Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00388
1� DEVELOPMENT SERVICES DATE ISSUED: 8/9/2004
i,
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S1266C -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 570
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: CJ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: _ 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: $ 500.00
Remarks: Move existing horn strobe to accomodate wall coverage.
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES FIRE PROTECTION SERVICES
BY TC PORTLAND, INC 18270 SW MOUNTAIN HOME RD
8930 SW GEMINI DR SHERWOOD, OR 97140
BEAVE TON, OR 97008
Phone: 503 - 590 -3732
Reg #: LIC 154333
FEES REQUIRED INSPECTIONS ,
Description Date Amount --1/04-c- =NS P r /
i o A
[BUILD] Permit Fee 8/9/2004 $62.50
[TAX] 8% State Surcharl 8/9/2004 $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 questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 44../4.-ec.A--.<- ,Z56,,e2T-1./C.---)
Permittee
Signature: ✓ — /�G�j /i
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fi, a Fsotection System
Building Permit Afa EJ1VED FOR OFFICE USE ONLY
Received / a P A/ - c � r
City of Tigard Retell f 41,i .� Permit No.: • •
131 SW Hall lvd., Tigard, OR 972 AUG 0 9 2004 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 0'"it " �''`1` DateBy: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: luof' ® See Page 2 for
Internet: Line: .tigar 503.639.4175 CITY OF TIGARD "'III
Notified/Method: 1 I Lk Supplemental Information
BUILDING DIVISION
. • TYPE OF WORK REQUIRED DATA: 1- 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Z Commercial /industrial
1:1 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: 8020 SW Washington Square rd New dwelling area: square feet
City/State/ZIP: Tigard OR Garage /carport area: square feet
Suite/bldg. /apt. no.: #5 Project name: Dr Barry 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Move existing horn strobe to accomidate coverage Valuation: $$600.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Cammerron Property Development LLC t/51 ..,7 Type of construction:
Address: /7/ 5'4) -<t'jiME Occupancy groups:
City/State/ZIP: Lake Oswego, Or 97035 p./4z_.? .7V0-
Existing:
Phone: 17 �. Zyo�oo Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
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: applicant is exempt from licensing, the following reasons
apply:
y:
Phone: ( ) Fax::( )
E -mail:
CONTRACTOR
Business name: Fire Protection Services Inc BUILDING PERMIT FEES*
Address: 18270 SW Mountain Home Rd
Please refer to fee schedule.
City/State/ZIP: Sherwood, Or
Fees due upon application
Phone: (503) 590 -3732 Fax: (503) 628 -6214
Amount received
CCB lic.: 154333
Date received:
Authorized signature: / 'V� This permit application expires if a permit is not obtained
,,� % within 180 days after it has been accepted as complete.
Print name: , lj i4D " , rte{ Date: * Fee methodology set by Tri-County Building Industry
/S / _ ✓ Service Board. �� l
i:\Building\Permits \FPS- PermitApp.doc 12/03 440 -4613T(I I /02 /COM/WEB) (a -7 ' l/
CITY O,F TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
•
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested k AM PM BUP 7inofk—0O3a.8
. Location l() 20 (R ¶l6 Suite MEC
Contact Person Ph ( ) PLM •
Contractor Ph ( ) 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
Framing
Insulation
Drywall Nailing
Firewall
Fir rinkler
ire m
Susp eiling
Roo
''nal ‚ ''
PASS PART FAIL
PLU ING
• & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan -
Other: -
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL •
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call or reinspection RE: Unable to inspect — no access
Fire Supply Line e b.
Approach/Sidewalk Date / D Inspector 11111111W • Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
•