 -4175 Business Line: 639 -4171 MST A
BUP -Go y9Y
Date Requested /1— / AM PM BLD
Location Olt, O U 5 W (4)4 s4 '2 Suite MEC
Contact Person Ph e21) /953 PLM
Contractor Ph ,57, -S /f- Z/ Z/ * SWR
UILDIN . Tenant/Owner 0 Ce4 74e //e/ w r ELC
ping Wall tf/A-0( ELR
Footing Access: •
Foundation �� D ��J FPS
/ �
Ftg Drain /t
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath /Shear /
Framing Q /�%+�1'� `L (
Insulation
Drywall Nailing
Firewall
ire Sprinkles..
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
• PASS. PART FAI
PLUMBING
Post & Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains_
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
PASS PART FAIL
SITE
Backfill /Grading •
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 1 liy/ Inspecto Ste' E
Final
PASS PART FAIL - . • DO NOT REMOVE this inspection record from the job site.
I
CITY OF TIGARD BUILDING INSPECTION DIVISION - - 4 •
24 -Hour Ins Line: 639 -4175 Business Line: 63 -4171 MST
BUP lr,vv -GU y (j Y
Date Requested 1/ -1) AM PM BLD -
Location 615 0v $ t,,wa i 4 j �1 ` Suite _ MEC - "
Contact Person PO / G 1/ 't • Ph 93 -S5 6 3 PLM
Contractor '7U'6 ph 3 3 -579 - Z /ZI . SWR .
ILDING Tenant/Owner ��4 �,�� Gv/ "/"7-)--e ELC
Ret aining Wall " / ,, q Ma.e. W -1l`1, ELR
Footing Access:
Foundation FPS
Ftg Drain SG '
Crawl Drain Inspection Notes: .
Slab SIT
Post & Beam
Ext Sheath /Shear -
Int Sheath /Shear _
_ Framing
Insulation
Drywall Nailing -
Fir rr J
ire S rinkler
Fire Alarm -
Susp'd Ceiling . .
Roof •
Misc: - "
do
PART FAIL •
• • B ING
Post & Beam •
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL .
Post & Beam - •
Rough In -
Gas Line .
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service -
1 Rough In .
UG /Slab
Low Voltage
Fire Alarm " .
Final
' _ PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: . [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Dat p S Inspector ! 4 / /Or" Ext
n, Final
1 PASS PART FAIL • • DO NOT REMOVE this inspection record from the job site.. - - .