Permit (10) , w c
r
A,, � CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00477
liil DEVELOPMENT SERVICES DATE ISSUED: 10/4/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112AC
SITE ADDRESS: 14655 SW 72ND AVE ZONING: l -
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Add 2 sprinkler heads in mezzanine.
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: 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: $ 950.00
Owner: Contractor:
ALPHA LIMITED PARTNERSHIP VIKING AUTOMATIC SPRINKLER CO
14725 SW 72ND 3245 NW FRONT AVE
TIGARD, OR 97224 PORTLAND, OR 97210
Phone: Contact #: FAX 503 - 227 - 1552
PRI 503 - 227 -1171
FEES Reg #: LIC 64837
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/4/2006 $62.50
[TAX] 8% State Surcha 10/4/2006 $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: A Ay, Permittee Signature:
Cali 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.
Fire Protection System
.ti
Building Permit Applic tjdn 1 r 1�,. . l c)lz al rlc:l: 1isr: c ► \l.l
it City of Tigard ' - e>v /0 0 I Permit No.: V Ian(, —pp 4
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
m Phone: 503.639.4171 Fax: 8.
px 2006 Date/B . Other Permit.
T I C n I t) Inspection Line: 503.639.4175 Date Ready/By: H See Page 2 for
Internet: www.tigard- or.gov Notified/Method
� Ur ty Supplemental Information
.Ji Y Ul�i:l } .'
T M y P I E a T i V O R K 7 7 "" T { ' I -' 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.
❑ 1- and 2- family dwelling QCommercial /industrial Valuation: $
❑ 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: r i , Li (p S S S l.3 - -y1_,, New dwelling area: square feet
City /State/ZIP: CI f. v N ti,) (4.1 cel 2 L■l Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: ‘)c.> 1Z ; c..,l.. 5k,. Covered porch area: square feet
Cross street/directions to job site: ) 'L, e7 G t JO to :kc.0 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.
33 , r Valuation: $ S SD
Iwo
ICI k....) :_wK \f "-0•27. f% .AC •
Existing building area: square feet
New building area: square feet
Q'PROPERTY OWNER I ❑ TENANT Number of stories:
Name: 2 ti► ,. ��'1 ,.Q ,.■ %., l` .NA 21..e c - r c -Tx.-
Type of construction:
Address: (SN o S; L ( J f k re,- Occupancy groups:
City / State/ZIP: QO is T % I y c7 r - 5 "7 'L\ `( Existing:
Phone: (e203) C..) , c / !O 4.1 N Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name:
1 vi_. 11 r,,,,,,,,4 -_ , Se,t -x, t,_, ,, ,,r All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
X7(..9 -� v Pa••'"3 under ORS 701 and may be required to be licensed in the
Address: Sty S , t..-> � _,.t A 0---, jurisdiction in which work is being performed. If the
City /State/ZIP: OD J, - �� J ` () f- 24 0
applicant is exempt from licensing the following reasons
apply:
Phone: (ms`s) Zt) L 1 t I Fax: : (Ozo3) 2 i `$'S- L
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
S
TA Permit fee: 2
Address:
State surcharge (8% of permit fee):
City / State/ZIP: °
FLS plan review (40% of permit fee):
Phone: ( ) I Fax: ( ) (Due upon application)
CCB Iic.: l, L( b 3 1 Total permit fees:
Authorized signature: Amount received: b i
This permit application expires if a permit is not obtained
Print name �.J� I Date: 1 , / .% / e ` within 180 days after it has been accepted as complete.
t taJ S1w� ' Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buitding\Permits \FPS- PermilApp.doc 03/23/06 440 -4613T(11 /02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2 Supplemental Information
Describe work t� be done:
1.) ❑ New 2.) Modification 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:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
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
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 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.
I: \I3uilding \Permits \FPS- PermitApp.doc 2
CITY OF- TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00477
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 , `' I a..
INSPECTION WORKSHEET FOR DATE: 10117/2006 TIME: 7 :04AM PAGE: 97
SITE ADDRESS: 14655 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PGE TRUCK SHOP
DESCRIPTION: Add 2 sprinkler heads in moz7anine.
OWNER: ALPHA LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: VIKING AUTOMATIC SPRINKLER CO PHONE #: 503-227 -1171
Inspection Request Scheduled For: Date: 10/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 038276-01 503-784 -2754 Y
Corrections/Comments/Instructions:
7; w. t i
. / w '
J v
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL w CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
■ • Oa. Inspector: Date: � t '7' b Phone #: (503) 718 - 24ka—