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Permit -- * CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00163 " ^Il DEVELOPMENT O Tigard, SERVI 639 -4171 S 03) DATE ISSUED: 4/23/2004 — 13125 SITE ADDRESS: 09000 SW DURHAM RD PARCEL: 2S114AA 00100 SUBDIVISION: ZONING: R -4.5 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: 5N : sf N: S: E: W: OCCUPANCY GRP: El 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: $ 21,607.00 Remarks: Science remodel, Phase 1, fire sprinkler TI. Owner: Contractor: SCHOOL DISTRICT 23J PATRIOT FIRE PROTECTION INC 13137 SW PACIFIC HWY 3 .9 .1 NE MINNEHAHA ST TIGARD, OR 97223 9g66 VANCOUVER, WAS -446& Phone: Phone: 360- 699 -4403 Reg #: MET 00002503 FEES LIC REQ IRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 4/12/2004 $254.50 Sprinkler Rough -In [TAX] 8% State Surcharl 4/12/2004 $20.36 Sprinkler Final [FLS] FLS Pln Rv 4/12/2004 $101.80 Total $376.66 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. I7 Issued By: f \ AJUl XL)-� Permittee ■ Signature: C c) " Y— Q_ f Call 639 -4175 by 7 p.m. for an inspection the next business day ?goo SO De /LW y • i ft Oft D j¢S � v� 4 -2i -off 054:3 f 3 "6-=. f S i J . '4,. n Z r }� M , 4 '� . _ . . o n 4 � j �� i is�^'" � OFFIC 1F � l.'4 � i ^ -�� + 'w .. - A Bu Permit Application nY t , : i t ti . . Y , , Date received: � � Permit nu.: � ~i � / •� l `' 3 . .. j ��i . City of Tigard � � � � � ' ' �.;,. Pro�ectappl. no.: Expire date: Address: 13125 SW Hall Blvd, i OR 9 7223 ;n of Tigard Phone: (503) 639 -4171 Date issued: 4 .. : . • Receipt no. Fax: 503) 598 -1960 APR 12 2004 ( Case tile no.: Payment type: us e approval: Ff3 CITY OF TIGARD 1 &2 Family: Simple Complex. BUILDING UlvlSiGiv _1 4; t PI. O '1'F J 1 & 2 family dwelling or accessory ❑ Commercial /industrial U Multi- family ❑ New construction Sir Demolition O Addition!alteration /replacement U Tenant improvement 4F Fire sprinkler /alarm ❑ Other: . r. .1 OB St LE INFOR: IATION .- Job address: c+pO StJ DC14-66P.rtvi jg_to - Bldg. no.: Suite no.: _--1 Lot: Block: ` ]Subdivision: Tax map /tax lot/account no.: (�P Project name: 'C \ ttGSC ?FwkOUe __ 1 Description anti location of work on premises /special conditions: t k(5 t.IF (-) (\A.Atti1 4 •-y E MS 1 . lJ n['K ► J1D Tr.1\te' - •,- (,. narLS I tit ` O%V \ER FOR SPECIAI- IN FORM ION,.IISE ISI Name" - Rb e- - ruq t ,i SS1 ( Floodplain , septic capacity.solar.etc.)• . • --: Mailing address. 6C+ (pp 541/41 SI4+0 6009 -T- I & 2 family dwelling: City" -r State: ZIP:q 2.2,3 Valuation of work S Phone:5(!;, 431 -4occi, Fax:5C3 E -mail: No. of bedrooms /baths _- Owner's representative: Total number of floors .. Phone: Fax: E -mail: New dwelling area (sq. ft.) _ f •APPL ICiNT • • • •• • - • Garage/carport area (sq. ft.) ... Name: Patriot Fire Protection, Inc. Covered porch area (sq. II — Mailing address: 4708 NE Minnehaha Street Deck area (sq. ft.) City: Vancouver State: WA ZIP: 98661 Other structure area (sq. ft) . Phone: C ommercial /industrial /multi - famil (36 699 4403Fax(360) 6•• � � : ,ail: r Valuation of work S 2 -t,0 - r e (e _ ,. 'CON r - I'OR . . .. Business name. Patriot Fire Protection, Inc. Existing bldg. area (sq. ft.) New bldg. area (sq. ft.) Address: 4708 NE Minnehaha Street 2 City: Vancouver StateWA ZIP: 98661 Number of stories Type of construction Phone: ( 360) 699-- 4404Fax(360)699 -44$ -mail• Occupancy group(s): Existitm CCB no.: 70822 New• C'ityimetro lie. no.: 2503 Notice: All contractors and subcontractors are required to he ' ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: 12)1/44\ 0 Ist�.\ Ll4, ' -" provisions of ORS 701 and may he required to he licensed in the Address: - 3n , S- zoo jurisdiction where work is being performed. If the applicant is �� ��� exempt from licensing, the following reason applies: City: T 1-.0441. State , ZIP Contact person: Plan no.: Phone:t %3.22 0;0 Fax: E -mail: ENGIN . . � ,.., OFFICE USE ONLY : , . Name: Win A ,Ike G Contact person: Fees due upon application S Address: 20'7 Sc m S- Date received: City: p -. State le, ZIP: o,v 4— Amount received S Phone:t •234 15 Fax: I E -mail: Please refer to fee schedule I hereby certify I have read and examined this application and the Not all pinsdicnons accept credo cards, please call puisdicnon for more Information, i attached checklist. All provisions of laws and ordinances governing this 0 Visa o MasterCard work will be complied with, whether specified herein or not. Credit card number / / Expires Authorized signature: V im , r' " � Date: 0 Name of cardholder as shown on credit card Print name: �(� ly A,� \ \t -I�-1� � Cardholder signature $ Amouni Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6 /00 /COM) X 311,' bC4' CITY OF TIGARD 24 -Hour BUP—DING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP ;2,06 - -6nl6 Received Date Requested ( 7r AM PM BUP Location J © 0 Suite MEC Contact Person Ph ( ) r-l`' 1 1 4'9- 5 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner tat ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation F ► � � t_ f' Drywall Nailing Fi rewal I q , . -' e prinkler ire .- Susp' d Ceiling � Tfrt_L/ S C( \ C- MOOS Roof j PART FAIL ING 40-11 • Post & Beam Under Slab . I —; v ; � r Rough -In ., " / 1 4 Water Service Sanitary Sewer ,y Rain Drains Catch Basin / Manhole jr� Storm Drain ; �� -�/ Shower Pan ^,A'EMPa��a� Other: .10 / 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL