Permit • (4 1,1
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00530
iA DEVELOPMENT SERVICES DATE ISSUED: 11/8/2004
�� 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 06650 SW REDWOOD LN 330 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P .
BLOCK: LOT: 002 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: 2 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 9 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: $ 1,000.00
Remarks: Fire sprinkler TI, relocate (7) heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: 503 - 624 -6300
Phone: 684 -2928
Reg #: LIC 64077
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 11/8/2004 $62.50 Sprinkler Final
[TAX] 8% State Surchari 11/8/2004 $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 a •uj OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin• 13) 246 -6699 1- 800 - 332 -2344.
,
I - ued By:
Pe•�'ee
Signature: ?C Z
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard Recei �Q 0� Permit ^^
Date/B ved
i / rmit No.: or ix, ..,,,,,.,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /iv? n ryur 1'" rj g Other Permit:
Inspection Line: 503.639.4175 Date ReadyBy: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: - Supplemental Information
., . r j , • , . TYPE OF W O R K ._•'..,-' " „' _ -, , q : -:::::"1::!:: .. , . , REQUIRED DATA: i- AND 2- FAMILYD.WELLING
❑ 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
work indicated on this application.
. CATEGORY OF CONSTRUCTIONT'
❑ 1- and 2- family dwelling Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' - . JOB SITE INFORMATION AND LOCATION; . r .p,,. . Total number of floors:
Job site address: &bsv S.1A) . R QwooO Lt.i . New dwelling area: square feet
City/ State/ZIP: I l & ic1/4/2.4 OR— Garage/carport area: square feet
Suite/bldg. /apt. no.: 3o Project name: (� A. . S Covered porch area: square feet
Cross street/directions to job site: 1 ` Deck area: square feet
l:. SQIAOIA pet4oy Other structure area: square feet
REQUIRED DATA COMMERCIAL -USE CHECKLIST
Subdivision: 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.
T6-/J th T-t'tf E 4 2oveTi — e9_143. '7 Re koS Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER . . ❑ TENANT • - . ' Number of stories:
Name: PACER C A-1.7t41 MS , Type of construction:
Address: is 350 5,W S O!A f iY Occupancy groups:
City/ State/ZIP: 1 t L O of.... Existing:
Phone: (9f 3) f {' - (,360 Fax: ( ) New:
. ❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: _56fL. lJpJ1'1? roe_ All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR .
Business name: ( r P�2c�iY.- erI O>,1, , . BUILDING PERMIT FEES"
Address: . go 5. (A) . I uji'J ego
-4 • Please refer to fee schedule.
City/State/ZIP: -- rtG 4.$20
Phone: (563) -_ Fax: (S ) 68,4, Ct6 c/ Fees due upon application
64017 Amount received
CCB lic.:
Date received:
Authorized signature: A This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: p. () cot Date: It 1 f U4 • Fee methodology set by Tri-County Building Industry
` Service Board.
is\ Building \Pemtits\FPS- PcnritApp.doc 12103 440- 4613T(11 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done: ,:::
1.) ❑ 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: '7
Additional description of work:
Type of System (Complete B, C, or D as ap
A plicable):: __
_ ,:
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I = Hood Fire Suppression System , . = -r;
Hood Project Valuation: $
•
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.
Project Valuation Subtotal (A, B & C): $ I ` 06O
Permit fee based on valuation (see attached chart): $ G Z ?-
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
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.
i:\Building\Forms\FPS Checklist.doc 12/29/03
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 0 Y- zo 3d
Received Date Requested // AM PM BUP
Location _ • if - V4 Suite 33 MEC
Contact Person L Q J Ph ( ) 6 "1- �- 1 8' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 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
Drywall Nailing
Firewall
prink)
Fire Alarm
Susp'd Ceiling
Roof
Other: 1
•
'AS PART FAIL
PLUM NG ti ■4 A id •
Beam ■ W V
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 1=1 Please cal ' or r inspection RE: Unable to inspect — no access
ADASupply Line
:)� f
�' r ll�
Approach/Sidewalk Date I nspector , w /sp. Ext
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 ! /
BUP oRO
c� U
Received Date Requested / / — °Z / AM PM BUP 2 -- 0
Location 6 to Suite 330 MEC
Contact Person & Ph ( ) 67Q-311 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Sri
-- Fire Alarm . MEM—
11 ��
Susp'd Ceiling i - .� — -
Roof
Other—
ASS PART FAIL
ING
Post & Beam Mg r
Under Slab
g (l� I
Rou h -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 f r reinsp tion RE: Unable to inspect - no access
Fire Supply Line
ADA Approach/Sidewalk Date Inspect Ilia � Ext
Other:
Final DO NOT REMOVE this Inspe on record from the job site.
PASS PART FAIL