Permit E+.'. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00504
COMMUNITY DEVELOPMENT DATE ISSUED: 9/27/2007
TIGARD ' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BC - 02200
SITE ADDRESS: 08330 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WESTERN PARTITIONS
Project Description: Add (2) fire sprinkler heads for TI.
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: 2 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: $ 995.00
Owner: Contractor:
MICHAEL & PAMELA ROACH VIKING AUTOMATIC SPRINKLER CO
956 WEST POINT RD 3245 NW FRONT AVE
LAKE OSWEGO, OR 97035 PORTLAND, OR 97210
Contact #: PRI 503 -227 -1171
Phone: 503 - 620 -1600 FAX 503-227-1552
Reg #: LIC 64837
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/27/2007 $62.50
[TAX] 8% State Surcha 9/27/2007 $5.00
Total $67.50
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 i ork is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Orego o ility Notification Ce - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy
of thrse rules or direct qu -: ions to • NC by calling 503.246.6699 or 1.800.332.2344.
AL
Iss -d By: Aitail:„...,,,,,,,,, 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
Building Permit Application FOR OFFICE USE ONLY
9 C � l
City of Tigard Received / A7 O'7 Permit No.: J r .' -b /
II
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' = g - Phone: 503.639.4171 Fax: 503.598.1960 Date/13 : Other Permit:
T l GAR -D Inspection Line: 503.639.4175 Date Ready/By: .runs: H See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE' OF WORK . , • REQUIRED DATA: I- AND 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
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 'Commercialindustrial Valuation: $
❑v
❑ 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: S330 $ La3 W v,, 2...., w..e. i,„
New dwelling area: square feet
City/State /ZIP: ,'" gnu, Q Q., CI 1tt3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: LC E - ) A6124 Covered porch area: square feet
Cross street/directions to job site: 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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ CTCy S —
A 3 a sQc; u-s �4' ' � AS3 t:0 -
Existing building area: square feet
New building area: square feet
PROPERTY OWNER - ❑ TENANT Number of stories:
Name: i ^
W , s,-- r 70, r• s y ;, o , fit t, Type of construction:
Address: $ S . S (ovviz. Occupancy groups:
City/State /ZIP:. .71 [l, r 0 Q. 91 21 Existing: t /
Phone: ($o3) (.pt • Ito 0 . 0 Fax: ( ) New:
to APPLICANT ❑ .'CONTACT PERSON
NOTICE
Business name: Q , All contractors and subcontractors are required to be
Contact name: '-.6 ` licensed with the Oregon Construction Contractors Board
(Nur` t 0, r^._`( under ORS 701 and may be required to be licensed in the
Address: 3 j., 1 A c-;-..0.,... A s jurisdiction in which work is being performed. If the
`` 2 applicant is exempt from licensing, the following reasons
City/State /ZIP:
20r T , r,,,,3 t `.. 77 IA 3 apply:
Phone: (M3 )121 -1 t'1 1 Fax: : (5)3) la:7 - t 1 rt-
E- mail: d _ _ . 41 A r "-o. .1 i e....- r+S 5 P r C.+�4Ll tf . ili1
CONTRACTOR - Y BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule
_
S !b► w.._.- As S A 5 a J e Permit fee: i 0 p.,,,,5-0
Address: —
State surcharge (8% of permit fee): 5. co
City/State /ZIP:
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
Total permit fees:
CCB tic.: �y t- � 9
Authorized signature: ^ ,� Amount received:
"""� ` .> - This permit application expires if a permit is not obtained
Print name: -.A�f J \ � �>r/w� Date: 9 /27/0 -+ * within 180 days after it has been accepted as complete.
'
Fee methodology set by Tri- County Building Industry
Service Board.
l:\ Building \Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(11 /02/COM/WEB)
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CITY OF TIGARD ` '
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BUILDING DIVISION ` '
� ~�~~"~~~°""~=° ~°"°"~°,~="~ PERMIT #: BUP2007-00504
| 13125 SW Hall B�d,T�a�. OR 97223 DATE ISSUED: 5/27/2007
Phone: (503) 639-4171 boillei0 '-
Inspection Requests (24 Hrs.): (503) 639+4175 A+ *�
INSPECTION WORKSHEET FOR DATE: 1i/28/20 ` TIME: 7:00AM PAGE: 40
.
