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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