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Permit 'i 'L :q „ ` �,�� BUILDING PERMIT ill r ti [ PERMIT #: BUP2008 -00049 COMMUNITY DEVELOPMENT DATE ISSUED: 2/20/2008 TIGAItD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 CB -00400 SITE ADDRESS: 12700 SW HALL BLVD BLDG C ZONING: I -L SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: BAY STANDARD INC Project Description: Add (2) new heads 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: $ 300.00 Owner: Contractor: GAZELEY, HARRY W WYATT FIRE PROTECTION INC. PO BOX 230414 9095 SW BURNHAM TIGARD, OR 97281 TIGARD, OR 97223 Contact #: PRI 503 - 684 -2928 Phone: FAX 503 - 684 -9657 Reg #: LIC 64077 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 2/20/2008 $62.50 (TAXI 12% State Surch 2/20/2008 $7.50 Total $70.00 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 Utilit • tion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-0100.6 .y obt a copy of these r s or direct estio to OUNC by calling 503.246.6699 or 1.800.332.2344. A Pe rmittee Si nature• Issued y: t g �� , ,AI i Call 503.639.4175 by 7:00 a.m. for an inspection that b 4 siness day. This permit card shall be kept in a conspicuous place on the job site ntil completion of the project. Approved plans are required on the job site at the time of each inspection. Fire Protection System Building Permit Application FOR OFFICE USE ONLY Tigard Received of Ti City �^,., G City g Date/By: No.: UPO 23 OO'�/ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Pennit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris RI See Page 2 for Internet: www.tigard - or.gov Notified/Method: p Supplemental Information 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 0.Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling C.ammercial /industrial Valuation: $ ❑ Accessory building 111 Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 J7DQ 51 kALL 81..--VD New dwelling area: square feet City/State /ZIP: • 6,41w ®/z 4•77? Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 13,41 5- i4)f4-0 / //QC., 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. A-DD A 5I61W141--c- P1 'bS Valuation: $ SOO. Existing building area: square feet New building area: square feet / PROPERTY OWNER ❑ TENANT Number of stories: Name: ' /P ( .:„.. ) Type of construction: Address: /27670 1' 011,-&— RV-VD ■ Occupancy groups: City/State/ZIP: 2 ,2i a/_ 9722- Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: 6 6 co -faG r Q/2„ 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* f A � :• 9„,,7_,__„,„,,, (Please refer to fee schedule) Business name: rj 5 j ,� / i3v� A I 1 - /]/� I 0-"(e, Permit fee: a Address: % / w /u l T Lr' l City/State /ZIP: D D 9 7 3 State surcharg o of permit fee): 7. s-0 ) FLS plan review (40% of permit fee): /`� Phone: (5V3) 034 - 2 U Fax: (503) 4764- - 9(, 57 (Due upon application.) ....7(3 CCB lie.: 4 ©4® 77 Total permit fees: - • 00 Authorized signature: Amount received: 70 . This permit application expires if a permit is not obtained Print name: IJ . ,4 Date:& - - 013 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \FPS- PermitApp.doc 03/23/06 440 -4613T(II /02/COMJWEB) 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 •10 heads: No plan review required. Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: III ,Wta/12 -6 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: $ 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. http: / /www.ci.tigard.or.us /cite_ hall /dcpartmcnts /cd /dots /f'PS- PcnnitApp.doc 2 F TYOFTIGARD 1 BUILDING DIVISION PERMIT #: f311P2008- 000.19 3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212012008 Phone: (503) 639 -4171 °' t Inspection Requests (24 Hrs.): (503) 639 -4175 ° INSPECTION WORKSHEET FOR DATE: 232232008 TIM : 7:00AM PAGE: 59 SITE ADDRESS: 12 SW HALL BLVD BLDG C CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BAY STANDARD INC DESCRIPTION: Add (2) new heads; OWNER: GAZELEY, HARRY W, PHONE #: CONTRACTOR: WYATf FIRE PROTECTION INC. PHONE #: 503 - 684 -29 �8 Inspection Request Scheduled For: Date: 232232008 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Spiinldc,r final . 065437 -01 503 -634 -2928 N Corrections /Comments /Ins ructions: (X9' \ka / 01/4-,4.) Io(2.3.1 Et AYa, 7 LC-et. 1 o --c..- 4:,, j (..k_ iv (23 ❑ PASS 1 1 PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS rz4 FAIL OeC6LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED � N )-z y (A e Inspector: Date: Phone #: (503) 718 - 2-`� Z