Permit :r ,ail` BUILDING PERMIT
v'; i CITY OF TIGARD • P ERMIT #: BUP2008 -00089
', ' N , COMMUNITY DEVELOPMENT DATE ISSUED: 3/26/2008
J ARD! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-01201
SITE ADDRESS: 16280 SW UPPER BOONES FERRY RD BLDG E ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: EARTH ADVANTAGE
Project Description: TI. Installing (6) fire sprinnklers below ceiling area in front office.
REISSUE: � FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: }P 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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:A ,500. 0
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 7000 SW HAMPTON ST #105
PORTLAND, OR 97224 TIGARD, OR 97223
Contact #: PRI 503 - 620 - 6140
Phone: FAX 503 - 620 - 6141
Reg #: LIC 63846
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
IBUILD] Permit Fee 3/26/2008 $62.50
(TAX 112% State Surch 3/26/2008 $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 Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0 00. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued : ` j-,_ � Permittee Signature: _
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
Y ' • 1' . r
_ '' ? +R O
'FR OFFICE USE ONLY r -' , F ti !, , ° +,`!
�lre��'rOteCtiOn System
� , Received 'f i
": City Of Tigard F� Date/By: a g " P erm i t No.: � ai _' ,
a 13125 SW Hall Blvd., Tigard, OR 972 r ,v tl � Plan Review � V ( '/!
C s Phone: 503.639.4171 Fax: 503 5'8 UW c
Date/By: Other Permit:
'• inspection Line: 503.639.4175 k b �'y ' �+: ; -k Date Ready /By: Juris: See Page 2 for
,Ti c xRD -�C ,� ..
Internet: www.tigard-or.gov v \ ®� \ � i � Notifie d/Method: Supplemental Information
TYPE OF WO k \X REQUIRED DATA: 1- AND 2- FAMILY DWELLING
* f
Permit fees* are based the of performed.
on te value o the work
❑ New construction ❑ Demolition p
Indicate the value (rounded to the nearest dollar) of all
X Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION • work indicated on this application.
1:1 1- and 2- family dwelling Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
1:1 Master builder ❑ Other: Number of bathrooms:
• JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: `47g g Uj - L i/vet 75 f low A New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: .A1 4 / 9 J. /A- P ithy , oo Deck area: square feet
k /�j� ( A Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: 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.
I fi s 7? i to Age s //1 / v -leitf l3 �7 GCo'i / ®
Valuation: $ /9Q
e r / ,� / 4 // ,c,- �'r 6 e t T J, Existing building area: square feet
((--II New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: E -ki/N JD V liAl T oi_ Type of construction:
Address: / 66 Z g b Su) � _._ &A (- RV ,D Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ACONTACT,PERSON NOTICE
Business name: f /-7-0, co A All contractors and subcontractors are required to be
Contact name: 511C d/l(4113 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ¶7e) S2J - Id`g-,1ff2j7 /v a- , #705 jurisdiction in which work is being performed. If the
City /State /ZIP: 774 /hip / b/2 ",7773 applicant is exempt from licensing, the following reasons
/ apply:
Phone: ( S0) ) ?MI_ 82? Z_ Fax: : (Th3) 6 zo - 614-/
E -mail:
. CONTRACTOR BUILDING PERMIT FEES*
Business name: [ ,tv i) , eD (Please refer to fee schedule
? Z3DS'it.� Permit fee: 62C0 D 0X
Address: P , /�
State surcharge (12% of permit fee): 1st.
4-11,0 City /State /ZIP: � (� D2 9 7 Za I
/ FLS plan review (40% of permit fee):
Phone: (g0 Fax: ( ) (Due upon application.) ..---
CCB lic.: emg tp e,9• ; Y2 f !V Total permit fees: O c
Amount received: • V
Authorized signature:
This permit application expires if a permit is not obtained
Print name: 5n UC, p, PgdiSp/►J Date: ti2c /Qg within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\FPS- PermitApp.doc 03/23/06 440- 4613T( 1 1 /02 /COM/WEB)
e
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
El Addition Xit 1 -10 heads: No plan review required.
g Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group L /
Density
Design Area j tqf
K. Factor cc (p
Sprinkler Project Valuation: $ 1 —
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinlder (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
•
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
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: \Building \Permits \FPS- PemvWpp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008- 000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2€J2001
Phone: (503) 639- 4171�' $ , ��1
Inspection Requests (24 Hrs.): (503) 639 -4175 .. .
INSPECTION WORKSHEET FOR DATE: 4/2412008 TIME: 7:01ANI PAGE: 33
SITE ADDRESS: 16280 SW UPPER 600NES FERRY RI) BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EARTH ADVANTAGE
DESCRIPTION: TI. InE:t: lling (6) fire sprinnIders below ceiling area in front office.
OWNER: PACIFIC: REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HRESTOP CO PHONE #: r- A; G20 -6140
Inspection Request Scheduled For: Date: 4124/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
259 Final invect.ion 06836 -01 . 971.563 -0526 N
Corrections /Comments /Instructions:
I
'! i PASS • PARTIAL APPROVAL n CANCEL n NO ACCESS
abb-
AIL $ CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
/
_______±VI___
Inspector: Date: Z : Phone #: (503) 718-
1111116
c
CITY OF TIGARD
BUILDING DIVISION A..
PERMIT #: BUP2008 -000 i�{
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31261200f3
IF'
Phone: (503) 639 -4171
S ' � L
h .
Inspection Requests (24 Hrs.): (503) 639 -4175 _.
INSPECTION WORKSHEET FOR DATE: 3/7t3/2O08 TIME: 7:O1AM PAGE: 11
SITE ADDRESS: 1628() SW UPPER E3OONES FERRY RD E4a L CLASS OF WORK:
SUBDIVISION: PACTRUSr 13U`INESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: [AR1 H ADVANTAGE
DESCRIPTION: 1 (6) fine spririnkiers below ceiling area in front. office.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503.62O -6140
Inspection Request Scheduled For: Date: 3/284 �O08 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Spiirdkrfinal 067507-01 503.801 -8272 N
Corrections /Comments /Instructions:
•
' 4j- PA _._ M r'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL r CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: v.e Phone #: (503) 718 -2-C /r