Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00277
° COMMUNITY DEVELOPMENT DATE ISSUED: 8/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD
SITE ADDRESS: 11850 SW 67TH AVE 110 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 013 JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: Altering (3) sprinkler 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: UNK : 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: ad �b0 dC�
Owner: Contractor:
PACIFIC NORTHWEST PROPERTIES AFP SYSTEMS INC
6600 SW 67TH AVE 19435 SW 129TH
BEAVERTON, OR 97005 TUALATIN, OR 97062
Phone: Contact #: FAX 503 -692 -1186
PRI 503- 692 -9284
Reg #: LIC 67534
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/19/2008 $62.50
[TAX] 12% State Surch 8/19/2008 $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 -0100. You may obtain a copy
of these rules or dire•+ • uestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ! ✓ ��= Permittee Signature: 5,20 yW4.7 '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.
AUG -18 -2008 MON 02:37 PM AUTOMATIC FIRE OT T FAX NO, 5036921186 P. 02 _ _
„u rerniif A ficatioh cc
Fire Protection System et
City of Tigard vG 1% t FOR i�hrlc:> tl � c,�l,�'_
° 13125 SW Hall Hlvd„ Tigard, OR 97223 Q lam w R °OCivod -
Phone: 503 . 6 39.4171 Fax; 50 3,598,196p, �` �1 IO *a Date/Ov: , , ` /
I (jA ll p Inspdttinn Line; 503.639.4175 t\++ Date d/M os , , OG� ' ��
Internet: www, , �IG a e eth Other Permit: l'gurdwr,gov Bu
Natilied /Mnthixl: @! See Page Z for ''
0 • Supplemental Information
- - -� TYPE OF WORK . • • 0 New construction
REQUIRED DATA: 1 -AND 2- FAMILY DWELLING •
❑ Demolition Permit fees* are based on the value of the erformed,
AdditioNalter;ttion /rrplucemrnt Indicate the value (rounded to the nearest dollar
ig
---� -- Q Other: e work ) of all CATEGORY OF CONS'1 ON equipment, materials, labor, overhead, and the profit for the
❑ 1 -and ?. work indicated on this application.
y dwelling
----- Colttmercial /indt,atrial Valuation: S
famil
❑ Accessory building
______ C3 Multi-family Number of bedrooms:
0 Muster builder
C] Other: Number of bathrooms:
JOIi SITE INFORy %TZON AND i(,OCATIUN...
Job site address: 11830 SW 67 Ave Total number of floors:
City /State/ZIP: Tigard, OR New dwelling arcs; square feel
— —
Suite/bldg./apt. no.; 110 Prajcel name: Tigard Triangle 110 Garage/carport area;
- - -•— ac square fret
Cross street/directions to job site: 67 In site ` � �� ' S Covered porch area
square feet
Deck urea:
square feet
Other structure area:
square feet
Subdivision: REQIJIytED DATA : :COM1V1)aR
Tux map /parcel no.: L [1SE IQ,IST
Permit foes' are based on the value of the work k performed.
• Indicate the value (rounded to the nearest dollar) of all
DESCRIPTION. OF WORK. equipment, materials, labor, overhead, and the profit for the • • Add 1 pendant bend - relocate 2 work indicated on this a • licalion. on:
—, — pendant heads
Valuatio
S$5U0.00
Existing building area: 35,00 square feet
New building urea: 1000 square feet
N.unc:
• ❑ PROPERTY TY OWNER • 0 TENANT • Number of stories: 2 •
Type of construction:
Address;
Occupancy groups:
City/State/ZIP:
Phone: ( )
❑ APPI.rCANT� ~�-
. •Q CONTACT 'PERSON -.:. .
Husiness name: AFP Systems, Inc
Contact Haar: Jim Boyne A!1 contractors and subcontractors are required to be
Address; 19435 SW 129 Ave licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
City /State/ZIP: Tualatin, OR 97062 jurisdiction in which work is being performed. I f the
Phone: (503) (,92 -9284 applicant is exempt from licensing, the following reasons
—.---- — Fax:: (,503) 692 -1156 a .ply:
IIIIIIIIIIIIIIIIIIIIIIMIIIII
I -mail:
CONTRACTOR • .
Business name: AFP Systems, Inc. BUfIUINt; PL1tM1'( F1�ES• •
Address: 19435 SW 129id Neese re 'ro pesch'edu/e IMMIll
_ Ave A
City /Slate/7,IP: 'Tualatin, OR 97062 Permit Yee;
State surcharge (12% of permit fee):
Phone! (503) 692.9284
FLS plan review (40% or permit fee): 7
— Fax: (503) 692-1186
CCB lie.: 67534 it fees; Due
_ n n� Jicauon.
Authorized signature: — Total perm j{' .��
Amount received:
Print Hume; Jim Boyne This permit application expires If permlt is nut obtained
within 180 days after it has been accepted as complete.
Date: analog
1' 3t hnwinsINTmae \PS- PermliAp d „ l/2 /C,� 'Fee methodology set by'fri- County Building Industry
Sr
140 I/owc.oiwwsto
Service Board.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP200B -00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/19 /2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/:;'. TIME: 7:00AM PAGE: 1
SITE ADDRESS: 11850 SW 6TTH AVE 110 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 013 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Altering (3) sprinkler heads.
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503692 - 9284
Inspection Request Scheduled For: Date: 9/8 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 075221 -01 503-312-3876 hl
Corrections /Comments /Instructions:
PA� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL J] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 g 08 Phone #: (503) 718-26 y G�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8119/2008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:OOAM PAGE: 27
SITE ADDRESS: 11850 SW 67TH AVE 110 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 013 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Altering (3) sprinlder heads.
OWNER: PACIFIC NORTHWEST PROPERTIES, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503. 692-9284
Inspection Request Scheduled For: Date: 8/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinlder rough -in /test 074698 -01 503-312-3876
clef <--
Corrections /Comments /Instructions:
4►'� -ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 _ Date: 07/0 Phone #: (503) 718 - Z6 ` 7
AUG -18 -2008 MON 02:37 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 04
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