Permit i
r,
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00335
"ti;rs� DEVELOPMENT SERVICES DATE ISSUED: 7/15/2004
- II 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 08060 SW PFAFFLE ST 100 PARCEL: 1S136CD -00600
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT: 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:
OCCUPANCY 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: 800. 00
Remarks: Add (9) pendent heads for TI.
Owner: Contractor:
CAMERON, KIRK (EEI SOLUTIONS) AFP SYSTEMS INC
5665 SW MEADOWS RD. 19435 SW 129TH
STE. 300 TUALATIN, OR 97062
LI E OSWEG Q) 1 W2 fi 5
Phone: FAX- 692 -1186
Reg #: MET692 -9r && x 7 6003459
FEES LIC REQ 3344 INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 7/15/2004 $62.50 Sprinkler Final
[TAX] 8% State Surchan 7/15/2004 $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 • u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 101 -0010 t .. • h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
:fling (503) 246 -6699. 1- 800 - 332 -23
Is ed By:
)\__, - w' � / ��
Permittee -- l 60 Signature: X ji(j)
Call 639 -4175 by 7 p.m. f an inspection the next business day
, Fir Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard
Date
LA fs07 PermitNo.: : ii ## _,, 33 5--
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
r , ' r zs'•
Phone: 503.639.4171 Fax: 503.598.1960 L z4 `k I � Date/By: e
Ins p �.'
Inspection Line: 503.639.4175 ,'r' \ :
t Other Permit:
Ready/By: Juris: M See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
.
• ; '.TYPE OF (flgit. REQUIRED'DATA - 24'AMILY 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
f .Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
z :•' '.. •,). CATEGORY OF CONSTRUCTION 1 work indicated on this application.
❑ 1- and 2- family dwelling %.Commercial/industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.JOB SITE;•INFO AND: LOCATION Total number of floors:
Job site address: i0 60 `j t),) prA FFLE s-r New dwelling area: square feet
City/State/ZIP: ''16ARyp C l 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: c I • t7 " & 'f C PCA €FLt Deck area: square feet
Other structure area: square feet
;:::'`REQUIRED DATA COMMERCIA'L• -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 tYFS % ORii work indicated on this application.
Avo ) Pr_Nok ?Nr, IAE -w+�s -Tr) A REA Valuation: $ } , c. , 4 41
Existing building area: square feet •003)L,
VJ.TIA NcW ce- A Li xito ,
New building area: square feet
,O,PItOEERTY OWNER .�;. 3 1. � -, . _.• h ®
t, •. TENAl!iT �!::,,_, . Number of stories: 2
Name: l 5 c', i._ UT f C AI G Type of construction:
54,Z. 3i»� Occupancy groups:
Address: 512 ( � S t,..) f n 1�14-IC7e: aJ s grrk . uP Y � P
City/State/ZIP: Uwe C? s . C , cc) Existing:
Phone: (:,1';3) 1w7- i 0 bQ Fax: (6103) 291 -916i, New:
1r ; • ' P_L•IEANT'':, e 4ONTA0*.* RSO .. NO.
Business name: AFT S `� rn,s N c
�. All contractors and subcontractors are required to be
Contact name: � licensed with the Oregon Construction Contractors Board
J ► �.e
under ORS 701 and may be required to be licensed in the
Address: 19 S f . 5 i ,,,,,,714 jurisdiction in which work is being performed. If the
City/ State/ZIP: �� Q C7 7 L � !� applicant is exempt from licensing, the following reasons
ALi� ii . s • apply:
Phone: ( 3 l ) 5 ) j - c ] a l3'1 Fax:: ( 5 0 . 3 ) 4 A 2 . . - 1 1 b ,
E- mail: ,J ii,r` C APP 5;6, cc, E %
CONTRACTOR'
Business name: i F iP S , cT N c BUILDING PERMIT FEES*
Address: ( 9 4')C. 3 i,L/ 1 ). C 1 -rlF AV (_ - Please refer to fee schedule
City/State/ZIP :'� ,n�
f V otl irriN . OR t Fees due upon application i 6 7, 57)
Phone: (=av13 (, 1 )_ 9')_t ti Fax: ( CVI t: 9 2 — I 1 Q
gt
Amount received
CCB 1ic.: '7 5 39
)-.^-■ {� Date received:
Authorized signature: 6 -")„---- This permit application expires if a permit is not obtained
, J within 180 days after it has been accepted as complete.
Print name: _A B Date: - 7 -1 -- c--1 . Fee methodology set by Tri- County Building Industry
Service Board.
is Building\Permits \FPS - Permit pp.doa 12103 440-4613T(11/02/COM/WEB)
i _ .
Fire Protection Permit Check Li
. ..
, .. - .0eiiiiii4vi iii ::!,:::,-..:,:.:!-- ::: ', , -..: :=-:',..:',.::::::::'''..::.:::. ''''....';':.'-::::::;
1.) 0 New 2.) Modification to sprinkler heads only:
E Addition 54- 1-10 heads: No plan review required.
f2-Alteration 0 11+ heads: Plan review required.
E Repair
Number of sprinkler heads: 9
Additional description of work:
igjiieiiii(Ciiiiiiiiiig*:11. C ar.6as ipriliiible):::;''
.lreiiiiiiiie.iid4f$iiiibUiVi'..:'
5§ Wet El Dry
Additional Standpipes
Information: Hazard Group
Density 1 10
Design Area j 50 0
K. Factor 6 0
Sprinkler Project Valuation: $ SOO . citi
1) O T.,704C, SOiiiiAlgoii$5iiiiiiffM:;',:;:gli!lag.t.::J.
p,) A
Hood Project Valuation: $
22i:..WA::*.4,
Submittal shall Battery Calculations E] Yes
_
inclury . Individual Component 0 Yes
, 4 Cut Sheets
Fire Alarm Project Valuation: $
tilitPaoAiteiliarsiiiiiiHrereiq'Siiiiii
Square Footage: Permit Fee:
.„‘:.,..;-,!1:
0 to 2,000 $187.50 ,,,,,,„ . ,,,,,,, : ,, N , :iv6i , ;:;.:.!:;::r 4 .-!:::k:i' , !".;!'.!:: , ';::`::
. =,'•;i;',.:1; . .';'i.:: , i: , ::: , :, , i . , - ,:)..-4' , ;:.' , -.).-..! ,
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.
Project Valuation Subtotal (A, B & C): $ 13(907
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:\BuildingWormsTPSchecklistdoc 12/24/03