Permit 'f - BUILDING PERMIT
- ILW I t■ CITY OE PERMIT #: BUP2006 -00599
• ° COMMUNITY DEVELOPMENT DATE ISSUED: 3/12/2007
TIG46 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136DD -04100
SITE ADDRESS: 11850 SW 67TH AVE ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS •
Project Description: Building 1. Fire sprinkler system. (bldg 48,667)
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 41,029.00
Owner: Contractor:
PACIFIC NW PROPERTIES CASCADE FIRE PROTECTION
ATTN: PAUL GRAM 24023 NE SHEA LN. #110
P.O. BOX 2206 WOOD VILLAGE, OR 97060
BEAVERTON, OR 97075
Contact #: PRI 503 - 491 -8755
Phone: 503 - 626 -3500 FAX 503 - 491 -8768
Reg #: LIC 89086
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/12/2007 $283.20
[BUILD] Permit Fee 3/12/2007 $127.60
[TAX] 8% State Surcharl 3/12/2007 $22.65
[TAX] 8% State Surcharq 3/12/2007 $10.21
(additional fees not listed here)
Total $607.98
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work
is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions
to OUNC by c- '• • 503.246.6699 or 1.800.332.2344.
Issued n / 1 / / /% 1 Permittee Sig ature: �. r t �/1 --
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Pec 28 200 5 M Cascade F - re tection C 503 541 -8768 p.2
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City of Tigard Received �)
D a . , o lie �I \ ®o , ,•,
13125 SW Hall Blvd., Tigard, OR 97223 D E C P9ao Review . d r � i ' ' '
iii•. Phone: 503.639.4171 Fax: 503.598.1960 C 2 2006 Date . 'zk OtherPermit� A1113.... \ ♦ , . J;
Inspection Line: 503.639.4175 Date Ready n . tom: 63 • age 2 r \
i I n t „,,-1.1 _ , r( h Suppl�mtal • ornatiau
�.�•.t r Internet: www.tigard- or.gov �� � g d'� C1l
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t/, New construction ❑ Demolition Permit fees' are based on the value of tie work pert red. \
Indicate the value (rounded to the nearest dollar) of all \ \
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, atAl the profit fort r \
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s f a� + ° ur �s s t j ' Ftw * 1 work indicated on this application.
ak a i ' t � � � i : Valuation S
❑ 1- and 2 -family dwelling [$' Commercial/industrial
❑ Accessory building ❑ Multi -family
Number of bedrooms:
❑ Master b}uiillder v. ! {.❑ Number of bathrooms:
� Other: ;i g� F 1 �a
tee K^^ 4 '1 i �' x , girt r i T t; 'rrl licli l Irl' I i ` * °.dM- 3 4 �1 `7 Z U5• 1113 ` tF, b' Total number of floors:
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Job site address: /(84-0 ,.S a) ‘, 7 4, X New dwelling area: square feet
City /State /ZIP: T14 . e. . 0 / e 1 22 3 Garagekarport area: square feet
Suite/bldg. /apt. no.: I Pr oject name: %19y,0.,3/ �Z. aR �k Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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Subdivision: I Lot no.: Pennit fees' are based on the value of the work performed.
Indicate the value (rounded to the neareast_d ar) of all
Tax map/parcel no.: equipment,. mai risk, labor, overhead, and e p ft for thi
d ,• -, r s nY tt t '< "5,.t n1: a `jai+'� �jtf -tW tr'il r4. � i,'i4 %'t a e41 ` gt�` V44Vr work indicated on this application! , \
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` Valuation: e/ 4 z 9
%_ ��1 1 / ? S�9P �,K..ek.e. c tf Existing building orrea square
u f %N New building area: square feet
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i / Type of construction:
Name: 1. / .�.i�GCir1 J
Address: 0 Occupancy groups: _
City/State/ZIP: Exifting:
Phone: ( ) Fax: ( ) New:
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Business name: All contractors andsubcontractors are required to be
Contact Dane: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. lithe
applicant it. exempt from licensing the following reasons
City/State/ZIP: apply:
Phone:( ) I Fax::( )
E -mail :
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Business name:" �C� f-i,'( ) 4 , dle„- "T/()� ( ��
Permit fee: y p -
Addre ss: y . 4 a � S�j> ' 9 Gi��u/t 70/0 Statu surcharge (8% of permit fee): U gip
City/State/ZIP: 10 Y f // 7 e epic '
q 70 FLS plan review (40% of permit fox)
Phone: ( ) L/ft G7 3 - Fax: (So3) 1/4J e7Ag (Due upon application.) / . 3y
CCB lic. gQ0 D f Total permit fees: 6, 9 5 /
Amount received:
Authorized signature: •
713 Is permit application expires if a permit is not obtalac
I DA DA Print name: 1 D ate: / ,,,�,/ within 180 days after it has been accepted as complete.
