Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00106
r I I DEVELOPMENT SERVICES DATE ISSUED: 3/30/2005
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115AA -OTOOA
SITE ADDRESS: 16005 SW 108TH AVE BLDG A ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Building A, fire alarm.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf _ ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf _ AREA SEP. RATED:
STOR: 3 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: $ 4,000.00
Owner: Contractor:
OT2 LLC FIRE & SECURITY GROUP LLC
5437 ROSALIA WAY SUITE 100 2538 NE EVERETT ST
LAKE OSWEGO, OR 97035 CAMAS, WA 98607
Phone: 503 - 620 -4373
Phone: 360- 833 -9938
FEES Reg #: LIC 153226
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/30/2005 $81.70
[TAX] 8% State Surchari 3/30/2005 $6.54
[FLS] FLS Pin Rv 3/30/2005 $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: �; f���i ' Permittee Signature: L ���
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.
01-
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Fire--Protection System R c' C E V E
Building Permit Application - - . - FOR OFFICE USE ONLY .
!City of Tigar�AR ' ;:f- .. ?GO, FERIFAMMIll Pemvt No -: -
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review -� �� /b
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGP' -1.l;:�., Dt&By- I •
3 1, / 1).. 5 Other Permit: f 4 -(./( f
Inspection Line: 503.639.4175 BO I LD I IV Crt ` 31V. .�+� S ' rt 11. Date Ready/By: _ � p Jam= Et se ge 2 for
Internet: www.ci.tigard.or.us Notified/Method: 3 2 3 2
d0 -. 2._..-- Supplemental Information
_ 5 ° 1 C,t W \ c l<.-
%zs e
:_ R1iR =' Print Stevenson
P ' t name Richard C
El New construction 0 Demolition ""`-=
❑ Addition/alteration/replacement ❑ Other: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
:`may
�W
t�aa labor, ever and the
y ,
pp��,,yy����ff tetials, Y .o"`•" for the
work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial!mdustrial PP
❑ Accessory building ® Multi- family Valuation: S
❑ Master builder ❑ Other: Number of bedrooms:
Number fbath
t1FPY~ Nu
m of rooms:
Job site address: / 6 0 os S A..> / 0 T4 member Total mber of floors:
City / State/ZIP: Tom, Oregon 97224 /[1:.5 L- ,T X New dwelling area square feet
Suite/bldg./apt. no.: I Project name: Oak ee Apartments Garage/carport area square feet
Crass street/directions to job site SE 188 & Duram Rd. Covered port;h area: square feet
Deck area square feet
Other structure area: square feet
Subdivision: n:
Lot no.:
• ARKQ110 ' "'I` "r I1 TISLEi
Tax map /parcel no.: Permit fees* are based on the value of the work performed.
:; _
ht i value to the nearest dollar) of all
jl � :;
de�tetlle (rounded
..- .... -, , ....., .:..........,.......,.._.-..... .. . _ ..:....: .:.:.._..:._........... - ,,,..:....... -,... <.......... _...,...._.. - ...,..... ui materials, labor, overhead, and the profit for the
�l men P
k � P
Fire Alarm Install for 5 bidgs. 3-stories each, for sprinkler system monitoring and work indicated on this application.
notification.
Valuation: 4/ ?g7 ea
Existing building area: square feet
New building area: square feet
< %,::«.:..;...,,:.,•. ;: g1,.1- 11, . Nmnla;, of stories: 3
Name: Type of construction: V -1
Address:
Occupancy .groups:
City /State/ZIP: Existing:
. Phone: ( ) Fax: ( )
New V -I
Business name: Fire & Security Group LLC All contractors subcontra,ctorsare required. to be =
Contact name: Rick Stevenson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2538 NE Everett Street jurisdiction in which work is being performed. If the
City /State/ZIP: 98607 applicant is exemptfrom licensing, the following reasons
apply:
Phone: (360) 833 -9938 I Fax: : (360)833 -1727 f :) q 2/
E -mail: tfe1G 'e-sew group.com ft / OY/
';`3'r >'
Business name: Fire & Security Group LLC
:isl �ry�7��yy�,�K ill %1'
es W I,�J!AL'l3' -.�,. :'�:,
,:. ,,. ..,. „ ....- ... - - . .'.'lei -
Address: 2538 NE Everett-Street . . .... _... ,,, „.,, .......... . .., . ., ,.. , .
....- ,. - . - ,
Please refer to fee schedule -
City / State/ZIP: Camas, WA. 98607
Phone: (360) 833 -9938 I Fax; (360)833 -1727 Fees due upon application
CCB lic.: 153226
•
Amount received -
Date received:
Authorized signature:
This p application expires if a permit is not obtained
within I80 days after it has been accepted as complete.
CITY OF TIGARD
) BUILDING DIVISION
A PERMIT #:
BUP2005-00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
3/30/2005
&
Phone: (503) 639-4171 isokold I),
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/27/2005 7:05AM 91
SITE ADDRESS: CLASS OF WORK:
•16005 SW 108TH AVE BLDG A
SUBDIVISION: LOT #: TYPE OF USE:
OAK TREE NO. 2 APARTMENTS 00A
PROJECT NAME:
OAK TREE II APARTMENTS
DESCRIPTION:
Building A, fire alarm.
OWNER: PHONE #:
OT2 LLC, 503-620-4373
CONTRACTOR: PHONE #:
FIRE & SECURITY GROUP LLC 360-833-9938
Inspection Request Scheduled For: Date: 27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 016637-01 503-888-2082 N
Corrections /Comments/ Instructions:
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/ \ PASS I 1 PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS
fl FAIL CA L FOR INSPECTION I I ADDITIONAL FE S ASSESSED
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Inspector: Date: I /Phone #: (503) 718-