Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00531 I
. I I DEVELOPMENT SERVICES DATE ISSUED: 9/30/03
`' ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14050 SW 131ST TERR PARCEL: 2S109AB - 07900
SUBDIVISION: RAVEN RIDGE ZONING: R -
BLOCK: LOT: 008 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 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: $ 3,000.00
Remarks: Fire sprinklers: stand alone
Owner: Contractor:
PIATSKI, BORIS WYATT FIRE PROTECTION INC.
10625SW COTTONTAIL PL. 9095 SW BURNHAM
BEAVERTON, OR 97008 TIGARD, OR 97223
Phone: 503 - 313 -2406
Phone: 684 - 2928
Reg #: LIC 64077
FEES REQUIRED INSPECTIONS
11 , 1
Description Date Amount Insulation Insp
BUILD] Permit Fee 9/30/03 $72.10 Sprinkler Rough -In
[TAX] 8% State Tax 9/30/03 $5.77 Sprinkler Final
[FLS] FLS Pin Rv 9/30/03 $28.84
•
Total $106.71
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: , L viL
Permittee '
Signature: -- %
Call 639 -4175 by 7 p.m. for an inspection the next business day
'09/11/2Q03 08:21 FAX 5035981980 CI O F TIGARD 0001
I SO Su 131 s P Ln T.�
Fire _ System
;j
Builds Permit l Reaivea n # .: f 1i - 6V5
Planning Approve[. / ; Other 6
City of Tigard DateB .. T 'CCSr 1 B 3 f pcmritNo.:MS 0 3 —Do ��
13125 SW Hall Blvd_ SEP 11_ 2003 Plan Review Other
Date/B : Permit No.:
Tigard, Oregon 97223 post- Review Land Use
Phone: 503-639-4171 Fax: 503-598-1960 "''` �I
.l' I
I I Dat c : Case No.
Internet: www.ci,tigard -onus CITY OF TIGA Contact �, 1 See Page 2 for
24 -hour Inspection Request �iQT�� � V IS . Name/Method:
�/L►\ Su . . lemental information
. -. ,. ... .. ..; ....: a r::. ,....,. : <t.r. , � @ai'L.., !:f '. ix: Lie "d'`. _ ✓ :;•r' ',:;'!
"rYP1E>� )�K ' . �� �i',
r.
New construction 111 Demolition ro, : ? i'I : :;. :f ' . .... ":: . p .
Addition/alteration/replacement El Other:
' 4 =° ti'• i • " "' Note: Permit fees* are based on the total value of the work performed. Indicate
Z & 2- Family dwelling J Commercial/Industrial the value (rounded to the nearest dollar) of all cquipment, materials, labor,
overhead and profit for the work indicated on this application.
_ Accessory 3uilding J Multi- Family S .3, O � •o o q1�
111 Master Builder Other: Valuation
:ear; ;i; ... ...'.(J.A131str 11 d1ii" ! U1 I rd 1R d;oo, I: ::,.:1; s`..,;; No. of bedrooms: No. of baths:
� � ,. ' Total number of floors
Job site address: I 4050 5•W • 131 5 t T xraCQ New dwelling urea (sq. ft.)
Suite #: 1 Bldg, /Apt. #: Garage/carport area (sq. ft.) . ' % -j\ \..
Project Name: J ) ‘0& SIU 1Q1c.aOLtkiCQ Covered porch arcs (sq. ft.) .
Deck area (sq. ft.) • 1.-- Cross street/Directions to job site: `� Other structur area (sq. ft
y ,,:). �3( til :' :!11;'i,a( ::•Ir, :;!!, : G lf "> ;c�' :il.kT„ _i :•�.�i.,`.S•`Yj�a
._ ... , •!4�` :G! .. .. i � .. ..�d. 1•. , a. +r,[. ..L ! �'t? • l�.•
• Subdivision: I L ot #: :. ,..,. .
,_...
Tax map/parcel #: Note: Permit fees' s' are based on the total value of the work performed. Indicate
,,; ,.,, , .; : rc n�Arrir E�lnis�RI -.:,11,;?. , ;;h ib:pt: ;r;lt ?,k (rounded to the nearest dollar) of all equipment, materials, labor,
the value (roun Q
?_ii: _ "';`.;`,IV ���F*a►a7�_l :: r:dv F.,...: 1 ru;. application. l
i'' ^' tic : :.. '. ` ::> • overhead and profit for the work indicated on this aPP
PPS% ae,.,A - i 4.1, 13 -P Sr7N,Qo N
�, Valuation S
• Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
E 1, • l.• :'' -i 3 �' a,y Type of construction
'ii; : : . l ';tr�'RUlr° . ?1'r"lt�.. �� :,il'' :G :r :..I � r naq' .11'1T�s,(';�!• . .
Name: 1701'‘ 91 OI,.Sl‹ -1 Occupancy group(s): Existing:
5 New:
Address: 1 Ol 2S 5.\/•1. Co-k -COY Tb L0 .7V2.
City /State /Zip: Seave. - kern ) O2- c NOTICE: All contractors and subcontractors arc required to be
Phone: 524 822- F li cens ed w ith the Oregon Construction Contractors Board under
K P '�,F Yi.` 1`,•'I'� `i'�.' !h�l ► t .-'<'yt p rovisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: ] Fax . : : r :k . r' :' 61:g::iGi.. ..... .:;, ''' yl E4i1!" 1 �9.. .'.,14fq.:'
E- mail: y � I: ! r' fi� . I � t :: n �
F , ' �' • ! i b i l l 4 'r
I � � ' 1 r � � ' � I t�
Business Name: 1,11 d# Fi re • • Prote ii()rl in Fees due upon application s,
Address: CtOctS \N • - bun -rN hcon - s
City/State /Zip: T irio,.Y4 , 012_ Cr12-2 S Amount received
Phone: Co 8 4- . 2..q 2 , Fax: ( • q ( o 5/ Date received:,
Authorized ,.,/ Notice: This permit application expires if a permit Is not obtained within
Signature. Date:_ P/ 0- 180 days after it has been accepted as complete.
eIJ /o' rTI �
O - 'Fee methodology set by Tri- County Building industry Service Board.
(Please print name)
i nistslpermit Forms\BidgFerrnitApp.doc 01/03 r 6 `.
/
_
09/117'2003 08:21 FAX 5035981980 CITY OF TIGARD 01002
Fire Protection Permit Check List
Describe work to be done: _
A) N B.) 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::
1 3 - o �� 4
T e of S stem Com lete A, B, as applicable):
Wet ❑ Dry ❑
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
ocd'I` li*. UPP. " .. ski..... S,ji.St
T.ype';L� a on':; ems: ::‘ . .::..: .: .:.:::.:.. : ,.: �::::�• ..,,,.. .�' ,::
Hood Project Valuation: $
Submittal shall Battery Calculations Yes ID
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
.iD. Resrde:ntiaf�SprtRk , '(S,
S Permit Fee:
_ 0 to 2,000 $187.50
2,001 to 3,600 $232.50
601 to 7,200 $292.50
3.
7,201 and greater _$381.50 ;
Sprinkler Project Square Foote e: sq• ft.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $ • —,
Permit fee based on square footage CD) (see fees above): $ _
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
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.
1. dsts \fame \FPSchecklistdoc 02/28/03
40l
September 26, 2003
CITY OF TIGARD
OREGON
Wyatt Fire Protection
' 9095 SW Burnham
Tigard, OR 97223
RE: RESIDENTIAL FIRE SPRINKLER SYSTEM
Project. Information
Building Permit: BUP2003 -00531 Construction Type: VN
Owner Name: Platski Residential Occupancy Type: R -3
Address: 14050 SW 130 Terrace Occupant Load: NA
Area: NA Stories: 3
The plan review was performed under the State of Oregon Structural Specialty Code (OSSC)
1998 edition; and the Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99 -01) 1999
edition. The submitted plans are approved subject to the following.
• Underground mains and lead -in connections to system risers shall be flushed before a
connection is made to the sprinkler piping. NFPA 13 -R, section 2- 1.3.1.2
• At least three spare sprinklers of each type, temperature rating, and orifice size used
in the system shall be kept on the premises. NFPA 13 -R, section 2 -2.1
• Sidewall sprinklers shall be positioned so that the deflectors are within 4 inches to 6
inches from the ceiling. NFPA 13 -R section 2- 5.1.7.2
Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall
be maintained on the jobsite. The plans shall be available to the Building Division inspectors
throughout all phases of co ction. 106.4.2 OSSC
Respectfu
rt lal•
enior P ans Examiner
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
CITY OF TIGARD 24 -Hour `~ y �
BUILDING Inspection Line: (503) ,f 5 / 0
INSPECTION DIVISION Business Line: (503 9/ 1 _ MST
BUP doo3 - 531
Received / Date Requested '2 � I AM PM BUP
Location jy0 /3/ Suite MEC
Contact Person o Ph ( ) 6 2 a-5r PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ft Drain Access:
Crawl Drain L� d J ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewal
e prinkl-
Fire arm
Susp'd Ceiling
Roof
Ot er:
��Fna
S PART FAIL
L ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole •
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In '
•
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date �/ k9 Q I nspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL