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Permit
a CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00544 COMMUNITY DEVELOPMENT DATE ISSUED: 11/22/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AA -04700 SITE ADDRESS: 08900 SW COMMERCIAL ST ZONING: CBD SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG Project Description: Fire sprinkler system, (174) heads.(new system) 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: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 1,200 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 26,800.00 Owner: Contractor: BALLROOM LLC FIRESTOP CO 7122 SE MILWAUKIE AVE PO BOX 230545 PORTLAND, OR 97202 TIGARD, OR 97281 -0545 Phone: Contact #: PRI 503 620 - 6140 FEES Reg #: LIC 63846 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/7/2006 $298.30 [TAX] 8% State Surcha 11/7/2006 $23.86 [FLS] FLS Pln Rv 11/7/2006 $119.32 Total $441.48 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: , Permittee Signature: , ;�.J.A d *AAA' 0 ' . I Call 503.639.4175 by 7:00 a.m. for an inspection that business 1d y. 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. ,O e&mmcal Fire Protection System l Building Permit Application FOR OFFICE USE ONLY - / - City of Tigard R ECEIVED Date /B II © 4CC / - T - ----- _ 11,,,, � i i�„la , A Permit No.: 1p '° 13125 SW Hall Blvd., Tigard, OR 9 Plan Review � � Ill „. ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By. ,y s � ��, Other Permit: Inspection Line: 503.639.4175 0 2006 Date Re. el ':y: � y / R ® See Page 2 for T I G n k u Internet: www.tigard- or.gov NOV ZU�6 Notified/Method: d� Supplemental Information law ill a _ 0-11.1L, L sA ' • TYPE 0 It 'L +0x'1 ' NG DIVISION REQUIRED DATA: 1- 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 El Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION ' „ work indicated on this application. El 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: 69 00 s1.' ° eelenieketki Pr New dwelling area: . square feet City /State /ZIP: Ci,4 4 aC, 9 7213 Garage /carport area: square feet • Suite/bldg. /apt. no.: Project name: fief With/ P Covered porch area: square feet Cross /directions to job site: / So /� en /14//1/ /14//1/ S Sr n ! Deck area: square feet 5 YV 1 •- C I,� ` p Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST , Subdivision: I 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. /V 1& 0140 0Alj j/ Fae J opivittrz, gy Valuation: $ 4 1 sob r� 9 19 / a Oka_ � p / /14 /mo / � r Existing building area: /3734, square feet l �� P � ^ � , ° 1'0m-ivy- New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 5 Ate. lt•On M Name: toA LA, 4-Le., Type of construction: � �`L Address: '7 ,6i I r ! x,, zoA l i K 1 f t. A Occupancy groups: s 1 A013 City /State /Z1P: - '- 0 2_- Of .9-6 9---- Existing: Phone: ( ) Fax: ( ) New: . CPPLICANT . ❑ CONTACT PERSON " ' NOTICE Business name: F /+ s el° All contractors and subcontractors are required to be Contact name: , 5 L( ��'� licensed with the Oregon Construction Contractors Board . under ORS 701 and may be required to be licensed in the Address: Ao. 3o>e z3©,1 jurisdiction in which work is being performed. If the City /State /ZIP: r`4 t, a2 97 a J applicant is exempt from licensing, the following reasons apply: Phone: ( §D3 ) goo -821 aS Fax:: ( ) E -mail: • CONTRACTOR " , BUILDING: PERMIT FEES* Business name: Far I1 D eo (Rleaserejertofeeschedule) Address: 9000 CA/ ,, //06 fr. fua itos Permit fee: State surcharge (8% of permit fee): City /State /ZIP: f-/,1-1e4 0� 972 / FLS plan review (40% of permit fee): Phone: ( s''3 ) ?Of • -82ni- Fax: (o3) 472 614 1 (Due upon application.) CCB lic.: 6384 4v • Total permit fees: Authorized signatur ' �17 Amount received: This permit application expires if a permit is not obtained Print name: 612 tea ped- , Date: //I 'i, /Q4 within 180 days after it has been accepted as complete. / * Fee methodology set by Tri- County Building Industry // Service Board. 1:\ Building \Permits\FPS- PemnitApp.doc 03/23/06 440 .4613T( I I /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information e:. ' Describe-,`Work: to be done:_ . . _ - '7' . 1.) ❑ New 2.) Modification to spririkter heads only: El Addition ❑ 1 -10 heads: No,plarir.re regiiired. lgr Alteration t 11+ heads: Plan'eview required.. ❑ Repair /�- Number of sprinkler heads: I Additional description of work: Type of System (Complete. A, B, C or D as applicable): A.): Cotriinercial Sprinkler • VI Wet El Dry ; Additional Standpipes -- Information: Hazard Group LI 4 lic Density ,1P , Design Area / SOO K. Factor S • (,p Sprinkler Project Valuation: $ VP/ZOO- . . ' B'.), Type I Hood Fire Su ppression System Hood Project Valuation: $ ' C.) Fire Alarm 25 e ( ., . • ' - , Submittal shall Battery Calculations ❑ Yes include: Individual Component El Yes • Cut Sheets Fire Alarm Project Valuation: $ D:) 'Residential Sprinkler (Stand Alone System) , ystem) . 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. 1: \Building \Permits \IPS- PcrmitApp.doc 2 , CITY OF TIGARD 1110 ,' 13'`'`io BUILDING DIVISION PERMIT #..,; w6-1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / +l � � Inspection Requests (24 Hrs.): (503) 639 -4175 (1) .....,........ „.,-- - 6,---k._ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: r O SITE ADDRESS: 5 0 v CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: &,/) G i /S OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Dater_ / -- d 7 Pour Time: Code # Inspection Description Confirm # Contact # f Message . 0 4 833 a — O ( 't)`f - Corrections /Comments /Instructions: / 7-- ('' \ n / '` / . //z PASS n PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS n FAIL ❑ ' • L FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: / / Date: �1-7 Phone #: (503) 718- . , .-. -- ---,z- • . _ _ CITY OF TIGARD : ., . BUILDING DIVISION 4 PERMIT #: BUP2006-00544 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 111220006 Phone: (503) 639-4171 4 01 1 45100 Inspection Requests (24 Hrs.): (503) 639-4175 1.12. INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 96 SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: BALLROOM DANCE STUDIO DESCRIPTION: Fire sprinkler system, (174) heads.(new system) OWNER: BALLROOM LLC, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 503-620.6140 Inspection Request Scheduled For: Date: 5/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 0010001 503-8048272 Y Corrections/Comments/Instructions: 0 d--tog e="6 77 (241-f /C/O 7 / 6 - /-4 A frIGe.f 7 4,3e / " .014 /..) (4 C./t.../#J /COO4-2 ti.J/ re-( 'CS -ro ...L....„-; /4 r z z, / Ai 3 z_,- 0 J __,.. - ie-/ Alit Z-C''"Z- / e '' re-6-0 / (r" /3- ) " ,,,j "F;1-04. a, 6.- L.., A.) c., 0 i ;t4 ezzi , - ( 62.2/ , 'e•- -- .5 . - ) /' A 4 4 ez, To / /lilt,/ 6x)-4 - 5 fi/e/Ali-e-6e--- //6-"tos / te ,, j r / " "t) & 6-e,4 /a A Al eve /- rf-t. di el-, , M /eep2.„4- e..g P e - A.). 0 / (-- S-r CA..s 66056 7 7354_0,-2 /3 /2 ,v X- _ - /-(6 a-- ,zi/2-45 / 7 ,0 ' /3,4//ietp.,,4-z_ ,... eg ' til4e LoC.A5 i e 0...es -r iy; . 446 /NIL ' 1 r/evuimc. a de._9,249,1)ee-_- ,,56-/..04) , di4 ,7_J .1--,./.„6w.;::g: i iti / u e op , i/,..e/ 6 /f./tt) 0 e-L-erne- IC/ , , c„a e& er, -- ' @,... _c ,--- 0e.44g- • A fP/9 7 1 0 PASS I I PARTIAL APPROVAL CANCEL 0 NO ACCESS _ 'FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED I .5 .,,,,/ .5 Inspector. . Date: 7 Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT #: BLJP200 U ri 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2006 Phone: (503) 639-4171 Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 ° __� INSPECTION WORKSHEET FOR DATE: 5/10/2007 TIME: 7:02AM PAGE: 42 • SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: BALLROOM DANCE STUDIO DESCRIPTION: Fire sprinkler system, (174) heads.(new system) OWNER: BALLROOM LLC, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 503-620-6140 Inspection Request Scheduled For: Date: 5/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 040025.01 503 - 004 -B272 N orre tions/ omments /Instructions , ( �. , a• id / I -.4'1-.- /9/1/ �/ % r . AV L. , °-,4'e.. - ° -, 'G' - -XPA /i// / %0.5._ liclztd 6/ 01/� 1 4,l% c, ' 7"/ ILI' #fr(_ O G err -✓ r - ' z " c-,�- /,f/ . 00-g L ocAff G� d r=, CD s ,e. - _s _ ovrz_ PASS I f PARTIAL APPROVAL n CANCEL ❑ NO ACCESS FAIL n CA F INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: -/ 7 Phone #: (503) 718- C BUILDING DIVISION - PERMIT #: BUP2006-00544 - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22/2006 Phone: (503) 639-4171 a 1 Inspection Requests (24 Hrs.): (503) 639-4175 .1-4-.W .!--.., INSPECTION WORKSHEET FOR DATE: 2/6/2007 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 013900 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: BALLROOM DANCE STUDIO DESCRIPTION: ( ppii1WW systIrn,;(174) heath.(new system) OWNER: BALLROOM LLC, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 503-620-6140 Inspection Request Scheduled For:, Date: 216/2007 15v tikt" Pour Time: Code # Inspection Description Confirm # Contact # Me sage 295 Misc, inspection 4,64kAji_ 043038-01 503-804-13272 Y (2- aNfLt r1t- - P (i■e Corrections/ComMents/Instruction A-^ s co . • s: - , Is s.... A ....._ -irEPRIMINIEtvet 11 ,,,....... -. ,.: ...--- " PASS PARTIAL APPROVAL 0 CANCEL 1:1 NO ACCESS FAIL . n CALL FOR INSPECTION 111 ADDITI NA EES ASSESSED . . Inspector: *6 Date: ' Z t2 7. : Phone #: (503) 718- 2_4-?.. CITY 'GF,TIGARD I BUILDING DIVISION PERMIT #: BUP20t&00f4d 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2202O06 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Jit ':_.. INSPECTION WORKSHEET FOR DATE: 1/25/2007 TIME: 7 :03AM PAGE: 40 SITE ADDRESS: 08900 SW COMMERCIAL ST CLASS OF WORK: SUBDIVISION: MMORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: BALLROOM DANCE STUDIO DESCRIPTION: Fire sprinkler system, (174) heads.(new system) OWNER: BALLROOM LLC, PHONE #: CONTRACTOR: FIRESTOP CO PHONE #: 503-620-6140 Inspection Request Scheduled For: Date: 1/25/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 042495-01 503 -804 -8272 V Corrections /Comments/ Instructions: g Ii o • ► k. — IW4 lur .. / ar r ASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIeNAL 'EES ASSESSED Inspector: � / Date: t a Phone #: (503) 718 -