Permit (159) CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00022
k4 m41 r' DEVELOPMENT SERVICES DATE ISSUED: 2/1/02
" ,.� �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16200 SW PACIFIC HY Y PARCEL: 2S115B -00101
W
SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G
BLOCK: LOT: 001 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,500.00
Remarks: Add a sprinkler system to the new addition and pendant heads throughout the new drop ceiling area
Owner: Contractor:
BIT HOLDINGS LTD PARTNERSHIP WESTERN STATES FIRE PROTECTION
BY FORUM PROPERTIES INC 13896 FIR ST STE B
FIVE CENTERPOINTE DR STE 290 OREGON CITY, OR 97045
L h o OSWEGO, OR 97035 Phone: 503 - 657 -5155
Reg #: LIC 104570
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
5PCT CTR 1/29/02 $9.61 27200200000 Sprinkler Final
PRMT CTR 1/29/02 $120.10 27200200000
FIR2 CTR 1/29/02 $48.04 27200200000
Total $177.75
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rm ittee -
Signature: 1 ruspipli , (d &l i rn•
L a__,, ' , � Issued By: k l �� ��_
Call 639 -4175 by 7 p.m. for an inspection the next business day
10/3012001 13:04 FAX 5035981960 CITY OF TIGARD a 0a2
.. tI ..rei 6�
i
• . •
Building Permit.. li at -
Datereceived: / / - (.9- _ Permit no S p -0°4Z •
).; j� City of Tigard Pfoject/app1. no.: Expire date.
, . _ _ ' •
City oj7igord Address: 13125 SW Hall Blvd, Tigard, OR n97223 cce
Phone: (503) 639-4171 JAN .. Cl ?Qb Date issued: Byi 5 I Ri a na.:
Fax: (503) 598 -1960 Case file no.: _ Payment type:
CITY OF riG� 1&2 family: Simple Complex:
Land use approval: N .
O & 2 family dwelling or accessory O CommervtalTtndustrial ! ;.-family U New construction 0 Demolition
• Addition /alteration/replacement O Tenant improvement ire spriakledalatm U Other
■
JOB S11 L l \ l ORMM1ON • .
Job address: I / ,� ii fa/�� Bid . no. Suite no.: 'wail
Lot: B Subdivision: Tax map/tax lot/account no.: •
Projcetname: • / , i/' I /�0/WO far : GiO _ rilf . ,17 L i/ �
Description and loc tion of work on pre ..ses/speeial con • Lions: 1 i. I�4 '- ��" ir
i4wr,�!za : r ......ilf
ow LR .:[OR SPECIAL Ili OR) RTIO\ USE (Ilit.1:11St
Name:` (I Ioodpiain,septiscstpacif , a1.•,r,etc.)
Mailing address: 1 & 2 fatally dwelling:
City . State: ZIP: Valuation of wont
Phone: • Fax: E -mail: - No. of bedrooms/baths
Owner's representative: Total number of floors .
Phone: Fax: E-mail: New dwelling area (sq. ft.)
Al P t;tC:a 1V 1 Garagc/carport area (sq. ft.)
�� Covered porch arca (sq. R)
L�l aM'�" "" WA • . ''� . _
Mailin: address: Deck area (sq. ft.) '
_ ,
City; State: 1zP Other structure area (sq. ft.) ...
Phone: Fax: E CommercialAnduatrial/multl- family: $ — l 5.-D � �
1-coN`rR;lcroii Valuation of work
• Exisuog bldg. area (sq. ft) — -- 1 `
Business name: .1 .�: ' • �i.ri Sys brig act a (. ft.} __ •.
Address-: `� Number of stories
L
City; /r:' %�- - EM = r 1 . Type of construction =243 0 , r , ,,, /
Phone: / 0Z-eV ,�� • Occupancy group(s):
''` /�� °� L
CCB no -, �A-y�i _ New • .rir /P '- _, n 1..
City/metro lie. no.: Notice: All contractors and subcontractors are req ' _• to be
A R CIll I •L(:T /I) ES I GIN ER . • licensed with the Oregon Construction Contractors Board under .
• Nance: i ,. .,iL��_- provisions of ORS 701 and may be requited to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
VW:
from licensing. the following reason applies:
City:
Contact person: Plan no.: .
Phone: Fax: E-mail:
: ; , .
C i�GL� LLIt
Name: *PA. ontact person: Foes due upon application $
Address: / Date received:
..—
City: State: ZIP:. Amount.received S _ _
Phone: Fax: E-mail: Please refer to fee schedule.
1 hereby certify I have read and examined this application and the ' " Nct an im;.eieaeao =At VIA, t?kilje eat imididtea for more lafouvaaoa
attached checklist. All provisions Of laws and oniinanees governing this over odd
work will be comp!; wi whether s • - i6 • herein or oat. Cacti: "'a amber /
:late Expizes
Authorized si � - // ' " :. Nan d eadbOl&I at Corm oo « t card
Print name: _ • - U / M �. /Q ' Orar,aarl dYemie _ �
Notice: This permit application expires if a permit is not obtained within ISO days after i t has been accepted as wmpletc. 4404613 t +►
0 (44 A.<
10;30(2001 13:05 FAX 5035981960 CITY OF TIGARD 2003
Fire Protection Permit Check List
A. ❑ New _ Addition 'Alteration ❑ Repair
B.) Modificati•' to sprinkler -ads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
Additional description of work: �o
`
Type of . Syste Cam "• is e. i B,ar;:.. as, a • �'Ii M _ 1 I:
J Sprinkler Wet D ❑ '
Standpipes
Additional Hazard Group
Information _ Densy • 2.0
-- —
Design Area 95
K. Factor
Sprinkler Project Valuation:) $
Hood Fire Suppression System
Hood Project Valuation $
C.) Fire Alarm _
Submittal shall ' Battery Calculations j Yes
include: ! Individual Component Yes c
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal jA, 8 & CJ: $
Permit fee based on valuation�ee chart_, $ _
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
TOTAL: $ ` ✓-
; dgts \forms\FPSchecklist.doc 06/07/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 6394175
INSPECTION DIVISIPN Business Line: (503) 639 -4171 r MST
• BUP 0 °02 - OC30
Received Date Request d ' J 3-6 AM PM BUP
Location ,?.a v .r�� Suite MEC
Contact Person Ph ( ) 6 PLM
Contractor i � Ph ( ) SWR
B LD G Tenant/Owner 1LJ 0", / ELC
0o ing
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
Firewall
ire 1adak�P >
Fire Alarm
Susp'd Ceiling
Roof
Other:
PART FAIL
■• BING
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 before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date , , Inspector Ext
Other:
Final DO NOT EMOVE 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
' ` ° " BUP 2 o A,o zz,
Received „ 25e Requ - oZ AM PM BUP
Location /.( 2023 - - - Suite MEC
Contact Person /f-*roe. Ph ( ) PLM
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 ,�.r �- e
Insulation a G , �s
Drywall Nailing -
ire Sprinkler
it
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
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= • - = inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk
Date /54-- Z--- Inspector _ Ext
Other:
Final DO NOT REMOVE this ins e on record from the job site.
PASS PART FAIL