Permit c CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00212
COMMUNITY DEVELOPMENT DATE ISSUED: 6/24/2008
TIGiC12D, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BD - 00301
SITE ADDRESS: 08015 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: PERFORMANCE CONTRACTING
Project Description: Modifying (4) sprinkler 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: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 61 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: $ 1,500.00
Owner: Contractor:
PERFORMANCE CONTRACTING GROUP DELTA FIRE INC
16400 COLLEGE BLVD 14795 SW 72ND AVE
LENEXA, KS 66219 PORTLAND, OR 97224
Phone: 913- 888 -8600 Contact #: PRI 503 - 620 -4020
FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/24/2008 $62.50
[TAX] 12% State Surch 6/24/2008 $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 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.
gior
Issued -i • % � _ _�/� Permittee Signature: /Pi
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 Permit Application
. , Fire Protection System (0 FOR OFFIC F USF. O\I l -
City of Tigard ° Received � ,,, � r Aga.)
111111 DateBv: i Iiiiit •�7/ Permit No:: / ` ;
°e 1 3125 SW Hall Blvd., Tigard, OR 97223 2 4 2d�'' P lan Review
Phone 503.639.4171 Fax: 503.598.196QVL\ r y, Date/By: Other PermiC.�(�4 ) � pi /
T I A'R D Inspection Line: 503.639 1 ��+'�" v Date Ready/By. Juris: ® See Page 2 for
,... Internet: wulv.tigard or.gov CO AO1 DIVISION
Notified Method: Supplemental Information
` D- 1v REQUIRED DATA 1 . • AND 2-FAMILY _ DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
acl, 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 Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB. SITE LN'FORMATION AND LOCATION Total number of floors:
Job site address: 15 �' i'•-t-ik Oa( New dwelling area: square feet
City /State /ZIP: 1 1 CA Ag.._1� 91 � Garage /carport area: square feet
Suite/bldg./apt. Project name:
g• aP t. n o.: - pc 1 , t s‘ G, 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 (routded 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.
Valuation: $ I
Existing building area square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: '02-F0 tMP1 t I' , t � trjn N V / f I �Ct Type of construction:
Address: 7D 15 3VV .k''C (A02 Occupancy groups:
-
City /State /ZIP: ' I el (A 12 ) 1 012. 01.19--)- 01.19--)- Existing:
Phone: ( ) 1 Fax: ( )
New:
gl APPLICANT ❑ CONTACT PERSON •
• NOTICE
Business name: �.„1„,- 1 E t C pJ C All contractors and subcontractors are required to be
Contact name: t L /_ itJ lC - 5� I i C J licensed with the Oregon Construction Contractors Board
��( under ORS 701 and may be required to be lensed in the
Address: ) 4 j t�5 s� V IA d_h
r jurisdiction in which work is being performed. If the
' T) applicant is exempt from licensing, the following reasons
City/State /ZIP:
� Iv' J i DV__ 1 f 4)- --4 apply:
Phone: w i 40)0 Fax: : ( 5�/ V g , [O5�
E- mail: rr!,(; h 2de(- Fzcfire ,Co rL V
.
CONTRACTOR ' ,BUILDING PERMIT FEES*
Business name: (Please referto lee schedule
lI Permit fee:
Address: ) �. i V C/
City /State /ZIP: State surcharge (12% of permit fee): . 1)
FLS plan review (40 %ofpermit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: (04-( VI- Total permit fees: 1 ---- / OZ -
Authorized signature:
Amount received:
1 , ✓ 7 ■ , , 4 0 This permit application expires if a permit is not obtained
Print name: Y e , . ( 5 a �/ Date: oar I within 180 days after it has been accepted as complete.
' * Fee methodology set by Tri- County Building Industry
Service Board.
N Building `•PermirsFPS- PermitApp 03i23i06 440- 461.T(11i02,COM WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20013-00212
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/24/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: W25/2008 TIME: 7:00AIVI PAGE: 25
SITE ADDRESS: 08015 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PERFORMANCE CONTRACTING
DESCRIPTION: Modifying (4) sprinkler head.
OWNER: PERFORMANCE CONTRACTING GROUP, PHONE #: 913-86843600
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 6/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
296 Misc. inspection 071816-01 503-620-4020
Corrections/Comments/Instructions:
'ARTIAL APPROVAL CANCEL r NO ACCESS
'0 FAIL /4 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
-
Inspector: Date: 6AS Phone #: (503) 718-
11■11%,„
City of Tigard: Fire Protection Permit Checklist .-_,;` -s
- Page 2 - S Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads' only:
IN Addition ' J 1 -10 heads: No plan review required.
►l. Alteration ❑ 11± heads: Plan review required.
❑ Repair
Number of sprinkler heads: 4
Additional description of work:
1 Type of System (Complete A, B, •C or D as .applicable):
A.) Commercial Sprinkler
21 Wet ,❑ Dry , , .
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor � � --
Sprinkler Project Valuation: $ 1I ® 00
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 Sys
1 Square Footage: Permit Fee:
0 to 2,000 $187.50 . .
2,001 to 3,600 $232.50 . .
ril 3,601 to 7,200 $292.30
7,201 and greater $381.50 • .
Sprinkler Project Square Footage: - .- ' sq. ft., .
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C abov;e): $ 1 S 0O 0
Permit fee based on project valuation (see fee schedule): $ i D g_, co
Permit fee based on square footage (see D above): + $
State Surcharge (12% of permit. fee): S 1( !
FLS Plan Review (40% of permit fee): 1 S
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: \ Building \Pe.^. ics \FPS- Ptrnitapp.doc