Permit , ... .
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00265
D ATE ISSUED: 6/21/2005
� DEVELOPMENT H O BMEN9 OR 97223 ICES -4171
PARCEL: 2S1 12 D A -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI, alteration of (10) 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: 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: $ 1,534.00
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: 503 - 684 -2928
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/21/2005 $62.50
[TAX] 8% State Surcharl 6/21/2005 $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 ar: et forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct que-tions to OU by
calling 503 - 246 -6699 or 1- 800 - 332 -2344. _-- f
Issued By: / _j` Permittee Signature. ✓ .._, �j
Call 503 -639 -4175 by 7:00 a.m. for an inspection at business day.
This permit cans 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.
Fi re protection System
U
Bu' ing Permit Application FOR OFFICE USE ONLY
City of Tigard Dat / i' " ..jar %. I „ '' Gbi
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / .
Phone: 503.639.4171 Fax: 503.598.1960 A j1l'� Date/By: ( �Q} Other P t:
Inspection Line: 503.639.4175 f.' Date Ready/By: /' /� [ D f ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ��, S upplemental Information
W
TYPE OF ORK'" -: - _ - ' . ( i : TOEQUIRED DATA: I- AND 2-FAMILY DWELLLNG
❑ Ne 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 O_ F .CONSTRUCTION work indicated on this application
: Valuation: $
❑ 1- and 2- family dwelling g ommercial/industrial
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
•- y x -z. ;0.1- ,: Total number of floors:
- • JOB - SITE wyoRnynoN = AND LO :...."%P
- �_- . - ± �:=� _r_3, - - '� ._.: ... .. ,ter. '':`?��:•s.:; .rf
Job site address: '5D55 ` M( kk i P- p New dwelling area: square feet
City/ State/ZIP: d � 0
Garage/carport area: square feet
Suite/bldg. /apt. no.: 1 c J I Project name: P61011MC, pp Covered porch area: square feet
Cross street/directions to job site: C;OYY MV N ‘ Q4' l ONS Deck area: square feet
Other structure area: square feet
A 100ED,D TA COMMERCIAL- USE,CHECKLIST
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
. : DE SCRIPTION j0F WORK ' . .. ' •"T A work indicated on this application.
Ft�� re- °� o r1 i �I� - 1' le�/�.11t<S Valuation: $ 1 J G% •
Existing building area: square feet
�r New building area: square feet
,c < • ❑ P_ Omen( OWNER O. TENANT -S; �2 ,'i£? '', Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New: • l • APPLICANT _ . • 0 CONTACT • •P.ERSON' : _ . -.rt■'.- "a. _'?�::- ' NOTICE I
Business name: (.? ' cjr psJ All contractors and subcontractors are required to be •
Contact name: licensed with the Oregon Construction Contractors Board I
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: / State/ZIP applicant is exempt from licensing, the following reasons
tY : apply:
Phone: ( ) I Fax: : ( )
E -mail:
' - • • : - .. CONTRACTOR fi.
Business name: - \ j . — \ - , - , eihON �NC/ , 'BUILDING PERMIT FEES*
Address: g0c4s • VV two4 ha n I Please refer to fee schedule
City/State/ZIP: -1' /I4 0� 61 ZZ3 [�
t�� ^,� Fees due upon application 11
Phone: (C ) V2A • l�IZ2 Fax: (G,b) Q4 - 6b0G-7 6)
CCB lic.: ` Tl 7. •
�`✓✓ ,, '"' /� �/ This permit ms app application expires if a permit is not o
• Authorized sienature:
I , .. 1� G / - �_ within 180 days after it has been accepted as complete.
Print name: hPi A N Date:O0 (^ (1 • Fee methodology set by Tri -County Building Industry
I W I Service Board.
1 BuIdmgPertnts,FPS•PervutAppd :_03 440- 4613T(11 /02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information F
Describe work to be done: • •
1.) ❑ New 2.) plii<ation to sprinkler heads only:
p etition 1 -10 heads: No plan review required.
lteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 10
Additional description of work:
f i? w 12PACC 's • I-1-60>s Thr T
- Type of System (Complete B, -C or D as applicable):
A.) Commercial Sprinkler `:= i- _ •
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 1 '
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 Spr`inkl'er (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 5232.50
1 3,601 to 7,200 5292.50 . •
1 7,201 and greater S381.50 •
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $ i
Permit fee based on valuation (see attac chart): $ .02 ,
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 00
. _
TOTAL: $ q ? tom"tf 7. 5°
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.
Bu:!,:mg Forms FPS C,cckl:st.doc 12/29/03
CITY-OF TIpARD
BUILDING' DIVISION
e d PERMIT #: BUP2005 -00265
. 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/21/2006
Phone: (503) 639 -4171 gp� l
Inspection Requests (24 Hrs.): (503) 639 -4175 _ `:-
INSPECTION WORKSHEET FOR DATE: 7/19/2005 TIME: 7 :08AM PAGE: 92
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC STAR COMMUNICATIONS
DESCRIPTION: Fire sprinkler TI, alteration of (10) heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503- 684 -2928
Inspection Request Scheduled For: Date: 7/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 011633 -01 503-684-2928 Y
Corrections/Comments/Instructions:
R!v A L. f O .. V
,e 0
0 . r etti L l
.., 1 t al
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDIT ONA FEES ASSESSED
O1 : ( Inspector: i � � ` ' Date: Phone #: (503) 718 -