Permit I C' Y' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00550
°. COMMUNITY DEVELOPMENT DATE ISSUED: 10/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AC
SITE ADDRESS: 14865 SW 74TH AVE 170 ZONING: I -P
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT: 020 JURISDICTION: TIG
PROJECT: ACTION FUND RAISING
Project Description: Install (4) fire sprinkler heads for new walk -in freezer.
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: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 1,532.00
Owner: Contractor:
KNHS DEVELOPMENT CO FIRE SYSTEMS WEST INC
26262 S MERIDIAN RD 600 SE MARITIME AVE #300
AURORA, OR 97002 VANCOUVER, WA 98661
Contact #: PRI 360 - 693 -9906
Phone:
FAX 503 - 289 - 2208
Reg #: LIC 49732
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 10/18/2007 $62.50
[TAX] 8% State.Surchart 10/18/2007 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR. Specialty Codes and all other applicable law.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct question t'�OUNC by
calling 503. , i •.. °' or 1.800.332.2344. /
I
Issued :. r a � �L Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that b mess day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ' `.FOR OFFICEUSE ONLY :,t.' . a
Received /.-
4.''. City of Tigard � )� Permit / A.:77.
III
'� 1312 SW Hall Blvd., Tigard, OR 97223 Date /By: l D /$ D 7 1�.
g Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date /By:
Inspection Line: 503 Date Ready /By: Ju ®See Attached Checklist for
TIGAR "D . . Internet: www.tigard- or.gov N otified/Method: ' /(V•• Supplemental Information
9 1P 1 TYPE "OF WORK a aEQUIRE DA A I D 2 FA ILY DW; I;LIa
❑ 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
f �' rt i work indicated on this application.
CATEGORY OFD CONSTRUCTION
_... ,,,, �,�sa. .�i ....c .m.�i /fir, i .,. ..... .,> it ,... taa.,- .. i
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB 'SI TE INURWIMIND/Liant0E*31110ROMOR Total number of floors:
Job site address: 14865 74 AVE New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97224 Garage /carport area: square feet
Suite /bldg. /apt. no.: 170 Project name: ACTION FUNDRAISING Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA CO MERCIAI USE CHEG
Subdivision: 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
l�-�
� � >�'f zi DESCRIPTION OF WORK:' AM k , 4 work indicated on this application.
INSTALL (4) DRY PENDENT SPRINKLER HEADS IN NEW WALK -IN FREEZER. Valuation: $$1,532.00
Existing building area: square feet
New building area: square feet
.l PRQPERTY OWNER i TENANT 111 Number of stories:
Name: SHEPLER REFRIGERATION Type of construction:
Address: PO BOX 12146 Occupancy groups:
City /State /ZIP: PORTLAND, OR 97212 Existing:
Phone: (503)282 - 7255 Fax:( ) New:
/ Z APPLICANT „ q ❑. 'CONT *AGT PERS®N .b ,"
y E �,,,, e , m., . . b. . MEN t .,., . `N OTICE ��.,.. „'
Business name: FIRE SYSTEMS WEST All contractors and subcontractors are required to be
Contact name: RICH SMILEY licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 600 SE MARITIME AVE STE. 300 jurisdiction in which work is being performed. If the
City /State /ZIP: VANCOUVER, WA 98661 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 693 -9906 Fax: : (503) 289
E -mail: ricks @firesystemswest.com
// I l CONTRACTOR 10 i' r s r j
Business name: SAME AS ABOVE I DING P , RktlT FEES* I
. 4c d ule
Address: <_. �. ,. BVI
'y �, (Pleas`Q�referYa jee °sched . ";s°
Structural plan review fee (or deposit):
City /State /ZIP:
' FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
Total fees due upon application:
CCB lic.: 49732
6 Amount received:
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: RICH SMILEY Date: 10 /18/07 * Fee methodology set by Tri- County Building Industry
Service Board.
h\ Building \Permits \BUP- Pen 03/21/06 440-461 3T( 1 l /02 /COM /WEB)
CITY OF ��m u m m�pw� m n���mn���
BUILDING DIVISION ~ PERMIT #: BUP207-00EM
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/02007
Phone: (503) 639-4171
Inspection Requests (24Hmj:(503)G3O'417S L. "�
INSPECTION WORKSHEET FOR DATE: 1029/2007 TIME: 7:01Apvi PAGE: 46
SITE ADDRESS: 14885SN/74TH AVE 17U CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 028 TYPE OF USE:
PROJECT NAME: ACTION FUND RAISING
DESCRIPTION: lnsiall (4) fire sprinker heads for new wa freezer.
OWNER: KNHS DEVELOPMENT CO, PHONE #:
CONTRACTOR: flRE SYSTEMS WEST INC PHONE #: 3%693.9806
Inspection Request Scheduled For: Date: 1O/29/20O7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sm,inW$rDnEA 060462-01 800-69:39906 N
Corrections/Comments/Instructions:
El CANCEL ri NO ACCESS
FAIL | LL FOR INSPECTION El ADDITIONAL FEES ASSESSED
^^ �O �� ^q ( |n000ctor� \ ,\�, Oate: / / Phona #: /503) 718' ' ` '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171 47 0/444
Inspection Requests (24 Hrs.): (503) 639-4175 gaA
INSPECTION WORKSHEET FOR DATE: 10/2412007 TIME: 7:00Am PAGE: 97
SITE ADDRESS: 14065 SW 74TH AVE 170 CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: ACTION FUND RAIZ.3ING
DESCRIPTION: Install (4) fire sprinider heads for new walk-in freezer.
OWNER: KNHS DEVELOPMENT CO, PHONE #:
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693-9906
Inspection Request Scheduled For: Date: 10/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprintior final 05807001 W3-684-9899
Corrections/Comments/Instructions:
3 77/
_ e Lier&-f AP .Z.
(---
1 -I STV \IA 1 oetNXI__c_A
. Fic_c_57- 4-4D
•
I I PASS El PARTIAL APPROVAL L1 CANCEL 7 NO ACCESS
LL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: Date: 6 b Phone #: (503) 718- Z-g