Permit CITY TIGARD - BUILDING PERMIT
PERMIT #: BUP2006 -00498
1i1( DEVELOPMENT SERVICES DATE ISSUED: 10/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AD -01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 150 ZONING: I -P •
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
Project Description: Add (4) sprinkler 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: 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: $ 1,511.00 •
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: Contact #: PRI 503 - 620 - 4020
FAX 503 - 620 - 1058
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/18/200E $62.50
[TAX] 8% State Surcha 10/18/200E $5.00
. Total $67.50
i
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 B Llt, .L J3'd12 Permittee Signature: ' - 2—r,c ,rte
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 .Prl.tection System - 17 y� ;% ,,� - . -'', 'r
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' Building Permit Applicati K D ° j FOR OFFICE USE . ONLY
City of Tigard 9C 18 2006 Received 0 /5l D i PemlitNo.,�,/ , /��
13125 SW Hall Blvd., Tigard, OR 9744.7 Plan Review
■ Ph Other Pe ..'t:
Phone: 503.639.4171 Fax: 503,598.1960 I . ' . Date/B .
T I G n It D Inspection Line: 503.639.417 4 .A. 1 .1 A ,yy.h." '.,j1,d Date Ready/By. ®See Page 2 [or
Internet: www.tigard- or.go Notified/Method: Supplemental Information
TYPE OF WORK . REQUIRED DATA: I- 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
IA Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ I- and 2- family dwelling Commercial /industrial
Valuation: S
❑ 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: I {9L1 Sl i) C,p f ,, U i ? f IL W New dwelling area: square feet
l? City /State/ZIP: (+{ctvtrA, CA C q � 1-1 ' n Garage /carport area: square feet
�, ldg /apt. no.: I Project name �l.[G IC Corp. CP *' - CTt ' Yltkal ) 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: l 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.
r Valuation: S I b` 1
F P. ltmlfi
Add/ gel /-/ VLeoriS Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax:( ) New:
pz APPLICANT ❑ CONTACT PERSON , NOTICE
Business name: gift ZYI All contractors and subcontractors are required to be
l licensed with the Oregon Construction Contractors Board
Contact name: Asti 'Mate[ ,
��TT under ORS 701 and may be required to be licensed in the
Address: 14 Na 7 a W Ave. jurisdiction in which work is being performed. If the
City / State/ZIP: ��-� � applicant is exempt from licensing, the following reasons
a - lln 7 apply:
Phone: (f)0.(0g,.10 mp -a (; I ' ax:: (6071)6,30 (6071)6,30 - 1 ( 1 5 t E - m a i l : Aa I.2,W6 a �C �� [Ace. com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: -i'Q c‘titi D X, Permit fee: � 1 56
Address: l u79b �� ' Ave..
State surcharge (8% of permit fee): B. 6 Q
City / State/ZIP: "R, ^ ,� � O(,� ` 017 (4 •
f FLS plan review (40% of permit fee):
Phone: (f'� )6, /q - Fax:' ( 6 )00 - I Mt" (Due upon application.) /(f ilc
CCB lic.: ( /(,i7L4 Total permit fees: 62 t, E.30
Authorized signature: Ae 4.47,/,‘„e„.cext.„._ Amount received:
This permit application expires if a permit is not obtained
Print name: �QI. ir � m , q �, (�_ Date' �O`���Q�
• within 180 days after it has been accepted as complete.
" C "i� Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \ Pent, 'S- Perm itApp.doc 03/23 /06 440- 461 31tII /02/COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
,Describe work to be done: :' •
1.) ❑ New 2.) Modification to sprinkler heads only.
tRI Addition 1 -10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 4
Additional description of work:
Type ofSystem (Complete A, B, Cot D as applicable):
, A.) Commercial Sprinkler
Uet ❑ Dry
Additional Standpipes 1113' 1A. •
Information: Hazard Group L .1.,r
Density wl q
Design Area N %Pr
K. Factor ,� . (
Sprinkler Project Valuation: $ j 1 51�
B.) Type I - Hood Fire Suppression System •
Hood Project Valuation: $ /vA
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ /y A
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: J J- • sq. ft.
Fire Protection Permit Fees . •
Project valuation subtotal (see A, B & C above): $ � tJ ��' .
Permit fee based on project valuation (see fee schedule): $ ( D 2,5)
Permit fee based on square footage (see D above): $ N
• State Surcharge (8% of permit fee): $ h.t0
FLS Plan Review (40% of permit fee): $ JUh •
TOTAL: $ (0 bC)
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at subniittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
•
t:\Buildin 2
CITY OF TIGARD Pt7P
BUILDING DIVISION PERMIT #: Zcr ,G - co 488
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 I � ..
INSPECTION WORKSHEET FOR DATE: I I Q‘, TIME: PAGE:
W Ua 1 D
SITE ADDRESS: (�4� � t X�-�"C CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: _ - Tii 1py � n —
DESCRIPTION: U �'�'`''
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions: 040 .74C-VO
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2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL _ ❑ CALL FO INSPECTION ❑ ADDITI NAL F S ASSESSED
Inspector: A , Date: R Phone #: (503) 718-