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Permit II 'v CITY �I�B� BUILDING PERMIT PE RMIT #: BUP2008 -00185 ° COMMUNITY DEVELOPMENT DATE ISSUED: 6/4/2008 TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CC -00500 SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C -G SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG PROJECT: H MART Project Description: Fire suppression system. Adding (19) heads for (3) type - I hoods. 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: UNK sf N: S: E: W: OCCUPANCY GRP: M 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: $ 2,750.00 Owner: Contractor: 13500 PACIFIC CORP GUARDIAN FIRE PROTECTION BY CAP ADVISORS 1012 SW A ST 38345 W TEN MILE RD, STE 170 CORVALLIS, OR 97333 FARMINGTON HILLS, MI 48335 Contact #: PRI 541 - 752 -2258 Phone: FAX 541 - 752 -4259 Reg #: LIC 100355 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/2/2008 $69.65 [TAX] 12% State Surch 6/2/2008 $8.36 [FLS] FLS Pln Rv 6/2/2008 $27.86 Total $105.87 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 f• ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 .0-0100. 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 , / ' i � � i Permittee Signature: I 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. • Building fPeti ppn ( ' op tit` L v { -' ' 4:F i. !`igriaar c ,it t ,T,j�.3.rert „F yt't'' ,' Fire Protection System . -� r i : - FM u r v liVI ' ll � .: ipti R 1 Notified/ eceived City of Tiga [� Date/Bd 'emit No.: p l ° 13125 S W Ha ll Blvd., Tigard, OR 972 C,/ ©I�''�i�J /I �I _ ,, i J _ `cQ U e� Pl R ev i ew C . Phone: 503.639.4171 Fax: 503.598.1 O � b Date/By: /n ✓ (j/3 Other Permit ' V Inspection Line: 503.639.4175 \� " t�� II ate Ready /By: / .�} Juri ® See Page 2 for -' ,-- Internet: www.tigard or.gov , O_ 91s ' / 7/. L �// Supplemental Information TYPE OF WORK G " .4' REQUIRED 2-FAMILY UIRED DATA: 1- AND 2- FALY DWELLING Q ❑ New construction ❑ Dem�l�1 n Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ddition/alteration/replacement ❑ Other: i equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling commercial /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: /3 G 4'c S ‘,{/ ( 2 / 5.1 i JJ ` `/ New dwelling area: square feet City /State /ZIP: 1 / . 4 L O Garage /carport area: square feet Suite/bldg. /apt. no.: 1 ( Project name: /i — /7Jp-N1 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. j f yNv v , ( c t 7 r c.e ✓ E 55 c'- / PC/ C3) Valuation: $ c2 75Z 75Z /lad ` NEB/ f5 CI *!," - Existing building area: square feet .. Xrnr h a" A ./r a J Y New building area: square feet ❑ PROPERTY OWNER 0 / TENANT . 1 Number of stories: Name: ,‘,._ Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) 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: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: G 1 F F Prot-- (Please refer to fee schedrrle1 j D 0_ S G L� �� Permit fee: Address: City /State /ZIP: Cc�� f/ �7 State surcharge (12 %of permit fee): l .?(c) s F LS plan review (40% of permit fee): Phone: ( ,i ) `' S - )....> S Fax: (.6W) 75 ity. S�✓ (Due upon application.) 0 i 86 CCB lic.: /c5X7 S Total permit fees: /LS S. ? Amount received: fis s — . Authorized signature: e This permit application expires if a permit is not obtained Print name: — D e cy; : r f >; 6-yv 6 Z,. C) Date: - * Fee methodology set by Tri- County Building Industry Service Board. 1 : \Building\Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11/02 /COM/WEB) CITY OF TIGARD ,514/' BUILDING DIVISION PERMIT #: ?-2& GOJSlS 13125 SW Hall Blvd., Tigard, OR 97223 4_ DATE ISSUED: Phone: (503) 639 -4171 ,' i 'lI+� Inspection Requests (24 Hrs.): (503) 639 -4175 • _. INSPECTION WORKSHEET FOR DATE: 1,/<)01 £1 TIME: PAGE: SITE ADDRESS: i ` jp C2b f e-A CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: IA W\ tIV 1 DESCRIPTION: OWNER: PHONE #: CONTRACTOR:6 L2 1 q,,,, PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Descriptiory, Confirm # Contact # Message M / ' (M Corrections /Comments /Instructions: .i k DA 4 / f 0 IC --- - y 1_0-,7 c‘ tvok-v- kf-) Wort(e-7 OK + cr) le--51- ‘i Aviv\ le-2 v190 a< - De40,,,,v zw5 adh ivd4e,,4--,,v6c_ 0 K PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: D ate: (0 /4 �� Phone #: (503) 718- D- VA p � ) 1 . City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to 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 Sys Hood Project Valuation: $ C.) Fire Alarm ' • Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ • D.) Residential Sprinler (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 (12% 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. 1: Building \ Permits \ ITSPenmitApp.doc 2