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Permit i A BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2006 -00404 �� DE VELOPMENT SERVICES DA ISSUED: 9/27/2006 � - - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S136DD-03400 SITE ADDRESS: 11740 SW 68TH PKWY ZONING: MUE SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG Project Description: Building 4, fire sprinklers 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: BASEMENT: sf AREA SEP. RATED: STOR: 2 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: $ 32,805.00 Owner: Contractor: PACIFIC NW PROPERTIES DELTA FIRE INC ATTN: PAUL GRAM 14795 SW 72ND AVE P.O. BOX 2206 PORTLAND, OR 97224 BEAVERTON, OR 97075 Phone: 503- 626 -3500 Contact #: PRI 503 - 620 -4020 FAX 503 - 620 -1058 FEES Reg #: LIC 64174 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/24/2006 $343.30 [TAX] 8% State Surchari 8/24/2006 $27.46 [FLS] FLS Pln Rv 8/24/2006 $137.32 Total $508.08 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 952-0 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these es or direct questions to OUNC by calli g 503 - 2 -66' ' o , . ;100- 332 -2344. �- Iss ed By: lc / I ( Q �Q P ermittee Sig ; _ i s g 7/ . --A 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. I , Fire Ifotection System `/7'/ atA- 6,6 -4`, / ,„ 1 Building Permit Application . . r-' FOR OFFICE USE ONLY III City of Tigard EC GI, r �, p � i Permit No • . Ir., 004 a 13125 SW Hall Blvd, Tigard, 97223 I t Plan Review mil Phone: 503.639.4171 Fax: 503.598.196 \4 201 fi DatrJB . z 46 fa Other Permit: Ti G n R D Inspection Line: .63 84175 p,U 2 Date Ready/By: n / I �, ® Page 2 for Internet: www.tigard ov Gt�1'1 �F T�GARp Notitied/Meth P 7 �l� F Supplemental Information TYPE (l3Uifild8�'R D%V'eIOm REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. - ❑ I- and 2- family dwelling ,m Comercial /industrial Valuation: Si ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: �� '�� • • i � t v�' Job site address: New dwelling area: square feet City /State/ZIP: "rie (A(d I (3 l\ Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: "'�; i�f a • • J �n*14 Covered porch area: square feet Cross street/directions to job site: '.� Deck area: square feet Other structure area: square feet . REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ( DESCRIPTION OF WORK work indicated on this application. �[ N ew fir x i n �11 V 1 S SJ/ r� Valuation: $ 3 1 Uo5 Existing building area: square feet New building area33 square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: uG Name: Type of construction: J 8 Address: Occupancy groups: City / State/ZIP: Existing: Phone: ( ) Fax: ( ) New: ric APPLICANT ❑ CONTACT PERSON NOTICE Business name: 'j� fife mew_ All contractors and subcontractors are required to be Contact name: z ``'' f �� 1h ��C�� licensed with the Oregon Construction Contractors Board Y� under ORS 701 and may be required to be licensed in the Address: '(,t- s ' jurisdiction in which work is being performed. If the City / State/ZIP: ?oi- X 1'1/' D 97 applicant is exempt from licensing, the following reasons 1 �/ M t� / tw '� /� / apply: L /V.3.30 Phone: ) (4V Fax:: ( (zoo- 1l/6 �/ / 0# E- mail:'rittoV@de+Ct(e... CaL 31 CONTRACTOR BUILDING PERMIT FEES* Business name: I (Please refertofeeschedule) p,� /y�j Address: I�t 5 7 Permit fee: u City / State/ZIP: ?nf1-�ryl. Qp\ 819( State surcharge (8% of permit fee): FLS plan review (40% of permit fee): Phone: 643) C9Qn.,. 4040 Fax: (G 3) CO390 /05f5 (Due upon application.) CCB lie.: (n ) I / (i - ijount Total permit fees: Authorized signature: t , received: This pe . a splication expires if a permit is not obtained Print name: jelfriatof'ef6%--- 8/94940 within 180 days after it has been accepted as complete. He�dta�broU�lti- Date: << • Fee methodology set by Tri- County Building Industry Service Board. 1:\ Building\Pamita\FPS- PamitAppdoe 03/23/06 440 -4613T 1 /O21COM/WEB) • ,4• City of Tigard: Fire Protection Permit Checklist , Page 2 - Supplemental Information •. ".Describe work to'be done: 1.) -IN New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 'ye0( Additional description of work: Type of System (Complete A, B, C or D as applicable): . A.) Commercial Sprinkler g Wet ❑ Dry Additional Standpipes Information: Hazard Group t, Density /110 Design Area (11'CO K. Factor 6 kl Spriner Project Valuation: $ 3 5 B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm , • Submittal shall Battery Calculations ❑ Yes include:' Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 • 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. • Fire Protection Permit Fees • . Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (8% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 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. L\ Building \Permits \FPS- PermitApp.doc 2 r CITY ., BUILDING DIVISION PERMIT #: BUP2005.00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171 7W y 1 i Inspection Requests (24 Hrs.): (503) 639 -4175 I .. INSPECTION WORKSHEET FOR DATE: 12/27/2006 TIME: 7 PAGE: 20 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: �ujl o sre , i }e OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 626 - 3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503.620.4020 Inspection Request Scheduled For: Date: 12/27/2006 ilyU " Pour Time: Code # Inspection Descriptio Confirm # Contact # Message 235 Misc. inspection 041527 -01 971- 235 -0 N Corrections /Comments /Instructions: 0O flkL /- C in 4 rw' ve..uzz vz a46 i S.1 ..--,>. c C 1 i q C • diaMINIEIMUMP IS �'---- p AA,0 - LL Th ,. 9----,fr C . , -;. ■(Liz_G, ...■_ , a 2 ❑ PASS i PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 Z) A Phone #: (503) 718- 2 1 z-1/4r' CITY'IGARD BUILDING DIVISION PERMIT #: BUP2006 -00404 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED' 9/27/2046 Phone: (503) 639 -4171 ` "'fljll`i •1 Inspection Requests (24 Hrs.): (503) 639 -4175 =._. `__— INSPECTION WORKSHEET FOR DATE: 219/2007 TIME: 7 :04AM PAGE: 58 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinkiers 6 ( -t om' PZQQ6 OWNER: PACIFIC NW PROPERTIES, PHONE #: 503.626-3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 - 4020 Inspection Request Scheduled For: Date: 2/912007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 043162-01 503- 560 -4276 N Corrections /Comments /Instructions: fq .. 911 ill' , II . Aa a „„:„.. ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL EES ASSESSED Inspector: tl/i Date: 6 Phone #: (503) 718- A_____ CITY OF'TIGARD BUILDING DIVISION PERMIT #: BUP200600404 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/27/2006 Phone: (503) 639 -4171 4•4 Inspection Requests (24 Hrs.): (503) 639 -4175 `' E. INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7 :05AM PAGE: 24 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD MANGE COMMONS LOT #: U08 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire spriniders OWNER: PACIFIC NW PROPERTIES, PHONE #: 503626-3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503620 -4020 Inspection Request Scheduled For: Date: 1/29J2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 2 Misc. inspection 042637 -01 503- 560 -4276 N Corrections /Comments /Instructions: '.A__ 1 Ap, 20, /le" _ .- L I - J . 1_ ASP - V ❑ PASS E ARTIAL APPROVAL 0 CANCEL 0 NO ACCESS ❑ FAIL li CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED 1,11 Inspector: AO* Date: tJ i Phone #: (503) 718 - 34c-2-i CIT` ;�TIGARD BUILD G DIVISION PERMIT #: BUP200600-404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171 /.,r y ( I 1 l i. I Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/26/2007 TIME: 7:00AM PAGE: 53 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinklers OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 6263500 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020 Inspection Request Scheduled For: Date: 1/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 042509 -01 503 - 846.4360 Y Corrections /Comments / Instructions: OM c 0 lt '. — l I td‘ 111 � _ : ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA L FOR I SPECTION ❑ ADDITIO , AL FE S ASSESSED WIL. Inspector: Date: / Phone #: (503) 718- 4 IAV I CITY .O ~TIGARD BUILDING DIVI PERMIT #: BUP2005 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . - 1 L INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7:02AM PAGE: 20 SITE ADDRESS: 1'1740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinklers OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 CONTRACTOR: DELTA FIRE INC PHONE #: 503- 620 -4020 Inspection Request Scheduled For: Date: 1/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 042453-01 503 - 560.4276 N Corrections /Comments/ Instructions: , NO „__ .-- II 1 0 *■6 1 1= i 11 6 el ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED ' i ii-Z-Z Inspector: �� Date: 1 6 Phone #: (503) 718 -Z CITY ..CIP TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171 i � l � Inspection Requests (24 Hrs.): (503) 639 -4175 • 4 A: _.. INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 38 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinklers OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503 -620 -4020 Inspection Request Scheduled For: Date: 21/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 043254 -01 503-560-4276 N Corrections /Comments /Instructions: CUFWJ e k r t ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FOR , SPECTION ❑ ADDINAL EES ASSESSED �imA � Inspector: ,lar ' Date: z]' i z [d7 Phone #: (503) 718 '4 is■ • CITY GARD BUILDING DIVISION PERMIT #: BUP2006-00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/14/2007 TIME: 7 :01AM PAGE: 14 SITE ADDRESS: 1.1740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinklers OWNER: PACIFIC NW PROPERTIES. PHONE #: 503- 62G3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020 Inspection Request Scheduled For: Date: 2/1g12007 Pour Time: Code # Inspection Description Confirm # Contact # Message 295 Misc. inspection 043396 -02 503-560 -4276 N Corrections /Comments /Instructions: iF7Z 73 e ---- -F0 1,041:fetS v 17 PO 7 r - l PASS El PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS ❑ FAIL pi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 410U ,, Inspector: mat Date: C 7 / Phone #: (503) 718 - CITY -,OF TIGARD BUILDING DIVISION PERMIT #: BUP2006 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006 Phone: (503) 639 -4171AA I Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I .. INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7:00AM PAGE: 63 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 0Q8 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinklers OWNER: PACIFIC NW PROPERTIES, PHONE #: 503625.3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503 Inspection Request Scheduled For: Date: 2/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 043850 -01 503-620 -4020 N Corrections /Comments/ Instructions: rii)46 LY (" Ftne) is Loma •. .�L' _ 1 .f .. t;_, - . ❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED I i Inspector: � � Date: v 2 4, 07Phone #: (503) 718 7 CITY �Q,F TIGARD OP BUILDING DIVISION PERMIT #2.406- .Q' Q4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 :It Inspection Requests (24 Hrs.): (503) 639 -4175 =�. It Inspection INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1.(748 StO `ETA CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: FV/Z —DI 6 A- FreE 45 a OWNER: PHONE #: CONTRACTOR: ` L1- j PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: PP-CV( f. eD JS (0 Z- .,....____ et ,. , cm ,Art.r. A._„,_ w ow.. op- _ ,, ,.- . ■ . AlAl. . ..ti ' NIP I4P- M . lir r aw ,. ' ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED e Inspector: Date: G C Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200G -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2712006 Phone: (503) 639 -4171 4111,41. Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 3/21/2007 TIME: 7:02AM PAGE: 52 SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: TIGARD TRIANGLE COMMONS DESCRIPTION: Building 4, fire sprinklers OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626 -3500 CONTRACTOR: DELTA FIRE INC PHONE #: 503 620 -4020 Inspection Request Scheduled For: Date: 3121 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 04512E -01 503- 620 -4020 N Corrections /Comments/ Instructions: ?E(' , ' /J , f / IL--- u • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FA ❑ CALL FOR I PECTION ❑ ADDIT ONA FEES ASSESSED k. I or A Inspector: I NOIV/A Date: 3 ' - Z Phone #: (503) 718 -