Permit CITi BUILDING PERMIT
OF TIGARD PERMIT #: BUP2005 -00146
� , DEVELOPMENT SERVICES DATE ISSUED: 5/26/2005
Alg- A I- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Fire sprinkler system.
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: F2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 72 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: $ 23,020.00
Owner: Contractor:
AMB PROPERTY L P DELTA FIRE INC
BY TRAMELL CROW NW INC 14795 SW 72ND AVE
8930 SW GEMINI DR PORTLAND, OR 97224
RAVERTON, OR 97008
one: Phone: 503 - 620 -4020
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/15/2005 $273.70
[TAX] 8% State Surchari 4/15/2005 $21.90
[FLS] FLS Pln Rv 4/15/2005 $109.48
Total $405.08
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 -246 699 or 1- 800 - 332 -2344.
Issued By: v G Permittee Signature: _ ` ' •
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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. .
Fir a Irtitection System
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Building Permit Application FOR OFFICE USE ONLY
City of Tigard Date /B d Permit No (, v( 1 3125 SW Hall Blvd , ll ard, OR 97223 R E C E V A I � ;° \
Tigard, Plan Review
Phone: 503.639.4171 Fax 503.598.1960 ^• Date/ Other Pemut
Inspection Line 503 639.4175 n 1 j PR !''' '' i ll Dat- ' eady /By L/A pam ® See Page 2 for
Internet: www.ci.tigard.or us APR g t t : rt ; Method 7 Q ...,...-•//%4 Supplemental Information
a 44 w! rA
TY A. D ./ RE Ife D DATA: 1- AND 2- FAMILY DWELLING
I ! 1 •4 S' Tr , �• P ermi t f ees* are based on the value of the work performed.
® New construction fill - . l ' n
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industnal
Valuation: $
111 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: 10575 SW Cascade Ave New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no : 130 Project name: HEMCON Manufacturing 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: 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.
Valuation: $$23,020.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stones: �Q 01—
Name: HEMCON Manufacturing Type of construction: V I'i O P de
Address: 10575 SW Cascade Ave Suite 130 Occupancy groups: \ \* "
City /State /ZIP: Tigard, OR 97223 Existing: Qt
Phone: ( ) Fax: ( ) 'b' /
New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Delta Fire, Inc. All contractors and subcontractors are required to be
Contact name: Matt Lally licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14795 SW 72nd Ave Jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons
apply:
Phone. (503) 620 -4020 Fax: : (503) 620-1058
E -mail: mattl @deltafire.com
CONTRACTOR
Business name: Delta Fire, Inc.
BUILDING PERMIT FEES*
Address: 14795 SW 72nd Ave
Please refer to fee schedule.
City /State /ZIP: Portland, OR 97224 ! �
Phone: (503) 620 - 4020 Fax: (503) 620 - 1058 Fees due upon application 4/0--, VS
Amount received
CCB tic.: 64174
Date received:
Authorized signature: )' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name Jackie cCourtney Da : 4/13/05 * Fee methodology set by Tri- County Building Industry
Service Board
■ \ Building \ Perms \FPS- PermitApp doc 12/03 440- 46I3T(I I /02 /COM /WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00146 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2005
Phone: (503) 639 -4171 A l l
Inspection Requests (24 Hrs.): (503) 639 -4175 ..., �__..
INSPECTION WORKSHEET FOR DATE: 10/14/2005 TIME: 7:02AM PAGE: 85
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER • LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Fire sprinkler system.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 620.4020
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 018369-01 503-407 -4755 N
Corrections/Comments/Instructions:
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PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI I NAL F ES ASSESSED
Inspector: • / 1 Date: / i Phone #: (503) 718 -
•
CITTGf TIGARD , •
BUILDING DIVISION PERMIT #: BUP2005- 0014E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/6/2005 TIME: 7:02AM PAGE: 42
•
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Fire sprinkler system. •
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
•
Inspection Request Scheduled For: Date: 10/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough- in/test 017632 -01 603-407 -4755 N
Corrections /Comments /Instructions:
6? Le{ a( Ti c' � i �-� � 1 //
•
•
PA SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�, / 2 q Inspector: 6 4 `� � � Date: lO 4- #: (503) 718 4s
CIT OF TIGARD \L'
BU _ b DIVISION PERMIT #: BUP2005 -00146
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2602005 '
Phone: (503) 639 -4171 �
' Inspection Requests (24 Hrs.): (503) 639 -4175 JI.
INSPECTION WORKSHEET FOR DATE: 7/15/2005 TIME: 7 :11AM PAGE: 49
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: - LOT #: TYPE OF USE: -
PROJECT NAME: Ei
HEMCON EXPANSION
DESCRIPTION: ; Fire sprinkler system. •
/;
OWNER(' MB PROP P, PHONE #:
CONTRACTOR : DELTA FIRE INC PHONE #: 503 -620 -4020
Inspection Request Scheduled For: Date: 7/15/2005 Pour Time:
Code # ` i Inspection Description Confirm # Contact # Message
399 / Sprinkler final 011507 -01 503 - 407 -4755 N
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Corrections /Comments/ Instructions:
I f t' . �i1 -
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❑ PASS ❑ ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: ke Date: • fb Phone #: (503) 718-
L
CITY OF TIGARD
BU:DIN3 DIVISION PERMIT #: BUP2005 -00146
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/17/2005 TIME: 7:11AM PAGE: 88 \
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Fire sprinkler system.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 -620 -4020
•
Inspection Request Scheduled For: Date: 6/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 009483-01 503.620.4020 N _
Corrections /Comments /Instructions:
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❑ PASS ❑/P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: v Phone #: (503) 718-
CITY tOF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00146
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2&2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/27/2005 TIME: 7:10AM PAGE: 55
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Fire sprinkler system.
OWNER: AMB PROPERTY L P, • PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 5/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
910 Sprinkler rough -in /test 007896 -01 503- 620 -4020 N
Corrections /Comments /Instructions:
1EL 111 (""R (WI P ;#
N Mk( SCrtIX
❑ PASS E ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL _ ❑ CALL FOR INSPECTION ❑ ADDITI AL F• S ASSESSED
Inspector: Date: C3 Phone #: (503) 718-
•