Permit 114 CITY OF TIGARD BUILDING PERMIT
e PERMIT #: BUP2008 -00082
COMMUNITY DEVELOPMENT DATE ISSUED: 4/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113AB -01201
SITE ADDRESS: 16575 SW 72ND AVE BLDG F ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: CONVERGINT TECHNOLOGIES
Project Description: Relocate (18) fire sprinkler heads, add (26) new heads.
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: 55 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: U SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 9,200.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 7000 SW HAMPTON ST #105
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 -6140
FAX 503 - 620 -6141
Reg #: LIC 63846
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/24/2008 $119.70
[TAX] 12% State Surch 3/24/2008 $14.36
[FLS] FLS Pln Rv 3/24/2008 $47.88
Total $181.94
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 - oug 14. • R 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. '344. /1
Issued By Permittee Signature: �y_ a _
e.ef/___tl--1:1,1.-)----- Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
4
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.
; ; Building Permit Applicat
'. Fire Protection System FOR OFFICE USE ONLY - •
' # ® Received �q City of Tigard 0 A C EN Date/Date/I3 • t/ j Permit No.: r , i g
29
q 13125 SW Hall Blvd., Tigard, OR 9A Plan Revie
hi
C Phone: 503.639.4171 Fax: 503.598.1960 �) A ... Pla Re Other Permit:
T 1 G It t� Inspection Line: 503.639.4175 M A R 19 2 1308 Date Ready ey: iu ' See Page 2 for
Internet: www.tigard- or.gov n go Notified/Method: y //(�r 73� ( � ® Supplemental Information
Ca/ OF OF I I N ' / w,7z 3rhu
TYPE OF y 1 D gv,J`o REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 0 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2-family dwelling XCommercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder CI Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i 6, S 7 5 5 (. 4- .72N0 d., /t New dwelling area: square feet
City /State /ZIP: T 6' 4 i2 p 7 D /C 9 7 Z24 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: C'o/Jt/ef14 //V T TeC/d Covered porch area: square feet
Cross street/directions to job site: 'nil f Uukia Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Aloe4 f is !bee 4o/1!n/A'1E f ,B IA/ Valuation: $ 920C
e / G /N4 4 fi 4-ig 'icI " D 2 t - / ii.tis Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ,/ ti Number of stories:
Name: i °OA/ VE/ 4 /A) � /0S Type of construction:
Address: / 6,.S7 C l - 77^0 Ave Occupancy groups:
City /State /ZIP: TiG»2o I 01 / 7Z4-- Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT AT CONTACT PERSON NOTICE
Business name: Farm, co All contractors and subcontractors are required to be
Contact name: 3,2(/r!r f--)ifilweig licensed with the Oregon Construction Contractors Board
/ under ORS 701 and may be required to be licensed in the
Address: 7000 S�1. 1Q�/7N � VI. #/o s' jurisdiction in which work is being performed. If the
City/State /ZIP: /6.0241) / M 7Z z' applicant is exempt from licensing, the following reasons
apply:
Phone: ($03) $ -2.2.42. Fax: : ( S0 4,,,7o- &pi I
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: f�k p aQ (Pleaserefawjaschedukl
Permit fee: .4
Address: p, O, 13 OA. Z30 S4 S
-� 7 2 8 / State surcharge (8% of permit fee):
City /State /ZIP:
f / d / ( FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application) --C4 Lbisr--.
,�,
CCB lic.: 3$4 �:G
i , Total permit fees: y1
ermit a Amount received: � �
Authorized signature:
T his permit expires if a permi is n ot obtained
Print name: Z5RiJe b , Pg 012S a Date: 3 l / g $ within 180 days after it has been accepted as complete.
( * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits\FPS- PermitApp.doc 03/23/06 440- 4613T( I I /02/COM/WEB)
A -
0
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinlder
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm •
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation:' $
•
D.) Residential Sprinlder (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
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
•
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
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- PcrmitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200fi 00082
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/29/2008
Phone: (503) 639 �
Inspection Requests (24 Hrs.): (503) 639 -4175 _.h,L ._ �I
INSPECTION WORKSHEET FOR DATE: 615/2009 TIME: 7:OOAM PAGE: 41
SITE ADDRESS: 16675 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVERGINT TECHNOLOGIES
DESCRIPTION: Relocate (18) fire sprinkler heads, add (26) new heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503620.6140
Inspection Request Scheduled For: Date: 6/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinlder final 070911 - 02 503 - 320 - 8601 N
Corrections/Comments/Instructions:
PAS �J PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IN FAIL NI CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date:
C71-
Phone #: (503) 718-Z67
CITY OF TIGARD
BUILDING DIVISION . . PERMIT #: BUP2008- 00082
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/2008
Phone: (503) 639-4171 yd gs 'I'
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 5/1 /2008 TIME: 7:00AM PAGE: 82
SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONVERGINT TECHNOLOGIES
DESCRIPTION: Relocate (18) fire sprinkler heads, add (26) new heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503 - 6140
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 069155 01 503 -804 -8272 Y
Corrections/Comments/Instructions:
\ ■ PASS II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL Al CALL FOR INSPECTION ❑ ADDITI N . L FEES ASSESSED
Inspector: i Date :5 ,D Phone #: (503) 718 - Z61.1q