Permit V BUILDING PERMIT
. CITY OF TIGARD PERMIT #: BUP2004 -00583
1 �'I� SW i B
DEVELOPMENT 69 -4171 DATE ISSUED: 12/21/2004
SITE ADDRESS: 07440 SW BONITA RD PARCEL: 2S112AC -00700
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: 50,000 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 50,000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 12,000.00
Remarks: TI Fire sprinkler
Owner: Contractor:
BHK PROPERTIES LLC FORTIS CONSTRUCTION, INC.
14280 SW 72ND AVE TWO CENTERPOINT DR. #525
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
Phone:
Phone: 503 - 694 -6217
Reg #: LIC 155766
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 12/15/2004 $158.50 Sprinkler Final
[TAX] 8% State Surchari 12/15/2004 $12.68
[FLS] FLS Pln Rv 12/15/2004 $63.40
Total $234.58
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.
f � �
Issued By: K t'� ,� � -Gi/ /it , (2 ! _/ice 1 ;(_/Z)
Perm e / d dir
Signature:
Cal by 7 p.m. for an inspection the next business day
✓ , e Fire rotection System
Building Permit '^ �b'�'�1: 1 V . FOR OFFICE USE ONLY
Received , / A " ���
City of Tigard Plan R : �� r Permit No.:
13125 SW Hall Blvd., Tigard, OR 972 L' 1 � 2004 1 / Plan Review
�0 1 4, 041 1\ Other Permit:
Phone: 503.639.4171 Fax: 503.598. � � DateB : O i -
Inspection Line: 503.639.4175 iJP' e Date Ready/By: .fur' ® See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGA ' • Notified/Method: it i t . Supplemental Information
B.T _ LDIrIC'�.
. DIVISION
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. `---,
Indicate the value (rounded to the nearest dollar) of all Z
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
;.. ,.„tc . S' .= �ra:��:. , .. East:�r +,•4�y; °..�:.�•sh3':,-r. <, �,�, -. :
.;: asWr�p•a,- ^at.,
„"t „l F-' ° °- ti<'' ., ;: work indicated on this application.
CATEGO Y O CQ STR ICTION ;.r *3 °. t � . 1 t
El 1_ and 2- family dwelling 11 ► 'mmercial /industrial Valuation: $
❑ Accessory building ,. A Multi - family Number of bedrooms:
g
❑ Master builder ❑ Other: Number of bathrooms:
't , , T ) O S�FI,NFOR I TION pl AT ,, Total number of floors:
Job site address: 1�1-Q G) �) �a vt IT" New dwelling area: square feet
City/State /ZIP: . r CO �C O D le--• 9 7 Z7i4'” Garage /carport area: square feet �
•
Suite/bldg /apt. no.: Project name: ! `' - 5 T.1/�.QM'- l ...l Covered porch area: square feet
Cross street/directions to job site: -4- w '"1,q ,t /' Deck area: s feet
�`' Other structure area: square feet
��Ta� u ; ky - k 4 " r°.a, wr,� m.�.r r�+ s. r:�; ,.�... t`% "REQUIRED AT*A COM -1VI itra USEi °CHE'CKLIST
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
;,k -
^ v " Rt , " ` DESCRII'T " e 1 work indicated on this application.
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.l �'„Ni� aid .., ION O R'ORK r
a�„4; , , .r:• -tea;; _'. :. ` ka-a> , �'s 1 ..a` �,.€.•:. 4
5 I Q Valuation: $
T�;bl(,(,1,� `� l V��i2a�l� W�fcct . ,
0 f I `e / , . 't. leg1 l �,1 Y — f . Existing building area: 6 0 0 square feet
. e `( ` 1/1 / v New building area: £4 , t . q are feet
!:::,....,,k - •'a'' •-,� q . � I r CO V' Pr A,0 :� ;;„'ti S U
ROPERT'�', OW1�1ER < "° , . �TENAN,- 1 v. Number of stories: (
r ,� .. Asa Mir -m . A ,
Name: A, SaGQ V7C9 S e S 5 , i 5012ea4 5 Type of construction: -
Address: A l /x] C � /1 r? (�/Q(• • Occ upancy groups: 1i - /� •• 7j
'�� tt ,
City/State /ZIP: po yy e v A D 01,--- q 7Z / '
Cl, Existing: G
Phone: (5 5 g'dj 1, Z^2 Fax: ( 3 24'x _ - r I � j New: A -
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aa�w - -° : N®TtI GE... < �.'` . ; , : ,.
Business name: �Z,- IC y-k, U t £v t/� w y\ h t All contractors and subcontractors are required to be
Contact name: � �� , +- � v f/ _ 5 licensed with the Oregon Construction Contractors Board
.� " under ORS 701 and may be required to be licensed in the
Address: Z31 A) GC) 13Y Avt Xe .3 e-, jurisdiction in which work is being performed. If the
City/State /ZIP: pozoz-� ,0 a )1 9 7Z / applicant is exempt from licensing, the following reasons
apply:
Phone: (5, ) e z Z 3 44' 7 Fax:: (5Q , Z Z-3 7 Cu 3
(- U�
E -mail: 1 OP, . r 4EY'-K
Business name: j,v (J/), u S7 - v C 7 / N c .,ww ILDIN PERM T ridg u " S" " .
Address: -r--- k ttt777 fi U -, Pk G 2 e,
Please refer to fee schedule.
City/State
! ��� / /ZIP: 4 / /% E6 e) 0
(5a coe'e% - 6,z � 7 ( z (� 4- - • (p Z 1 Fees due upon application
Phone: Fax:
, '' (p 4%1 Amount received
CCB lic.: I
Date received:
Authorized signature: Al i1. ��
/ i This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ♦ � / 4 0 Date: l ( .0, d a * Fee methodology set by Tri- County Building Industry
N f t Service Board.
i \Building\Permits\FPS- PermitApp doc 12/03 440 4613T(11 /02 /COM/WEB)
i.
• v
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Des,cibewo>ktobe„dane.d. e en .
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -1 0 heads: No plan review required.
r • Iteration FA 1+ heads: Plan review required.
III Repair
umber of sprinkler heads:
Additional description of work:
ype of4System�( o npletei4 B,wC orfD as ap,Pbcable)�, ... •
.. ._,.._,r ......,
�,� 5` � '� ..�Z.,*- ,.rt�.°`�'z' ..;,"�,'w..�a ..�r;., N.�
A)ComrnercialSpr nkler; ..,. ...4 .W r..< f .....�
Wet ❑ Dry
Additional Standpipes, _ • �/' ' . •
Information: Hazard Group - • • • ; •
;Peinsity •• 0 , f( /2/l f V-. Z-J , •
Design Area " - , • • ,
K. Factor
Sprinkler Project Valuation: $ \Z i 000
),Type F`. «, Hood ,re Supp,essionVSystem O,.. .. k4:, ......, ; _; . .;... r.
Hood Project Valuation: $
Submittal shall Battery Calculation's, • . Yes '`.' •
include: Individual Component :❑ Yes, W
Cut Sheets
Fire Alarm Project Valuation: S. ,. •
.� t.&�'�4; Xa•.• : "�;.` -i�s" ` , 4 . :t ` �,�z'- " ""', «�'�et. r, a„.*, : �: .,�;ga:�;ic � =a. ��,, r fiTs� s °�°' ` =;� %`;�• • :
f-P'Tg en ial Sp�riWf,er (S"tanci Alone System) ,,,, „a ; ;. K
Square Footage: Permit Fee:
0 to 2,000 • • .$187.50 '
2,001 ::. «
001 to 3 600 $232.501 • '`�
3,601 to 7,200 . •$292.50f ; ,0i 4, r `�
7,201 and greater $381.50 • '
Sprinkler Project Sjuare•Footage: = - , q.. ft.
Project Valuation Subtotal (A, B & C): $ - -
Permit fee based on valuation (see attached chart): $ .
Permit fee based on square footage (D) (gee fees above)' $
State Surcharge 8% of Permit Fee: $
FLS Plan Review•40 % - of : Permit Fee: - $ `
TOTAL: $
• s ' `
Plan review requires a completed application•an4 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\Forms\FPS Checklist.doc 12/29/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2004-00683
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2004
Phone: (503) 639- 4171amr�uy�my�u���� ; \
Inspection Requests (24 Hrs.): (503) 639 -4175 ... :_..
INSPECTION WORKSHEET FOR DATE: 5!9/2005 TIME: 7:10AM PAGE: 53
SITE ADDRESS: 07440 SW BONITA RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ASSOCIATED BUSINESS SYSTEMS.
DESCRIPTION: TI Fire sprinkler
OWNER: BHK PROPERTIES LLC, PHONE #:
CONTRACTOR: FORTIS CONSTRUCTION, INC. PHONE #: 503 - 6946217
Inspection Request Scheduled For: Date: 5/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misr.. inspection 006375 -01 360-693-9906 Y
io
Corrections/Comments/Instructions: C0(A-2-4370k 30
nc 6 „At„ ' I
, j4,,i L tp........_,._____ 11,0
- __
,❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F•R INSPECTION . n ADDITIONAL FEES ASSESSED
Inspector:
irk Date: Phone #: (503) 718-