Permit ili f` _a CITY OF TIGARD BUILDING PERMIT
CITY PERMIT #: BUP2007 -00353
COMMUNITY DEVELOPMENT DATE ISSUED: 7/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136DD - 04100
SITE ADDRESS: 11850 SW 67TH AVE 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 007 JURISDICTION: TIG
PROJECT: AMERICAN FAMILY INSURANCE
Project Description: Fire Sprinkler TI - 1st and 2nd floors.
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: 369 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 39,452.00
Owner: Contractor:
PACIFIC NW PROPERTIES CASCADE FIRE PROTECTION
6600 SW 105TH SUITE 175 24023 NE SHEA LN. #110
BEAVERTON, OR 97005 WOOD VILLAGE, OR 97060
Contact #: PRI 503 - 665 -1802
Phone: 503 - 626 -3500 FAX 503 - 491 -8768
Reg #: LIC 89086
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/6/2007 $310.80
[TAX] 8% State Surcha 7/6/2007 $24.86
[FLS] FLS Pln Rv 7/6/2007 $124.32
Total $459.98
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 ma obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B . k / / t' ' / Permittee Signature: A /�
■ . _ 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.
,Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
Received
City of Tigard a
DateB : an Permit No , 1 ud 2 5
13125 SW Hall Blvd.. Tigard, OR',97223 - -I Plan Review ' 7t
Phone: 503.639.4171 Fax: 503.598.1960 j Other Permit:
,^ � Q� DateB : �e �'ie 4
Inspection Line: 503.639.4175 30 Ed e•� I
Date Ready /: : 4 D . � El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / ' Supplemental Information
E OP . -- – ` '' EQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction J "' ❑ Demolition Permit fees* are based on the value of the work performed.
'W Indicate the value (rounded to the nearest dollar) of all
0 Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ''g5 D 5 0 ( #'(( 1,.... New dwelling area: square feet
City /State /ZIP: Ti IA raj Ce g 7Z21 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:A pip deg x.) 4 "'- Covered porch area: square feet
Cross street/directions to job site: / Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Valuation: $ 3q 45Z
clKo �{y�dd - �IGO IWI. e�L.lSfiluy d -1 &A I
"F v+ S c i sC'f- AS icLIXJE -5 Existing building area: square feet
New building area: square feet
ROPERTY O ER ❑ TENANT Number of stories:
Name: � �t �t C � �� ? 1 5 Type of construction:
Address:
t } � t- / `j Occupancy groups:
City /State /ZIP: �JD %f-- 0 2 9 7005 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: 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. If the
City/State/ZIP: applicant is exempt from licensing. the following reasons
apply:
Phone: ( ) I Fax::( )
E -mail:
CONTRACTOR
Business name: a tisok j e r] eC t' afed s c - BUILDING PERMIT FEES*
Address: w vJ , NE .5tiei4 Lviue / v
Please refer to fee schedule
City /State/"ZIP: Ow c( y /I/f#f e 19e gxoI o Fees due upon application
`�
Phone: Sat 6115:440 Fax: 'VS ) 4/4/ . 741; g —
Amount received
CCB lic.: wbc4
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: = � ' Date: �� * Fee methodology set by Tri- County Building Industry
- Service Board.
i \Building \Permits \FPS- PermitApp.doc 12/03 440- 4613T(1I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00353
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2007
Phone: (503) 639 -4171 ' p ' ;�rl i ' i ik
Inspection Requests (24 Hrs.): (503) 639 -4175 A ^'I,�..
INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:OOAM PAGE: 36
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: Fire Sprinkler TI - 1st and 2nd floors.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626 -3500
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503-665.1802
Inspection bequest Scheduled For: Date: 8/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 054521 -01 503 -793 -7067 N
Corrections /Comments/ Instructions:
IIIII
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--
•
1p PASS II rARTIAL APPROVAL ❑ CANCEL (1 NO ACCESS
❑ FAIL M A L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: AIIII■ Date: g Z Z . U 7 Phone #: (503) 718- Zg.'77
CITY OF TIGARD BcZ°°? 0°3SrS
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2007
Phone: (503) 639 - 4171 , 1 t
Inspection Requests (24 Hrs.): (503) 639 -4175 _V it.
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:OOAM PAGE: 62
SITE ADDRESS: 11850 SW 67TH AVE "r 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 -3600
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503-491 -8755
Inspection Request Scheduled For: Date: 8/14/2007 • Pour Time:
Code # Inspection Description Confirm # Contact # Mes age
295 Misc. inspection 053923 -01 503- 572 -4603 OPP
Corrections /Comment /Instructions:
Ce, t2»; 1 IC Lo o i2 -- 17 1_ - K
n PASS Q _ .�� ' ' ' ' 111 CANCEL El NO ACCESS
❑ FAIL ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date: / Phone #: (503) 718 -
CITY OF TIGARD - FsupZoorj -vcD %s--
BUILDING DIVISION #: 4 110 . .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/12/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175 "510 ..
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 11850 SW 67TH AVE / \ 151) 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
Inspection Request Scheduled For: Date: 8/13/2007 Pour Time:
Code # Inspection Description Confirm.# Contact # Message
910 Sprinkler rough -in /test 053879 -01 503- 484 -5741 N
Corrections /Comments /Instructions:
PC -A-nts s P l e , e vl o/L/C, .
❑ PASS ` j � 'ARTIAL APP' • • I1 CANCEL ❑ NO ACCESS
❑FAIL /�ICALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ �NI■ Date: / J 61 1 Phone #: (503) 718 - Z‘g7
,
4.
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CITY OF TIGARD - �vp r7-- oom
•
BUILDING DIVISION - - • PERMIT #: ftgatici. 0==a-
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3//212007
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 '. p:_..
INSPECTION WORKSHEET FOR DATE: 8/912007 TIME: 7:OOAM PAGE: 41
SITE ADDRESS: 11850 SW 67TH AVER 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: 8/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 053684 -01 503 -484 -5741 N
Corrections /Comments/ Instructions:
S t c>/e... 2 4 —�i i dtf - - f/ l■
04 n C—y cv \ L' AL-Pee_cp■C C-- E_____L___S__
❑ PASS -, RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 1I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
# ZC
Inspector: o Date:
0A-7 Phone #: (503) 718- 5�
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: BUP2007 -00363
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2007
Phone: (503) 639 -4171 � ,
Inspection Requests (24 Hrs.): (503) 639 -4175 sus ':_..
INSPECTION WORKSHEET FOR DATE: 8/7/2007 TIME: 7:03AM PAGE: 46
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: Fire Sprinkler TI - 1st. and 2nd floors.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 62&3500
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503-665-1802
Inspection Request Scheduled For: Date: 8/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 053532 -01 503- 484 -5741 N
Corrections /Comments /Instructions:
/ All ir_...—.^.-c::5 ..., , , 1.,
m �C
•
n PASS 4;i; • ' RTIAL APPRO • ❑ CANCEL ❑ NO ACCESS
alo
Lf FAIL f CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
di
Inspector: Dater r Phone #: (503) 718 -
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: BUP2007 -00353
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2612007
Phone: (503) 639 -4171 • 11
Inspection Requests (24 Hrs.): (503) 639 -4175 s '�_. ^_..
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 62
SITE ADDRESS: 11850 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 007 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY INSURANCE
DESCRIPTION: Fire Sprinkler TI - 1st and 2nd floors.
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626 -3500
CONTRACTOR: CASCADE FIRE PROTECTION PHONE #: 503 - 665 -1802
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 053055 -01 503-793 -6353 N
Corrections /Comments/ Instructions:
r -ASV._ Alm - All WEPT Ag1e
Oi q IP o / (- 2 t om ' ( A--&i 4>< `�
C-- Vr!;1 4 f , /\/ ‘-Y
b - D , ■ `/r a s- ' ®CP6, 110
ov'i __f -1%\f K ( 67 / &--
F PASS IS 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/ ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
_� / 6 9
IP /
Inspector. _ Date: �6 Phone #: (503) 718- ��