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Permit , ‘ ', 1 CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00399 r... DEVELOPMENT SERVICES DATE ISSUED; 8/15/2005 c� 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 - ZONING: I - SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG Project Description: Relocate (1) sprinkler head. 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: 38 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: $ 440.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES DELTA FIRE INC 15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE PORTLAND, OR 97224 PORTLAND, OR 97224 Phone: 503 - 624 -6300 Phone: 503 - 620 -4020 Reg #: LIC 64174 . FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/15/2005. $62.50 [TAX] 8% State Surcha 8/15/2005 $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 re• uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 thro .h 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 -234 . Issued By: 1%1) e Permiftee Signature: r � 4 Vi 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. r Fire System 'Building Permit Application FOR OFFICE USE ONLY City of Tigard DateBy �(_ /5 S 1 - PernitNo. irj1ATQ2G(t1S 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ,, Date/By: Other Permit: Inspection Line: 503.639.4175 2 ^'I I -, Date Ready/By: kris: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: 1- ) (r Supplemental Information TYPE OF WORK 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. Valuation: $ ❑ 1- and 2- family dwelling ® CommerciaUindustrial ❑ 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: 14945 SW Sequoia Parkway New dwelling area: square feet City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: Sterling Internet Solutions 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: 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. Relocate 1 sprinkler head. Valuation: $$440.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ® TENANT Number of stories: Name: Sterling Internet Solutions Type of construction: Address: 14945 SW Sequoia Parkway Occupancy groups: City/State/ZIP: Portland, OR 97224 Existing: Phone: ( ) Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Delta Fire, Inc. All contractors and subcontractors are required to be Contact name: Amy Morse licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 14795 SW 72nd Ave jurisdiction in which work is being performed. If the City / State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -4020 Fax: : (503) 620-1058 E -mail: amym @deltafire.com CONTRACTOR Business name: Delta Fire, Inc. BUILDING PERMIT FEES* Address: 14795 SW 72nd Ave Please refer to fee schedule. City/State/ZIP: Portland, OR 97224 Fees due upon application $67.50 Phone: (503) 620 -4020 Fax: (503) 620 -1058 Amount received CCB lic.: 64174 Date received: Authorized signature: i This permit application expires if a permit is not obtained • within 180 days after it has been accepted as complete. Print name: Amy Morse Date: 8/11/05 * Fee methodology set by Tri-County Building Industry Service Board. i:\Building \Permits \FPS- PemutApp.doc 12/03 440-4613T(11/02/COM/WEB) CITY OF TIGARD , BUILDING DIVISION PERMIT #:$vi -0103' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ila' � d�j�l � Inspection Requests (24 Hrs.): (503) 639 -4175 ` INSPECTION WORKSHEET FOR DATE: et( lc ( TIME: PAGE: I4 5(0 Se— G t IC, SITE ADDRESS: (`'/_� Q °-'i - CLASS OF WORK: SUBDIVISION: CiNc • CEki' _ LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: DELTA- -F FZE PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 4[34 i -t2 1 i i © ( (0 ) , Corrections /Comments/ Instructions: AIII •1 ► _W M5h1IihL WffL F` ' . 1/� S V W ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT •NA FEES ASSESSED liv...) de) , Inspector: Date: 142 Phone #: (503) 718-