Permit _y
,
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00060
� ; �y {, DEVELOPMENT SERVICES DATE ISSUED: 1/30/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB -00600
SITE ADDRESS: 16195 SW 72ND AVE BLD.D ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI
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 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 157 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 6,215.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: 503 - 624 -6300 Contact #: PRI 503- 684 -2928
FAX 503 - 684 -9657
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/23/2006 $110.50
[TAX] 8% State Surchari 1/23/2006 $8.84
[FLS] FLS Pln Rv 1/23/2006 $44.20
Total $163.54
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 -246 699 or 1- 800 - 332 - 2344.
Issued By 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.
�'ir rotecIo e stem 5 w
t
Bull Permit Application 4 1 FOR OFFICE USE ONLY
City of Tigard r. `' Received 4.
DateB : // ask � � Permit No.: 'I z 4/ ,' 000 //
13125 SW Hall Blvd., Tigar.f r: " - , ' � ' Plan Revi
/ /ai » ,,. ,;t{ ; ��� Other Permit:
Phone: 503.639.4171 Fax: ' l' : ' 8.1961 livol i � Date/ft : 4!,• / , -
Inspection Li 503.639.4175 d . 0 F _ Date ReadyB ' - Jam: Ea See Page 2 for
Internet: www.ci.tigard.or.us A'��` lC J Notified/Method: Supplemental Information •
,` ," 'i" • Q T { y : REQUIRED 1 ;AND'2
.
v S� r 1v , - . 4 _ y iti kfi :tit 1 , -. , • . y Y f. _ h2 . . r. ._ : , .. :. ,
""��
❑ N7 construction 0 Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
N work indicated on this application.
4 °'' 4 CA`, EGORYiO.. CONST_ R ION
- ::- , i y Valuation: $
❑ 1- and 2- family dwelling ommercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
" SJOB`,SITE INP R1VISATION AND LOCATiO Y k , y T-' Total number of floors:
Job site address: io AS SNAI 2 I\ D New dwelling area: square feet
City/State/ZIP: 11 ('L.R,D () Garage/carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: (7 ot'4 (>A Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
• REQUII2ED'DATA ,COMMERCIAL USE CHECKLIST
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
i • t. ,, h ? ' r , - 'DESCRIPTION ."OF. WORK'!-- , . work indicated on this application. —
al) �Pil � ye/ 4V
I _ 1�'T/� 1404.b.3 Valuation: $ c�,�Q 4.1`�
A `111 ` o f9 .,. n Existing building area: (j / di square feet
1� tt 11 �r �tP YD V 1T1{C�f 1 ' New building area: S'i square feet
j r...0 " ' `� HOPERTY.OWNER I•'' ❑t TENANT +1 Number of stories: 3r
Name: Type of construction: ? p ) /r
Address: Occupancy groups: t ),5>7 City/ State/ZIP: Existing: b
•
Phone: ( tom" Fax: ( ) New:
..J t ° s "' APPLICANT;: ::- 1, - ❑ ,CONTACT ?ERSON;" . Z ' ';. . _., , .
Business name: ( GoNwet urDp, All contractors and subcontractors are required to be
l licensed with the Oregon Construction Contractors Board
Contact name:
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:
Y
Phone: ( ) I Fax:: ( )
E -mail:
-!
.. „ . r . C ° , . , t
.t * . . . .
Business name: ii ,, ( � ** fi { w � � 4 �,�� ,, . ° Bi3ILDIN.G PERMIT ;BEES *,
Address: a .VV S lV Ai\ 1
Please refer to fee schedule.
City/ State/ZIP: l l U Z> 012_ Ai ZZ ..
; n��77 �, /� Fe es due upon application k1, c.�
Phone: (C. ) W2 . • 2A7 F ax: (c 3j) 2 .4.. ' 4 us 1
0401 �� Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
ollg— within 180 days after it has been accepted as complete.
Print name: E -1 Date: 01 • z 3. Do ; Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permiu\FPS- PemutApp.doc 12/03 440 46 13T(1I /02ICOM/WEB)
CITY CIF TIGARD
BUILDING DIVISION PERMIT #: a t) ` 6 ° 6 ' 6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171u "'1 '� �'�
Inspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: - TIME: PAGE:
SITE ADDRESS: `(O / 9 S 7 °` 4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3-/ 6 - U 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9 v 6 8 q .- ; % g'
Corrections /Comments /Instructions:
All'
11 ° ` � V ii f�� �►'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FO INSPECTION ❑ ADDITI ►,NAL FEES ASSESSED
Inspector: 1 Date: C/ Phone #: 2 A - Z-
p (503) 718 - �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13(11-'2006-00060 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1130/2006
Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 --
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AMVI PAGE: 76
SITE ADDRESS: 16195 SW 72ND AVE BLD.D CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OPTION CARE
DESCRIPTION: Fire sprinkler TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 6246301)
CONTRACTOR: WYATF FIE_ PROTECTION INC. PHONE #: 5o3 684 - 29:18
Inspection Request Scheduled For: Date: 4/2110006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 028339 - 01 503 - 604.2926 N
Corrections/Comments/Instructions:
} /1l
1 ,..-0/ 2- 1) -
021
I f <
C I
�i
PASS / ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAII: IN CA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
ptif _
Inspector: Date: Phone #: (503) 718 �24-27