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Permit CITY OF TIGARD BUILDING PERMIT ,L PERMIT #: BUP2005 -00244 DEVELOPMENT SERVICES DATE ISSUED: 6/7/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112DD -01600 SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 ZONING: I -P SUBDIVISION: PACIFIC CORP. CENTER LOT: JURISDICTION: TIG Project Description: Fire protection. 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: $ 1,023.00 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 6/7/2005 $62.50 [TAX] 8% State Surchari 6/7/2005 $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 question o • NC -y calling 503-246„.1:,99 o 1-800 -332 .4. Issued By: , 4 ._ 6( , e , .4p,_ , /✓ Permittee Signature ■ �� �/J - Call 503-639-4175 by 7:00 a.m. for an inspection t t 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 ,, Bding Permit Application FOR OFFICE USE ONLY City of Tigard Recei Date/By:(l� ved/- r l i,� �Q5' /tg PemutNo.: >���6 4 13125 S«' Hall Blvd., Tigard, OR 9' 1005 Plan Revie / 1 Phone: 503.639.4171 Fax: 503(y9ft. k9t f- I ihktrui A Date/By: I Otl r Permit: . Inspection. Line: 503.639.317 DIVISION AA,, , 4:711 Date Ready/By: 0 See Page 2 for Internet: w w.ci.tigard.or.us � ��� Q� Y ��I QIr NotifiecVMethod: "/ (/ Supplemental Information . • TYPE OF WORK ` REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New nstruction i 1) ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ddition`alteration ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF .CONSTR ION work indicated on this application. Valuation: $ ❑ I - and 2 family dwelling C ommercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: Total number of floors: _ ' • JOB SITE LVFOR�MATION AND LOCATION ' - Job site address: 1544 5 SANI SeQ jD p Y New dwelling area: square feet City /State'ZIP: T'1 bPrp- / O I 41224 Garage /carport area: square feet Suite/bldg./apt. no.: 17 O I Project name: vW \ 1& Covered porch area: square feet Cross street /directions to job site:" —2--m prbvetivOt Deck area: square feet Other structure area: square feet REQUIRED DATA: 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 p,� , DESC 'OF WORK ' work indicated on this application. 1e V AIV � �r V'e s 1 Valuation: $ , O1? " Existing building area: square feet New building area: square feet • - ❑ PROPERTY OWNER • . 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT ,. - ❑ CONTACT PERSON NOTICE Business name: (See A Ty kC J p• ) All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the Cin /State'ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR '• . • Business name: k■cp,. p h i C BUILDING PERMIT FEES* S Pv Address: 0� ,/1 ¥ PtI r / 1 Please refer to fee schedule. C it}; State ZIP: V f�a� O� �1ZZ p � i�� Fees due upon application � (07 ,5 0 Phone: 2) ) VJ2'L - d.3 Fax: (6D5) koe�- • q koG ^ 1 Amount received CCB lie.: W y r1 �� Date received: r Authorized signature: t ..---: - . Di �� This permit application expires if a permit is not obtained e� within 180 days after it has been accepted as complete. Print name: ,%ge - RI NI I Date: wi • Fee methodology set by Tri- County Building Industry V�l� V Service Board. 44n.46:'T, :: COt start City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information I Describe work to be done: ` • : 1.) ❑ New 2.) Mo cation to sprinkler heads only: ❑ Addition 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Te•rn m prove/MAn Type of System (Complete A, B,.0 or D as applicable):' A.) Commercial Sprinkler :. ,; � E,. ; L. .L. -. w'� iF� � v_y 1_r•.� s [e •� -:v : ^ -� �. ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ \ j 023 B.) Type I - Hood Fire Si ppression' Syitem',5 "'f ' ., ` ` ` Hood Project Valuation: $ .C:) Fire Alarm • : _ �. = f ,. a _�,;� .. x� , : � • Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) - Residential 'Sprinkl'e? (Stand Ellone Square Footage: Permit Fee: - 0 to 2,000 $187.50 2,001 to 3,600 $232,50 3,601 to 7,200 $292.50 I _F -;�,• _.� ;� - 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): $ l 2 . .50 Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ . ©O FLS Plan Review 40% of Permit Fee: $ 1J1 TOTAL: $ t,9'1 5 (7 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 Building'.Forms FPS Checklist.doc 12129/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00244 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2005 Phone: (503) 639 -4171 i�n,e4�4l Inspection Requests (24 Hrs.): (503) 639 -4175 �! �. ` __.. INSPECTION WORKSHEET FOR DATE: 8/4/2005 TIME: 7 :08AM PAGE: 83 SITE ADDRESS: 15495 SW SEQUOIA PKWY 120 CLASS OF WORK: SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE: PROJECT NAME: SPEC OFFICE DESCRIPTION: Fire protection. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300 CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684 -2928 Inspection Request Scheduled For: Date: 8/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinlder final 012768 -01 503.684 -2928 N Corrections/Comments/Instructions: $Pfit,vC it r(i/k 7k ID • yr_p_Ass ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR SPECTION ❑ ADDITIONAL FEES ASSESSED Inspector : �,, Date: -1- —°5-- Phone #: (503) 718-