Permit /
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00037
��j i DEVELOPMENT SERVICES DATE ISSUED: 3/24/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111CD-00400
SITE ADDRESS: 09725 SW DURHAM RD ZONING: R -7
SUBDIVISION: ALDERBROOK FARM LOT: JURISDICTION: TIG
Project Description: Fire alarm for kitchen and bathrooms remodel.
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: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: A2.1 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: $ 3,700.00
Owner: Contractor:
SOUTHWEST CHURCH OF DYNASTY SECURITY
' CHRIST 8301 SW 135TH AVE
9725 SW DURHAM ROAD BEAVERTON, OR 97008
9fARDne: , OR 97223
o Phone: 503 - 319 -4754
FEES Reg #: LIC 135086
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/2/2005 $81.70
[TAX] 8% State Surchaq 2/2/2005 $6.54
[FLS] FLS Pln Rv 2/2/2005 $32.68
Total $120.92
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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 rul-: • direct questio s to O4 NC by
calling 503 - 246 -6.99 o,1-800-332-2344.
Issued By: i - � Permittee Signature: / J ill J .._/
Call 503 - 639 -4175 by 7:00 a.m. for an inspecti.n t at business day.
This permit card shall be kept in a conspicuous place on the jo site until completion o a project.
Approved plans are required on the job site at the time of each inspection.
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Fire Pir=otection System
,r.,rM ?(I i ET, r Swch
Building Permit At Iication FOR OFFICE USE ONLY City of Tigard Received VcI • I Permit No.: 1 -- �dv 3 7
�0 DateB .� � -�/ � 4 r
13125 SW Hall Blvd., Tigard, OR 97 s in j
g �3 Pl an Review
Phone: 503.639.4171 Fax: 503.598. F9 'O Aigollifit v4 _ Othe r Permit. DateB
Inspection Line: 503.639.4175 e �� . Date Ready/By: 0.''' t B See Page 2 for
Internet: www.ci.tigard.or.us CITY Or ILU Notified/Met1d, /t'0 Supplemental Information
- .:IJ..1 DIVISION �yw:. AM.17i_A.A
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t := . ,... f:� _l + .; ik ...^+,,, ^ .� ..^- 4A'` .;;;3'.'.: 3 , f n t o -,' e Yk=d s; ;;*r,. v � „'Y "' it ta:&:tr:::.a,'.:;,;.: ,��'.,;• .
. w % t! . „ iti, „ ' ' T W ORK . r , 't« ;. REQ.f RE I ;DATA: I AND1?=FAMII Y'DWELL'IN
� ig. �� #_,�.n.�w »�,< , aak",.• „�;�:.:n�:+�rka �a�,'Ixa� fin.. �:.» : n. Ilk' . � �: :. .w.,.�� >? b� �'.n _ �, ? • • �,_. e ..�
�i; :",?i�'� - : :.cia k*.�„_�tal�. � ., L � ..r��.m*!�"�a.e�uxu�,e� . ;
❑ New construction ❑ Demolition Permit fees .re based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
\ q� t "'Iti , F' CONS iit TT'•I`ON y s 4 . Fork indicated on this application.
x .- ` ". - «a �xl 11, , ,2i- ,a 7. sit: ,:,f.:tira Viz . , `..:
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
j�..;•:�i�t^t -,���a .'� -�y °, sus": scSS..,;. �' ?::; v, �.+. F:. o-" �r', St.'&.�"%�:�;a:'= ^x`t..'�"�'�� '4e^*,�„'.1.`,e :'" „:,� "�;"c�A��i�,`��vr i
. JOBS Slid gro'RMAT30N� NDrIACATILdNI� s ' r i Total number of floors:
Job site address: c7 2 5 e.J 'D u12 / 22-) New dwelling area: square feet
City /State/ZIP: 6,00 / / 97 2 2_e/ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 5 ) e 171i /(C • CH Covered porch area: square feet
Cross street/directions to job site: Deck area square feet
A „ Other structure area: square feet
C r� Cti S ertaii2E^D, 1D i1TA. =C ® aiitilI TJSE:CHE iciti§T
s!AA...x:nas wIn:.xa � k 17^:2 ,, . _ M .. ?lsa' , ,,, :`x, , ..:;. r. •..
Subdivision: &-- I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 Indicate the value (rounded to the nearest dollar) of all
_, r "M;nl „ t t4 Y "_ DE
3f STp � 1y5 E " equipment, materials, labor, overhead, and the profit for the
_,, - ^,i Z 4 i` :'`rL ",' '; t° `SC ^RIPyTION 0 , 'WORm .lr : .,, _. :i.3;:
..a<r .:Iz r, } � , =f �„�� max, �, , ��, f � "�� = � � ^ 3 t 7 i � work indicated on this application.
f- Valuation: $ 5 70
/ A ,{ L /
/� Existing building area: square feet
New building area: square feet
'"M ems,, azc,.
,`:rz,. j5 : : °;,:r>*r,. ;O :,'.;'- N- ,` .te ::
n . '';�, . 1,IVN ,. „� i A
:x'' PR( PFr �T + WrN•Eoi i i +a�, A ' a ENAN 1 - --
� Number of stories:
a � - n�.;w.. Y. s4 .�';",.a'r:;Yt°�d.�txd�.....�,. .ar..�?adtL� _--. �:e"t'. �',.h«F",w..., . .. ..�.'.:c��fF. ,r,.#�• 4.1.9g .. s
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( )
±,r ":'t ".',� °•? f :, .,hnr ;:- 1'rra'r ^';'kF :.� . •a' 4;.`i %':. ; i i' iii' ckr r: ^s„- - New: /
�A ct' ",� :w;;g s gr„ E t� ^u r .' art . ;
e ,� ?, ®APPIiICANT " y y �, .t?'� �t , :CONTi4C ' -, :� { � ; , , ;•�x,. ��: ,�� ..r,.;.,:A,t, ,. } .e= .
