Permit kw:t .' C i � Y OF TIGARD BUILDING PERMIT
. , PERMIT #: BUP2007 -00271
COMMUNITY DEVELOPMENT DATE ISSUED: 5/21/2007
fT ,, z, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102AD - 03450
SITE ADDRESS: 08777 SW BURNHAM ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CITY OF TIGARD
Project Description: Add or relocate approx. 9 sprinkler heads in various areas of building.
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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,950.00
Owner: Contractor:
CITY OF TIGARD WYATT FIRE PROTECTION INC.
13125 SW HALL BLVD 9095 SW BURNHAM
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503-639-4171 Contact #: PRI 503 - 684 -2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/21/2007 $81.70
[TAX] 8% State Surcha 5/21/2007 $6.54
Total $88.24
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 -0 10. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ,I
Issued �� /UI, Permittee Signature: „ . �"�� /� j
By:
Call 503.639.4175 by 7:00 a.m. for an inspection at 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.
i Fire Protection System
Buil1ing Permit Application FOR OFFICE USE ONLY
'City Tigard
Ti and Received 1 � LT- _` Permit f vp�.-002
ll � ..c Z
5
Da `2 V ti
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 I Date/By: Other Permit:
Inspection Line: 503.639.4175 . �► � Date Ready/By: Juris: RI See Page 2 for
Internet: www.ci.tigard.orus Notified/Method: - 11C1.- Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
n New construction n 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 Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 8777 S W {3 j) _ 1 km s' New dwelling area: square feet
• City/State /ZIP: i c, ) k. 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: • ...-•" ,412 1) po6 Li C 140e_4(--,' 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, Iabor, overhead, and the prof t for the
DESCRIPTION OF WORK work indicated on this application.
M ,! / � " �t� / w p� �/ , ���_ Valuation: $ S 9
V l l I D u S S ' (" l 9 ! /9F 1� �kJ Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
\.( 4PPLICANT ❑ CONTACT PERSON NOTICE
Business name: 56 ( / A) Fe3 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
Business name: W y_ 'f F/ J - 7 t 7 i7'0 /`.`
BUILDING PERMIT FEES*
Address: 9`{) 9 5 $ w 0 L 14-A -M 3 ! Please refer to fee schedules
City/State /ZIP: l i 6 /4-iLo .0/2_ 9 -z_ a- 3
( 3 6 � - Z9 2_ (2, 66 � �Z4- — ` 6 5 7
Fees due upon application 2.4
Phone: 6 ) `Y^ Fax �l Amount received $g ,
(�
ccBlic.: 0 77 5/21 � 0�-
Date received:
Authorized signature: , i > //`��� This permit application expires if a permit is not obtained
�� G within 180 days after it has been accepted as complete.
Print name: C / `74 — J4 — R - ) Date: 5 -/7-07 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\Building\Permits \FPS- PermitApp.doc 12/03 440 -46I 3T( I I/02 /COM/WEB)
CITY OF TIGARD =fi°
BUILDING DIVISION PERMIT #:a X07 - ea a �1
13125 SW Hall Blvd., Tigard, OR 97223 ( , DATE ISSUED:
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' _ °__..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: AA CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9 -3/ -o 7 Pour Time:
Code # Inspection Description Confirm # Contact # Message (Q$ _9abi
"9 OSa 8" ?g- o i
Corrections /Comments/ Instructions:
/
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/—PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v Date: / > , � -2 Phone #: (503) 71872-V2g
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00271
f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/21/2007
Phone: (503) 639 -4171 � „ ��'.����i6, �i
Inspection Requests (24 Hrs.): (503) 639 -4175 �!i
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 47
SITE ADDRESS: 013777 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CI fY OF TIGARD
DESCRIPTION: Add o r reloca aril sorinkier heads in various area of budding.
,.
. 1 OWNER: CITY OF TIGARD. PHONE #: 503 - 639-4171
CONTRACTOR: VVYATT FIRE PROTECTION INC. PHONE #: 503-684-2928
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 VI Sprinkler final 052898 "0I 503.684 - 2920 N
Corrections /Comments/ Instructions:
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•
1 1 PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
XFAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Vt "- eit 'L Inspector: Date: ®I / Phone #: (503) 718 - / 1
41
CITY OF TIGARD „-
.s --
BUILDING DIVISI ®N PERMIT #: PUP2007 -00271
13125 SW Hall Blvd., Tigard, OR 97223 /, DATE ISSUED: 5/21/2007
Phone: (503) 639 -4171 r ,�; °���.� .fit /
Inspection Requests (24 Hrs.): (503) 639 -4175 s '`:_..
INSPECTION WORKSHEET FOR DATE: 6/22(2007 TIME: 7:03AM PAGE: 72
SITE ADDRESS: 063777 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Add or relocate approx. 9 sprinkler head: in various areas of building.
OWNER: CITY OF TIGARD, PHONE #: 503 - 639-4171
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503-6842928
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 050733-01 503 -61 -2920 N
Corrections /Comment/Instructions:
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img � -_ ASS ARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
t.
Inspector: , /" L Date: te/7--2-/ 7 Phone #: (503) 718 -2-‘0-41