Permit �,, �" =,n � ��� � TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00617
' - - COMMUNITY DEVELOPMENT DATE ISSUED: 12/21/2007
T[G 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY 340 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT: JURISDICTION: TIG
PROJECT: MERIDIAN TECH GROUP
Project Description: Fire Sprinkler
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 77 BASEMENT: sf AREA SEP. RATED:
STOR: 4 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,060.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES DELTA FIRE INC
15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE
PORTLAND, OR 97224 PORTLAND, OR 97224
Contact #: PRI 503 - 620 - 4020
Phone: FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/4/2007 $76.80
[TAX] 8% State Surcha 12/4/2007 $6.14
[FLS] FLS Pin Rv 12/4/2007 $30.72
Total $113.66
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: L ,, �j1 Permittee Signature: -(>/0 1
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.
(1t/tElaf tfAtL) TE-0H 6-r xl (2-c? ` t )
Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard i Received
` , c , Date/B : Ai 0� - r Permit No.:B /' ?ao' -r,O 6 i
a ,
13125 SW Hall Blvd., Tigard, OR i
41 Plan Review
_ Phone: 503.639.4171 Fax: 503.59:.196Q 4 0 jel pi p
� •ther Permit : 13 r. Q Da te/B : r o �0 / dO 5 v T
TIGARD . Inspection Line: 503.639.4175 `.. fl Date Ready/ : : Juris: El See Page 2 for
Internet: www.tigard ^\ � V 0 ' A 1S \O Notified/Method: Supplemental Information
V e �w a� ..
TYPE OF A 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
'� ' ° C work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building 1:1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION ' Total number of floors:
Job site address: 12909 SW 68 PDWY New dwelling area: square feet
City/State /ZIP: Portland, Or 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: #340/ B Project name: Meridian Tech Group 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.
Fire Sprinkler Valuation: 553,060.00
Existing building area: square feet
New building area: square feet
❑. PROPERTY OWNER ❑P TENANT Number of stories: .
Name: Type of construction: 2 rc
Address: Occupancy groups: ri
City/State /ZIP: Existing: `7-?
OG
Phone: ( ) Fax: ( ) New:
i.:."1 APPLICANT - - ❑ CONTACT 'PERSON " = NOTICE
Business name: Delta Fire, Inc All contractors and subcontractors are required to be
Contact name: Heidi Scarbrough/Matt Staley licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14795 SW 72 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: heidis@ del tafire .com /matthews @deltafire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: Delta Fire, Inc. (Please refer w fee seheduk
Permit fee: / ( . Q c9
Address: 14795 SW 72 Ave. /
City /State /ZIP: Portland, Or 97224 State surcharge (8% of permit fee): L . 1 T
t
FLS plan review (40% of permit fee):
Phone: (503) 620 -4020 Fax: (503) 620 -1058 (Due upon application.) - j 0. 7 a
CCB lic.: 64174 Total permit fees: 1 1 - .1
:
Authorized signature '���4 i(/"" /JJA Amount received: 1 (3. /„/
This permit application expires if a permit is not obtained
Print name: Heidi Scarbrough Date: 11 -29 -07 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1P1Building \Pennits\FPS- PermitApp.doc 03/23,06 410- 1613T(II /02iCOM/WEB)
City of Tigard: Fire Protection Permit Checklist '
Page 2 - Supplemental Information
■
Describe work to`bedone: , = . . " w ;. . 2 , .
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 hearts: 15
Additional description of work
Type of System (Compl B, "'C or D as ' apphcable) ;,, _ ' , ' ' : 4
A:) Comm Sprinkler r'f , `
® Wet ❑ Dry
Additional Standpipes NA
Information: Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.62
Sprinkler Project Valuation: $ 3,060.00
B.) T I , Hood Fire,Suppresiori:System ; , `3 :/ 7 '�
Hood Project Valuation: $ NA
C : F ir e A larm ,��.��"x r : � , wit
a , > „� °� �����:,�° ?_ �. _te ams rT4 ?.;i,,C. , � — 8`
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ NA
D Re S rmIder - -Stand Alone S stem = e
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50 E , ,
7,201 and greater $381.50 'I
Sprinkler Project Square Footage: NA sq. ft.
'' " . .e + : - -,:` Fi Protection Permit Fees. " e '°
Project valuation subtotal (see A, B & C above): $ 3,060.00
Permit fee based on project valuation (see fee schedule): $ 76.80
Permit fee based on square footage (see D above): $ NA
State Surcharge (8% of permit fee): $ 6.14
FLS Plan Review (40% of permit fee): $ 30.72
TOTAL: $ 113.66
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.