� ? � f �� .`t�'�� • Fee methodology set by Tri- County Building Industry
Service Board
L Bu ilding1Parmits\YPSd'amt1APP.dDe 03/23/06 4464613T(11 /02.COM/WEB) -
411
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CITY TIGARD
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BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 ,111111111
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Inspection Requests (24 Hrs.): (503) 639-4175 7 (---,.(-
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INSPECTION WORKSHEET FOR DATE: ilf07 TIME: 71. r A PAGE:
SITE ADDRESS: 11: '': • t ‘.'--' ! ....5 Plj i CLASS OF WORK:
SUBDIVISION: I iGikPip :-.:!.:;..-31.E C: LOT #: OE)? TYPE OF USE:
PROJECT NAME: 1' (..;,",;,(;) !--F;',NCLE (...](:)Wil,...
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DESCRIPTION
owNER i-Ai:.IFi ..: r‘M' r '': 1 ! r.7;:.;, PHONE #:
CONTRACTOR: -1 :: ,- '\=::i.::; - ' . .L;I: C'f:;:',: l'i PHONE #: - art , :P31-07F , f,
Inspection Request Scheduled For: Date: el "l}:f I Pour Time:
Code # Inspection Description Confirm # Contact # Message
c:i.o':',
Corrections/Comments/Instructions:
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FAIL ./ [ i j/aLL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: ' .---- --- —-J – Date: ' I i 6} i' '-'' l Phone #: (503) 718-
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CITY OF TIGARD
- - BUILDING DIVISION - PERMIT #: BUP2006 -00699
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1212007
Phone: (503) 639 -4171 ^ 41. Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:OOAM PAGE: 35
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 1. Fire sprinkler system. (bldg 48,667)
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626 -3500
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503 -491- 8755
Inspection Request Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 054522 -01 503-793-7067 N
Corrections /Comments /Instructions:
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•
jV PASS /4 PARTIAL APPROVAL fI CANCEL n NO ACCESS
I I FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ ■r � _ ■"�� Date: 0 ® Phone #: (503) 718 - 2-
ii
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200G- 0059
13125 SW Hall Blvd., Tigard, OR 97223 • • DATE ISSUED: 3/12/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/21/2007 - • TIME: 7:OOAM PAGE: 54
r' "
SITE ADDRESS: 11850 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 1. Fire sprinkler system. (bldg 48,667)
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -625 -3500
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503. 431 -8755
Inspection Request Scheduled For: Date: 8/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 054370 -01 503.572 -4603 N
Corrections /Comments/ Instructions:
•
❑ PASS! RTIAL APPRO ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' _ Date: / n 7 Phone #: (503) 718- Z497
® •
CITY OF TIGARD
BUILDING DIVISION . - • PERMIT #: - c
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 3/12/2007
Phone: (503) 639 -4171 garS
Inspection Requests (24 Hrs.): (503) 639 -4175 "' 1 � �� 0 c D ---7
INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 45
SITE ADDRESS: 11850 SW 67th Ave PARK STRUCT CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: " _ - .. • • o . -. • " " .. r •g .9,419)
OWNER: PACIFIC NW PROPERTIES. PHONE #: 503-626-3500
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503-491-8755
Inspection Request Scheduled For: Date: 7/18/2007 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test - 052231 -01 503.665 -1802 N
Corrections /Comments /Istructions:
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Inspector:. - Date: 7 0 b Phone #: (503) 718 - 2..--aq