Permit • i
l a CITY OF TIGARD BUILDI PERMIT
i. PERMIT #: BUP2006 -00528
COMMUNITY DEVELOPMENT DATE ISSUED: 11/21/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD-03400
SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: OMA. Fire sprinklers. (17,130 area)
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: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 449 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 21,240.00
Owner: Contractor:
PACIFIC NW PROPERTIES DELTA FIRE INC
PO BOX 2206 14795 SW 72ND AVE
BEAVERTON, OR 97075 PORTLAND, OR 97224
Phone: 503 - 626 - 3500 Contact #: PRI 503 - 620 -4020
FAX 503 - 620 -1058
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/31/200E $283.30
[TAX] 8% State Surcha 10/31/200E $22.66
[FLS] FLS Pin Rv 10/31/200E $113.32
Total $419.28
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
Issu d By: _ y / el / Permittee Si , (� lAf • LA( 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 ),17Lj0 WA
' Building Permit Abplication FOR O (� ICE USE IN
City Tigard � ��� PermitNo... �i I, • �,
�' RECEIVE) Received g Date/B . Q 1.1 l , . _ : Et
° 13125 SW Hall Blvd., Tigard OR 97223 Plan Revi w / I �
Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit:
T 1 GA It D Inspection Line: 503.639.4175 0 C T $ 1 20 Date Read e y. /�L� � � Juri • ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method/ ) - V /�A Supplemental Information
CITY OF T1GARn S ? o -2 1 Q �
TYPE OF `NINGIENGINEERING REQUIRED DATA: I- 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
A 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 NI 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: .Ae 1I ? (10 5) 90 New dwelling area: square feet
City / State/ZIP: O{\ Garage /carport area: square feet
Suite/bldg. /apt. no.: /0 Project name: O , . a' i, - ' ° • 4 • • Covered porch area: square feet
Cross street/directions to job site:
Oina Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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.
Ire � Ptt
hb,�PX Valuation: $ + ? /' 2Cj 9
Existing building area: square feet
New building area: / ) / 0 square feet y
❑ PROPERTY OWNER ❑ TENANT Number of stories: / �10o r d'S ` f7� � r/
Name: Type of construction: 3 `J ii q 9
Address: Occupancy groups:
B.
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
ist APPLICANT ❑ CONTACT PERSON NOTICE
Business name: '1)1+ { te, Zn[, All contractors and subcontractors are required to be
Contact name: Ma}+xlQ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
�-�G U1 7
Address: I5 b a n, ti oe, jurisdiction in which work is being performed. If the
(,I applicant is exempt from licensin the following reasons
City / State/ZIP: p
l V ^ G1 apply: • r ,S
Phone: ( 503 ) 606 - //0.96 Fax:: ( E703 ) �0d0 -- JOE' , 3 D
E -mail: /1i1GATCY I6' arb.A ;(e. CAM , /��
CONTRACTOR . BUILDING PERMIT F • •
Business name: "�1 Ate, -rm., (Pfeasrrejertojeesch )
Permit fee: .-,C J 7
Address: It.17c15 bW -adgi •4q.e- o /
City / State/ZIP: 'P to 0 R _ State surcharge (8 /° of permit tee): � 0
FLS plan review (40% of permit fee):
Phone: ( 505690 - q03.0 3.0 Fax: (50"A) (0,96 -10 (Due upon application.) i o/.,Yo
CCB Iic.: 60(,I, 7j /_ • � I ' - Total permit fees:
G
Authorized signature: �- / VA/ /OFD
u J i , Z Q.r G_ h r � Date: This permit applic • • rmit is not obtained
i t_V id a7lD�
within l80 days after it has been accepted as complete.
IQa
Print name:
• Fee methodology set by Tri- County Building Industry
Service Board.
I ?Building \Pcrm its \ FPS-Perm iLApp.doc 03/23/06 440- 4613T(II /02 /CO IJWEB)
. .. , • . • %
, . . • • .
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information .
`,N s, :..,• ..t 0.
Deidiibe:yibik ici.lie:CIOne:. `'I!.(--;-',':1,1:7',,; .'.'.' _,_•-: ,1•: , ‘:.. --!,',,..;i:.: ;,',
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1.) 0 New 2.) Modification to sprinkler heads only:
VI Addition 0 1-10 heads: No plan review required.
g Alteration Da 11+ heads: Plan review required.
O Repair
Number of sprinkler heads:
Additional description of work:
' T ''.. e OfSystegt.(CoiiiiilefeA,•B,:C.iii D4S:aritili&rble):': f '..' , ''''' 7 :::;.':,: . ' ',.,''''- 1,::.'-..:,:...•:_i'„' '''',:
1 :r- '.. . -' '.: - : , , ..4 • , ; :•,'; : t" . . ' I , 1:- , :,:, ''-,- ..": -: ' : -- , 1 ., ..• :,-,.,,, , - • ,. • -' :''' c''. ' -t ., '.;
A.)..Coininerciat gptiOlder. .
ti Wet 0 Dry
Additional Standpipes IN Or •
Information: Hazard Group ( I io . •
•
Density • 0 a
Design Area V• Ar•
K. Factor
Sprinkler Project Valuation: $ c 9k1 . lq 0
•S';B.). ',Type 1 - ' Hood Fire ',:_,..:::;-:,;:,.....,'
Hood Project Valuation: 1 $ __ .
t) 'Fite Aliiiii ' - ' •,. ''' '''., ' •--. • s ' .. — - : , : . ; • ' - : ' ' . ' : .?. . . .. . :. , - ..y. , .:
Submittal shall Battery Calculations 0 Yes
include; Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
.114 Re Sprinkler (Stand Alone" Systeni). - • • ..:' - ' - - ' ' -,:: .'•,. 1 : '':' . • • , . • i
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 '..,...:- ;,-, .... :4: .- •--' -.....,. .,!...4.
. .
... Sprinkler Project Square Footage: " sq. ft.
' •
;:.:.: .1‘,..,..',-2..:,:: ;-• _ '‘-`,,.:,-,:-:.,'..., '.• , - 1: :., . Feei:'•"'..' . .: .:',,-.:-.•:';•.: '-':;:
Project valuation subtotal (see A, B & C above): $ c 21.,1, I/0 .
Permit fee based on project valuation (see fee schedule): $ d,:lisl 30
Permit fee based on square footage (see D above): $104
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $ 11 A, 2
•
TOTAL: _ $ q ic 0 •
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.
. .
i:\ Building\ Permits \ FPS-PermitApp.doc 2
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 00528
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639 -4171 A �
Inspection Requests (24 Hrs.): (503) 639 -4175 'i —
INSPECTION WORKSHEET FOR DATE: 2/26/2007 TIME: 7:OOAM PAGE: 62
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: OMA. Fire sprinklers. (17,130 area)
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 21260007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspecti 043850 -02 503-620-4020 N
Corrections /Comments/ Instructions:
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I0'A . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
it ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
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Inspector: _ __ Date: 2 -- 6 7 Phone #: (503) 718 - 2.5
CITY OF TIGARD • BUIL DIVISION PERMIT #: QUP200CrU052.8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639 -4171 ITA tl
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 2/14/2007 TIME: 7:01AM PAGE: 15
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: OMA. Fire sprinklers. (17,130 area)
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503626 -3500
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 2114/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
296 Misc. inspection 043396 -01 503 -56D -4276 N
Corrections /Comments / Instructions:
i �, r •
\ — 00 11 .., Oa ) --__..... li P"' IIII■ Al.'" r . ' --- OP' .1...- l
PASS ❑PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: Date: I 6 Phone #: (503) 718 - 24-2",
CITY, OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00528
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639 -4171 / 1
Inspection Requests (24 Hrs.): (503) 639 -4175 I I ..
INSPECTION WORKSHEET FOR DATE: 2/12/2007 TIME: 7:05AM PAGE: 43
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: OMA. Fire sprinklers. (17,130 area)
OWNER: PACI FIC NW PROPERTIES, PHONE #: 503 - 626 -3500
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 2/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 043244 -01 503 - 560 -4276 N
Corrections /Comments /Instructions:
-roAirv)ek)
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL EES ASSESSED
Inspector: fr / Date: l V� Phone #: (503) 718- A2__
/