Permit A CITY OF'T BUILDING PERMIT
PERMIT #: BUP2000 -00441
r , DEVELOPMENT SERVICES DATE ISSUED: 11/2/00
� - :�� I 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 13535 SW 72ND AVE PARCEL: 2S101 DC -00300
SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P
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: 3N 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: $ 112,210.00
Remarks: Ord Haz 2 NFPA 13 Sprinkler System
Owner: Contractor:
PACIFIC NW PROPERTIES DELTA FIRE INC
9965 SW ALLEN BLVD P.O. BOX 4010
SUITE 115 TUALATIN, OR 97062
o T OR 97005
B 'h Phone: 620 -4020
Reg #: LIC 00064174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
FIRE CTR 10/26/00 $140.32 27200000000 Sprinkler Final
PLCK CTR 10/26/00 $41.67 27200000000
PRMT CTR 11/2/00 $795.00 27200000000
5PCT CTR 11/2/00 $63.60 27200000000
(additional' fees not listed here)
Total $1,208.37
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 -1987.
Pe nu itee
Signature: (�
`;
Issued y: - ' ' i. .
Call 639 -4175 by 7 p.m. for an inspection the next business day
BuildiniPe,� mit Applicatioi'i
Datereceived: /t�'c' %'( Permit no.: Ql + � °.Zo -6'`-6'`i � ° � ' , ' ' � y ' r C ity of Tigard
Project/appl. no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction CI Demolition
0 Addition/alteration/replacement ❑ Tenant improvement k Fire sprinkler /alarm 1:1 Other:
JOB SITE INFORMATION
Job address: 5 5 ' /Z." 4 Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions: /- , r7y! t 1
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: (Floodplain, septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Covered porch area (sq. ft.)
Mailing address: 12 ' i • e Deck area (sq. ft.)
Ellr• A a State:CEZ lEggiNEM Other structure area (sq. ft.)
Phone: /020 - 020 Fax: 4 - / , E- mail: Commercial /industrial /multi- family:
CONTRACT "OIi Valuation of work $
Existing bldg. area (sq. ft.)
EMEMEMEIMEMIll 11.2,
New bldg. area (sq. ft.)� ��` Z�t9
Address: / 5 , Z (/e
m�p� ZIP. f Number of stories
Em Type of construction
Phone: 6 , , , Am', 1- 0 . E-mail:
Occupancy group(s): Existing:
CCB no.: , New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCI IITEC1' /DESIGNER licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Address: urniumpziw jurisdiction where work is being performed. If the applicant is
exempt from licensing, the following reason applies:
EtErMl_ i,lI ZIP: '., _
Contact person: i a mew Plan no.:
Phone:5D3 (MO Fax: ( /OS, E -mail:
ENGINEER
Name: Contact person: Fees due upon application $ LIA
Address: I faMill Date received:
City: State: ZIP: 4 Amount received $ MI. l q
9
Phone: Fax: a , Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of . ws and ordinances governing this 0 Visa ❑ MasterCard
work will be complied ith, whe , - y - cifie I erein or not. Credit card number: Expires
s
Authorized signatu . v L. ill 1. i Date: /6/ OLJ Name of cardholder as shown on credit card
�/ $
Print name: 1 ,t_4( a 1/ ( S I )1e. V Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (waacoM)
Fire Protection Permit Check List
A.) ❑ New ❑ Addition ❑ Alteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
• Additional description of work:
Type of System (Complete A or B as applicable):
A.) Sprinkler Wet ❑ Dry ❑
• Standpipes
Additional Hazard Group
•
Information Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Fire Alarm
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A & B): $
Permit fee based on valuation (see chart): $
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
•
TOTAL: $
is \dsts \forms \FPSchecklist.doc 10/04/00
Building Permit Application
II A . Datereceived: /0/36/at Permitno.: QuP2dc�o�py
� - °�t . -,y; City of Tigard
-
^:_. Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 / •(,(/'2 ( 500 - 60a6 Case file no.: Payment type:
Land use approval: SQ 2 Za -A0044, 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition /alteration/replacement XTenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 1 'a5 S .�/ ?rd, Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: ra a yv . ap G ; ' it-420%-
Description and location of work on premises/special conditions: 'T6...l"1? J m R 24)41.=11 1 T po 4.—
It � II
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 'AGtF/L N W • Zoob2.7 / //IS (Floodplain,septiccapacity, solar, etc.)
Mailing address: ' , S 5t,y/ 13i.A,JC7 11 11 1 & ' family dwelling:
City: .. - - State:0('Z- ZIP: .0 ?OOra Valu. on of work $
one: , / - +� Fax: E -mail: No. o • " • rooms/b • -
Owner's representative: f/' (p — ' otal n ber of o0
• Phone:.S/'1✓►� F Fax: E -mail: • w d li : are (s • ..
APPLICANT G •gek. {• (sq
Name: M Iii$ J p •-&•...r .J ( - • J ta 1 c • Co ered • 1 .. ' • •• a q. ) .
Mailing address: Q:'C Stj4 Kt t21Z- pKw j 2. a - area
City: = OSNeloo State:0+2 ZIP: • 70 Othe struc • (si
P . 1 : - i. iimal Fax.. - -' -O. 1 3ICIIIMI=1111 Co i , i , rci : 1 d 1 , Iti-family:
CONTRACTOR Valua• •n of 4 $ 1, '75, Q00
Business name: C - d E i G Existing , ld� : q. ft)
Address: New bld: • • . ft.)
• C � � t Num. of • • ries
a. . Z= ZIP. Ty . o - • nstruction
Phone: Z _ < Fax: E-mail: • upancy group(s): , Existing:
CCB no.: New:
City/metro lic. no.: S 0 Notice: All contractors and subcontractors are required to be
ARCHITECT/DESIGNER licensed with the Oregon Construction Contractors Board under
Name: . /r''ri e ils , r t LA,--) 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: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
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 Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions . f laws and ordinances governing this O Visa ❑ MasterCard
work will be compli - • , whe r : !• ified herein or • not. Credit card number. / /
`y ) Expires
Authorized signatu ; / I ii - ir Date: 1 I l 6 Name of cardholder as shown on credit card
Print name: , Yl 1 c_,..4E..) Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6■0/COM)
awPPLAr 23 2 , 37
ELS /, 6 P/, 94
y, L i/ 3,P3
CITY OF TIGARD BUILDING INSPECTION DIVISION pd
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 2eit:i6 -00 (f V
Date Requested 6 fir/ AM PM BLD
Location /35 s .5 7 Z I'( Suite MEC
Contact Person P?p'W c 114.4 • Ph tvze 4o to PLM
Contractor Ph SWR
B ,ILDI Tenant/Owner ELC
Retaining 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Misc:t 9frrau.� �I t
i F?L%14i 4 & , ig.1,1sA et/2_
PAS PART FAIL
MBING ' /✓!e- E'�..,/L
Post & Beam $/
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FA IL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date r CVO f Inspector .6//1. ) Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
X34
CITY OF TIGARDrBUILDING INSPECTION DIVISION ►" MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP .2006 � U� GUG C
Date Requested '— / AM PM BLD
Location / 5 5 5 7 2- ,4.f Suite MEC
Contact Person S4d.P Ph 6 LU yo u PLM
Contractor Ph SWR
( Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam //
Ext Sheath /Shear f ` -cD
Int Sheath /Shear
Framing �
Insulation j :: `� (tb.4 Cf
Drywall Nailing
•
Fi�re_ rinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
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: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date l� Inspector / • • C
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION Bins T
24 -Hour Inspectitinn Life: 639 -4175 Business Line: 639 -4171
BUP aa,00 y((
Date Requested ca, 2 s AM PM BLD
Location /' ) 3) 5 7 Z„LI Alf Suite MEC
Contact Person ( k - 1 T-') X31 Ph to 2 e' '/o ZU PLM
Contractor SWR
Con t Ph
UI Tenant/Owner Z'O Co-& 4 J )& ELC
ing 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
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: CoJ
Fina i 1 P "~
PART FAIL
PLUMBING
Post & Beam
Under Slab D
Top Out 7.<00 rsA `�S Q L
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: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date aft Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.