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Permit IIP4 a CITY OF TIGARD BUILDING PERMIT PE RMIT #: BUP2007 -00602 ` ` COMMUNITY DEVELOPMENT DATE ISSUED: 12/10/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 DB -00100 SITE ADDRESS: 07320 SW HUNZIKER RD 106 ZONING: C -P SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: WOODEN SHOE DELI Project Description: 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: 3 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: $ 2,400.00 Owner: Contractor: ROBINSON DEVELOPMENT FIRESTOP CO 21360 NE AMBERWOOD DR. 7000 SW HAMPTON ST #105 HILLSBORO, OR 97124 TIGARD, OR 97223 Phone: 503-645-8531 Contact #: PRI 503 - 620 -6140 FAX 503 - 620 -6141 Reg #: LIC 63846 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/21/2007 $73.33 [TAX] 8% State Surcha 11/21/2007 $5.87 [FLS] FLS Pln Rv 11/21/2007 $29.33 Total $108.53 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: 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. ir Building Permit Application Fire ProteCtio Sy RECE -or FOR OFFICE USE ONLY IN: City of Tigard Received 1 I /� / Per No.. / V 13125 SW Hall Blvd., Tigard, OR 97 Q V 2 1 2007 Date /B i I • - / , • % 1_- 2i, ti 0 / 6,6 = g Plan Revi- ' � Tr1 ` . Phone: 503.639.4171 Fax: 503.598.194Q, Date/By: ( ' _ l (l� Other Permit: T IGA RD Inspection Line: 503.639.4175 CI I Y OF ��� �® Date Ready /By: Jur ® See Page 2 for Internet: www.tigard - or.gov Bt L NGDIVISIO Notified/Method' '19,11/91 6 P J Supplemental Information • TYPE OF WORK REQUIRED DATAND 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 X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ El 1- and 2- family dwelling Commercial /industrial El 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: 73 s .- /4, ket 07,, New dwelling area: square feet City /State /ZIP: 77 4 1 j 0 R• - Garage /carport area: square feet Suite/bldg. /apt. no.: t pl Project name: b' L. I Covered porch area: square feet Cross street/directions to job site: .72M© d t4 i,J zi K•12— b 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 t A DESCRIPTION OF WORK work indicated on this application. 4woCd -r ' far S D�!'N� r Valuation: $ 24(9eY L / Existing building area: square feet New building area: square feet , ArPROPERTY OWNER ❑ TENANT Number of stories: Name: /c)050 S OA) Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ,APPLICANT kCONTACT :PERSON . - NOTICE . Business name: 9 /2 r,n f CO - All contractors and subcontractors are required to be Contact name: 5 /2iicc- p60,00 A) licensed with the Oregon Construction Contractors Board ,rj under ORS 701 and may be required to be licensed in the Address: b0£� / J 7J It /or jurisdiction in which work is being performed. If the City /State /ZIP: ! / 4 dQ O /€ 1 2 3 applicant is exempt from licensing, the following reasons apply: Phone: ( ) go4 _ gZ72 Fax:: ( ) E -mail: CONTRACTOR B UILDING PERMIT FEES* Business name: R -}rp/a C (Pleas erefer'tofeeschedu [e ) U t 50 x Z30.5-4"Y Permit fee: " �3 �i S Address: A City /State /ZIP: / / (�,2 -Q ' [ 7 Z2 ) State surcharge (8% of permit fee): 5Z1 FLS plan review (40% of permit fee): Zq 3 Phone: ( ) Fax: ( S"p 3 ) (o2Q r � / 41 (Du u pon application.) CCB lic -: & 3 g e t - 4 Total permit fees: l b g r3 Amount received: Authorized signature• - r This permit application expires if a permit is not obtained Print name: 521/ ev p f sd/J Date: / � / ZZl /Q 7 within 180 days after it has been accepted as complete. [[[ l * Fee methodology set by Tri- County Building Industry Service Board. 1.\Building\Permits \FPS - PermitApp doc 03/23/06 440- 4613T(11/02 /COM/WEB) 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: l Additional description of work: I M 6 dy. o ce4-6' Qw S Type of System (Complete A, B, C or D as .applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes Information: Hazard Group Density / (J Design Area t S'o 0 K. Factor c/(p Sprinkler Project Valuation: $ 2-4-pp 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 (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. L \ Building\ Permits \ PPS- PcrmitApp. doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007-00602 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/10/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5121. • 8 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Sprinkler heads, OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531 CONTRACTOR: FIRESTOP CO PHONE #: 603-62(16140 Inspection Request Scheduled For: Date: 512/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa e 999 Sprinllier final 069278-02 603-209-8565 Corrections/Comments/Instructions: id S • "ARTIAL APPROVAL CANCEL NO ACCESS FAIL V 'ALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Date: 1 Phone #: (503) 718- _ _ . • . . „ CITY OF TIGARD . - .. „._ BUILDING DIVISION . A, (1 PERMIT #: BLIP2007-00602 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1012007 Phone: (503) 639-4171 ‘. tiv 1p Inspection Requests (24 Hrs.): (503) 639-4175 ; INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: 50 SITE ADDRESS: 07320 SW HUNZIKER RD 106 / CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Sprinkler heads. OWNER: ROBINSON DEVELOPMENT, PHONE #: 503 CONTRACTOR: FIRESTOP CO PHONE #: 503-620-6140 Inspection Request Scheduled For: Date: 5/1/2008 Pour Time: Code # inspection Description Confirm # Contact # Message 999 Sprinkler final 069165-01 503-209-8555 N Corrections/Comma ts/Instructions: 0 ( 0 ) <OA •- t/te - 4" (2,..e.--- C/ 3/ /()' \71,4,. C q'q ) — (77--) lk_../2--0-- SL--c 4 - 71z) 4 /Li)-4l. • 1\..) 0 6---1-1, k s ,---- c .,...... I I PASS kk PARTIAL APPROVAL pi CANCEL El NO ACCESS FAIL • CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: -7 Date: /0 r Phone #: (503) 718- 2■ ay _ . CITY OF TIGARD BUILDING DIVISION PERMIT #: BLJP2€017 -00 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2/1 012007 Phone: (503) 639 -4171 , a 1 'Nmuypl ��l Inspection Requests (24 Hrs.): (503) 639- 4175''i INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:00AlM1 PAGE: '1 SITE ADDRESS: 07320 SW HUNZIKER RD 106. CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Sprinkler heads. OWNER: ROBINSON DEVELOPMENT, PHONE #: 50a- 645 -8531 CONTRACTOR: FIRESTOP CO PHONE #: 503 Inspection Request Scheduled For: Date: 4129/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 069031101 503. 209 - 8555 N Corrections /Comments/ Instructions: ? ca, V r e � / J ( i ' L—c g r/Ci /e---�-&. 14 Lc' C--r4----r AJa . r40 1 [Zr- n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . A ' ' CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: 1 7 1 Z e Ve Phone #: (503) 718 -<"/. CITY OF TIGARD BUILDING DIVISION ,. . - , . PERMIT #: 13UP2007-00602 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/10/2007 Phone: (503) 639-4171 , 441i ii Inspection Requests (24 Hrs.): (503) 639-4175 A. - •.. 1 1. INSPECTION WORKSHEET FOR DATE: 3/772008 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WOODEN SHOE DELI DESCRIPTION: Sprinkler heads. OWNER: ROBINSON DEVELOPMENT, PHONE #: 50341E-8531 CONTRACTOR: FIRESTOP CO PHONE #: 503-620-6140 Inspection Request Scheduled For: Date: 31712008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 2% Misc. inspection 066229-01 503.804-8272 N Corrections/Comments/Instructions: =AI SP L ( P'-ii<ir-g--- t e c :, 7 1_ o r,-4--L . , 41101111111bir I I PASS 0 CANCEL I I NO ACCESS FAIL ' CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED • Inspector: . -■--......m. Date _ .0 ...0 Phone #: (503) - ..-----