Permit BUILDING PERMIT
CITY OF TIGARD PERMIT #: %%00267
har 1 H BI 0 R 9 2 CES -639 -4171 DATE ISSUED: 6/30/26
PARCEL: 2S 101 AD -01700
SITE ADDRESS: 12600 SW 68TH AVE ZONING:
SUBDIVISION: PORTLAND HEIGHTS LOT: JURISDICTION: TIG
Project Description: Add (1) recessed pendent sprinkler.
REISSUE: 015 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: � 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:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 375.00
Owner: Contractor:
EQUITY GROUP FUND 1, LLC WESTERN STATES FIRE PROTECTION
BY KURT DALBEY 13896 FIRST STE B
7125 SW HAMPTON OREGON CITY; OR 97045
PORTLAND, OR 97223
Phone: Contact #: PRI 503
FAX 503 657 - 5182
Reg #: LIC 104570
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/30/2006 $62.50
[TAX] 8% State Surcha 6/30/2006 $5.00
Total $67.50
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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 = 246-6699 or 1 =800 -332 -2344.
Issued By: __ _� l L i( i7✓(, l Permittee Signature: s 0 j ( -, t . ,
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.
CITY OF TIG BUILDING PERMIT ARD
PERMIT #: BUP2006 -00267
4� DEVELOPMENT SERVICES DATE ISSUED: 6/30/2006
c :...,r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AD - 01700
SITE ADDRESS: 12600 SW 68TH AVE ZONING:
SUBDIVISION: PORTLAND HEIGHTS LOT: . JURISDICTION: TIG
Project Description: Add (1) recessed pendent sprinkler.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 375.00
Owner: Contractor:
EQUITY GROUP FUND 1, LLC WESTERN STATES FIRE PROTECTION
BY KURT DALBEY 13896 FIR ST STE B
7125 SW HAMPTON OREGON CITY, OR 97045
PORTLAND, OR 97223
Phone: Contact #: pRI 503 657 - 5155
FAX 503 - 657 -5182
Reg #: LIC 104570
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/30/2006 $62.50
[TAX] 8% State Surcha 6/30/2006 $5.00
Total $67.50
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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800- 332 -2344.
l r Permittee Signature: _ , (7%., c , 0
Issued By: ,2 , ,s N ro! /,1
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.
064'29/2006 11 :17 5036575182 WSFP PAGE 02/04
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City of Tigard P ern„ t ,NO :;
13125 SW HnIlBlvd., Tigard, OR, 97223 Dnh/8 ' L1.✓ 1
Plan Review
Phone: 503.639.417i Fax 503,598.1960n` J 2.06 / varrli; ii +
U,V � "K�IIt Il +' DateB Other Permit:
Inspection Uric: 503.639.4175 o u ,c-.-9,-..W 1 Date_Rendv /By, Eigni 85 See Page 2 for
rnternet: www.ci.tigard.or,us i.0 tt Notified /Method; Supplemental Information
( , re irtQTni`
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e � �'(f.l � s�\' ,(f). hS/ .0 r }�� ,,r � 7<"vpp r y a .� .2 p0 .".".,"5
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❑ Now construction ,,, , ,;� �. ,�,��„ .�- ,';;�rr;,
,, d Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
e Addition/alteration/replace ❑ Qthcr equipment, materials, labor, overhead, ad, and the profit for the
,• 1Ri �l. 11"7,' rj ti a� 4Ml\ �h fa 91 C C 1 ,% ;f .if il r ", Y a j 3C C y . , n t ! s 0 � ,,,,,,y,.;:-:;,,.p,•4,;; r work indicated on this a licatioi.
i' ; �7a 4 n!.4,lNI: n a:,,i <., n /„ .!r , 1 ,l ,, -'1=4 ef2 4 ...t. r, )rf 3'. !' ;,., ,,.,,- i g•1i_u, .,:. .. ._
❑ 1- and 2- family dwelling Valuation: S
R `Commercial /industrial
0 Accessory building 0 Multi - family Number of bedrooms:
❑ Master builder ❑ O ther" ,Number of bathrooms;
CW'''N' r � a , M rf'I C ' I llrli7 F - S il � f`f f ayn�t �� fa7; `�'6! r4i',: 4 1� :;i•
1 �r,0 4 : x ' � . 0q' 1 - 4 .,R..c.1,� . ,�!;
�l 1Ra,. +stir I ; „s,x�. � >:. �� �vo >.,,,,, - +�• -*�+� 4fsi, 4 yy r c ; \ , qqLL ; �} Total number of floors:
etc ..,,gym F,.a 1;c .�. . 3.w...aC .,, , .CA � hYr ��t1�x 711 �,r . „rMO 1+1s et
Job site address: 1200 SW 6+ AVENUE New dwelling area: square feet
City /State /ZIP: TiGARD, OREGON Garagc'carport area: square feet
Suite/bldg. /apt. no.: BLDG. B Project name'•OFFICE PRODUCTS NW Covered porch area: square feet
Cross street/dircctions to job site:
Dock area: square feet
Other structure area: square feet
17 1177 M , 4 a g ....,r•� .� I r•a'T' S,1r'''
.x.,1 ;Z9n of ;RiJ r// ,,„,t i1 171E Pr's u l
I ,77 ,,. •.., '' ,_ ' 1 .x.1 S ..a.,: ae .3
Subdivision: - FLot no.: Permit fees* are based on the value of the work performed.
Taz.map /parcel no.: indicate : the ' value (rounded to thc nearest dollar) of all
ax o� , M, m� ; , , equipment; materials, labor, overhead, and the rofit for the
r,, +vstd,l r�zagi.� `�Sr „� � ,707- :"445 -' -w "?�t )I. ! ��` 1. . ( .. . e, �, - ,,, ,, ,r'w ^ r✓ > ! r r application.
p
. 0 �J).. % ) . , • r k x i 1 a work i on thi a li
ADD ONE (1) RECESSED PENDENT SPRINKLER Vablation: $$375.00
Existing building area: square feet
New building area: square feet
•qq '
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i 1 v � ` ;.?,, ,..'77.7:' t i r, r a�7 71 ,
e,lht �rew.:r�.fl � 7,-,,, -4,#4 a 1t e .:,; , s4 :. i x ; k' . , r % . ..'.>'. ?, a , ,. +, �'sr ' ;; i ,T, k, tS Number of stories:
Name: _ Type of construction:
Address:
Occupancy groups:
City /State /ZIP:
Existing:
Phone: ( ) Pax )
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PrSC,.,I .A ;.�;”' r, f1 -' . ., ys � r m i+ �; h I ( F7 I tin I , t� u ' r � S � b
tt4 ':4 r.. a 4 ?%'w,t:In. :F 1 :t'l( IN ,. ", ryti ,,- -Y,r "C , {pa,`ri' P 1`P „ i� i ej n l f y a 31J . A0 �7 eL ii
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Business name: WESTF.RN'STATES'FTRE PROTECTION CO. All contractors and subcontractors are required to be
Contact name: DARRELL FLIT licensed with the Oregon Construction Contractors Board
under ORS 701 and'.may be required to be licensed in the
Address: 13896 FIR STREET, SUITE B jurisdiction in which worlds being ' If the
City /State /ZIP: OREGON,CITY, OREGON 97045 applicant is exempt from licensing, the following reasons
•apply
Phone: (503) 657 -5155 Fax: : (503) 657 -5182
E -mail: darrell.fluit@vvsfp.us • -
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Business name: WESTERN STATES FIRE .PROTECTION 'CO. _ k i � } , y Ewa a } + tw„ ` ��`Y4 , � m l °' ”- " , --,� T” :1 , • ; ,
'' ' ' M , `: ;( ( 4f- � , 'I a 'I au,.., ;. ...r / ?s .-��
Address: 13896 FIR STREET, SUITE B )' F
City/State/ZIP: OREGON CITY, OREGON 97045 • Please refer to fee scheduh
Fees due upon application
Phone: (503) 657-5155 Fax; (503) 657 -5182
-
CCB lie_: 104570 Amount received
Date received:
Authorized signature: ; This, permit application expires ra permit is not obtained
within 180 days after it has been accepted as complete.
I Print name DARRL FLUTT Date: June 29, 2006 * Fce methodology set by Tri- County Building Industry
Service Board.
i :\ Building \Pengita\PpS.PmnitAt,pti,c 12/03 444-0613T(11 /02/COM /W5ti)
Inspections Required for: BUP20O6 -00267
■ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation • 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown _
640 Exhaust hood
695 Misc. inspection: F
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
X 910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
• 920 Suppression trip test 315 Post/beam plumbing
" 995 Misc. inspection: 320 Plumbin rough -in
998 Alarm final 322 Shower pan
X 999 Sprinkler final 330 Water service
. 335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection i
I: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005