C \Building' .Permits \FPS- PermitApp.doc 0323/06 440- 46I3T(I1}02 1COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: l3UP2807- 00617
13125 SW Hall Blvd., Tigard, OR 97223 " DATE ISSUED: 12121/2007
Phone: (503) 639 -4171 pdgr+�t .
Inspection Requests (24 Hrs.): (503) 639 -4175 c-�+% �II�
INSPECTION WORKSHEET FOR DATE: 1/31 2008 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 1290rt SW 68TH PKWY 340 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE. OF USE:
PROJECT NAME: MERIDIAN TECH GROUP
DESCRIPTION: Fir() Sprinkler
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 03-620-4020
Inspection Request Scheduled For: Date: 1/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 sprinkler final 061300 01 603-956-6290 N
Corrections /Comments /Instructions:
TAO) 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A Date: - i I. Phone #: (503) 718 -
CITY OF TIGARD • _ «:
BUILDING DIVISION , PERMIT #: E1117007 Ciffa7
13125 SW Hall Blvd., Tigard, OR 97223; DATE ISSUED: 12/21/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION,WORKSHEET;FOR DATE: 1/3012008 TIME: 7:O2AM PAGE: 26
SITE ADDRESS: 12909 S W 68TH PKWY 40 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: MERIDIAN TECH GROUP
DESCRIPTION: Fire Sprinkler
OWNER: PACIFI C.REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 1/30 /2008, Pour Time
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 064198 -01 503 - 620.4020 N
Corrections /Comments /Instructions:
F
•
•
•
• • a E PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS
,�► °•� Al
El ALL FOR INSPECTION 0 ADDITIONAL F D ES ASSESSED
Date:
1/ `� Phone #: (503) 718 -
•
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: BUP2007-00617
13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 isopNp" I L
Inspection Re nests (24 Hrs.): (503) 639-4175' ; .
•
.
INSPECTION WORKSHEET FOR . DATE: 12/27/2007 TIME: 7 :00AM PAGE: 46
SITE ADDRESS: 11909' SW 68TH PKWY 340 CLASS OF WORK:
SUBDIVISIONS TIGARD TRIANGLE CENTER LOT #: TYPE OF USE
PROJECT NAME: MCRlDiAN TECH GROUP
DESCRIPTION: Fire Sprinkler
OWNER: PACIFIC REALTY ASSOCIATES, . PHONE #:
CONTRACTOR: DELTA FIRE INC: PHONE #: 50 620 -4020
Inspection Request Scheduled For: Date: 12/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
2.31 • Misc. inspection' 062173-01 503-620.4020 N
Corrections/Comments/Instructions:
/?/z_ _ 4- /
/ C
•
•
•
11 PARTIAL APPROVAL Q CANCEL • NO ACCESS
i� u
1�1
� .
• n MI CALL FOR INSPECTION ADDITIONAL. FEES ASSESSED
Inspector: �- -111111.1111 Date: r
. _ � � � 47Phone #: (503) 718- Z‘2"/
CITY OF TIGARD AD. - _ j -r -:.: 0
BUILDING DIVISION PERMIT #:, _ BUP2007.00617
13125 SW Hall Blvd., Tigard, OR 97223 '" DATE ISSUED: 12/21/2007
Phone: (503) 639 -4171 01/4/400/t '
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7 :00AM PAGE: 28
SITE ADDRESS: 12909 SSW 68TH PKWY .-340 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #:' TYPE; OF USE:
PROJECT NAME: MERIDIAN TECH GROUP
DESCRIPTION: Fire Sprinkler
..--�� .
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 603 - 620.4070
Inspection Request Scheduled, -For: - Date: 12/24/2007 Pour Time
Code # Inspection Description Confirm # Contact # Mes- i s :
295 Misr:. inspection ., 062087 -03 503-956-6290
.9'10 :C W, . :
Corrections /Comments /Instructions: ,
&614.0 4._.....g 1 Li"..--v•/`-- P---) ,52.--e 57QA c--C- - --e-e-Q__
'' vk-e—e_ci - \--D e:_.ik - - Am ).J0 4 zi-
❑ PASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
)FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES'. ASSESSED
Inspector; L ✓_- Date: Q/ Phone #: (503) 718 - ,