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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00118 o'rA DEVELOPMENT SERVICES DATE ISSUED: 4/2/02 r � I i � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 160 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: : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 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: $ 390.00 Remarks: Tenant Improvement - relocate 4 existing sprinkler heads Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST PORTLAND, OR 97224 TIGARD, OR 97223 Phone: Phone: 620 -6140 Reg #: LIC 63846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT CTR 4/2/02 $62.50 27200200000 Final Inspection 5PCT CTR 4/2/02 $5.00 27200200000 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Pe rm ittee Signature: ( v'I i .n (,, ,__ Issued By: k_Q 7 Viz ' 'Call 639 -4175 by 7 p.m. for an inspection the next business da Y P P day •s , .. A Building Permit Application / Datereceived: - D.-- OZ Perm4 1 IV ,1 g � lei City of Tigard y Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: 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 0 Multi-family 0 New construction 0 Demolition ❑ Addition /alteration/replacement 1;1'I`enant improvement 0 Fire sprinkler /alarm 0 Other: JOB SITE INFORMATION Job address: efi ♦ L! � /� r Bldg. no.: Suite no.: MIMI Lot: Block: Subdivision: vw' , _ ll/1:mAn:mi Tax map /tax lot/account no.: Project name: 1 01/ (s a410,27 Description and location of work on premises/special conditions: i/ , . i OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: pi- IT Sr (Floodplain, septic capacity, solar, etc.) Mailing address: • $ sp III GS ' I 1 & 2 family dwelling: M1 State: & ZIP: 9-1 22, M Valuation of work $ Phone:(oM - ,300 Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) APPLICANT Garage/carport area (sq. ft.) Covered porch area (sq. ft.) Mailing address: cis:0 1.,0 it Le b.. S. �1 Deck area (sq. ft.) ZIP q 7 Other structure area (sq. ft.) Phone: k ( j ti 1323M, E -mail: Commercial/industriallmulti- family: O #4. CONTRACTOR Valuation of work $ Business name: . Existing bldg. area (sq. ft.) �� New bldg. area (sq. ft.) Address: q5$ 1 _ (. i LA (:?_rili Number of stories Statepl2 ZIP: 49722_3 Phone: ( —(p L qt, . is E- mail: Type of construction CCB no.: (p� : Occupancy grou Existing: New: I CU rid c. no.: a Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under Name: •,. . C DM S , provisions of ORS 701 and may be required to be licensed in the ♦ jurisdiction where work is being performed. If the applicant is Address: S _ _ ; D an *a 4 • ` i., �L exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER Name: Contact person: Fees due upon application $ 67.SV Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: 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 a and ordinances governing this 0 Visa 0 MasterCard work will be complied w'th, whether ifie 1 herein or not. Credit card number: / Expires ¢ Authorized signatu / / 2 Name of cardholder as shown on credit card Print name: 52u // r O�/K�(� ((( Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6ro0ICOM) Fire Protection Permit Check List A.) ❑ New ❑ 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: Additional description of work: Type of System (Complete A, B or C as applicable): A.) Sprinkler Wet ❑ Dry ❑ Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ 39r0. DL) B.) Type I - Hood Fire Suppression System Hood Project Valuation $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A, B & C): $ 3q 0 . 0 0 Permit fee based on valuation (see chart): $ (o2 5D 8% State Surcharge: $ 5.00 FLS Plan Review 40% of Permit: $ .-f} 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 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION : Business Line: (503) 639 -4171 SUP c900 l S' Received Date R - • ested AM PM B4 Location i - i # — ii�� Suite 160 MEC Contact Person Ph ( ) 'Fa 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 Firewall re Sprinkler Susp'd Ceiling Roof Other: teUV G H i .1.'5 �/� PART FAIL 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 I=1 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA c � Approach/Sidewalk Date ( cj Inspector cc 6N/z/\ Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIG ' RD 24 -Hour BUILDING ' Inspection Line: (503) 639 -4175 INSPECTION DI ION Business Line: (503) 639 -4171 MST BUP �6� d �l U U Z Received Date Requ ted i% AM PM 8UP �0�� C2 Location k - . * I r r Suite l0 d MEC • Contact Person C QtA Ph ( ) 3/ ? PLM Contractor Ph ( ) SWR ILDING Tenant/Owner ELC Fo ting undation ELC Ftg Dr Access: ELR Crawl Drain Slab Inspection Notes: Post & Beam e - � Shear Anchors Al L----- L Ext Sheath/Shear - Int Sheath/Shear _� Insulation �)) C/9 S (' ND ing} ��. Firewall . riAi9 13 / � /c / / 9 Fire Sprinkler Fire Alarm C G 0 Susp'd Ceiling Roof b . . :� PART FAIL PLUMBING \ \ _ Post & Beam Under Slab Rough -In . Water Service Sanitary Sewer L� — Z 06 Z - do/ l 9i Rain Drains Catch Basin / Manhole • r1-t CI, s ie Storm Drain / Shower Pan ., Other: Final PASS PART FAIL r 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 111 Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line 6 ADA 5/q Approach/Sidewalk Date /0 L Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL