Permit ' ; \\ ` BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2004 -00397
j DEVELOPMENT SERVICES DATE ISSUED: 9/22/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S136DD -00200
SITE ADDRESS: 11560 SW 67TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 004 JURISDICTION: TIG
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:
. 00CUPANCY GRP: B . = ' 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: $ 5,100.00 _
Remarks: Fire alarm. .. .
Owner: Contractor:
GREEN, JOSEPH W SPIRIT TECHNOLOGIES, INC.
PO BOX 759 PO BOX 5515
PORTLAND, OR 97207 - PORTLAND, OR 97228
Phone:
Phone: 503 - 493 -4442
_: Reg #: LIC 132255
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[BUILD] Permit Fee 8/18/2004 $100.90 Final Inspection
[TAX].8% State Surcharl . . 8/18/2004 • , $8.07
[FLS] FLS Pin Rv 8/18/2004 $40.36
Total . $149:33
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other 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 -810- 332 - 2344.
=P. �
Issued � V..(
Permittee ..- ■ 1 .-:.
Signature: ,Nk �� .� �� .
Call 639 -417 ; by 7 p.m. for an inspection the next business day
11546 sw 6?..T1I Av/
. - Fire Protection System
U • G� �'
it, • Ing erniit ApphC i EIVE FOR OFFICE USE ONLY
•
City of Tigard AUG 18 200 Date/B — , 4 % . Permit No �R207/ —a)J l
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
//h ntiN
Phone: 503.639.4171 Fax: 503.598.1960 h +�p'f1i Ii
DateB : '� 0 Other Permit: • Inspection Line: 503.639.4175 A Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGA = Notified/Method: Supplemental Information Nc
BUILDING DIVISION ..
'., ,a TYPE OF WORK ' a g ,.., - REQUIRED DATA :1 AND 2 FAMILYDWELLING U\
ew construction ❑ Demolition Permit fees* are based on the value of the work performed. %
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
`. r` CA O CONSTRUCTION 1' 'r i work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling L,ommercial /industrial
ID Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
"s : JOB I
S . INFORM A TION `AND : Total number of floors:
Job site address: A s,00 Si,. -.) u �� G New dwelling area: square feet
City/State /ZIP: Ti bA3 0(2— G 7.22--L\ Garage /carport area: square feet
� �� � �1- 2, nj_
Suite/bldg. /apt. no.: Project name: �r=. J n1 (_c: IJN� Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIIfED1 ATA',COMMERCIAL?USECHECKLIST
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
<, D.ESCRIPTION OF WORK= z work indicated on this application.
' " r X � 1 .:5 - - r r. -•. ,. �>. .:� .. ,R. -.d ... .r.. `r"
I sis T r t,, • C -If-t, ^'l 5�S i LV'� Valuation: $ 5,100
Existing building area: square feet
New building area: square feet
' :' i,' r a PRO,PERY' W
T ONER S ; v ❑ TEN ; Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
❑.-APPLICANT ' : :;: 't •
- CONTACT PERSON
- r z
Business name: 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:
�- , h CONTRACTO '' �
Business name: S Pl 2 A Tr%C.44 a 90L_pCAI 1 1134.- • "BUILDING PERMIT FEES*
_ I Address: Y' .) D-A cc 1 Please refer to fee schedule.
City/State/ZIP: I o Q (:). 0 1 -1-2---
Fees due upon application
p,. Phone: 66 i-lc\5., 44 Fax: (7) .1_5,--)_ -.)--N,7
d CCB lic.: `. . C Amount received
/" Date received:
Authorized signature: i This permit application expires if a permit is not obtained
t within 180 days after it has been accepted as complete.
Print name: oPE Date: •CJ) i , 1 ®ll * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building\Permits \FPS- Permit.p • •. /13 440- 4613T(11 /02 /COM/WEB)
Fire Protection Permit Check List -
Describe work to be done
1.) El New 2.) Modification to sprinkler heads only:
Addition 111 1-10 heads: No plan review required.
El Alteration El 11+ heads: Plan review required.
Repair
Number of sprinkler heads:
Additional description of work:
Type bf A, B, C or a as applicable):
A) Commercial Sprmkler
LI Wet El Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type 1- TIood yiire',Siatiptesion System
Hood Project Valuation: $
,
Submittal shall Battery Calculations L
include: Individual Component r2
Cut Sheets
Fire Alarm Project Valuation: $
D ) Residential Sprrnkler (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 =`.9•9!9_99,9'i,-;a;-.9:.:.9,:-9r,9-9.:i.-'i9.9'..=9;-;,99...-9-.;
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 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\Forms\FPSchecklist.doc 12/24/03
• . Fire Protection System Permit Fees
Project Valuation Permit Fee Tax F &LS Total
8% 40%
1 2,000 62.50 5.00 25.00 92.50
2,001 3,000 72.10 5.77 28.84 106.71
3,001 4,000 81.70 6.54 32.68 120.92
4,001 5,000 _ _-.--" -1:v -' Ai1111111 135.12
,:: 100.90 8 1 40.36 x.33
6,001 7,000 _ •. ' 8.84 -!
7,001 8,000 120.10 9.61 48.04 177.75 _
8,001 9,000. 129.70 10.38 51.88 191.96
9,001 10,000 139.30 11.14 55.72 206.16
10,001 11,000 148.90 11.91 59.56 220.37
11,001 12,000 158.50 12.68 63.40 234.58
12,001 13,000 168.10 13.45 67.24 248.79
13,001 14,000 177.70 14.22 . , 71.08 263.00
14,001 15,000 187.30 14.98 74.92 277.20
15,001 - 16,000 196.90 15.75 • .78.76 .291.41
16,001 17,000 206.50 16.52 82.60 305.62
17,001 18,000 216.10 17.29 86.44 319.83
18,001 19,000 225.70 18.06 90.28 334.04
19,001 20,000 235.30 18.82 94.12 348.24
20,001 21,000 244.90 19.59 97.96 362.45
21,001 22,000 254.50 20.36 101.80 376.66
22,001 23,000 264.10 21.13 105.64 390.87
23,001 24,000 273.70 21.90 109.48 405.08
24,001 25,000 283.30 22.66 113.32 419.28
25,001 26,000 290.80 23.26 116.32 430.38
26,001 27,000 298.30 23.86 119.32 441.48
27,001 28,000 305.80 24.46 122.32 452.58
28,001 . 29,000 313.30 25.06 125.32 463.68
29,001 30,000 320.80. 25.66 128.32 474.78
30,001 31,000 328.30 26.26 131.32 485.88
31,001 32,000 335.80 26.86 134.32 496.98
• 32,001 33,000 • . 343.30 " 27.46 137.32 508.08
• 33,001 34,000 350.80 28.06 140.32 519.18
. 34,001 35,000 358.30 28.66 143.32 530.28
35,001 36,000 365.80 29.26 146.32 541.38
36,001 37,000 373.30 29.86 149.32 552.48
37,001 38,000 380.80 30.46 152.32 563.58
38,001 39,000 388.30 31.06 155.32 574.68
39,001 40,000 395.80 31.66 158.32 585.78
40,001 41,000 403.30 32.26 161.32 596.88
41,001 42,000 410.80 32.86 164.32 607.98
42,001 43,000 418.30 33.46 167.32 619.08
43,001 44,000 425.80 34.06 170.32 630.18
44,001 45,000 433.30 34.66 173.32 641.28
45,001 46,000 440.80 35.26 176.32 652.38
46,001 47,000 448.30 35.86 179.32 663.48
47,001 48,000 455.80 36.46 182.32 674.58
48,001 49,000 463.30 37.06 185.32 685.68
49,001 50,000 470.80 37.66 188.32 696.78
is \Building\Forms\FPS- FeeChart.doc 1/12/04 Page 1
I=i
CITYF TIGARD
BUILDING DIVISION PERMIT #: BUP2004.00397
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/22/2004
Phone: (503) 639 -4171 ,i, i,
'
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ^ L
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02AM PAGE: 5
SITE ADDRESS: 11560 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX
DESCRIPTION: Fire alarm.
OWNER: PHONE #:
CONTRACTOR: SPIRIT TECHNOLOGIES, INC. PHONE #: 503.493A442
Inspection Request Scheduled For: Date: 659 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 031469.02 503-806-3004 Y
Corrections /Comments/ Instructions:
1 ',
1, .._. ��
c�
c
1
C . . . /' - -
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
L._
■
Inspector: •1dPrI Date: • Tr
Phone #: (503) 718 - 5