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Permit I A, CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00104 1 DEVELOPMENT SERVICES DATE ISSUED: 3/28/03 " ref I I 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: $ 1,762.00 ' Remarks: Alteration of (13) sprinkler heads. 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: Phone: 620 -4020 Reg #: MET 00001934 FEES LIC REQUI INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 3/6/03 $62.50 Sprinkler Final [TAX] 8% State Tax 3/6/03 $5.00 [FLS] FLS Pln Rv 3/6/03 .$25.00 Total $92.50 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 -2344. Issued By: A4404,4 . " Y/1.) Pe mi ittee � Signature: .p/A fl,g7te U7' Call 639 -4175 by 7 p.m. for an inspection the next business day J Fire Protection System "3,26 v3 6),I Building Permit Application Date received: i tp Q3 Permit no.: bit P _a fb ►1 City of Tigard n ECEIVED City of Tigard Address: 13125 SW Hall Blvd igard, OR 97223 Project /appl.no.: Expire date: Phone: (503) 639 -4171 Date issued: By: I Receipt no.: Fax: (503) 598 -1960 MAR 0 6 2003 Case file no.: Payment type: Land use approval: CITY OF TIGARD 1 &2 family: Simple Complex: 1:3UILUINU ulyiSION _____ TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory . i t ❑ Multi-famil ❑ New construction O Demolition ®- dition/alteration/replacement r " enant improvement ®'Fire rinlde /alarm ❑ Other. JOB SITE INFORMATION Job address: /9-- ,s QLQM.- t i P Bldg. no.: Suite no.: / /0 Lot: I Block: (Subdivision: ‘--- '• I Tax map /tax lot/account no.: Project name: �,�� .i r ( c 5/1,2e, � 6 A l .. �, Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: (Floodplain, septic capacity, solar, etc.) Mailing address: 1 & 2 family dwelling: City: I State: I ZIP: Valuation of work $ Phone: I Fax: I E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) Garage/carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: / 7 .) 7(9"j�/1c Deck area (sq. ft.) Other structure area (sq. ft.) City:/ „ I State:C� ZIP: 15;17.2_2(.4 Other 0 % — / Fax: E -mail: CONTRACTOR Valuation of work $ / ,7102_ Existing bldg. area (sq. ft.) Business name: I_44a_'If , New bldg. area (sq. ft.) Address: /7 c) 1•CL Number of stories City: State�R ZIP: 9 7p� Type of construction Phone-73—<407.6311 Fax: I E -mail: Occupancy group(s): Existing: CCB no.: 4/47 7y New: City /metro lic. no.: /93C( Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under .. Name: 7-, fei2 11---( provisions of ORS 701 and may be required to be licensed in the Address: �Z� (jJ,�,� / /(( jurisdiction where work is being performed. If the applicant is City: State Y -7,9,2C-( exempt from licensing, the following reason applies: Contact person: ' ay ' Plan no.: Phone Fax:. E -mail: Name: Contact person: V . Fees due upon application - $ Address: Date received: City: (State: (ZIP: Amount received $ Phone: I Fax: I 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 laws and ordinances governing this ❑ Visa ❑ MasterCard work will be complied wi w - thpr • • '. red he in or not. Credit card number:pirca i / _ 5 CD Authorized signatur' / 9 / a �11L _ a c Name of cardholder as shown on credit card Print name: t<Iii_• 1 ✓ J _` 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 (6/00/COM) • 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: / 3 Additional description of work: • Type of System (Complete/, B or C as applicable): A.) Sprinkler Wet XL. Dry ❑ Standpipes Additional Hazard Group Information 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: $ Project Valuation Subtotal (A, B & C): $ / Co Permit fee based on valuation (see chart): $ 0 , . 8% State Surcharge: $ Oc5 FLS Plan Review 40% of Permit: $ / , pc) 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. iAdsts\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 t V UP -2003- 00 /0 Received Date Requested 61/70/ AM PM BUP • Location / 5 94/3" S 9 O u / c , / Cw / Suite // 0 — MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR UILDIRg Tenant/Owner ELC 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 cal Fire Alarm Susp'd Ceiling Roof Other: c!a$ PART FAIL PLUMBING 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 El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA D ate p /ft)/ 63 v � Approach/Sidewalk t Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL