Permit Alte CITYOF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00108
,4, DEVELOPMENT SERVICES DATE ISSUED: 3/26/02
. . � 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 14160 SW 72ND AVE 150 PARCEL: 2S112AA -00900
SUBDIVISION: . NELSON BUSINESS CENTER ZONING: I -H
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: 42 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: $ 1,400.00
Remarks: Add (7) sprinkler heads to new office space and restrooms.
Owner: Contractor:
RREEF PROPERTIES AFP SYSTEMS INC
720 SW WASHINGTON SUITE 710 19435 SW 129TH �����
PORTLAND, OR 97205 TUALATIN, OR 97062 EXPIRED
Phone: Phone: 503 - 692 -9284
Reg #: LIC 67534
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 3/26/02 $62.50 27200200000 Sprinkler Final
5PCT CTR 3/26/02 $5.00 27200200000
Total $67.50
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 - •ugh OAR 9 2- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 2.6 -.699 or 1 8 - 332 -2344.
Pe mi ittee
Signature
Issued By: ci jt4 :
CaII 639 -4175 by 7 p.m. for an inspection the next business day
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.. ... ...
Build Permit Application
A Date received: /7 e X Permit no.: �kI ) - Cr ,I6 6
."F; °� ��' City of Tigard
- Project/appl.no.: Expiredate:
Address: 13125 SW Hall Blvd, Tigard, OR 97223 -, •
City of Tigard Phone: (503) 639 -4171 By: Receipt )>
Date issued: I B Recei t no.:
Fax: (503) 598 -1960 f f 4 19 - ! :TA P > . - Case 61e no.: Payment type: C' •
Land use approval: 1 &2 family: Simple Complex: c:�
g
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement Fire sprinkler /alarm ❑ Other: i
JOB SITE INFORMATION
Job address: y , ` S , - "'° Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: . f S L L.
Description and location of work on p • ises/special conditions: An 7 Pi RJDEniT' Hess D it Fok
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
* ; . (Floodplain,septic capacity, solar, etc.)
Mailing address: 7.20 SMJ, .., t w ry ' '0 1 & 2 family dwelling:
i, - +/ 4 - IP: 5t7.20S Valuation of work $
Phone: 295 5S $ I 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.)
a Covered porch area (sq. ft.)
eta Deck area (sq. ft.)
Mailing address: c 14415 j1. wt - w
City: ' .1. . 1101111111111MIIMMEMMIIMM, MII Other structure area (sq. ft.)
Phone: roll. q3,..: if Fax: 61.2L-1186 1 �r ?II2; .t.cCommercia1Iindustrial/multi- family:
CONI'RACI OR Valuation of work $ ) tb0,C P
IMINJEMITIMMIMAIIIP Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Number of stories
A ZIP: R •6 ` Type of construction
Phone: 6 • , . • 2'( E -mail: Occupancy group(s): Existing:
CCB no.: 6 7 3 New: •
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
AR( ECU/DESIGNER licensed with the Oregon Construction Contractors Board under
r + provisions of ORS 701 and may be required to be licensed in the
Address: • 120 jurisdiction where work is being performed. If the applicant is
�
ZIP: q'�2'�� exempt from licensing, the following reason applies:
Contact . on: ' E a Plan no.:
Phone: 129.. • 51 Fax: E -mail:
ENGINEER
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 of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be compli with, ether specified herein or not. Credit card number: / Expires /
Authorized sir re: Date: a •I 8 -0 1 Name of cardholder as shown on coedit card
$
Print name: iro 8 NC Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained witIUil l Q' ays after it has been accepted as complete. 440-4613 (610WCOM)
-1 4 91
Fire Protection Permit Check List
A.) ❑ New Addition ❑ Alteration ❑ Repair
B.) Modific -ti. • to sprinkler heads only:
Describe work to 1. 1 -10 heads. No plan review required.
be done: . 11+ heads: Plan review required.
Number of sprinkler heads: r]
Additional description of work: (W4 ) pit hovoti o T,-
mwu u RQ.orvaws
Type of System (Complete A, B or C as applicable):
A.) Sprinkler Wet 121 Dry ❑
Standpipes
Additional Hazard Group
Information Density
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ /fOO.
B.) Type I - Hood Fire Suppression System
Hood Project Valuation 1 $
C.) Fire Alarm
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $
8% State Surcharge: $
•
FLS Plan Review 40% of Permit: $
TOTAL: $ /O 7, So
Plan review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
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