Permit '4 ,l ;
n CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 00202
COMMUNITY DEVELOPMENT DATE ISSUED: 6/10/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DC
SITE ADDRESS: 09430 SW CORAL ST 200 ZONING: C - P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
PROJECT: DENNIS CLARK DDS
Project Description: Add (5) sprinkler heads and relocate (5) 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: 5N : 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: $ 2,245.00
Owner: Contractor:
MARTIN BUILDING LLC FIRESTOP CO
9430 SW CORAL ST STUITE 100 PO BOX 230545
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 620 -6140
FAX 503 - 620 -6141
Reg #: LIC 63846
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/10/2008 $69.65
[TAX] 12% State Surch 6/10/2008 $8.36
Total $78
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 Utilit Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 - 0110. You may obtain a copy
of th rules or ' ct qu; - •.ns to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
I .
Is ued By: c _ /' . / . .„ ` 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.
` Bimini' ''Perm A licatio CEIVED
. Fire Protection System , _ FOR OFFICE USE ONLY
JUN 1 0 2008 -
lig City of Tigard DateB d t / !' `4 9 ' Permit No.: . , r izg-•60
® 13125 SW Hall Blvd., Tigard, OR 97223 PERU Plan Re
':. Phone: 503.639.4171 Fax: 503.598.0 OF TiG r Other Permit:
DateBy
T I G A R D Inspection Line: 503.639.4175 BIAL . G DIVISION
®
[J Date Ready /By: Juris: See Page 2`for
Intemet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK . REQUIRED DATA: 1- AND.2- FAMILYDWELLING
❑ New construction El 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 INFO 'HON AND ,LOCATION ' Total number of floors:
Job site address: c7 430 ci Co m. cf , r New dwelling area: square feet
City /State /ZIP: 77 G,Q , b2 97723 Garage /carport area: square feet
Suite/bldg. /apt. no.: 'ZOO I Project name: b, 4Anj oar b d s Covered porch area: square feet
Cross stree t/directions to job site: a A Deck area: square feet
4 i /Pt- i' la 1 COi4 L Other structure area: square feet
II 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.
d /1 ,C C- i /1^y Q , ) W �[ Valuation: $ 22 4"
,t 1 e) ('4 C E /\ Y/S `r C `' s • Existing building area: square feet
r � I AU 75►' New building area: square feet
❑ PROPERTY OWNER ❑ TENANT • Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT . ❑ CONTACT PERSON, NOTICE -
Business name: PI Er-59?" Co ' All contractors and subcontractors are required to be
Contact name: Bp V er- . licensed with the Oregon Construction Contractors Board
�'1/f under ORS 701 and may be required to be licensed in the
Address: `7 t � ,'-iiO °0 v J/ pr _ d / d r jurisdiction in which' work is being performed. If the
//�� !� - applicant is exempt from licensing, the following reasons
City /State /ZIP: �76 O 1 V / -7Zz / apply:
Phone: ( S3b4 _ g 27Z Fax:: ( )
E -mail:
. CONTRACTOR BUILDING PERMIT FEES* • 6,a
Business name: /i g —�� P eo (Please refer to fee schedu
Permit fee: ( ` j g C'u
Address: A D, Bo> 73Ds4-
City /State /ZIP: I /_ �,,� �� / �Z � J State surcharge (12 % of permit fee): 431.4-12- 5.° (� / FLS plan review (40% of permit fee):
Phone: ( ) Fax: (, j) 620_6/4J (Due upon application.) .:
CCB' lic.: �3 s4L, Total permit fees: NU
Amount received:
Authorized signatur • p '
This permit application expires if a permit is not obtained
Print name: ha b. PE, -i2 S ®,,/ Date: / V ®g within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building\Permits \FPS - PermitApp doe 03 /23/06 440- 4613T( I I /02 /COM/WEB)
r `
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 a 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 ❑ 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 (12% 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 \Pemvts \ PPS- PcnnitApp.doc 2
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: S4lP200f3 00202
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/10/2000
Phone: (503) 639 -4171 / A,,,,, ,, �'I1\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME 7:0010%/i 27
27
SITE ADDRESS: 09430 SW CORAL ST 200 CLASS OF WORK:
SUBDIVISION: LC! MANN ACRE TRACT LOT #: 007 TYPE OF USE:
PROJECT NAME: DENNIS CLARK DDS
DESCRIPTION: Add (5) sprinkler head: and relocate (5) sprinkler heads,
OWNER: MARTIN BUILDING LLC, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503.620
Inspection Request Scheduled For: Date: 7/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
909 Sprinkler final 073530.01 503-888-0243 Y
Corrections /Comments /Instructions:
• - S n PARTIAL APPROVAL ❑ CANCEL
�/ IT NO ACCESS
• FAIL [7 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 23S Date: 3/ Sul y O? Phone #: (503) 718- 2 �' 3
, . .
CITY OF TIGARD
BUILDING DIVISION
ilk PERMIT #: BLIP2008-00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
7/30/2008 7:01AM 37
SITE ADDRESS: CLASS OF WORK:
09430 SW CORAL ST 200
SUBDIVISION: LOT #: TYPE OF USE:
LEHMANN ACRE TRACT 007
PROJECT NAME: DENNIS CLARK DDS
DESCRIPTION: Add (5) sprinkler heads and relocate (5) sprinkler heads.
OWNER: PHONE #:
MARTIN BUILDING LLC,
CONTRACTOR: FIRESTOP CO PHONE #: 503-620-6140
Inspection Request Scheduled For: Date: 7/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sp:inkier final 073449-01 503-888-0243 Y
Correcti r
s/Comments/Instructions:
A .
,A3 VOL- - 5 - ,-■ e> vt 4 e.c.6 a- c)
u 511 73:31, — ca-
lm% I F1 Cei
R ek_55
Pro r c' -,-k 0. I 5 tr i
•
tvite_vt rei (:.,__s .4-•‘, 1 t 'sit"- ere--
. ,
fl PASS fl PARTIAL APPROVAL CANCEL I I NO ACCESS
0 FAIL fl CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: 33- Date: 1..--3..A y c6 Phone #: (503) 718- i'2 .---