Permit /1. 0.1- 7R6 88
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2002 -00283
A iii ., DEVELOPMENT SERVICES DATE ISSUED: 7/30/02
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S101 BD 00300
SITE ADDRESS: 08015 SW HUNZIKER ST
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
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: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 150 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,170.00
Remarks: Fire sprinkler, ammended to add tool room loft area
Owner: Contractor:
PERFORMANCE CONTRACTING INC DELTA FIRE INC
8015 SW HUNZIKER ST 14795 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97224
Phone: Phone: 620 -4020
Reg #: LIC 64174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 7/11/02 $196.90 27200200000 Sprinkler Final
5PCT CTR 7/11/02 $15.75 27200200000
FIRE CTR 7/11/02 $78.76 27200200000
PLCK CTR 8/13/02 $93.75 27200200000
Total $385.16 •
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Pe rm ittee / c _
Signature: / �� (f . � � _
Issued By: 1.__A/ /4. .=.. ! / . /
Call 639 -4175 by 7 p. for an inspection the next business day
f 7 /Z,
�.,• Building Permit Application £' ':
•
a,� A Date received -I/ ..19 2 Permit no ) • a 0 - 5'3
,,iy.lt, City of Tigar c iv ® Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall glvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 JUL 11 2002 Case file no.: Payment type:
(,i . Y kik i iUA.P_ J► 1 &2 fa mily: Simple Complex:
Land use approval: .,t ., �..�, t . xr..�ra,n�t .
TYPE OF PERMIT
Ll 1 : 2 family dwelling or accessory l Commercial /industrial ❑ Multi- fantil ❑ New construction Cl Demolition
• dditio -a e ratio replacement Tenant improvement afire 112M arm ❑ Other:
JOB SITE INFORMATION
Job address: 80 J 5 3L ) A J \
(? ( l ^ „ , - Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: 'FLY r
Description and location of work on premises /special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: (Floodplain, septic capacity, solar, etc.)
i Mailing address: 1 & 2 family dwelling:
City: IState: IZIP: Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths _
' Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
. APPLICANT Garage /carport area (sq. ft.) ,„ —Akt„ +I
Name:✓cL Covered porch area (sq. ft.)
i Mailing address: JL.{ - n5 ) 7, Alfa- Deck area (sq. ft.)
City:,--{ ±t I State: 65KI ZIP:9 ?„2,9C.( Other structure area (sq. ft.)
Phone:., y- (3, a Fax: E -mail: Commercial/industrial /multi- family:
CONTRACTOR Valuation of work $ �5/ 7U
Business name: 9-.)t7 ‘C( Existing bldg. area (sq. ft.)
Address: J /7 3G.3 -7a ( New bldg. area (sq. ft.) _
City: (�(Q,, I Stat ZIP: 9 7a�q Number of stories
4/Ga-0 I -/ .Y I E Type of construction
Phone: Fax• (� E -mail:
Occupancy group(s): Existing:
<a�17
CCB no.: (1 New: _
City /metro lic. no.: j' Notice: All contractors and subcontractors are required to be 1
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: 7 7 irea provisions of ORS 701 and may be required to be licensed in the
Address: /Z-/ c. ( 7,9 (ti) jurisdiction where work is being performed. If the applicant is
�y� Staten ZIP: 5'7
exempt from licensing, the following reason applies:
City: " ��
Contact person:(,lj j J • -(4,,,, Plan no.:
Phone: , _ a - a , ,LQ Fax: E -mail:
- ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: IZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied wi , whether .pecified erein or not. Credit card number: / /
•
Expires
A signat � . - u iJ t' Date: 7,)/i- Name of cardholder as shown on credit card
Print name: O_ _ CC- 4 , L 0 . - Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00 /COM)
,
IF
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Fire Protection Permit Check List
❑ ��
A.) New Addition ❑'Alteration ❑ Repair .
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads: 7`i
Additional description of work: �_ yw -
p%a- - - c - ra- -e
�Typelf ro System krei let AV Dire as app l able) t : :6!, 2v--
A.) Sprinkler Wet D L:1 Standpipes
4 A dditional Hazard Group l_i 3
Information Density
Design Area
K. .Factor . w
. Sprinkler Project Valuation: $ /5 70
B.) Type I - Hood Fire Suppression System �1
. Hood .Project Valuation $
I C:) Fire Alarm '
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ID
�' ` Cut Sheets
Fire.Alarm'Pro1ect Valuation: $'_
Project Valuation Subtotal, (A,, & C): � ' $ %577.70 =
Per based on valuation (see ch $' ).9 Co °.
8 %o'State Surcharge:, `$': JS 7
FLS;_Plan Re 40. %0 of Permit:` .$ 7g T�
TOTAL: $' 99/.
i:\dsts\forms\FPSchecklist.doc 06 /07/01