,w=. ._.,.
, — , it.Til . ` ; +.r,.r.,w ' evie 4 -,«4 4..g. t y .s t I 1.104 ` ERSON 4 N �, a . 4 y " sis,: i ,;0 - • �a, �- �w,' x •= : �'aa?.w�-- ,a�'.s a' �sk : ��NOTICE� ya Ts � r , • .
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: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( ) )( l - 0 R.,„ .,„ ,--I --
E -mail: J
�
k wt ; t. . CONTRAC .` 50 I v./ / 1
� . s ��• �. i iu. �l ,;a',3s.: '� a�. , � ����^ �'� . � �,2 �.� .Jo[ ��P O f
Business name: 5 e �/2 / � . ° x �x: ^. ,. .r, k ` '.
y / , . y p> .- , D G PEI T EE^ S ,4,,,.,;;:.•r....:4:., •< ::
Address: 3 - 3b 2 S 7.jl /v
Please refer to fee schedule.
City/State/ZIP:g >Wf�� t�L '
97 00
Fees due upon application
Phone: (SO) 3 / _ 6.7- - 7 ...x51 ) Amount received
CCB lie.: f 3c b 6 4 G h \
Date received:
Authorized signature: ,/�/f This permit application expires if a permit is not obtained
M t within 180 days after it has been accepted as complete.
Print name:
..-.F. D / r . 7C -� , Date: Z 7 j * Fee methodology set by Tri- County Building Industry
t
Service Board.
i:\Building\Permits \FPS- PermitApp doe 12/03 440- 4613T(11 /02/COM/WEB)
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Fire Protection Permit Check List
?.'� ��;za, >St �'§.:`� �;�rs .:`s':' .w',,`�.�,. K;, �i:.#;��;ks'�;: �� , 5 �e, ;� =� �,rs�..,�: ; : �';� e � ,.�s � =z��..,,,. °
DeS �r WWW to be cl 4Wirr , a 5W, M.sn" II it i '' fi -�.: `_- 0s
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -1 0 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
F T° ' eh:t ` stem. C.om lete-A .B QcVj as..a °'hcableVngl .- h:° -.:s:.. � RgR,
� ' +E
.�A �EC,arri�me�>r•czal Sxinf '��ler' ��.� ��:.� :.�:� �..,�,� �;.�.�.�,..;�,
❑ Wet 11 Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
..�;z"`3?,5'0�: a'e;4.� ^" :�.X3 «�" z„'.�':�..sif�i;*ak>z',:3:; �:;?'r`i"s'� ^ >�;_ %ti. �,� , =;�:,. �r'�;, ";'C%° "exrc��� "-�,'`*s`z„.. :..;i�K',s�
z. s� � 7
B Ty e I :Art hire$ ppress on Shyitemj'� _ ° 1 ` . `"
Hood Project Valuation: $
� w rMi+a ..,.._ fi+rsr VINgeata' KIEr
Submittal shall Battery Calculations ! Yes:
include: Individual Component )c es
Cut Sheets
Fire Alarm Project Valuation: $ 3 7 D
- ,s .�:�i.: r:�ks.� :;�';` °'g'x �.�. »�.'=< 'r.'"r.:�' -�w a::'�,'%'rW,'a •aar2 =_ k::. •�. :.;:�. <. ":' �, :�;..v ,..�„... � ; 'dy x. »�.. � ^:z�
1D11*V den O �S °p <r;<nkler (S anci Alone Syste ,)
Square Footage: Permit Fee:
0 to 2,000 $187.50 -
2,001 to 3,600 W 600 $232.50
� °� .1. `;r� ',ti' ra ' `s�ati},'. 16 k�s ",xi ":,w': ;a "•_
3,601 to 7,200 $292.50
7,201 and greater $381.50 5`w` <E..h %` 'Zia*
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 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\FPSchecklist.doc 12/24/03
CITY Of TIGARD
BUILDING DIVISION PERMIT #: BUP200 &.00037
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24/2005
Phone: (503) 639 -4171 � c'. ,mlp j l l , l )\
Inspection Requests (24 Hrs.): (503) 639 -4175 .J ..i :_.. ,
INSPECTION WORKSHEET FOR DATE: 4/4/2005 TIME: 7:11AM PAGE: 20
SITE ADDRESS: 09725 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: ALDERBROOK FARM LOT #: TYPE OF USE:
PROJECT NAME: SOUTHWEST CHURCH OF GOD
DESCRIPTION: Fire alarm for kitchen and bathrooms remodel.
OWNER: SOUTHWEST CHURCH OF, PHONE #:
CONTRACTOR: DYNASTY SECURITY PHONE #: 503- 319 -4754
Inspection Request Scheduled For: Date: 4/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 003637 -01 503 - 319 -4754 Y
D
Corrections /Comments /Instructions:
r p , .F.,..- I — I r
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Z ASS❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
/ �
Inspector. . r� ►� Date: , 0 Phone #: (503) 718-