Permit .)14,
A.1 CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00455
�� DEVELOPMENT SERVICES DATE ISSUED: 10/7/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 400
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT: 002 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: 2FR : 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: $ 2,010.00
Remarks: Add /relocate sprinkler heads.
Owner: Contractor:
TIGARD TRIANGLE I LLC MASTER FIRE CONTROL, INC
4650 SW MACADAM AVE STE 220 12125 SE HWY 212
PORTLAND, OR 97201 CLACKAMAS, OR 97015
Phone:
Phone: 503 - 656 -0782
Reg #: MET 00002891
FEES LIC REQ8 2
IRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 9/24/2004 $106.71 Sprinkler Final
Refund - [BUPPLN] Pln 9/24/2004 - $106.71
[BUILD] Permit Fee 9/24/2004 $72.10
[TAX] 8% State Surchari 9/24/2004 $5.77
(additional fees not listed here)
Total $106.71
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) 246 -6699 or 1- 800 - 332 -2344.
Issued By:
Permittee
Signature: _
Call 639 -4175 by 7 p.m. for an inspection the next business day
- Fire,Disotection Sy
Building Permit Application FOR OFFICE IISE (li\Lv
_ g BP Received -4 Building Da • : . V Permit No "A, Sig
`•� . igar� r� E C E I D to / B y : An,�mvll r'e ..
Pen
nit ,. v , D DlY: m it No.:
13125 SW Hall Blvd. • • Plan Review Oder
T? a ard, Oregon 97223 , Datasy: / d ' 7 - 19 q//FP Permit No.: •
F"s_))ue: 503 - 639 - 4171 Fax: 503 - 598 -1d l ' ' r 'i'` • Post-Review �f Land Use
1,r.tmet. www.ci.tigard.or.us Y 0 _ � �� Contact �� /oy ,L Case No. 1531 See Pa Z for
24 -hour Inspection Request 503- 63t -F5 N� /M�o- 1946-X ,% y it 1 Supplemental mtormatlon _
1 LD LNG DIVISION
[gce :zz i . - - 4 , fir•''- E 5 •, T7: .5.v.II w•_ :.5,1 :C - •-~I•41 ;g*` < firtiMfelfi • •:^ 2.y _ +..
El New construction r
''--__yyam� / l�P.sIIt)11>lOII 'Y •a +,% M1: .C.._: ; �, .iii. .�!�.�, �1• :1, �I :i n,,' !•� .��.
..... '�:yy;.��i we 1:.:11: ✓ wiA W�L'. ti' 34 :L n:iti:!,k4a?.nt.. . ,. -•...
'+.'�r
■. Addition/alteration/r- 4v ". n l ♦ 27,r�i i 5 i _ Note Permit fees* are based on the total value of the work performed. Indicate
H i& 2-Family dwellin 1 i ■ Commercial/Industrial the value (rounded to the nearest dollar) of all equipmcet, rrmteriale, labor,
overhead and profit for the work indicated on this application.
Accessory Building I0 Multi Family
• Master Builder • I: • ii, er: valuation.... $
_ ( „, 1,�ci,u �; �„ r � ; ; o f ,'i' rri71 f No. of bedrooms: No. of baths -
Job site address: ' et V:`jla II' Total number of floors— _- _--- .___---_-_- ....._
Suite #: Bld J t#: • New dwelling area (sq. R)___------- ._. ...... -- -
a�
Project Name: MI Lt TC T . 1 . Coverer ed area (sq. -. ft.)_..... ..... _......_. --
Cover R
• Cirss street/Directions to job site: Deck area (a . R)....... _ ___
Other shunt= area (sq. ft) .
441F, y :..; it _ f• . ' , t'1IC , ,irk r f° g . 4 P
37 , )4C' P r ' a: c L .
-' , ;1;'!".:.:: •,•i ill' :i: la,IF � I- �6 1 3 .: ' C; t�Ltl.1 � A ':�'� +'4�
(Subdivision: 1 ` 0'1 1 '4' Lot #: , "...i..., . -,. 44. : ,�
aL. I •
_.. ..�•� r.>f1 Y . I � �k 1 4...40....... .... ,r ^
f r Tax raa • /. arcel #: 7 _ • Note: Permit fees• are based an the total value of the work performed. Indicate
1. . ,.., ,,,Et_ •- , - ,-4 ij:: 011) c., Lam: l C 1 4 1, �i `I :a .;' , r the value (rounded to the newest dollar) of all equipment, materials, labor,
Ab n - ,01C'' ��� r�NW r e m : a / i s overhead and profit for the work indicated on this application. 'e9
1 Valuat ion............ . .. .....- ...-- ____-- -_--... -...- $ 20 I 0 .
Existing bur7ding arca (sq. fl-) -- - - - - --
- • New building area (sq. ft)...... _..._- _..._.._.
_ �}� N of stories.
q ; _�L.,'_5`, l•_ C `I i �f T7p�
'' � � " ,�, - ._. � ;�: � � i C � r . � �, •ss . • .. : �� ' . Of construction. -- - - Ov upanoy lmu(s): mss:
Address: _ New:
Phone: F1X:
NOTICE: All contractors and subcontractors are required to be
f . + : ;} C`;ur p` ; °; '1 . ; ( �? ' .!C :: 4 r ;u YTc;Fci licensed with the Oregon Construction Contractors Board under
`' • ' provisions of ORS 701 and be
n,asiness Name: �Y ratted to be ittxntted m the
jur where work is being performed. If the applicant is exempt
C i ntact Name: from licensing, the following reason applies:
L Address: •
it /State /Zip: .
I " :me: ) Fax:
Clair: • s 1 1 P '. I j u l i 1 �I F 1 y1. +-' L A-%: :
_ rte- • r ' I r 1 \ Y e• 4f I: L 2, :
i rt - . .•�. 4 1 { .• V iii l ; r .9 ', , • 44:, ry l
v y !'. :' fn N ' +`�Q 0 n . t' -•M le . `� tt� . :l. f P�AA' a 1.S_ "�"G :�..! f
Business Name: U'�l y �i h/ '
/ 7.1
Fees due upon application _... $ /D
Address: : ' Z
. 1,fitf y:alpliri7 ° till Amount received____ s
Phone: ,_ F ■ - - 0 . Z Date received: -
Authorized
Signatum 1,41r,---
/ �ii� - Notice. Ihi permit •ppllpttloP ptplres if a permit is not obtained vrithia
180 days alter it has been accepted as complete- •
'lux leo m)uNoff *Fee methodo
(Please print name) I•69 set by Tr:—County Building Industry Service Board.
i,tiDstb'PGrmit Fomn\BldgPermitApp•doe 01/03 '
I •
I '
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
d iedi
INSPECTION DIVISION Business Lane: (503) 639 -4171 MST
Received Date Requested 1 — Z4 AM g �" PM BUP
Location 1 3 a /� /� 1 ( g-- ems- Suite D 6) MEC
Contact Person C:F Ph ( ) PLM
Contractor // Ph ( _
) SWR
(f UILDIN Tenant/Owner OP, 1 LEkr T CH-. • ELC
F�ii I y
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes:-1t) DYL.424 —fir .-4-c _ SIT
Post & Beam e
Shear Anchors ./0)4 •412--! -
Ext Sheath/Shear 1
Int Sheath/Shear //C 1 C-1 54 Jv 6-e---4 ii-e-et its FvZ ' - c ife Framing
Insulation ik
Drywall Nailing ( emc,pil Firewall 1 " o _ ✓l^,� V� Q �(z 8 L3 S� fre1, �C' Fire Alarm P-i-e-eCceS
Susp'd Ceiling
Roof
Other:
� PART FAIL
' BING
Post & Beam
Under Slab
Rough -In
Water Service •
Sanitary Sewer
C fr P illiSilddtb S
Rain Drains •
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL V..°
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA V Approach/Sidewalk Date I. aJ Z d G D Inspector " C Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL