Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00133
, L
AA DEVELOPMENT SERVICES DATE ISSUED: 4/13/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: TI, fire protection, 27 heads.
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: 46 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: $ 3,620.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: 503 - 624 -6300
Phone: 684 -2928
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/4/2005 $81.70
[FLS] FLS Pln Rv 4/4/2005 $32.68
[TAX] 8% State Surchari 4/4/2005 $6.54
Total $120.92
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 -3 j 2344.
Issued By: %/ _ „OP . _ /, Permittee Signature: �� �/
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.
Fire Protection System /V '9 Ca) S� Uoi a ? y
Butiding Permit Application FOR OFFICE USE ONLY
Ci ty of Tigard RECEIVE ■ ► Received : _ _//)' v� -
DateB IVs Permit No.: 7 �` ��
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ° 7
Phone: 503.639.4171 Fax: 503.598.1960 `� DateB : � L i Other Pe
•
Inspectior. Line: 503.639.4175 f•il� APR ®4 1.,4 F' Date Ready/By: d / Jam: ® See Page 2 for
Internet: www.Ci.tigard.or.us Notified/Method: 7 N. Supplemental Information
CITY OF TIGARD i dot
• • . -. _ , R DATA: 1- AND 2- FAMILY DWELLL`G
❑ I construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
4ddition alteration/replacement 0 equipment, materials, labor, overhead, and the profit for the 1
" - 4- - -- - '.C: • CATEGORY OF "CONSTR ION work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
- ❑ Master builder ❑ Other: Number of bathrooms:
' : -JOB SITE INFORMATION' AND LOCATION' :. ::. _ , -4%- '' Total number of floors:
Job site address: - Z , G Ree4.es coy • New dwelling area: square feet
City /State/ZIP: '1414 S S V 4 S�101 pr. f- Garage/carport area: square feet
Suite/bldg. /apt. no.: / q 0 Project name: -3—e_ 1 .$ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
R` Q:IMF D DATA 'COMMERCIAL- USE.CHECIQ
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
• . : 7 : - . 7"" - DESCRIPTION OF WORK ' °- �� ~"•-,' work indicated on this application.
I A\YA -- INI YONi r 1 1'GIV V Valuation: $ -b i
Existing building area: square feet
New building area: square feet I I
- - ❑ PROPERTY OWNER _ :' ‘• , -. - • ' ❑" TENANT;''*O Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
.. '_' APPLICANT - .' 0- :w•';, ;'`:,'; , .":`; _':NOTICE
Business name: (zeP., I.1JIVf ITOR., I ) All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax: : ( )
E -mail:
• ; .r'rz' - -rg
CONTRACTOR ' ,', * d _'r=e,,�; , ,.
Business name : \'( �A 1 e iyvv1 U .. ! V --INC + ' • , - _.
1 ._� ,_ _„ _ 'BUILDING PERMIT FEES*
Address: 0 104c) 3Vr -� Please refer to fee schedule.
City /StateJZIP: , g i
O schedule.
Fees due upon application I 2-0 . A Z
Phone: i• ) igty. _A� MM
! 1 Amount received
CCB lic.: A
Date received:
Authorized signature: �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Pnnt name:RIG k p ‘,4 Date:04,- 04... 0 • Fee methodology set by Tri- County Building Industry
Service Board.
, Budding Perruu FPS- Pemj:App doc :2.03 440- 46I3T(I I /02JCOM/WEB)
City of Tigard: Fire Protection Permit Checklist r~
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 10 heads: No plan review required.
❑ Alteration ' [ 11± heads: Plan review required. •
❑ Repair
Number of sprinkler heads: t
Additional description of work:
ntn P YIN
Type of System (Complete A, B, C or D as�plicable):
A.) Commercial Sprinkler _ .:._::, -,_ • • _
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ ,V2,0 —
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: $
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): $ 3 1 Z ) —
iC) Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ (Q .
FLS Plan Review 40% of Permit Fee: $ 52 1/40
TOTAL: $ 12Q .G(
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.
• ..__ ::.c Forms FPS Check ?ist.doc 12/29/03
CITY OF TIGARD
BUlftDINt DIVISION PERMIT #: BUP2005 -00133
1 1 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4!1312005
Phone: (503) 639 -4171 . i i l ' I
Inspection Requests (24 Hrs.): (503) 639 -4175 - �� ` __..
INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7 :42AM PAGE: 82
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: JC REEVES
DESCRIPTION: TI, fire protection, 27 heads.
OWNER: PACIFIC REALTY ASSOCIATES PHONE #: 503-6246300
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684 -2928
Inspection Request Scheduled For: Date: 4/28/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinlder final 005538 -01 503-684-2928 N
Corrections /Comments /Instructions: 7
(L) 5t t - -o\- Lc_ Esc t , t
di i AIL ■ ` Cr I MMA*10/1 1 1 1
ga �.�
sue
Al lb. ■ . _ *AM 1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE • ASSESSED
-------
Inspector: Date: • O✓ Phone #: (503) 718-
CI" TIGARD
BUI I DIVISION PERMIT #: BUP2005 -00133
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/13/2005
Phone: (503) 639 -4171 . a fii f
Inspection Requests (24 Hrs.): (503) 639 -4175 .-_' . "IL
INSPECTION WORKSHEET FOR DATE: 4/15/2005 TIME: 7:08AM PAGE: 78
SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: JC REEVES
DESCRIPTION: TI, fire protection, 27 heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684 -2928
Inspection Request Scheduled For: Date: 4/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 004601 -01 503 -684 -2928 N
Corrections /Comments /Instructions:
Ilk
aIIIIIMIIIBIES I . �. / , tb i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .-. 0* -- ki Inspector: Date: y h f/Phone #: (503) 718-