Permit Ali CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00179
DEVELOPMENT SERVICES DATE ISSUED: 4/25/2005
2,44$1P 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DC -00200
SITE ADDRESS: 13535 SW 72ND AVE 150 ZONING: C -P
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT: JURISDICTION: TIG
Project Description: Add (2) sprinklers & relocate (1).
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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 21 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: $ 496.00
Owner: Contractor:
PACIFIC NW PROPERTIES LTD PTNSHP A PROFESSIONAL FIRE SYSTEMS
9665 SW ALLEN BLVD STE 115 17273 S STEINER ROAD
BEAVERTON, OR 97005 BEAVERCREEK, OR 97004
Phone: 503 - 626 -3500 Phone: 503 - 632 -4353
Reg #: LIC 41650
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/25/2005 $62.50
[TAX] 8% State Surcha 4/25/2005 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -0111 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. ( a & t \
�� I ■
Issued By: `;4 .p t,.,_ .Gl, Permittee Signature: ` � _
_...._____
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
"Fi 'rotection System \
E Permit Application FOR OFFICE USE ONLY
City of Ti and - J '
g D e1B : 0 /9 Pem �'��
rit Nolj(0s Q) ? •
13125 SW Hall Blvd., Tigard, OR 97223 P � R
Phone: 503.639.4171 Fax: 503.598.1960 „ % F % � ` D : Other Permit:
Inspection Line: 503.639.4175 "' I Date Ready/By: ® See Page 2 for
Internet: www.ei.tigard.or.us - Notified/Method: Supplemental Information
4 .''m:"e �$e�k:•�'ri°= e A .�,b: ;; jt .. - r'ai � >� -� ire • - -
. . `s2. �: • .,�""'i.am1f ;; E�OF; W,4 .>i;�:-:` 4.;r-,.,. -._'- _. 1, .X4EtEDDATA 7 .
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ErAddition/alteration/replacement . ❑ Other: equipment, materials, labor, overhead, and the profit for the
: " t '' - "'` CATEGORY, OF'CON : ''' work indicated on.this application.
Valuation: $
13 1- and 2- family dwelling Commercial/industrial
CI 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: 1 Ste, -- ( - 2..mc, AVE, 5t , IC00 New dwelling area: square feet
City/State/ZIP: " [160 112 Garage /carport area: square feet
i
Su it Idg. /apt. no.: 1 Gjp I Project name: cizEt I 014 lo ILI I.. Covered porch area: square feet
Cross street/directions to job site: 12M k4E k Cym erar s Deck area: square feet
F1aSZ Ctd2 S.' S S% 4 Y3Ut l-OLN & Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: f 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.
Valuation: S
Existing building area: square feet
New building area: square feet
Er PROPERTY OWNER . - ❑ TENANT .. - - Number of stories: ,
Name: 1 14 , PabeETZT % ES Type of construction:
Address: t' S.v s. 1b6-n.1 i . I Occupancy groups:
City /State/ZIP: 03`( Ibla cc c100 3 j Existing:
Phone: ( Fax: () 1 New:
.- t' APPLICANT - ❑ CONTACT. PERSON -
NOTICE
Business name: A'- 2e:r-esS ril S%-(STElt4.5 a7, All contractors and subcontractors are required to be
Contact name: M % ir_e_ - -E4„,TE licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: r 9, STeuiE 2 , jurisdiction in which work is being performed. If the
City /State /ZIP: &DIN 1Q j-► O!L q opi.p applicant is exempt from licensing, the following reasons
�"- - apply:
Phone: () C. t43GJ?S Fax:: 4,03) cz L'7
E -mail:
.. - . - .. CONTRACTOR. - ...• , . . _ '
Business name: Ilk.- '6420PESSI OA/AL 1 StS'TEMS • . •
BUILDLVG PERMIT FEES*
Address: 117-1 S , S' IA.iER.- R-0 • Pease refer to fee schedule.
Ciry /State/ZIP: p(?.., 10014. p Q Fees due upon applicanon
Phone: C Lt,.3G ?l Fax: (A 6,"2.
Amount received
CCB lic.: ( -1.(0 t 7 O
11' Date received:
Authorized signature: \ This permit application expires if a permit is not obtained
�—,`� within 180 days after it has been accepted as complete.
L Print name: t cja atzL 1704,' , Date: 4. I L1 ( 65 • Fee methodology set by Tri-County Building Industry
t Service Board.
.g\PermiutFPS- PereutApp.doe 12/03 440 - 4613T( II /02/COM/WEB)
Fire Protection Permit Check List
1.) ❑ New 2.) Mo 'cation to sprinkler heads only:
❑ dition -- 21-10 heads: No plan review required. -
eration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work: ADO 2 S'Prrs -L(- .tfl'z-S 4' a
R �1-bc rE J 'To AC,C.tyvAc c -rE b --r t n- earAte tAss YT
Type::ofSysfem(Complete'A,'13 C - or'-D as applicable): • •.
• . A:) Commercial Sprinkler;
1EiWet ❑ Dry
Additional Standpipes
Information: Hazard Group • LI
Density
Design Area •
K. Factor ri. L
Sprinkler Project Valuation:' $ 1-414„,
B.) 'Type I -"4 Hood Fire Suppression System • - • •
Hood Project Valuation: 1 $
C.) Fire Alarm -..
Submittal shall Battery Calculations 1 ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
D.) Residential Sprinkler (Stand Alone System) . .
Square Footage: i Permit Fee:
0 to 2,000 I $187.50
2,001 to 3,600 S232.50
3,601 to 7,200 $292.50
7,201 and greater 1 S381.50 •
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $ (. U .•
Permit fee based on valuation (see - attached chart): $ G7. So
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $ Col Se
•
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'Fotms \FPSchecklist.doc 12/24/03
CITY OF TIGARD
BUILDING _ DIVISION PERMIT #: BUP2005-00179
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/25/2005
Phone: (503) 639 -4171 n 1 0q� cal j <�
Inspection Requests (24 Hrs.): (503) 639 -4175 `: _..
INSPECTION WORKSHEET FOR DATE: 6/3/2005 TIME: 7:14AM PAGE: 104
SITE ADDRESS: 13535 SW 72ND AVE 50 CLASS OF WORK:
SUBDIVISION: 72ND AVE OFFICE B : G LOT #: TYPE OF USE:
PROJECT NAME: CREDIT UNION HOME LOAN
DESCRIPTION: Add (2) sprinlders & relocate (1).
OWNER: PACIFIC NW PROPERTIES LTD PTNSHP, PHONE #: 603. 626.3500
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503-632 -4353
Inspection Request Scheduled For: Date: 6/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 . Final inspection 005889.01 603 -639 -1246 Y
Corrections /Comments / Instructions:
-- --mmil - viiii:■/' t
r --- 4 lr �
C■ r
law y _ ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
A A
Inspector: A .� A I. Date: I, one #: (503) 718 -
ti