Permit I _ . CITY OF T BUILDING PERMIT
PERMIT #: BUP2004 -00440
1 DEVELOPMENT SERVICES DATE ISSUED: 9/24/2004
.. _ .! 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13221 SW 68TH PKWY 460 PARCEL: 2S101 DA -00102
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: $ 3,050.00
Remarks: Fire alarm extension for new tenant.
Owner: Contractor:
ROBINSON, ROY GREENWAY ELECTRIC
2655 SEELY AVE. 15145 SW GULL DR.
SAN JOSE, CA 95134 BEAVERTON, OR 97007
Phone: 408 - 943 -1234
Phone: 408 - 943 -1234
Reg #: 50-579-8053421
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 9/14/2004 $81.70 Smoke detector insp
[TAX] 8% State Surchari 9/14/2004 $6.54 Final Inspection
[FLS] FLS Pln Rv 9/14/2004 $32.68
Total $120.92
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: �, ..t► /. . / 4
Permittee
yO Arir ' Sig nature: ; Ai(
/ Call 639 -4175 by 7 p.m. for an inspection the next business day
V
It ._
ire Protection Sy st C E I V E
wilding Permit Application roll orrlcv usl: ()Nix
City of Tigard SEA 1 4 200 A Received ' Per mit N o.: ! AV —a, . i
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 T OF f 1(iARD it ili ' Date/By: q - /W - Oil / /JS 6 Other Permit:
Inspection Line: 503.639.4175 ; , r i ppp @@fi�tt DIVISI r� ''__- Date Ready/By: 1u,; 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / ej„ Supplemental tnformatloa
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees' are based on the value of the work performed. o
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® m
Comercial/industrial
Valuation: $
❑ 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: 13221 SW 68 Pkwy New dwelling area: square feet
City/State/ZIP: Tigard Garage/carport area: square feet
Suite/bldg. /apt. no.: Suite 460 Project name: AuctionPay Covered porch area: square feet !s
Cross street/directions to job site: 68 Pkwy & 68 Street Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Triangle III 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.
Extend new tenant from existing fire alarm system Valuation: $$3,050.00
Existing building area: square feet
New building area: 12,200 square feet
I��i PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Roy Robinson Type of construction: 2FR
Address: 2655 Seely Ave. Occupancy groups:
City/ State/ZIP: San Jose, CA - Existing: B
Phone: (408)943 -1234 Fax: ( ) New: B
0 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: Greenway Electric Company BUILDING PERMIT FEES*
Address: 9460 SW Tigard St., Suite 104
Please refer to fee schedule.
City/State/ZIP: Tigard, Oregon 97223 -
Fees due upon application
Phone: (503) 620 -6020 I Fax: (503) 620 -6124
CCB lic.: 153421 / i ji ' Amount
53421 Amount received
' / � 1 ""�
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: Mark Sho I Date: 09/14/2004 • Fee methodology set by Tri -County Building Industry
Service Board.
i :\Building\Pcrmits \FPS- PennitApp.doc 12/03 440.4613T(II /02/COMIWEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 4'j
MST-
INSPEcTIQN,,DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested AM 471‘' PM BU • -
Location 1 3 �-- a ( ( (�� Suite O MEC
Contact Person Ph ( ) '7OS -6 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Othe •
PART FAIL
al =ING "
Post & Beam .-I MW ff Under Slab 1 : � . � � � �
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
O fg '" mpers
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please I for r • nspection RE: Unable to inspect — no access
Fire Supply Line r v.•
ADA
Approach/Sidewalk Date ` Inspector / Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site
PASS PART FAIL