Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00478
A DEVELOPMENT SERVICES DATE ISSUED: 10I25I2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112AC - 03000
SITE ADDRESS: 14775 SW 74TH AVE ZONING: I -
SUBDIVISION: METRO PART /MLP2002 -00008 LOT: 001 JURISDICTION: TIG
Project Description: Fire Sprinkler System.
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: S1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 29 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 17,000.00
Owner: Contractor:
HORNEL LLC FIRE SYSTEMS WEST INC
PO BOX 159 600 SE MARITIME AVE #300
AURORA, OR 97002 VANCOUVER, WA 98661
Phone: 503 - 651 -1878 Contact #: PRI 360- 693 -9906
FAX 503 - 289 -2208
FEES Reg #: LIC 49732
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/25/200E $206.50
[TAX] 8% State Surcha 10/25/200E $16.52
[FLS] FLS Pln Rv 10/25/200E $82.60
Total $305.62
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 thes u'les o d ect,quuestions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issue By: �� /)
Moti J Permittee Signature: i- '� �.��
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.
'/ 72s 7 ,9 k
• Fire Protection System
Building Permit Application lt., P ; .; " .; a oIZ of Flcc use oNLY Build / /j 6-06 . , . •
Clty Of Tlgard DateB (/ a� �� /11-- P erm i t 1 O ! /
13125 SW HaII Blvd., Tigard, OR 97223 OCT 7 1 II :.' Phone: 503.639.4171 Fax: 503.598.1960 V 0 L 20 06 Pla Dat n Re / G Other Permit.
T'I G AR D Inspection Line: 503.639.4175 Date R y: / / 3uag. Bl See Page 2 for
Internet: www.tigard- or.gov a Notified/Method: / 4/ O Supplemental Information
T r-. , -T re ri T !'rte-- (Z it ' ,a�
• TYPE OF WO RK J' C ( • ri' ■ DATA: 1- . ' 1'2-FAMILY DWELLING
New construction ❑ Demolition Pe s* 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 CO STRUCTION 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 .INFORMATION AND LOCATION Total number of floors:
Job site address: )4775- 5,•) ` /3-- Vi- New dwelling area: square feet
City /State /ZIP: A .Q Oft_ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: hOLL N/4, ` :.Z.4rL, fv Irvc Covered porch area: square feet
Cross street /directions to job site: 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.
I S ` I Y - u Fii r �✓p iz I IV KL.I Z s �S•� Valuation: $ O 0 o
Existing building area: square feet
New building area: I Q(()S6 square feet
PROPERTY OWNER ❑ TENANT Number of stories: / - - The �
Name: tp ft& -t 3 ` j f...j51 nibs 7 Type of construction: Sw
Address: TO "e,Dx' / '- Occupancy groups:3' 6A - 1o1 1i2/
Cit /State /ZIP: jide_c -i4 0C Existing: 6 .S (7
Phone: (9)3 ) l7 •70g Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: f 1 ft, 6 lZ f 3 7 5 v 3 f All contractors and subcontractors are required to be
Contact name Js i'�L/ , f1 ,1, licensed with the Oregon Construction Contractors Board
5 under ORS 701 and may be required to be licensed in the
Address: (2-d, � en 'Me 4-1/6" 44 jurisdiction in which work is being performed. If the
98 ,^ �r applicant is exempt from licensing, the following reasons
City /State /ZIP:
Vffrif C J4. / V!S)'Z /' 9 b ay apply:
•
Phone: (76t,) C 9) 9,66 Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:' -• I- 2 j/ 1./-)5 1-c J g_27-- (Please refer to fee schedule)
Permit fee: „261‘,50- „261‘,50- Address: &co i 1-11)/2-477 /-(€ �7 ,41.1e- �( / 4
State surcharge (8% of permit fee): 4, a
City /State /ZIP: I, /A ICOLI1./ L t je-- 9' gt'P(p
FLS plan review (40% of permit fee): V 6p
Phone: (51Q) 6, 9 q a r Fax: ( ) (Due upon application.)
