Permit CITY OF T'GARD BUILDING PERMIT
PERMIT #: BUP2001 -00288
"�"I'I DEVELOPMENT SERVICES DATE ISSUED: 08/16/2001
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12909 SW 68TH PKWY 400 PARCEL: 2S101AD -03200
SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE
BLOCK: LOT: JURISDICTION: TIG
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: 5 -1 HR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 12,667.00
Remarks: Modification of 182 fire sprinkler heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MASTER FIRE CONTROL, INC
15350 SW SEQUOIA PKWY #300 -WMI 12125 SE HWY 212
PORTLAND, OR 97224 CLACKAMAS, OR 97015
Phone: 503 - 246 -5588 Phone: 503 - 656 -0782
Reg #: LIC 55377
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 08/09/2001 $168.10 27200100000 Sprinkler Final
5PCT CTR 08/09/2001 $13.45 27200100000
FIRE CTR 08/09/2001 $67.24 27200100000
Total $248.79
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rm ittee
Signature: -riot)
Issued By: ,,/4,,4_, z_6(.4 Z.
Call 639 -4175 by 7 p.m. for an inspection the next business day
e#1
� BuildingPermitApppp ®on
c
Ci ty of Tigard Datereceived: Q c► P�mitno.:�,,Paoe/- ce4.sS
:._I "• Project/appLno.: Expitedate:
Crryayrtgo„d Address: 13125 SW Hall Blvd. Ti IL9
Phone: (503) 639 -4171 Daze issued: g T�
y Receipt no.:
Fax: (503) 59 &1960 Case file � _ —.
COMMUNITY Ofilfi!(t>tiF1 Payment type:
Land use approval: 1612 family: Simple Complex
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory O Cymmercialrndustrial • Q Multi family 0 New construction O Demolition
0 Addition/ alteration /replacement efienant improvement 0 Fire sprinkler/alarm Cl Other:
JOII SITE INFORMATION
Job address: 12909 Su.-1 L$T• 11 '14.Ws Bldg. no.: • Suite no.:
Lot Block: Subdivision: Tax map/tax lot/account no.:
Project name: tv'. EN/ A L1.I A % o •J tea. t At. o
Description and location of work on premises/special conditions: •
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: Pa .• P 1(. Q z A VA QSS . (Floodptain. septic capacity, solar, etc.)
Mfg address: 1635 o S.,...1 SE. Copt A ' 300 1 & 2 family dwelltimg:
City. t ‘, . State: O2 ZIP: 4 91 VIA Valuation of work
Phone: .2 -300 L1F:IM IW E-mail: No. of bedrooms/baths $
Owner's . • native: Total number of floors
. Phone: MOM= mail: New dwelling area (sq. f .)
APPLICANT Garage/carport area (sq. ft.)
Name: N\ at2_2 . a.e. e,J T2oL,. rJG . Covered porch area (sq. ft.)
Mailing address: 1 '7..11.5 SE. 4•l• 'Z 12 Deck area (sq. ft.)* _
EMEMIESIMMENEll State:00- ZIP: S lot. S Other structure area ( .. ft) ....
Phone: 1055 4.09-2. Fax: L 10 p7$ . E-mail: Commerd21/mdustrial/multi- family: ' o0
CON rRACI OR Valuation of work.... $ \2, (
Business name: . ...,1 Q lib _ Ong bldg. area (sq- ft)
Address: . ew bldg. area (sq. ft)
City State: ZIP:
Number of stories
Phone: Fax: E-mail:
Type of construction
CCB no.: Occupancy mugs): Existing:
New:
City/metro lie. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNED licensed with the Oregon Construction Contractors Board under
Name: \ewlt••4 NA. - /2.onr�v91.1 provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State exempt from licensing, the following reason applies:
Contact person_ Plan no.:
Phone: Fax:
ENGINEER
Name: Contact person: Fees duc upon application $
Address: Date receive&
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the ' mg gii...iscretiemmteepc erase cards. ply, eau jurisdiction ter more leformatioa
attached checklist. All pro la : of laws and ordinances governing this D Visa 0 MsaImCa d
work will be complied i�fi : ther specified herein or not. ceeeh card emcee / . /
�" S,l- o, Expires Authorized signature Date; Noe at eardbotaa as atwao es eau ear
Print name: 1 earl -Ni A- . E. ts.l.1OP $
Caadhotder simian Amemt
■ Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 4513 (61001C014)
g0021 pa8ST1 do SaJ3 L6gL189£05 IVd ZO:OT TOOg/ ZO%80
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspctio'h Line: 639 -4175 Business Line: 639 -4171 MST
few BUP
Date Requested AM PM BLD
'l BLD
/ o� PA i - (J 5-5-&q9:=2- /
Location �o G / �- / Suite `7 v MEC
Contact Person Ph O PLM
Contractor Ph SWR
BUILDING Tenant/Owner /U c..() ELC
•
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firew
ire Sprinkl
ire Alarm
Susp'd Ceiling .
Roo
M
PART FAIL
MBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfilllGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk J /
Other Dat l D Ins [ y / 4 7 E xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hou: InspectioD Line: 639 -4175 Business Line: 639 - 4171 MST
BUP W LeY
Date Requested 7-) AM PM BLD
Location /240 9 54, li f Fc. S .t. /C 4 , Suite MEC
Contact Person (I j 'fLfw Ph 6'1 -c ff f 2- PLM
Contractor Ph SWR
UILDI Tenant/Owner ELC
aining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firew
ire Sprinkle Coves
Fire A arm
Susp'd Ceiling
Roof
Misc:
i RT '•' - PA FAIL
RING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service.
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: to insect - no access
Fire Supply Line 1 __ 1 M'e ADA
Approach /Sidewalk Date 0 Inspector �Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.