Permit I
r y` ,,, C ITY O F TI GAR BUILDING PERMIT
PERMIT #: BUP2007 -00072
COMMUNITY DEVELOPMENT DATE ISSUED: 2/6/2007
` TIRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
� -r�� : , PARCEL: 2S112DD -00500
SITE ADDRESS: 15860 SW UPPER BOONES FERRY RD B15 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK I LOT: JURISDICTION: TIG
Project Description: OAR Daikin - install (4) new 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: BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 1,200.00
Owner: Contractor:
SUBOTNICK, RUTH + FIRESTOP CO
SIEGEL, LOTTIE 7000 SW HAMPTON ST #105
BY PACIFIC REALTY ASSOC TIGARD, OR 97223
PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 620 - 6140
FAX 503 - 620 -6141
Reg #: LIC 63846
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/6/2007 $62.50
[TAX] 8% State Surchari 2/6/2007 $5.00
Total $67.50
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 th OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions
to OUNC by ' _5�.246.6699 or 1.800.332.2344.
Iss d By: 5P(2,fruggi Permittee Sig _��� s i Ai r /
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.
/ Fire Protection System
Building Permit Application �: G� a� � I �a c)'l i ic' "usi o 'i _ Y. -� "-
, cly- r &,.I..,P City of Tigard - Received / Q Permit No.: % 7 j 7 •
n a 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review G
. :: i. 1 ® : , Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit:
'' ' l Inspection Line: 503.639.4175 Date Ready/By: Sur; ® See Page 2 for
lil ;A +f
• •,,,, Internet: www.tigard - or.gov Notifed/Method: / i 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
bv 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 A 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: l G 0 $(A), (J/ /2 600 Ne / / 6 • New dwelling area: square feet
City /State /ZIP: u-x '9g1Vr-6b 0 e Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: j a �OA) fit - Covered porch area: square feet
Cross street /directions to job site: 12Nb t ,app, 50d/V rJegt� Deck area: square feet
f 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.
"
/ W- 4- �
�'N3� L / 'f� �p/�1����'� � fns Valuation: $ 1200
Nib/ e r & 4 eg r A Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER . I 'TENANT . Number of stories:
Name: enee, o ) /f,C Type of construction:
Address: $,6 /F 44 A) ti Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
• - • N APPLICANT . . ❑ CONTACT PERSON NOTICE ,
Business name:
b T) ,P e
0 All contractors and subcontractors are required to be
Contact name: /3 C C p /J licensed with the Oregon Construction Contractors Board
/ 7( Junder 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: (9)3 ) 53 04 ., -zit Fax:: ( )
E -mail:
• CONTRACTOR BUILDING PERMIT FEES* • .
Business name: i7,1�16S J`�f0 (Pteaserejerrajeesrhedute)
Permit fee: &ISO
Address: -. 7 0 0 e, g CO-- J Pf �/V SY; /0 S+ State surcharge (8% of permit fee): 9.
City /State /ZIP: //6 eQ ok q 722-3 FLS plan review (40% of permit fee): —442—
Phone: ( ) Fax: ( J3) 620 — 4 f4 i (Due upon application.)
CCB lic.: 6 384. , Total permit fees: (n / Co
r
Authorized signature: C ( illIN.A. - Amount received:
This permit application expires if a permit is not obtained
Print name: /Jp er t,"oid Date: 7/7/07 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits\FPS- PermitApp.doc 0323/06 440 -4613T(1I /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) M ification to sprinkler heads only
Addition 1 -10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
❑ Repair q
Number of sprinkler heads: /--
A dditional 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: $ (�QD i
=B.) Type — : Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire:Alarmi .
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.
1:\ Building \Permits\FPS- PermitApp.doe 2
1
CITY1),F TIGARD
BUILDING DIVISION PERMIT #: BLJP2007- 00072
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 °`__—
INSPECTION WORKSHEET FOR DATE: 2/9/2007 TIME: 7 :04AM1 PAGE: 57
SITE ADDRESS: '15860 SW UPPER BOONES FERRY RD 615 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: TYPE OF USE:
PROJECT NAME: OAR DAIKIN
DESCRIPTION: OAR Dai1in - install (4) new sprinkler heads.
OWNER: SUBOTNICK, RUTH -1., PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503 - 5206+140
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 043163 -01 503 -801 -8272 Y ROCE
Corrections /Comments /Instructions: 610 `
7111_ _To pc
PASS n PARTIAL APPROVAL CANCEL NO ACCESS
n FAIL. CALL F R INSPECTION 1 1 ADDIT ONAL " ES ASSESSED
Inspector: -111111 Date: � Phone #: (503) 718 -le