Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00096
�� DEVELOPMENT SERVICES DATE ISSUED: 2/16/2006
. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 020 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
Project Description: 10 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: : 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,000.00
Owner: Contractor:
TIGARD TRIANGLE I LLC A PROFESSIONAL FIRE SYSTEMS
4650 SW MACADAM AVE STE 220 17273 S STEINER ROAD
PORTLAND, OR 97201 BEAVERCREEK, OR 97004
Phone: Contact #: PRI 503 - 632 -4353
FAX 503 - 632 -4835
FEES Reg #: LIC 41650
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/16/2006 $72.00
[TAX] 8% State Surcharl 2/16/2006 $5.87
Total $77.87
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 -24 99 or 1 -800- 332 -2344.
Issued B Permittee Signature
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 Protectio 1,i‘, - •.i illt \I Elj,
Building Perini 1 1 plkation 1.0R ( ; 1 .,1 ()NI.1
City of Tigard 6 2O Received
Date/B : RIP 0 & ; 4 Pernik ,,,,
No # „„
13125 SW Hall Blvd., Tigard, OR 972- Plan R eview
1 .,.,,
Phone: 503.639.4171 Fax: 503.819t5f Tikitkitii ,, . Date/By Other Permit
Inspection Line: 503.639.417CI I Y ,,i Date Ready/By:
i 61 See Page 2 for
Internet: www.ci.tigard.or.us DpJbi 0 Notified/Method Supplemental Information
B
. . . ,.. . .. . .. . . : . .. :
TYPE O1 WORK -,., . ,, •,,:, 5 -: :' ,:',,: :., : ., •-: - :, - REQUIRED:DATA: I AND.IFAMILYDWELUNG -.
.
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
a 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
0 1- and 2-family dwelling R
of bedrooms:
0 Accessory building 0 Multi-family Number
0 Master builder 0 Other: Number of batluooms:
. .
.
jolt-SITE INFORMATION AND LOCATION :' - .. . :,:- :' - - . Total number of floors:
. ,
Job site address: ‘ .1..z. k 5 LA) ( tb .--pA,..$ New dwelling area: square feet
City/State/ZIP: "Tt, Lei P.7...› ar-- Ti 1,2..27 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: ‘..4,— ,,1 v ....._ Covered porch area: square feet
Cross street/directions to job site: 1,30-1---f .- .-.613.st-r--e., % 9 % p.3 Deck area: square feet
.. f*c.---r....4•J• , W./.5‘ ---- Other structure area: square feet
-041*:Calv*g
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK , , , - .-, ,. :.,: :. --., : . ,:. work indicated on this application.
Valuation: $ 2 -)90 1 IS . 0 0
(t tr.; ) \---...11.- 5 t ,3 - &4, '
Co
Existing building area: square feet
...) E._.--0.. C.Ie_. 1 -1` - 7 - rb
1■.A. A.• ...,•#.■ -.>"‘-‘ t.A 1 -Ve- 1 -. 3 - 17 E . 6 J t t..- W 7-- New building area: square feet
0 ,:"PROPERTY O ..:,:',..:,: .. ,. ::•.1,f.::........[;)17 .:'"... Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
Business name: pi, - to pak.L 1. S1 . 4 > All contractors and subcontractors are required to be
- e. 1-- licensed with the Oregon Construction Contractors Board
Contact name: V."....1- VAA-1:)E.,:r-P... under ORS 701 and may be required to be licensed in the
Address: 11 'Li ' '-) . 57 e..3 V 3r..... --.42.r. jurisdiction in which work is being performed. If the
City/StateIZIP:
applicant is exempt from licensing, the following reasons
- "'F . _is,,j ex_c dr cil 00 4. apply:
Phone: (505 ) ( 7.- 4'2)4'5 Fax: : ( 0) — 4Q 6
E-mail:
COrrtRAcrOR
.. . .
Business name: A .. ot .u. A __, p - r....E........ 61.1.....„-r—ti.A. L , ;
. . . BUILD1NG PERMT FEES
Address: i 1 1.1 "> L o a e > TE.1 .36 r-- r--,b Please peer to fee schedule.
City/State/ZIP: "r...psi czz Oir 97004- Fees due upon application
Phone: (43 ) ( 4'2 •i Fax: (58"; ) G 4 Amount received
CCB lic.: I,4/07
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: ki6f0"1" 1.4,p;pq,•r_p Date: 1. - 15 - ..0 c • Fee methodology set by Tri-County Building Industry
c.,,;,...p".....1
CITY ,OF TIGARD B u P
BUILDING DIVISION PERMIT #:2�6` OOd
13125 SW Hal Blvd., Tigard, OR 97223 DATE ISSUED: l
Phone: (503) 639 -4171 nudy�tl r �
Inspection Requests (24 Hrs.): (503) 639 -4175 .���- 1_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 3 oZ i 6 0 fie (A) y--- e' 2- 6 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - g ` ° ( Pour Time:
Code # Inspection Description Confirm # Contact # Message
.1:,--1 't at p
0 n7ts� l to ' — (o 9 `f q
Corrections /Comments /Instructions:
/12
WV r /Mr
i WM
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ALL FO' INSPECTION ❑ ADDITIO AL EES ASSESSED
• P` r
Inspector: Date: 0 B ( V: , Phone #: (503) 718- 4
I
,- f
CITrOF TIGARD
BUILDING DIVISION PERMIT #: t�up2ooc; Gc�t;f
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: T1� /20 0`�
Phone: (503) 639 - 4171 ° /° ; 1 1 $414ilii i `
Inspection Requests (24 Hrs.): (503) 639 -4175 A ^_ —
INSPECTION WORKSHEET FOR DATE: 21 17/2006 TIME: 7:06Am PAGE: 73
TE ADDRESS: •I 1221 s w 613TH PKWY 020 CLASS OF WORK:
,, e �I SUBDIVISION: TRIANGLE:: CORPORATE PARK LOT #: UO2 TYPE OF USE:
y) PROJECT NAME: HEALTH NET OF OREGON
K�/ DESCRIPTION: 10 sprinkler heads.
I.`�
OWNER: TIGARD TRIANGLE i LL.G', PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503-G32-43f3
Inspection Request Scheduled For: Date: 2/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkjer final 027072 -01 503 -G32 -4313 N
Corrections /Comments /Instructions:
\ Atit
et a - ,\ ' � ►`
❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL awl
1 ALL FO' INSPECTION ❑ ADDITIO AL FEES ASSESSED
►
Inspector: Date: c vf0 Phone #: (503) 718- cO