Permit i
�� CITY IT ! Y OF F TIGARD I GARD BUILDING PERMIT
PERMIT #: BUP2007 -00253
'= COMMUNITY DEVELOPMENT DATE ISSUED: 5/3/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 113AC -0010 3
SITE ADDRESS: 07236 SW DURHAM RD N100 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: THERMAL FLO
Project Description: 9 fire sprinkler heads.
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: $ 2,115.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 7000 SW HAMPTON ST #105
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 620 -6140
FAX 503 - 620 -6141
Reg #: LIC 63846
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/3/2007 $72.10
[TAX] 8% State Surcha 5/3/2007 $5.77
Total $77
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.
i
i
Issued By, / _ ��� /� Permittee Signature: --
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.
{ .Bt ilding Permit Application
Fire Protection System . i FOR OFFICE USE ONLY
114 ved 5 te a p � O ? —b 5
v
City of Tigard 3 - Date /By ��� � � � //) Permit N
n 13125 SW Hall Blvd , Tigard, OR 97223 MAY - 3 200 / Plan Revie /
Phone. 503 639 4171 Fax 503 598 1960 � p DDate/By Other Permit
Ti GA Inspection Line. 503 639 4175 CITY y p OF 1 IGRD Date Ready /By Ji ® See Page 2 for
Internet: www.tigard -or gov BU 0. NG D V yyAISIgON Notified /Method Supplemental Information
TYPE OF WORK 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
Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7 23 Le S cvl ,- D i gidihii h. New dwelling area: square feet
City /State /ZIP: r 4 ,4 )I (ie 97224- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: To cl / -4 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 p WOO R K �/ ,� a work indicated on this application.
hie p 5 / /0 r gr"— a.
q / '5 f' efi C Valuation: $ l O ^
/� s 14D. , 00Al yl ysll y 7 - Existing building area: square feet
PM QJ 1 New building area: square feet
❑ PROPERTY OWNER p&TENANT Number of stories:
Name: jkaM/a L Type of construction:
Address: :12:5 4, 9 0 .. 1) tab/-474 ,e Occupancy groups:
City /State /ZIP: 77604 r 0k 7z24- Existing:
Phone: ( ) Fax: ( ) New:
rg■APPLICANT 'K CONTACT PERSON NOTICE
Business name: F , 4 $,Q e,O . All contractors and subcontractors are required to be
Contact name: 5/21) fi r. pEwsz j licensed with the Oregon Construction Contractors Board
� under ORS 701 and may be required to be licensed in the
,
Address: 0, /'3t X 2.300-5- jurisdiction in which work is being performed. If the
City /State /ZIP: 7764-710 �� L�"l` p applicant is exempt from licensing, the following reasons
, apply:
Phone: (503) got' _752:7 2- , Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: �/ £ �-�� CO ,. (Please refer to fee schedule)
Address: b ot4- 1 r-7/917) 4f: I/01- Permit fee: 12,
City /State /ZIP: ! / G U a2 /7z 'z3 State surcharge (8 %of permit fee):
FLS plan review (40% of permit fee):
Phone: ($°0'3) ew r 4,f 40 Fax: (S03) 620. b/4/ (Due upon application.)
CCB lie.: 63 S4-&' Total permit fees:
Authorized signatur Amount received: I7 7
. This permit application expires if a permit is not obtained
Print name: ',mom p, pm , rim) Date: gf3/o, within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board
1 \Building\Permits \FPS -Perm iApp doe 03/23/06 440- 4613T(I I /02 /COM/WEB)
P•
r 1
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
Nr Wet ❑ Dry
Additional Standpipes
Information: Hazard Group OR ' It
Density
Design Area
K. Factor cQ to
Sprinkler Project Valuation: $ °�f�� 9e
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
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: \Building \Pem - uts \FPS- PcmntApp doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: W1
. •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513,12007
Phone: (503) 639-4171 Argrio0i
Inspection Requests (24 Hrs.): (503) 639-4175 .41.11- ALL
INSPECTION WORKSHEET FOR DATE: 5/912007 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 07236 SW DURHAM RD N100 CLASS OF WORK:
SUBDIVISION: PACTRUST. BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: THERMAL FLO
DESCRIPTION: 9 fire sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503
Inspection Request Scheduled For: Date: 5/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9 Sprinkler rough 047929-01 503-804-6272
Corrections/Comments/Instructions:
q1A51-74-U_,(-3 /IS P6_-1 z_ 4-,45
$kASS • PARTIAL APPROVAL I I CANCEL EI NO ACCESS
I FAIL ALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
-41111■
Inspector: ra11101111111.■ Date: 07 Phone #: (503) 718
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