CCB lic.: 99 - 7 ° 3°'L 3 42 Total permit fees: el `
Authorized signatu Amount receive •
i \ C This permit application expires if a permit is not obtained
Print name jilb j 5- Avn54.- — Date: /6 . _ •C * within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Pemuts\FPS- PennitApp.doc 03/23/06 440 -4613T(11 /02/COM/WEB)
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 Sprinkler
❑ 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 Sprinkler (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 - PermitApp.doc 2
002E39
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/292006
Phone: (503) 639 -4171 � 4� "11�° i fit\
Inspection Requests (24 Hrs.): (503) 639 -4175 J . —
INSPECTION WORKSHEET FOR DATE: 12/19/2006 TIME: 7:OOAM PAGE: 10
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART /MLp2002 -00008 LOT #: 001 TYPE OF USE:
PROJECT NAME: FANNO CREEK. BUS. PARK
DESCRIPTION: Fire Sprinkler System.
OWNER: HORNEL LLC, PHONE #: 503 - 651 -1
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693-9906
Inspection Request Scheduled For: Date: 12/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message l 6 78
999 Sprinkler final 041284 -01 503 - 939.9575 Y
Corrections /Comments /Instructions: NINNINi 'Mimi.-
Alf -
, - 1BMle - i /e - . -1
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL so CA L FOR INSPECTION [1] ADDITION FEE ASSESSED
so CA
0/ j ‘ 1 Inspector: Date: P hone #: (503) 718- 2-'ira
I
CITY-Of TIGARD
BUILDING DIVISION PERMIT #: BUP200&- 004713
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/25/ 2005
Phone: (503) 639 -4171 -, a 1
Inspection Requests (24 Hrs.): (503) 639 -4175 '�' I..
INSPECTION WORKSHEET FOR DATE: 12/7/2006 TIME: 7:03AI+j1 PAGE: 15
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART/IVILP2002 -00008 LOT #: 001 TYPE OF USE:
PROJECT NAME: FAWN° CREEK BUS. PARK
DESCRIPTION: Fire Sprinkler Syviem.
OWNER: HORNEL LLC, PHONE #: 503- 651 -1878
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360 -693 -9906
Inspection Request Scheduled For: Date: 12/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 040799 -03 503 -939 -9575 Y
Corrections /Comments /Instructions:
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=- - 4- - PovibF - Homfeicy 1,- L _,, , c _.± t i\-ukt2ot.
1
vi, A gee , ______. l''S 0 4E
PASS 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
gefeA
Inspector: D ate: P hone #: (503) 718
CITY •
BUILDING DIVISION PERMIT #: BUP2006-00478
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10125/2006
Phone: (503) 639-4171 kak
yr 1 t
Inspection Requests (24 Hrs.): (503) 639-4175 ,.......
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7:04AM PAGE: 50
SITE ADDRESS: 14776 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART/MLP2002-00008 LOT #: 001 TYPE OF USE:
PROJECT NAME: FAWN° CREEK BUS. PARK
DESCRIPTION: Fire Sprinkler System.
OWNER: HORNEI_ 11C, PHONE #: 603-661-1B70
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360,693-9906
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
296 Misc. inspection 040361-01 360-693-9906 Y
Corrections/Comments/Instructions:
4 r ,---
■-• I , v
1 1. fl PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL 1 pi CALL FOR INSPECTION fl ADDI IONA F ES ASSESSED
All I
Inspector: I Date: Phone #: (503) 718-
CITY :OF �TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00478
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10125/2006
Phone: (&03) 639 -4171 A ��
Inspection Requests (24 Hrs.): (503) 639 -4175 _� :_..
INSPECTION WORKSHEET FOR DATE: 1112/2006 TIME: 7:02A1 PAGE: 30
SITE ADDRESS: 14775 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: METRO PART/MLP2002 00008 LOT #: 001 TYPE OF USE:
PROJECT NAME: FANNO CREEK BUS. PARK
DESCRIPTION: Fire Sprinkler System.
OWNER: HORNEL LLC, PHONE #: 503 - 651 -1878
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693-9906
Inspection Request Scheduled For: Date: 11/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 039200-01 503-939-9575 Y
Corrections /Comments /Instructions:
F C A/AA
losiAt ,...
- ....- , , .--1
Allieir
triti* wow, ;.--- OP I"
PAS5 PARTIAL APPROVAL ❑ C ANCEL ❑ NO ACCESS
❑ FAIL 1 1 CALL FO INSPECTION ❑ ADDITION L F ES ASSESSED
--
Inspector: / \II Date: �� Phone #: (503) 718- 714--