Permit % ,-"..- "CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP20 -00101
COMMUNITY DEVELOPMENT DATE ISSUED: 4/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1026A 02000
SITE ADDRESS: 12353 SW GRANT AVE ZONING: R-4.5
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT: 045 JURISDICTION: TIG
PROJECT: GRANT STREET ELITE CARE
Project Description: Installing (2) fire protection systems for (12) sprinkler heads.
REISSUE: r (6 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: AJD FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: SR1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 394 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: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,300.00
Owner: Contractor:
ELITE CARE SANDERSON SAFETY SUPPLY CO.
2300 SW 103RD 1101 SE 3RD AVE
PORTLAND, OR 97225 PORTLAND, OR 97214
Contact #: PRI 503- 238 -5700
Phone: 971- 506 -0151 FAX 503 - 238 - 6443
Reg #: LIC 64969
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/3/2008 $76.80
[TAX] 12% State Surcha 4/3/2008 $9.22
[FLS] FLS Pln Rv 4/3/2008 $30.72
Total $116.74
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 rule 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 5 .246.6699 or 1.800.332.2344.
•
Issue By: U r . 1 t ,� J . a Permittee Si • 4 _
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.
02/25/2005 10:25 FAX 5035981960 , OF TIGARD Z002/003 •
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Fire Protedion System
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Building Permit Applic . 4 4 n ,,,, - ,cer, 0 . . ,.., . ,. . , i. 0 R 0
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City of Tigard t‘ i ,,
,,...,- Received o
Permit No.: /TO 3—../
13125 SW Hall Blvd., Tii.;:. k)%111 n C;\ '
Phone: 503.639A17 - l. ,.., 5 , , .1960 toll. Plan Revi .orill111131113174 r:
,ep\\ Ocher Pemit
- ...P:ltipAii'i' D../By, arm fi.. wd, , 1 :
Inspection Line: 5 Vi.,.',
4 . 1 '&)\' go....= : Date Ready zy: Jun, see Pne Z for
I - nternet: www.ci.tiel d.:r.us e., 0 v NOtffleCVMeth0d: Supplemental Enformation
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1 ,1. ,, . • '. ... ' ,. 0 ,. ..: , 7,0* „: :::■.::!.;:... .:::.: : . .i::: : ;i74 ic .:.'; ') *01,440 °. * A. .F' 1 "7 , 17•4);.t.4■1 11 YP'.Y0- 1 -4Nc• ..I
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14 New construction , D Demolition Permit fees* are bas- • on the value of the work performed.
Indicate the value (ro •ded to the nearest dollar) of all
CI AdditiOn/alterationkepirement 0 Other: equipment, materials, la, .r, overhead, and he profit for the
l'H,■i...l:...!'ii1.:'.';;;• :0.1,!ii:LT:!:i!!'i!;li''.!:::!'c.e,•iri6.60',.:iiiii'.00,/§#400,Iy*,K"...::.:::01;!:•Li:::i:::jKl',;1•:.1:.1:.[,!'i.i!.: work indicated on this up* ication. •
•
Valuation: $ ' •
0 1- and 2-family dwelling Kcotimici-ciaifindustrial
0 Accessory building D Multi-family Number of bedrooms: •
0 Master builder D Other: Number of bathrooms:
;1 ;;;44.;4 0.0,r, i A.i! i:::::!•.!i,!' :;■:::: •:.;f:• Total number of floors:
Job site address: /22,LS I.2.! 6Y44,.. New dwelling area: squa feet
City/State/Zr?: p ?d , i 6 11 223 Garage/carport area: square le.
SuitefbldgJapt. no.: Project name: .V_I•i• t CA-IIZ / 1914... Covered porch area: square feet . •
Cross street/directions to job site: — : .,. ir) Ciat . -------„, Deck area: square feet
— .
. . A a 11. '118 - . -4 A Other structure area: square feet
rCre_ - i r**.iiji.*J; 0 .* * *0.4*. 6iiici.4 •
Subdivision: t ne.: 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
. :' ,• ' ; '!H , ,c'ILPI . ; i:lk i . '; : ',.1 1:. : . :' 1 ,1i ' ;..1: 1 :i;i1 . , .:;::... .1* ..i ' work indicated on this application.
1031kkt-lelf.,, AN3v L il, ( -?1 I c t. L (2 Ai S SI ‘CA't S Valuation: S 3 300 0
A-50 v-, CooK-ToP S . Existing building area; square feet
New building area: square feet
7 1, .; It .'4,04?*•.'4*•i':17.,..117T11.••:7.1y••.., :•,..-:: ..* Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
.,.
'.....-.'; ! . ',. ), j;!;:if , (.: .i l:! 7777 ....;.. :...:,;1! ..!:r.:•:: 1 ,:• . :;';::,.. 1 :• 1 1,” . . 1 ' . .1. •
Business name: g i- R. 4._.n1,61 r-c-LSolrez—e-4-4 All contractors and subcontractors are required to be
'--...... licensed with the Oregon Construction Contractors Board
Contact name: nick-lot-A-
'ruzler ORS 701 and may be required to be licensed in the
Address: 2-40 ( N2' A/1 _1.4 . junsdietionNin which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: (rtrr_i_e GvA-A/D _CILZ—_. apply;
Phone: (90 ) 24s1._ — 416 9{ Fax: : ( )
E-mail:
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Business name: a cl v - - ern , GA .., • ''-'. '•• ' "':'.' ' BULLDING •PERIVilT••YEES••• .. '• .' • • .
,.. !.:::::. ' r.' • • .: -. ., . ,, - ,i . - .-- ... • • -
Address: U 0 i S c• 5 rA Please refer to fee schedule.
--
City/State/ZIP: 6 r -t 1 ct ,A i O r 'T7. Fees due upon application
It ____[(•', -
pb..: ( s- 3 ) 6 1 ,..3 i .2,
r
. Fax ( -5 0 3 ) 8'811 3 112-
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Amount received 1/0t 7
cca lic.: •
Date received:
....
Authorized signature:")// 0 ,\. CIAAIArvc/6,1„vs......., This permit application • . ir a if a ', Is not obtained
within 180 days after It has , een accepted as complete.
. Print name; itv 4 Cu p i IA c t Date: 1.:t /9 1 5 . Fee methodology set by Tri-County building Industry
Service Board.
011uilding■Perreits‘FPS-PemntApp.doe, 12/03 440 UCIVCOMPNEB)
. . .
CITY OF TIGARD
BUILDING DIVISION
A"
PERMIT #: 6W2008-00101
13125 SW Hall Blvd., Tigard, OR 97223 k - DATE ISSUED: 4/2212008
Phone: (503) 639-4171 iarillii ,/ -
Inspection Requests (24 Hrs.): (503) 639-4175 _--_,.. ' --.
INSPECTION WORKSHEET FOR DATE: 7/11/20013 TIME: 7:00AM PAGE: , 36
SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXIEND RE LOT #: 046 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Installing (2) fire protection systems for (12) sprinkler heads. 6/7/08: Phase I West, Phase II East
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: SANDERSON SAFETY SUPPLY CO. PHONE #: 503-238-5700
r
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time: tr
Code # Inspection Description Confirm # Contact # Message s0,5e
299 Final inspection 072468.01 971-219-6268 Y
Corrections/Comments/Instructions:
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7
, PASS El PARTIAL APPROVAL 0 CANCEL H NO ACCESS
I] FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: \ 4 , " (i Date: 1 77‘. \ AY Phone #: (503) 718-
' -
CITY OF TIGARD . k ..
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„...
BUILDING DIVISION es
PERMIT #: BUP2008•00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2008
Phone: (503) 639-4171 :400, l it \
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,, -11-
INSPECTION WORKSHEET FOR DATE: 517/2008 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Installing (2) fire protection systems for (12) sprinkler heads.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: SANDERSON SAFETY SUPPLY CO. PHONE #: 503-238-5700
Inspection Request Scheduled For: Date: 5/7/2008 ....er Pour Time:
. 6 0
I
Code # Inspection Description Confirm # Contact # Mes ' .
920 Suppression trip test 069517-01 503-705.6029 Y :00
.......,---..
Correctio / uctions:
S v1/4 c.-4- 47A
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------...
-------
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CAe c - C - { 7 /
, NoU . .A - 6 1 t-V\ i
0 PASS PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
C ALL El FAIL CALL FOR INSPECTION , El ADDITIONAL FEES ASSESSED
Inspector: VZ: C1 Date: C/ - )7 b r Phone #: (503) 718-