Permit A:.
CITY OF T I G A R D BUILDING PERMIT
PERMIT #: BUP2002 -00348
��4. DEVELOPMENT SERVICES DATE ISSUED: 8/12/02
. . i- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07550 SW TECH CENTER DR 220 PARCEL: 2S101 DC -04000
SUBDIVISION: ZONING: I -L
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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 69 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: 4 00
Remarks: Relocate 4 sprinkler heads and add 2 sprinkler heads.
Owner: - Contractor:
RREEF AFP SYSTEMS INC
720 SW WASHINGTON ST STE 710 19435 SW 129TH
PORTLAND, OR 97217 TUALATIN, OR 97062
Phone: 503 - 295 -5555 Phone: 503 - 692 -9284
Reg #: LIC 67534
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler inspection
PRMT CTR 8/12/02 $62.50 27200200000 Final Inspection
5PCT CTR 8/12/02 $5.00 27200200000
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe ml ittee
Signature: i
Issued By: ,,� 1
Call 639 -4175 by 7 p.m. for an inspection the next business day
\i/ _
- w. Building Permit Application
� i City of Tigard Date received: E I / Z_ /0 Permit no.:3( p, _
y i i ,
" __ . Project/appl. no.: Expire date: •
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 V
Phone: (503) 639-4171 ,V Date issued: By3, $ I Receipt no.:
Fax: (503) 598 -1960 6 4�0 � Case file no.: Payment type:
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ndustrial ❑ Mu - -famil ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement TB Tenant improvement n CiatIM alarm ❑ Other:
JOB SITE INFORMATION
Job address: 155 I - C r MillIMININIM Bldg. no.: Suite no.: ZZp
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: 'M _ •`l'tr ZCt=
i
Description and location of work on premises/special conditions: 1. _. , , l!7t
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
��� •• ..a (Floodplain, septic capacity, solar, etc.)
Mailin:address: •w , - �a
-� 1 & 2 family dwelling:
wir State: iSQ ZIP: 9-al Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
IIIMILI A 1111E I IIIIII I Covered porch area (sq. ft.)
Mailing address: VL' 3 ‘- \ Deck area (sq. ft.) City: • L.. State: 62. ZIP: '".MaZ. Other structure area (sq. ft.)
Phone: ' :` 7. •/ a‘ • Fax:( 7. I .( E -mail: Commercial /industrial/multi- family:
CONTRACTOR Valuation of work $ (.Ct •
Existing bldg. area (sq. ft.) 1,1b6
1 New bldg. area (sq. ft.)
Address: /i` I
, 7 ZIP: 91pb Number of stories
f _9 ��.Sil� Type of construction
Phone: \I1
E -mail:
CCB no.: Q • Occupancy group(s): 1� j�' Existing:
New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCH ITECI /DESIGNER licensed with the Oregon Construction Contractors Board under
M .5 provisions of ORS 701 and may be required to be licensed in the
Address: 1 (plii, licirib. D jurisdiction where work is being performed. If the applicant is
State: p11 ZIP: • �� exempt from licensing, the following reason applies:
IIEEEWSSWIII Contact person: Plan no.:
Phone: -z.4.... Fax: E -mail:
ENGINEER
Name: — Contact person: Fees due upon application $ Cp1. •
Address: Date received:
City: State: ZIP: Amount received $ C •9J
Phone: Fax: 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 !. visio • of laws and ordinances governing this o Visa la MasterCard
work will be complied , , whe ■ r specified herein or not. '\ Credit card number: Expires
/
Authorized ature: �_ `2,. k ` /1A Date: R -`1 -C 2- Name of cardholder as shown on credit card
Print name: 1 S1?1,4\� L.Sot.4 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)
ti 1
Fire Protection Permit Check List
A.) ❑ New ❑ Addition gi 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: t�
Additional description of work: U - -\ X 4 P_-D 6-0?tl--\\Lt-07‹
Type`ofsS' tem (Com.plete;�A °; B or C::tas:- applicable' `� _
A.) Sprinkler Wet IA 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 Li
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $ •
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
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.
is \dsts\forms \FPSchecklist.doc 11/21/01
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639-4175
MST DIVISIO(, Business Line: (503) 639 -4171
�j BUP 6-0 3
Received Date Requested / /z d AM PM BUP c 2 —0 v 33
Location 7 SSd �-�-�� �'ti Suite 2 MEC — co 3S7
Contact Person le /4 4 T ne-Y\ Ph ( ) 3 06 ( PLM
Contractor ( iEc-) VV�r vrt Ph ( ) g° L/ 0 OZ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear Q
Framing C 1 a S � Prn�eU / S prIt4 k dvc) ,.S 6 ;17
Insulation
Drywall Nailing P eau! P Ufa (VI 0 44 (" e
Firewall
Fire Al- 11
sp'd Ceilin•
0th
• PASS ART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
Z A FAIL
HANICAL
Post 8 - Beam
Gas Line
Smoke Dampers
F
PASS ART FAIL
RI CAL
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 ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk D �� Inspector 6 6! u/ e Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL