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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00407 '''fiq i DEVELOPMENT SERVICES DATE ISSUED: 7/18/03 ` -� f I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14650 SW 97TH AVE PARCEL: 2S111AC 02700 SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5 BLOCK: LOT: 037 JURISDICTION: TIG 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: B 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: Ilt 31 Dd Remarks: Fire sprinklers. Owner: Contractor: UNION HIGH SCHOOL DISTRICT SOUND FIRE PROTECTION INC NO. 3 JT 10756 SE HWY 212 CLACKAMAS, OR 97015 Phone: Phone: F- 774 -5109 Reg #: 6T3775 00003483 FEES LIC REQ INSPECTIONS Description Date Amount Sprinkler Rough - [BUILD] Permit Fee 7/2/03 $81.70 Sprinkler Final [TAX] 8% State Tax 7/2/03 $6.54 [FLS] FLS Pln Rv 7/2/03 $32.68 Total $120.92 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) 24 -6699 or 1- 800 - 332 -2344. Issued B 1 I II. . .41 Pe rm ittee ' Signature: .C}-t- Call 639 -4175 by 7 p.m. for an inspection the next business day _, i re Prote ct i on System AUTY • FOR OFFICE USE :ONL'Y J Bul�ldll;t�. Permit Appl>«atlon Received AN Building , � �eN) Date/B : ! - PermitNo.:1 , 'jo3 –OD () �J ' City of Tigard ® Planning Approval Other i Dat Permit No.: 13125 SW Hall Blvd. , 10 0 ' P lan Review Other l),) Tigard, Oregon 97223 `` - ', Date /B : Permit No.: Phone: 503- 639 -4171 Fa VS03 -59 t Af, 1 01 Post- Review Land Use j c-1\(-1't \O i . 4 I 1 Date /B : Case No. r Internet: www.ci.tigard.or.ns IN/ • Q'� �, r\ j \s '� C ontact Juris.: `.• ® See Page 2 for < 24 -hour Inspection Request ¢3 ; 4`175 Name /Method: --1— 75 lemental Information iMa:e. t.... TYPEOFWORCrOttiRE.t... ;kr., ' - r�. r .� � �.p, 4 - n , DA ; ❑ New construction 111 Demolitions^ �� 1& 2 FA AT Y WE 2 Addition/alteration /replacement ❑ Other:: r . , • -r :�,- x : f�,:; s- tt,. ya 4aGAT�EGORY ;QFCONST�RUGT�IQN� ,.";' , ..: , ;, ' Note: Permit ees *'are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling [ j-Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ' ❑ Multi- Family ❑ Master Builder ❑ Other: , Valuation $ E O ,'JOB SITEINFQRIVIA § TI®Pland&�L #OCATIOw ` ?' ; No of bedrooms: No of baths: Job site address: l'/ 5 . S. u,..gf 174 4,ep. 04 I 7Z y 4 Total number of floors New New dwelling area (sq. ft.) W Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: rr Li 1'y Mr 0Dtt- Pepe/ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Q 1141.4.- g R . �, ` . Other structure area (sq. ft.) J IZ ,DuQNa : ' R DA L, „ , t i , fl " COMMERCIAiI; USE CHECKLIST * Subdivision: Lot #: , 4V _� * , k r _= ,.. � _ _ ,ie�_i' . '', .t Tax map/parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate "r� f. .<� ,,..;t sDESCRhPTI®NOF WORICF V g h ;� -° the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. E 6 - 4,-12,„, , , , , s ge/floD B - 2o J3 -2.l A 6_ 7 M^ r ry LE v t Valuation $ 317 5 ° 4 Existing building area (sq. ft.) f t 4 - F" t 7 L o , s 0 Cr v EL New building area (sq. ft.) Number of stories...13/04er + P ©'i' OW4NER' TENANT°,;.. +w'" , :.t Type of construction Name: crt Gf} tk+7 Tuq 1- Pi rr/ Som ooL D 1 Srx, c - Z 3 Occupancy group(s): Existing: New: Address: C, 'go c.c.). SW PI 0 6 OM Ss City /State /Zip: 7'1 G-ggp. a R, c 7� 7. 3 NOTICE: All contractors and subcontractors are required to be Phone: Fax licensed with the Oregon Construction Contractors Board under APPLICANT ; _ ,.< IS CON:TACTPERSON y,3_ provisions of ORS 701 and may be required to be licensed in the Business Name: S rJ ,„ F tR - P r .er''— 2NG jurisdiction where work is being performed. If the applicant is exempt Contact Name: 4yE /y k;p W .,D from licensing, the following reason applies: Address: 10 7 S` 5'.0 /t wy 2/ 1 — City /State /Zip: A S o 97/ S Phone:6 3,6 55. 3'715 _ Fax: 503 - 6 5 5- 299 0 �� : t tsw e F - . x o t DI G ERM * '. x B UTL N P ITFEES E-mail: 6, ,s ..,. ,4 , _._._ -.,.� . . �, . 2 �� .:.. p � �� ° � �,: �� user e fees u1 ..,,. � . ` CONTRACTOR " n .... . � checl Business Name:., S 0 No FIRE Pis1 ego ^1 �'V 4- Fees due upon application $ Address: (075d, . S •E - a LA) y Lt- City /State /Zip: G to deR M AS a' et. q Amount received $ Phone: ,3.6 55- 3/75 / 5 Fax: 5b; - 6 5 5 Date received: CCB Lic. #: 7ot,°3 lis yFP ll - o / . ,0 Authorized o3 Notice: This permit application expires if a permit is not obtained within Signature: Date: I - 4 180 days after it has been accepted as complete. \/ / O' O. IVIED p) /-0 *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) is \Dsts\Permit Forms\BldgPermitApp.doc 01/03 • Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: C Addition ❑ 1 -10 heads: No plan review required. • Alteration a 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 1Z- Additional description of work: ,g ; y-- ‘ 1 A � -,� 0/.1 gem. PE z Type of System (Complete A, B, C or D as applicable): A,) .Commercial S,prmkler , . _ .:. Wet PUI Dry ❑ Additional Standpipes Information: Hazard Gito"tap'. • X421" i q r• Density Design Area K. Factor S• 6 Sprinkler Project Valuation: $ 3 1 7 r 6 4. 4 ' B�:) �Type,.I� Hood. Fire�Su ;ppres,s�onES.yste'm'....�s ,..� ` � _,. �,�°�r�`:��.�, � ... Hood Project Valuation: $ Submittal shall Battery Calculations Yes . ❑ include: Individual Component:, r Sheets Fire Alarm Project Valuation: $ ,D ); E,ResidenfialESprinkler ($tang Alone ..: r =, , Square Footage: Permit Fee: • : 14.4FIX114:442,E 0 to 2,000 $187.50 2,001 to 3,600 $232.50 AllaYlgtriligKF.fa 3,601 to 7,200 $292.50 IkV•'. 7,201 and greater $381.50 IkAgawaiM Sprinkler Project Square Footage: sq:. ft. Project Valuation Subtotal.(A, B' & C):. :$ 3 / 7 S • Permit fee based on valuation (see attached chart): $ g ! ?_ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: • $ ' • ' FLS Plan Review 40% of Permit Fee' • $ 3' 2 4,A ' " TOTAL: $ • - �r_y. 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. is \dsts \forms \FPSchecklist.doc 02/28/03 CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (5031 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP , Received Date 3ques f AM PM BUP j — 00 4 '1 RR Location f(7 ,.�� " / 7 / " 1 Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR ILD Tenant/Owner ELC Footing Foundation ELC g Access: . L , ELR A. Crawl Drain /� rt€4o Crawl Drain I�'7�_ Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: ' i•AST PART FAIL PLUMBING '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 (�' yo-,-01/ e,/ �� Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL