Permit t
A •° N' ' BUILDING PERMIT
C ITY OF TIGARD PERMIT #: BUP2003 -00332
� y ,� DEVELOPMENT SERVICES DATE ISSUED: 6/9/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08060 SW PFAFFLE ST 110 PARCEL: 1S136CD -00600
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
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: B 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: $ 1,659.00
Remarks: Add (9) sprinkler heads for tenant improvement.
Owner: Contractor:
FINKE, ALEX TRUSTEE FIRE SYSTEMS WEST INC
FINKE, LOTTE I TRUSTEE 600 SE MARITIME AVE #300
PO BOX 23562 VANCOUVER, WA 98661
PORTLAND, OR 97281
Phone:
Phone: 360- 693 -9906
Reg #: LIC 49732
. FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 6/9/03 $62.50 Sprinkler Final
[TAX] 8% State Tax 6/9/03 $5.00
Total $67.50
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 (5e 24. •699 or 1-8' 332 -2344.
IF Issued By: t l,:,;. ' ■f hi
Pemiittee /
Signature: t . , ,r
Call 639 , by 7 . for an inspection the next bus day
IL - Fire Protection System ,
Building Permit Application
1 Date received: Permit no.: a _ 3 y
a� {,y, • C ity of Tigard
• _ _, Project/appl.no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family 0 New construction O Demolition
❑ Addition/alteration/replacement *Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: $QC > aj w. w'A La Bldg. no.: Suite no.: i j®
Lot: I Block: (Subdivision: I Tax map /tax lot/account no.:
Project name: y = *A h _ LI A
■
a if. OSr
Description and location of work on premises/special conditions: .& x - . A - %J<::.: ' — • a•1
SQW NIK►.Ei AS ( Pi' TIENN - r 1NpRti/FMEN r
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: 'PA WA ?tow I Co tai 3112,0L -Iovt (Flood plain, septic capacity, solar, etc.)
Mailing address:) 90o s.,J fog_ 3 clitarr . e0 1 & 2 family dwelling:
City: Pac-i-A,^,Ip I State: IZIP: cr 71,0 i Valuation of work $
Phoneme 34 s . Ot AEI (Fax: I E -mail: No. of bedrooms/baths '
Owner's representative: z 1ilA Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage /carport area (sq. ft.)
Name: Ft }z4 s YSi Lr "" WC'5 r Covered porch area (sq. ft.)
Mailing address: Cpp S Lr M / - (Ti M6 Avg ` Deck area (sq. ft.)
City:VA".465�.ls/S4_ I State :AA I ZIP: 6 fir] Other structure area (sq. ft.)
Commercial/industrial/multi-family:
Phones �q3�„ • Fax: E -mail Valuation of work $ !
CONTRACTOR
Existing bldg. area (sq. ft.)
Business name: ft 12C 5 yyngrei S r.J 6-3•f New bldg. area (sq. ft.)
Address: Number of stories
City: I State: I ZIP:
Type of construction
Phone: I Fax: I E -mail: Occupancy group(s): Existing:
CCB no.: 4j New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: I ZIP:
exempt from licensing, the following reason applies:
Contact person:, Plan no.:
Phone: _ . Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application • $ 92.
Address: Date received:
City: (State: IZIP: Amount received $
Phone: I Fax: I E -mail: • Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑ MasterCard
work will be complied with whether specified herein or not. Credit card number: / /
Expires
Authorized signatu Date: G.- 4 Name of cardholder as shown on credit card
$
Print name:,\ 5•. / Cardholder signature
A Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 - 4613 (6IOO/COM)
Fire Protection Permit Check List
A.) ❑ New VI Addition ❑ Alteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads: I
Additional description of work:
Type of System (Complete A, B or C as applicable): .
A.) Sprinkler Wet Dry ❑
Standpipes
Additional Hazard Group Liz, I-sr
Information Density 0, iv
Design Area goo
K. Factor g, v K
Sprinkler Project Valuation: $
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: $
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
TOTAL: $
Plan review requires a completed application and 3 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.
is \dsts \forms \FPSchecklist.doc 11/21/01
GITY.OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION ' Business Line: (503) 639 -4171 BUP cagoz4 oo'1.rj-
Received Date Requested 1 AM PM BUP
��3 — �
Location 0 Co v Pi-ril Suite a 003 - 00.33D-
Contact Contact Person Ph ( ) g0 iNo err 20/) 3
Contractor Ph ( ) SWR
UILDtI Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note . SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ��
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PART FAIL
P"I BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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 / 2/2 Z /i 3 Inspector C)1) .h Est
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
' CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
3-
BUP � 27g
I Received p . Date to • uested I? " Z v AM PM -BUP V 3-04 '33
Location o _, � � / ' Suite a (J MEC 3' 06 2 Z�
Contact Person ` Ph ( ) u — R6 8g PLM
Contractor Ph ( ) SWR
: UILDIN , Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab - Inspection Notes: c ,,,, SIT
Post & Beam — / C.o Q
Shear Anchors Q�— g • -- q . 0 - i il
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
eiti -,
"i PART FAIL
P I MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
•
• Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P: • - T FAIL
4
Pos : = -
Rough-In
Gas Line
ke Dampers
in
ASS PART FAIL
EL TRICAL
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: El Unable to inspect - no access
Fire Supply Line a /
ADA
Approach/Sidewalk Date 7 /2 t /U3 Inspector c - - Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL