Permit CITY O TIGARD
BUILDING PERMIT
Er PERMIT #: BUP2006 -00559
COMMUNITY DEVELOPMENT DATE ISSUED: 11/21/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 300 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI, add (8) heads and relocate (38) 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: $ 5,400.00
Owner: Contractor:
ROBINSON DEVELOPMENT FIRESTOP CO
PO BOX 91305 PO BOX 230545
PORTLAND, OR 97291 TIGARD, OR 97281 -0545
Phone: Contact #: PRI 503 - 620 - 6140
FEES Reg #: LIC 63846
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/21/200€ $100.90
[TAX] 8% State Surcharl 11/21/200€ $8.07
[FLS] FLS Pln Rv 11/21/200€ $40.36
Total $149.33
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work
is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center._Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of these rules or direct questions
to 06 by calling 503.246.6699 or 1.800.332.2344.
s s u ed By: ; b A , _ . ` IJ__A . Permittee Signature: = .
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Fire Protection System,
( 4 Building Permit A "pplati0�i����
FOR OFFICE USE ONLY
C Received
City of Tigard AA''((j "� ooU D�er6 a • Permit No :, _,� _ v 0 . 7sa
' 13125 SW Hall Blvd., Tigard, OR 9722 � Plan Review
° � �_ Phone: 503.639.4171 Fax: 503.598.1$(�Q.Y OF � Date/By. Other Permit:
Inspection Line: 503.639 1�1 1 t � q Date Ready t y ® See Page 2 for
Ti G,A It D
Internet: www.tigard- or.gov BUIL1�1�G LJ ivt�� ®N i Notified/Method: M Supplemental Information
TYPE, OF WORK ` REQUIRED DATA :1, AND Y'D
2- FAMILWELLING ,
❑ 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 ❑ 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 1
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
_ JOB SITE INFORMATION AND, LOCATION '. 1 Total number of floors:
Job site address: t7 'W b R t 1 'Z., j New dwelling area: square feet
City /State /ZIP: •— r 02_ 'k 2-2.-3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Q T Project name: th . A \ ( V \ \ 2 t- cP 1 Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
7'7_ vP , 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 WORK _ work indicated on this application.
i . Valuation: $ LI o
- 3 s R ---,e_,.--.V.-11e C> LAC-.4 -.4 AI- %
� . Existing building area: square feet
I'll (") c aV . �ii.e (2 \S
New building area: square feet
PROPERTY OWNER � b ' ' , ' 1::1'. TENANT ;_ ', ', Number of stories:
Name: cAm∎\ c.. C V-1 Ac_k-t Type of construction: 5-6
Address: 21 36,0 (V AN ) ,V, e,2t...7on a Occupancy groups:
City /State /ZIP: 1 .i \l ,4t,r92rJ 0( . 9 i 11_1/44 Existing:
Phone: ( 6,, 4 S - - - 3 I Fax: ( 5 (n ( 1S - - S ,S"--2 New: ''���
' - APPLICANT = ' .❑ CONTACT PERSON ` "m
� '��� . . � . ` � � NOTICE` a � -
Business name: `tea 114. ,,,N-op Co . All contractors and subcontractors are required to be .�
Contact name: �, ` ,' licensed with the Oregon Construction Contractors Board
x� g S ates under ORS 701 and may be required to be licensed in the
Address: 7 Sj F\,�� so V? 10 s jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:• 9 ‘.cl ' 0 ZZ 3 ' apply:
Phone: (6D 3 ) y - % 2 7 Fax:: (C)3) Cn Lo - Lo l ‘
E -mail:
.
. CONTRACTOR .. , :.' , ; BUILDING;PERMIT,FEES *- - ` ._
Business name: t ' - ;
(1-t s _ Permit fee: , 33
Address: ^ 70C) (J $ . \ t�,.,. p�-1 ��,�-� I Q`:
State surcharge (8% of permit fee):
City /State /ZIP: ?„ 2_N pc?.._ cl ' ZZ 3
FLS plan review (40% of permit fee):
Phone: (�73) C o q A _ c - .- - Fax: (M39) CQ 2-c-2 _ C, t y + (Due upon application.)
CCB lic.: (' 4 Total permit fees:
Authorized signature: N\ Amount received:
, - M /o& - This permit application expires if a permit is not obtained
(�� t Print name: e: P ! * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\FPS- PermitApp.doc 03/23/06 440- 4613T( I I /02/COM/WEB)
4
•
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
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - flood,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 Fee
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 \Permits \FPS- PermitApp.doc 2
CITY OFTIGARD
PERMIT #: BUP2006-00559 .,
: 11/210005
BUILDING DIVISION
' -
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 '-'11.
INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 07320 SW HUNZIKER RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: EAGLE MORTGAGE
DESCRIPTION: Fire sprinider TI, add (8) heads and relocate (38) heads.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: FIRESTOP CO PHONE #: 503.620.6140
Inspection Request Scheduled For: Date: 30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 044243-01 503-959-1075 N
Corrections/Comments/Instructions:
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PASS . I PARTIAL APPROVAL H CANCEL I I NO ACCESS
El FAIL . CALL FO" INSPECTION El ADDITI• AL EES ASSESSED
41110f,*
Inspector: f Date: _44 1 Phone #: (503) 718- 2-4
_ __,