SITE ADDRESS: 013330 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: Office partitions - Add (2) fire sprinkler headnforTl.
OWNER: ROACH, MICHAEL & PAMELA PHONE #: 503-620-1600
CONTRACTOR: VIKING AUTOMATIC SPRINKLER CO PHONE #: W3-227-1171
Inspection Request Scheduled For: Date: 11/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
859 SprinWmrUnal 06033t3-01 503,024-5326 N
Corrections/Comments/Instructions:
.
.
•
AL APPROVAL CANCEL �� NO ACCESS
El `~ '
FAIL ' �� /CALL FOR INSPECTION El ADDITIO FEES ASSESSED
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Inspector: / /
Date: / ` / "l/ ~ Phone #: 8503\ 718- ^--^� / /
L/ / / [
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t3UP2O07_0O504
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2007
Phone: (503) 639 -4171 emsp i
Inspection Requests (24 Hrs.): (503) 639 -4175 �..--��.i
INSPECTION WORKSHEET FOR DATE: 10/18/2007 TIME: 7:01AM PAGE: 74
SITE ADDRESS: 08330 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: Add (2) fire sprinkler heads for TI.
OWNER: ROACH, MICHAEL & PAMELA PHONE #: +503 -6210 -1600
CONTRACTOR: VIKING AUTOMATIC SPRINKLER CO PHONE #: 503- 227 -1171
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkfer final 057816 -02 503.624 -5325 N
Corrections /Comments /Instructions:
_L7L/ & - i 77 r,6- ,� L � -r77 -- Ai sr4 -( .c- �s77
S F� t .■ /LLc-57 18'74 -1 £ a C-4-737-7 ..I S .
r / 0 ZZ : NI 4 e1/4.I T7'- - 7 "a i ' I - 741CAR liLr .YJ`c) V I-Q c s P I e < /-ae_Lif k_
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et ..V L't. v fZ . (&%/e c„- K glif G C?C/ .■i!s( G A 17 /`'I S
P S I I Pi •'TIAL APPROVAL Ii CANCEL j NO ACCESS
IL • 'ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: L... -.11■ Date: ( 0//,5%7 Phone #: (503) 718- 2.--CyV-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1311P20Q7- 00504
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/27/2E107
Phone: (503) 639-4171 w 0111 '
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10118/2007 TIME: 7:01AM PAGE: 75
SITE ADDRESS: 08330 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: Add (2) fire sprinkler heads for TI .
OWNER: ROACH, MICHAEL & PAMELA PHONE #: 603-62(31000
CONTRACTOR: VIKING AUTOMATIC SPRINKLER CO PHONE #: 503 -227 -1171
Inspection Request Scheduled For: Date: 10/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 057816.01 503.624 -55325 N
Corrections /Comments /Instructions:
P; = 1 P RTIAL APPROVAL ( I CANCEL I I NO ACCESS
FAIL if ,';7k LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /0 O Phone #: (503) 718 - Z'CY
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP20071-00504
13125 SW Hall Blvd., Tigard, OR 97223 ,, DATE ISSUED: 9127/2007
Phone: (503) 639-4171 ipoi
Inspection Requests (24 Hrs.): (503) 639-4175 .--tg■ AL
INSPECTION WORKSHEET FOR DATE: 10/4/2007 TIME: 7:02AM PAGE: 63
SITE ADDRESS: 08330 SW HUNZIKER RD . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: Add (2) fire sprinkler heads for TI. •
OWNER: ROACH, MICHAEL & PAMELA PHONE #: 503-620-1600
CONTRACTOR: VIKING AUTOMATIC SPRINKLER CO PHONE #: 603-227-1171
Inspection Request Scheduled For: Date: 10/412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. impection 056933-01 503-227-1171
1111°
Corrections/Comments/Instructions:
•
40 .1 - )
I/ PARTIAL APPROVAL fl CANCEL 1 I NO ACCESS
1 I FAIL CALL FOR INSPECTION fl ADDI F, ES ASSESSED
Inspector: Date: 0
( . 7 ,... _ . (......) ,
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1 1 ° . Phone #: (503) 718- I e2