Permit !q _ CITY OF T I D BUILDING PERMIT
' � ° COMMUNITY DEVELOPMENT DATE ISSUED: 1
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: GEO ENGINEERS
Project Description: Relocate (5) sprinkler heads & add (2) heads.
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: 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: $ 2,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Contact #: PRI 503 - 620 - 4020
Phone: FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/23/200E $62.50
[TAX] 12% State Surch 10/23/200E $7.50
Total $70.00
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 ' • • • • 'fication Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of tr -se rules or dir- • questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I ued By: / b k Permittee Signature: A a` /,,( li �`4(
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.
Building Permit Application
Fire Protection System Y • HOR OMFIC:E USE ONLY'
....
71 City of Tigard Received
g DateBy ( � OZ 3 D Permit No.: � 3 �7
q 13125 SW Hall Blvd., Tigard, OR 972 Plan Review "
= Date/By:
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
T I G A • • D Inspection Line: 503.639.4175 Date Ready/By: luri ® See Page l for
. _-; Internet: www.tigard- or.gov Notified/Method: Su pplemental Info rm ation
. TYPE OF WORK " . RE DATA; 1- AND:2- FAMILY DWELLING •
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
`� Indicate the value (rotnded to the nearest dollar) of all
Y" Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ACommercial /industrial Valuation: S
Accessory building Number of bedrooms:
❑ • g ❑ Multi - family
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE LNFORMATION AND LOCATION Total number of floors:
Job site address: 5 0 5t 5 (.) , 3 Q VO /� ep IL n '/ New dwelling area: square feet
City /State /ZIP:' c t 1 �Ari n v 9 7 � l l � Garage /carport area: square feet
S e no.: I LI () A name:'(( coy. ('er Covered porch area square feet
Cross street/directions to job site: U' • ()ten � ' Deck area: square feet
`" � Other structure area: square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST:,
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
• IIG.
,, I DESCRIPTION OF WORK work indicated on this application. /�
Bcrl� 5 6.►nV\l -Px 1�.ft ci-- AQLCt Valuation: S a,Q00.00
c. g30 -1_� I�l�r- f �X c s Existing building area square feet
0 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:
14 APPLICANT [� CONTACT PERSON NOTICE
Business name: j�j 1 1l [ , , C . All contractors and subcontractors are required to be
Contact name: l. I�P licensed with the Oregon Construction Contractors Board
r \r under ORS 701 and may be required to be licensed in the
Address: `LI 79 5 5w moot AY . jurisdiction in which work is being performed. If the
!�_ ` L , cAn I � p 91 � r - '1 applicant is exempt from licensing, the following reasons
R3 City /State /ZIP: �" R Q1 l J f'\ I (7��7
apply:
Phone: 5) C 0 9.0_T, ao cool
CONTRACTOR . ( 54S ) (99.0 "105
E -mail: he`►p� ts (•0,re. cool
CONTRACTOR BUILDINGPERNIT FEES* •
;� (Pledse refer to fee s
Business name: J e1.'.� ; f,�1 J ri G,
Address: Ir 5 nr. m e Permit fee: l
City /State /ZIP:9,r.�`r O 01 8.-a(� Statzsurcharge(12 ° %of permit fee):
� � /- A � FLS plan rev (40% ofpermit fee):
Phone: (5 (O . ( Fax: (6 05 lg, C n f l.) _10,58-- (Due upon application.)
CCB tic.: (9L-1 `7N Total permit fees:
- Amount recei Authorized signature: yt CQ
f
This permit application expires if a permit is not obtained
Print name: R t b far � Date: 10/9.3 /QZ within 180 days after it has been accepted as complete.
1�' * Fee methodolouv set by Tri- County Building Industry
Service Board.
1, ` BuildineTermitsTPS- PermitAppdoc 03/23 /06 4 4613TOI:02.COM VEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information b
Describe work to be done:
i 1.) ❑ New 2.) Modification to sprinkler heads only:
_Addition 1 10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
Repair
Number of sprinkler heads: 7
Additional description of work:
Type of System (Complete A, B, C or D as,applicable):
A.) Commercial Sprinkler
N Wet _ ❑ Dry
Additional Standpipes • NA •
Information: Hazard Group L k .
Density ,1 1 .
Design Area 1,500
K. Factor F , (12
Sprinkler Project Valuation: $ a 1 000.00
B.) Type I - Hood Fire Suppression System • .
Hood Project Valuation: $ N /t
•
C.) Fire Alarm •
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ N p
D.) Residential Sprinlder (Stand Alone System)
1 Square Footage: Permit Fee:
0 to 2,000 $187.0
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
1 7,201 and greater S381.50
Sprinkler Project Square Footage: N 1C sq. ft.
•
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ a�OOQ. ��
1 Permit fee based on project valuation (see fee schedule): $ ( F50
Permit fee based on square footage (see D above): I $ A/A
State Surcharge (12% of pertnit fee): 1 $ 7.
FLS Plan Review (40% of permit fee): 1 $
TOTAL: 1 $ 70_00
•
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 fire suppression
engineer, or NICET level "3" technicians.
I: \BLuidi g \Permits \FP:- PernitApp.doc 2
CITY OF TIGARD
•
BUILDING DIVISION
.
PERMIT #: BUP2008-00357
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/230008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Ag■A
INSPECTION WORKSHEET FOR DATE: 1/6/7009. TIME: 7:00AM PAGE:
SITE ADDRESS: 16056 SW SE01.101A PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
• PROJECT NAME: GEO ENGINEERS
DESCRIPTION]: Relocate (6) sprinkler heads & add (2) heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 50-620-4020
• Inspection Request Scheduled For: Date: 1/60009 • Pour Time:
Code # • Inspection Description Confirm # Contact # Message
999 Sprinkler final 079419-01 50:956•6290
Corrections/Comments/Instructions:
•
‘PAS: II PARTIAL APPROVAL El CANCEL. NO ACCESS
fl FAIL a CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: //41,0 Phone #: (503) 718-
•• '
, ('
CITY OF TIGAR® :-
• BUILDING DIVISION PERMIT #: BUP200B- 003.57
'13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/4/7008 TIME: 700AM PAGE: 27
SITE ADDRESS: 1 055 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: GEO ENGINEERS
DESCRIPTION: Relocate (6) sprinkler heads & add (2) heads.
OWNER:. PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620.4020
Inspection Request Scheduled For: Date: 11/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 077589 -01 603-620-4020 N
Corrections /Comments / Instructions:
- % °C=Z MOW • a
•
■;041M-. � � PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS
U FAIL d /% CALL FOR INSPECTION
(1 ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 - Z6