Permit CITY T I GA R D BUILDING PERMIT
PERMIT #: BUP2006 -00266
/ i a , i l i DEVELOPMENT H BIvdTigar Er � DATE ISSUED: 7/21/2006
AI -639 -4171
PARCEL: 2S 113AD - 01700
SITE ADDRESS: 16940 SW 72ND AVE ZONING: C -
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
Project Description: Add (68) sprinkler 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 157 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 4,680.00
Owner: Contractor:
BRIDGEPORT LAND LLC AFP SYSTEMS INC
3939 NW ST HELENS RD 19435 SW 129TH
PORTLAND, OR 97210 TUALATIN, OR 97062
Phone: 503 - 241 -2875 Contact #: FAX 503 - 692 -1186
PRI 503 - 692 -9284
Reg #: LIC 67534
FEES •
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/30/2006 $91.30
[TAX] 8% State Surcha 6/30/2006 $7.30
[FLS] FLS Pln Rv 6/30/2006 $36.52
Total $135.12
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.
Issued By: ^r� Permittee Signature: __4, p IT
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.
hiS
16
Fire Protection System CC &//g
an'
Bo 'Permit Applicatio GCE' " L'; , FOR OFFICE 11Sl ONLI
Received y, j -
"" City of Tigard ,JUN 3 200 Date/B . { J� -� "... Permit A. / / ice ..
71 '0 13125 SW Hall Blvd., Tigard, OR 97223 R Plan Review
I Phone: 503.639.4171 Fax: 503.598.11SM OF TIGA N Daze /By: i ' Other Permit:
Inspection Line: 503.639.4175 G p Date Ready _
T fG n,l p gU1LDIN y e Supplemental See Page 2 for
)' Internet: www.tigard- or.gov Notified/Method: / -/Z) (/\ -7 IMI Supplemental Information •
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gtO x el,45�„ .': �t�^ TY OF ;W ORI{ • ac �,t Ai v r 3 i .REQUIRED DAT 1 r11YD 2 FAMILY�DWELIdNG 3 ' ,
a.,k, ot,„: ,,,,,A44, t .7r ,SO4v?PC:iw tf...,,,,,, ,r - r.�r;° :':t:,,, ', ._. .,, , �le ,:w-,t. xfi i. . .�.•,. .,,,,,,,;„„ i.,...._ ,,.:.:5..—„, „,,.,.,..i*n
❑ New 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
y '�� x r ,� i y t r`h y,y � E t ti , work indicated on this application.
s ,r t, - e f ,.;WPNR .r CAT,EGURY OF �l r - z, v” � u :' pP
. ..,. a.h�, i,._n xwos?.:rs.,.wnY. �3«a , �w .�„ -;� P. .,...
ID 1- and 2 -family dwelling izt Commercial /industrial Valuation: $
1:1 Accessory building 11 Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
" 3 :4 JOB SITE INFORMATTON �`AAID L CA r {` t t �" Total number of floors:
,k. . ,.,., , t �'X Pik[ . ra r .,...b. v . , ,:,,.. , t.. a t ,w � , . ,r t ,. .wc ; -. �s: _ t 't '4A n r R �' ,_;$
Job site address: $ vR+ r New dwelling area: square feet
t% ln/� f ,t Gt Ll J� �2 ��9Q 1A� y7 t
City /State /ZIP: I . • , 0 f Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: pu w Cfy ,, Covered porch area: square feet
Cross street /directions to job site: g cl, ,., AL , ' ') 1 1,i( Deck area: square feet
Di c a „ o De Other structure area: square feet
I . z, x - , _ 7 t . r `C°+ c1p %. "F eau s. -YVt, .� , a+.�, ,Et t Y
,'i.',.1,1"-.1,t, EQUIRED`DATA COMMERC - USE CREC ,
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
,�, ptayi ,t - a $ w -.ate+ � < - ir a.+ h < 'z :ua- ap+ e c ^+ y ,
\ work indicated on this application.
_
f F-; .r�: _.s'.',< ;- .
z n „ ,vp' . , , DESCRIPTION OB WO *, ” a . i to .. t .90
A ( + c n � c4 - . ( ( 6 ,,, I Valuation: $ L�� ��
P fix /� l; /l Existing building area: i]® square feet
2.t
• New building area: square feet
s 4 5 t a .t e 9- - Mra�.a ,k^ au11ty 6e, +t j { p. , r v� y • J -a 3x. r'4 A 4 7 F
,,,4-1.:414::::. � ®'PROPERIW OWNER? 4f, +, WA, ` ' pk . Number of stories: I /
- .:tom.,_ +,:+., ..,trv31�,�at:Sti ,�i. ti. �k4� �.u�h'R6_W .t,. .. .�er�..a ,'^e zk,., � 'tn °. �f {r5, Cf �
Name: pl eyi kJ PIS t'- g_s, Type of construction: 5 B
Address: j b 9 (r) % L) . Occupancy groups: Y) / 7r /.<1
City /State /ZIP: I cI ,..,,A V i .) Existing: ✓
J ,
Phone: ( ) Fax: ( ) New
a r �'^�* u ra an. ,� , a - c..y..,3 r +� + "a ,:R:
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1 w"J� t �` "�„}
Business name: ,,,_,, All contractors and subcontractors are required to be
Contact name: `f licensed with the Oregon Construction Contractors Board
1 ''` , '' under ORS 701 and may be required to be licensed in the
Address: ! 4 '5"S W i il9 AV jurisdiction in which work is being performed. If the
r applicant is exempt from licensing, the following reasons
CitylStatelZlP:
Itc OR apply:
Phone: ('(Y) 01_ _ S” Z( Li Fax: : ( ' ) L72_ -1 1 % k
E -mail: J i'� 4 P S %'S , C0
,, § ' A, s ; +: \ U , ' «» °42r'CONTTRACTORe 0 . k
x t ` R ..'f';r.: :? , BUILDINGjPERMTr'FEES* �.
A �1 : ,,, se r iaye e s, e , �� a / f
Address: 1 - . yea
Business name: �.. � �. ' � � (P, teus,e�refer:esehedu) le �; �,
f � Permit fee: / i i 5 i `. tm r
r 1” State surcharge (8% of permit fee): 7 "j
City /State /ZIP: "'i ,,,...„ X 17 0 L FLS plan review (40% of permit fee): ,.. 5 -- - '7
Phone: ( ) L 11 11_4s1 Fax: ( ) (,' -ii g 6 (Due upon application.) , 5 6
CCB lic.: L.)5-1 LI Total permit fees:
• y / Z
Authorized signature: Amount received: /35 ` i / Z.
This permit application expires if a permit is not obtained
Print name: �t✓r. Date: 4 1-7 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building 1 ndustry
Service Board.
I: \Building\Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11/02 /COM/WEB) .
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Desciilie work to bedone! ,'`
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 Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
_ K. Factor
Sprinkler Project Valuation: $
B) T I, ;Hood Fire` S uppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residential Spr>nlder'(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
Sprinlder 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\ ITS- PermitApp.doc 2
I
r .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 8UP2006-00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21r)006
Phone: (503) 639-4171 An\
z giii 1
Inspection Requests (24 Hrs.): (503) 639-4175 l
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7 . PAGE: 90
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MENS WEARHOUSE
DESCRIPTION: Add (68) sprinkler heads.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503-241-2875
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 034357-01 503 N
Corrections/Comments/Instructions:
'
104 -- 4I
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Air
41 IA •
vimils■ islow 1p - go - 4worr r 41PP lay
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7
e---rA‘ 1 1 PARTIAL APPROVAL EI CANCEL n NO ACCESS
0 FAIL , CALL FOR I SPECTION EI ADDIT ONAL FEES ASSESSED
Date:
• .14 1
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Inspector: ( Iri
A ,
k-- u Phone #: (503) 7182kr:,
CITY- OF TIGARD A
BUILDING DIVISION PERMIT #: BUP2006-00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2006
Phone: (503) 639-4171 aolrillioll OTIII\
Inspection Requests (24 Hrs.): (503) 639-4175 ANL- '-J-
INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MENS WEARHOUSE
DESCRIPTION: Add (68) sprinkler heads.
OWNER: BRIDGEPORT LAND Ile, PHONE #: 503-241-2875
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-602.9284
Inspection Request Scheduled For: Date: 7/24/2006 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
Oiegt4424.1- 503-692-9284 Y
gi 0 F4141-4 ==-__o . --
Kothl&Pt t
Corrections/Comments/Instructions: IC 33 WZOOZ.,
tor
. 4 "nrilM11116ii •
,
1
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V ASS I i f—I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
fl FAIT CALL FOR INSPECTION fl ADDITI•NAL EES ASSESSED
it
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Inspector: 4 Date: —iil• '4 Phone #: (503) 718-
. 4