Permit ° � CITY OF TIGARD BUILDING PERMIT
P ERMIT #: BUP2007 -00625
COMMUNITY DEVELOPMENT DATE ISSUED: 12/31/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AD -01100
SITE ADDRESS: 06650 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: THOMASVILLE FURNITURE
Project Description: Fire alarm
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: M 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES BRIGHTSIDE ELECTRIC & LIGHTING SERV
15350 SW SEQUOIA PKWY #300 -WMI 203B W MAIN ST
PORTLAND, OR 97224 CARLTON, OR 97111
Phone:
Contact #: PR1 503 - 852 -7900
Reg #: LIC 153860
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/7/2007 $155.45
[TAX] 8% State Surcharf 12/7/2007 $12.44
[FLS] FLS Pln Rv 12/7/2007 $62.18
Total $230.07
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 503.246'0699 -• 1.800.332.2344.
Issu d By: K , f' /V`-41-iC P Permittee Signature: C____ / Cam,
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.
• r Building. Permit Application
Fire Protection System Received ✓/ FOR OFFICE USE ONLY
City of Tigard Date/By: / / O 1 Permit No.: 7 02
a 13125 SW Hall Blvd., Tigard, OR ®p„ Plan Review
14
Phone: 503.639.4171 Fax: 503.= f 2001 7 Date/By: /�� ✓ 1 z i a Other Permit: 7 �/'
T 1 G A R D Inspection Line: 503.639.4175 G'`T,t O F FI Date Ready/By: 0 See Page 2 for
Internet: www.tigard or.gov GARD Notified/Method: // (� Supplemental Information
BUILDING DIVISION
TYPE OF WORK .. . REQUIRED DATA: It AND 2- FAMILY DWELLING
❑ 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
. CATEGORY OF CONSTRUCTION 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: 6 c S 0 S w 3 oYV iT►A R l7 New dwelling area: square feet
City /State /ZIP: –ri 6 A /L, , C7 Garage /carport area: . square feet
Suite/bldg. /apt. no.: Project name: 77.( ps r9 S v I L(. PS. 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.
Valuation: $ ! S U tru
Plan t.�W2r41 ik rot LL
Existing building area: square feet
New building area: square feet
4 ROPERTY O ❑ TENANT Number of stories:
Name: "' i l4' C----112p,4-7— /-1-'LTY Type of construction:
Address:
Occupancy groups:
City /State /ZIP: Existing: .
Phone: ( ) Fax: ( ) New:
❑ APPLICANT . ❑ CONTACT PERSON
NOTICE
Business name: All contractors,and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:
City /State /ZIP: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
(„ apply:
CI\ Phone: ( ) Fax: : ( )
E -mail:
CONTRACTOR .,BUILDING PERMIT FEES*
. (Please refer to fee schedule)
Business name: J3 /1
► I- l TS / /J l - L � e 7 w 1 e - /55---.Its
�! Permit fee:
cP
Address: 2 03 8 k/./ , M N p9 1 s r 4 n c State surcharge (8% of permit fee): • T ' e
City /State /ZIP: e4 2 t rem , aie q 7 I 1
FLS plan review (40% of permit fee): J_ , 1 "
Phone: (S ) g.$ L -7 y o O Fax: ( ) (Due upon application.) t P
CCB lic.: /53 3 5' 6 0 I l t,' Total permit fees: a 30 .07
Amount received: � • D 7
Authorized signature: vt.
This permit application expires if a permit is not obtained
Print name:
714/22 S Z ley S Date: /09/0 7 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
t:\ Building \Permits\FPS- PermitApp:doc 03/23/06 4404613T(I1 /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 2 Yes
include: Individual Component ❑ Yes •
Cut Sheets
Fire Alarm Project Valuation: $ ! 5
•
; 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: \Build n \Permits \FPS- PermitApp.doc 2
CITY OF TIGARD '
.
.
BUILDING DIVISION 44
PERMIT #: 13UP2007-00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12131/2007
41
Phone: (503) 639-4171 an* 44
- Al A I
Inspection Requests (24 Hrs.): (503) 639-4175 -... — -....
.„
INSPECTION WORKSHEET FOR DATE: 1/2602008 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 06660 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL scHAR FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE FURNITURE
DESCRIPTION: Fire alarm
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: BRIGHTSIDE ELECTRIC & LIGHTING SERV PHONE #: 503-852-7900
Inspection Request Scheduled For: Date: 1/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 063889-01 971-2191326 N
Corrections/Comments/Instructio s:
P / L.-
_4.5..
i -
, .....,
• P A RTIAL APPROVAL El CANCEL fl NO ACCESS
0 FAIL r CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
,
. e
Inspector: /
Date: / C.2 Phone #: (503) 718-
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: �JVn�° ' Z-�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
A i��I �
Inspection Requests (24 Hrs.): (503) 639 -4175 '. "�_
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 066 b 4J /TA CLASS OF WORK:
SUBDIVISION: (31-O . LOT #: TYPE OF USE:
PROJECT NAME: TH-0M v LL '- - trUFE
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
. Fi /404L-
Corrections /Comments/ Instructions:
•
- • 'ARTIAL APPROVAL I CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /7 7-4- 4 65 Phone #: (503) 718- 46 1/7/
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20O7 -00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/3'112007
Phone: (503) 639 -4171 dlne'
Inspection Requests (24 Hrs.): (503) 639 -4175 {':.-"�..
INSPECTION WORKSHEET FOR DATE: 1/23/2008 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 0555 {) SW 13ONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE. FURNITURE
DESCRIPTION: Fire alarm
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: E3RIt3HTSIDE ELECTRIC & LIGHTING SERV PHONE #: 503.852 78100
Inspection Request Scheduled For: Date: 1/2312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 063734 -01 871 - 219-1325 N 0 A-v
Corrections /Comments /Instructions:
•
•
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
ra CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: I Phone #: (503) 718- (