Permit `v CRY O TO BUILDING PERMIT
PERMIT #: BUP2008 -00259
COMMUNITY DEVELOPMENT DATE ISSUED: 8/14/2008
riGnRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BC-01100
SITE ADDRESS: 11117 SW GREENBURG RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: MATERIAL FLOW
Project Description: Installation of fire alarm.
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: UNK : sf N: S: E: W:
OCCUPANCY GRP: S2 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 ?: Y 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: $ 6,073.00
Owner: Contractor:
E. LEE & EVELYN L. ROBINSON NORTHWEST FIRE SUPPRESSION INC
PO BOX 91305 15385 SW BEAVERTON CREEK CT
PORTLAND, OR 97291 BEAVERTON, OR 97006
Phone: Contact #: PRI 503 - 644 -7720
FAX 503 - 644 - 8289
Reg #: LIC 88629
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/25/2008 $98.25
[TAX] 12% State Surch 7/25/2008 $11.79
[FLS] FLS Pin Rv 7/25/2008 $39.30
Total $149.34
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 th rules or di ec que 'ons to OUNC by calling 503.246.6699 or 1.800.332.2344.
lssu By: 4'/ / P ermittee Signature`�o ,, L
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.
Itl2 ' Ji LPG - 1-3: - .), Iti . TERtkt
Building Permit Application
File Protection System FOR OFFICE USE ONLY
City of Tigard Date /B y: 7 AS- 6S" We PermitNo.: I 'fig --Oods-F
° 13125 S50 Hall Blvd., Tigard, OR 97223 Plan Revi�� C� ( 7
' Phhone: 503.639.417171 Fax: 503.598.1960 Date /By: Other Permit:
Inspection Line: 503.639 Date Ready/ y: 0 Scc Page 2 for
TIGARD
Internet: www. tigard - or.gov Not ed Method: S Supplemental Information
Z. " V . IY 4/Aity
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.
❑ 1- and 2- family dwelling Z 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: 11125 Southwest Greenburg Road New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bld /apt. no.: Project name: OreEmburgirarremter 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.
Installation of Fire Sprinkler Monitoring System Valuation: $$6,073.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: GVA Kidder Matthews Type of construction:
Address: One SW Columbia Street, Suite #950 Occupancy groups:
City /State /ZIP: Portland, OR 97258 Existing:
Phone: ( ) Fax: ( ) New:
►Z1 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Northwest Fire Suppression, Inc. All contractors and subcontractors arc required to be
Contact name: Randy Ehrhard licensed with the Oregon Construction Contractors Board
under ORS 70I and may be required to be licensed in the
Address: 15385 SW Beaverton Creek Court jurisdiction in which work is being performed. If the
City /State /ZIP: Beaverton, OR 97006 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 644 -7720 Fax: : (503) 644-8289
E - mail: randy @nwfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Northwest Fire Suppression, Inc. ,
Address: 15385 SW Beaverton Creek Court Permit fee: gg, % 2 5
State surcharge (12% of permit fee): / / , 77
City /State /ZIP: Beaverton, OR 97006 0
FLS plan review (40% of permit fee): 2 q 2
Phone: (503) 644 - 7720 Fax: (503) 644 - 8289 (Due upon application.) d / .X J
CCB lic.: 88629 Total permit fees: /in. Sri
Authorized signature: Amount received: .4.2 This permit application expires if a permit is not obtained
Print name: Randy Ehrhar Date: 07/25/08 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- 46I3T( I I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
i..•' 13125 SW Hall Blvd., Ti ard, OR 97223 DATE ISSUED: B /14/ 001. 017??aS
9 B/14/2 001
Phone: (503) 639 -4171 �°�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�!ji
INSPECTION WORKSHEET FOR DATE: :312.5/2008 TIME: 7.00AM PAGE: 30
SITE ADDRESS: 11117 SW fREENf3L1R; RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MATERIAL FLOW
DESCRIPTION: Installation of fire alarm.
OWNER: ROBINSON, E. LEE & E:VI: LYN L. PHONE #:
CONTRACTOR: NORTHWEST FIRE SUPPRESSION INC PHONE #: 503-G14-7720
Inspection Request Scheduled For: Date: 9/25/2008 Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
990 Alarm final 075916 -01 503- 6447720
Z =�
Corrections /Comments / Instructions:
40 -- I S03- z. -1 1 /0
❑ PASS %j PARTIAL APPROVAL n CANCEL n NO ACCESS
4ig II CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
P 4111111°
Inspector: _ Date: ( &S" . (5 Phone #: (503) 718
CITY OF TIGARD
A .
BUILDING DIVISION „. PERMIT #:
11UP2008-002a9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61111/2000
Phone: (503) 639-4171 * ' I i' 0 i 1 j
Inspection Requests (24 Hrs.): (503) 639-4175 ,-,---4 11.
INSPECTION WORKSHEET FOR DATE: 1a/112008 TIME: 7:02AM PAGE: 33
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SITE ADDRESS: _ ...._.
c.)‘Vil GREFNBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MATERIAL FLOW
DESCRIPTION: Insiallation of fire alarm.
OWNER: ROBINSON, E. LEE & EVELYN I.,. PHONE #:
CONTRACTOR: NORTHWEST FIRE SUPPRESSION INC PHONE #: 603.6447720
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Inspection Request Scheduled For: Date 10/1/2008 gl I Pour Time:
Code # Inspection Description Confirm # Contact # Mes ; g
998 Alarm final 07613801 FJ03.6447720 Y
Corrections/Comments/Instructions: div ---- 0 -771- W - er
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(F2As 1 1 PARTIAL APPROVAL CANCEL 7 NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: \6 (i Date: O /6S( Phone #: (503) 718- el)aq___