Permit ,A ~ TIGARD C I TY OF PERMIT #: BUP2005 -00093
� ��; k DEVELOPMENT SERVICES DATE ISSUED: 3/10/2005
" R=-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 PARCEL: 2S112AD -01000
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -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:.' /jZ'. OO
Remarks: Relocate (1) fire sprinkler.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545
PORTLAND, OR 97224 TIGARD, OR 97281 -0545
Phone: 503 - 624 -6300
Phone: 620 -6140
FEES Reg #: LIC 63846
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/10/2005 $62.50
[TAX] 8% State Surcharl 3/10/2005 $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
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 -23
J
Issued By: /2ou�
Permittee
Signature:
J
Call 639 -4175 by 7:00 p.m. for an inspection the next 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.
Fire Protection System
Branding Permit Application. FOR OFFICE USE ONLY
Received _ �� Building
Date/By:J /A 0 18) Permit No.�(/(ZG
City of Tigard Planning Approval Other
Date/By: Permit No.:
13125 SW Flail Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 -- r' ir ei ' Post La Noe
Internet: www.ci.tigard.or.us Contact luris : ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method:
I'(/ Supplemental Information
-. ... ., . =,TXPE'OE•WORK., : .. ;2:: -,1:; _..,.- _ -. ,,. -,,- .. y •- ;,,:-, -rt• -•
❑ New construction El Demolition I gt32: � m ;
FA)VIII::YDViFELLING : 't
(Addition /alteration/replacement ❑ Other:
CATEGORY OF= ,CONST•RUCTIw _ ; ;: Note: Permit fees' are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ICommercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi - Family
❑ Master Builder ❑ Other: Valuation $
': . _ 1°JOB SITE,INFORMATION`+ . d:tOCATION;'' `` : •"•'c:. ; No of bedrooms: No of baths:
Job site address: 4 1 I Total number of floors
LLi' / v0/A w
Suite #: ] ] 0 Bldg. /Apt. • : New dwelling area (sq. ft.)
/y a Garage/carport area (sq. ft.)
Project Name: cv,/,] Al II GerhMi!/J,e illOAI S Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
'REQUIRED DATA;:'.:"::,:._-, , t, , , • ' - ,.,.:
I ,r COMMERCIAL = USE. CR,ECKLIST; b =i ;,,
Subdivision: Lot #:
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
. , -• ' ' =•` '. : : ' : DESCRIPTION,;OF,WORK: - , ;4', ;t : r.' the value (rounded to the nearest dollar) of all equipment, materials, labor,
4asehtit I /� : j lz 9 f7/Zf VJc. . . overhead and profit for the work indicated on this application.
7 l� �� / V LG��
Valuation $ I Jr
DK-
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
PROPERTY OW = -::' ' - 1 ;❑'::-TENANTV, _ - ',, • Type of construction
a me: /'�,� /ikr Occupancy group(s): Existing:
Address: /S3rO 5'14. ge /L ti0 >A- 4y �v New:
,
City/State/Zip: , -A) , tL- 97 7
Phone: /7— LZZ#I)) Fax: NOTICE: All contractors and subcontractors are required to be
Mr APPL:ICANT`:: licensed with the Oregon Construction Contractors Board under
❑ P '. provisions of ORS 701 and may be required to be licensed in the
Business Name: f 1t ss -' jurisdiction where work is being performed. If the applicant is exempt
Contact Name: 5/Z tier pkogsvA) from licensing, the following reason applies:
Address: 4o. s» z30r9S
City /State /Zip: 174/412/1 0/L- 9718 /
Phone: ( - u9.4 40 Fax: X20 _4, ]4 /
E -mail:
• -,' BTJILDING•PERMIT:FEES, - , '';
;Please refer to fee settedale.'= • y -
- CONTRACTOR ;
Business Name: f /�Q P co , Fees due upon application $
Address: r j 4'$ 413oi/r •
City /State /Zip: Amount received $
Phone: _ Fax: Date received:
CCB Lic. #: &3g4 W Authorized -
Autzed r
A hori Signature: a Date: 13/0/0( Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts\Permit For s\BldgPermitApp.doc 01/03
Fire Protection Permit Check List
Describe work to be done:
A.) ❑ New B.) Modification to sprinkler heads only:
❑ Addition 1 -10 heads: No plan review required.
A Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
4 Our ,U 9,6eiNrl o&
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet 1 Dry ❑
Additional Standpipes
Information: Hazard Group
Density
Design Area
_ K. Factor
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: $
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): $
Permit fee based on valuation (see attached chart): $
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.
is \dsts \forms \FPSchecklist.doc 02/28/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10 /2005
Phone: (503) 639 -4171 i k
Inspection Requests (24 Hrs.): (503) 639 -4175 `'II
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7:11AM PAGE: 82
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: STERLING COMMUNICATIONS
DESCRIPTION: Relocate (1) fire sprinkler.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: FIRE STOP CO PHONE #: 620 -6140
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 001864 -01 503-320-8601 N
Corrections/Comments/Instructions:
'''CiLd- r (, : z-
/ ,i dvi „Vi
1/
/
!g: PASS ❑ PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
vut Inspector: Date: 3/■(e/6
Phone #: (503) 718-