Permit " BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2004 -00482
DEVELOPMENT SERVICES DATE ISSUED: 10/29/2004
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 12288 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00300
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
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: M 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: $ 2,500.00
Remarks: Relocate fire sprinkler drops for new ceiling.
Owner: Contractor:
BPP RETAIL LLC RISER FIRE PROTECTION LLC
BY BURNHAM PACIFIC PROPERTIES 10401 NE 197TH ST
ATTN: JOHN WATERS BATTLE GROUND, WA 98604
Sa DIEGO, CA 92101
one:
Phone: 360- 687 -1463
Reg #: LIC 158041
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 10/6/2004 $72.10 Sprinkler Final
[TAX] 8% State Surcharl 10/6/2004 $5.77 Misc. Inspection
[FLS] FLS Pin Rv 10/6/2004 $28.84
Total $106.71
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 (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By:
Perm ittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
jU- & _SW �cHa 14 F i
Fire P oF ��
on Syst IvED
LdL-D Si o F+:;
Building Permit Aped c FOR OFFICE USE ONLY
City of Tigard OCT 52004 Received io /t /o y Permit No Qu/�aoo y -6o yea.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review t.
Phone: 503.639.4171 Fax: 503.598.160TY OF TIGARD "4-71-y::: . ��x /0 V /D.W ether Permi -0q uP, OD ye?
Inspection Line: 503.639.4175 1� -1 Date Ready/By. Jurir Bl See Page 2 for
Internet: www.ci.tigard.or.us
BUILDING DIVISI�' " " ° Notified/titethod:J�/,; ay 7/6 Supplemental Information
TYPE OF WORK REQUIRED DATA: l- 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.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial/industrial
❑ Accessory building ❑ Multi -family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION , Total number of floors:
Job site address: `22�� V p 5'' '� `t 5 1�y 1A New dwelling area: square feet
City/StatetZlP: TjGM7 P. (DR. of-1223 1 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Co Id 56 c rew/nay 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) oof all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Fi(i.E SPR- imicuE2 DOPS FOR.
Valuation: S Z500 , °O
N)Evv GE( u WA • Existing building area: 103 b square feet
New building area: N/A square feet
❑ PROPERTY OWNER I ,2'TENANT Number of stories:
Name: Co LD - i at JE CJ ' r Type of construction: v /./
Address: I b i O ( 1.1 S2..,ic s- ` 4 AL( Occupancy groups:
City/State/LW: 34_0 0 } 1 A2- �5 a
0 Existing: rna1T\t ( ry
Phone: (410 ' 34 D - (7 04 Fax: (45 3 if S 17 1 O p New: Ma nil rG
iF' APPLICANT ❑ CONTACT PERSON NOTICE
Business name: R ISM Fl I2 pRorrl=c v I o' L LL All contractors and subcontractors are required to be
Contact name: le.... H mo ((,g-i 5 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 O 0 i N I . I q', . jurisdiction in which work is being performed. If the
City/State/ZIP: 1-, VE ago WO WA 9 %604 applicant is exempt from licensing, the following reasons
apply:
Phone: (360 bVl — 14 b3 I Fax: : (3b0) bg7 — 3501
E -mail:
CONTRACTOR
Business name: R` F, Re Pgarez,ilcN) LLC.
BUILDING PERIIITT FEES°
Address: ivlE As A-PPLt CAt5-T-
Please refer to fee schedule.
City/State/ZIP:
Fees due upon application
Phone: ( ) I Fax: ( )
. Amount received
CCB lic.:
15$0 L I I e., e 102- N/ - d S Date received:
Authorized signature: te: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name: KEITH Magi/4S I Date: j 0 — 6— ()L/ • Fee methodology set by Tri -County Building Industry
Service Board.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 dr
// , ovL / -ad
Received Date Re uested ` F AM PM BUP
Location f -- / g 16 Suite MEC
Contact Person Ph ( - ; b 3600 ) yc 7 _ --9 & se PLM
Contracto Ph ( ) SWR
UILDI Tenant/Owner ..1_,,... a :J a , ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 4(25 € ' ``� Framing 7 J
Insulation _ ^
Drywall Nailing 7 `'"" `�� _�
Firewall '�� S �� �—e._ e-� L�.� 4�
re Sprink : 4 1�.,
• : • arm % L—, --T `.`Q_ ■ S.^'
Susp'd Ceiling
Roof
Other:
irj
PART FAIL
• 1 BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains mi
Catch Basin / Manhole
Storm Drain
Shower Pan (iiiiip911.
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: E Unable to inspect — no access
Fire Supply Line V7 ADA Approach/Sidewalk Date 1 v/ 6 y \. Inspector ' ( .. ) Ext _
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL