Permit F a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00387
COMMUNITY DEVELOPMENT DATE ISSUED: 1/13/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BD -NP003
SITE ADDRESS: 12590 SW 121ST AVE ZONING: R -4.5
SUBDIVISION: NIX PARTITION LOT: 003 JURISDICTION: TIG
PROJECT: NIX PARTITION
Project Description: Adding 24 sprinkler heads.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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:4 BATHS: 3 IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,800.00
Owner: Contractor:
ECK CONSTRUCTION INC JET FIRE PROTECTION LLC
PO BOX 204 1935 SILVERTON RD NE
SHERWOOD, OR 97140 SALEM, OR 97301
Phone: 503- 625 -1305 Contact #: PRI 503- 588 -5262
FAX 503 - 364 -2204
Reg #: LIC 162252
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/13/2009 $232.50
[TAX] 12% State Surch 1/13/2009 $27.90
Total $260.40
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. i
Issued By: Permittee Signature:
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.
:125 /0aw 124si• Nye,•
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
Received t'O Q
ipi ■ City of Tigard 116 Permit No.: N` 7��C� ��
' /B : �2•y Q �
13125 SW Hall Blvd. Tigard, OR 97223 n Review -
Other Permit: •
Phone: 503.639.4171 Fax: 503.598.1960 � r . te /B : S �(L Y lr ji �5� �r�, dui ■ •
T I G A R D Inspection Line: 503.639.4175 ate Rea Q r� : ®See Page 2 for
Internet: Www.tigard- or.gov Notified Method: l2 ' T 1 Supplemental Information
y e
. , . ETA, „ , ', 2=F r14fILY I? , Ili
G New construction ❑ De . kill 0 t,1 - , I . 12)� D Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Ot „ 11 ni equipment, materials, labor, overhead, and the profit for the
via..,: ,; . R # , . INSTRUCTION , work indicated application.
on this p lcatron.
M 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
I t JO AO 1FO MATION : AND ; LOCATION Total number of floors:
ob site address: te e” $ a/ / S'► Rvfi New dwelling area: 00 square feet
ity/State /ZIP: ',/c 0R66or" Garage /carport area: square feet
. uite/bldg. /apt. no.: �� �� '"' I Project name: Al RE .. pJ i 5/J C ' Covered porch area: square feet
ross street/directions to job site: Deck area: square feet
Other structure area: square feet
R QUI DDATAICOMMERCI L-ESE IRECl I T
.ubdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
ax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION or wpm;' n ! 4 work indicated on this application.
/✓i ff /3 Q sht.oS I¢.40.ic 60 s e..- g14.--) Valuation: $
Existing building area: square feet
New building area: square feet
i ' 0 c 1 :+ ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
., 'L CA1�IT ` �:NtA „ � C ON .,�, fit.: e ;pia'
. .� ��,... \ v Via:. . .. , : NOTICE _
Business name: J G / / 5 , Po G 1y4t %G All contractors and subcontractors are required to be
Contact name: Rid? Rohia licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: /`7 35 _, /(JG.24 / J 4/4- jurisdiction in which work is being performed. If the
City/State /ZIP: S4 tt.pf 0 A 1'7303 applicant is exempt from licensing, the following reasons
apply:
Phone: (9,3 ) Sg ti ^s,7,6 A Fax: : (S 3' V- Q,
E -mail: - i - b • ) a - 1 l at ' • Yl '
_ a i s. * t° O t zX x A 3 a b`\ itlin k 3) c s i '-, ',
Business name: ` -
Permit fee:
Address: 61, As fi-ko State surcharge (12% of permit fee):
City/State /ZIP:
FLS plan review (40% of permit fee): Q(
Phone: ( ) Fax: ( ) (Due upon application.) /�✓
CCB lic.: /G.2�s x Total permit fees: I„ C,. y 0
Authorized signature:
Amount received: le el
This permit application expires if a permit is not obtained
Print name: P 1 C1.4AR1 Date: 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 03 /23/06 440- 4613T(11/02/COM /WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
El Alteration [x]'11 + heads: Plan review required.
❑ Repair
Number of sprinkler heads: ,24
Additional �s� peon �S �� : 616 S� Sys /+t./1
Type of System (( ' ,, (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler _;. e
❑ Wet El Dry
Additional Standpipes
Information: Hazard Group N///' Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression Sy tetri ''v, ,
Hood Project Valuation: $
_ � R
y
C.) Fire Alarm .., k
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes /1//g Cut Sheets
Fire Alarm Project Valuation: $
D. Residential Sprinkler (Stand Alone System) �?
Square Footage: Permit Fee: x �T
0 to 2,000 $187.50
2,001 to 3,600 232.50
3,601 to 7,200 $292.50
7,201 and py eater $381.50
Sprinkler Project Square Footage: gap sq. ft.
Fire Protection Pctt Fees.
Project valuation subtotal (see A, B & C above): $ it 3 ;
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ A 7 ' a
FLS Plan Review (40% of permit fee): $
TOTAL: $ ;40 yid
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.tigard- or.gov/ city_ hall / departments /cd /dots /FPS - PermitApp.doc 2
CITY OF TIGARD �,c
• BUILDING DIVISION PERMIT #: t3=00,,,,,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 *ffl' ° ' ,,
Inspection Requests (24 Hrs.): (503) 639 -4175 '' I..
INSPECTION WORKSHEET FOR DATE: 4/15/2009 TIME: 7 :02AM PAGE: 18
SITE ADDRESS: 12690 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: NIX PARTITION LOT #: 003 TYPE OF USE:
PROJECT NAME: NIX PARTITION
DESCRIPTION: Adding 24 spritilder heads.
6
OWNER: ECK CONSTRUCTION INC, PHONE #: 603-626 -130
CONTRACTOR: JET FIRE PROTECTION LLC 644N- PHONE #: 50'3-588-5262 (I ft)
Inspection Request Scheduled For: Date: 1/16/2009 A P our Time: ,04-1AA
Code # Inspection Description Confirm # Contact # Message L 2°1/`
910 Sprinkler rough -in /test 079718 -01 503 - 607 -202 Y
Corrections /Comments /Instructions:
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-PAS j PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
Ve f� Date: \/ I5 6 Phone #: (503) 718 - g- .1 1.. 7
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