Permit (''- ••
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00438
�1� DEVELOPMENT SERVICES DATE ISSUED: 9/11/2006
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AB - 00100
SITE ADDRESS: 10350 SW LINCOLN ST ZONING: R -4.5
SUBDIVISION: TOWN OF METZGER LOT: 005 JURISDICTION: TIG
Project Description: Relocate 2 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: sf N: S: E: W:
OCCUPANCY GRP: SR2.3 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: _tt SDb. O7)
Owner: Contractor:
WACO SCHOOL DIST 23J WYATT FIRE PROTECTION INC.
6960 SW SANDBURG ST 9095 SW BURNHAM
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 684 - 2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/11/2006 $62.50
[TAX] 8% State Surcha 9/11/2006 $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 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.
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Issued By: '
Permittee Signature: ) &7 4- �'�e.i
-_ !�'--
Call 503- 639 -4175 by 7:00 a.m. for an inspection that bus' ess 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 F012 OFFICE USE ONLY
..�• // Q i
'City of Tigard Dae / B d // Z, 6' 86 Permit No. _ , �� .1
13125 SW Hall Blvd., Tigard, OR V/223= ' - Plan Revi•
Phone: 503.639.4171 Fax: 503.598.1960 1 1 �i�i DateB : Other Permit:
Inspection Line: 503.639.4175 S E f • 1t 1 2006 _„_ 6_ Date Ready /By: 0 See Page 2 for •
Internet: www.ci.tigard.or.us Notified/Method: f Supplemental Information
CITY OF TIGARD
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ N 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 El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTR ION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder / 3' nu ❑ o er: 1 , C � L ) Number of bathrooms:
AND SITE INFORMATION A LOCATION Total number of floors:
Job site addr . New dwelling area: square feet
City/State/ZIP: ` i kj Zr-, , WI
,,,, //�� Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: k "Z l /lam Covered porch area: square feet
Cross street/directions to job site: 61 ems) 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.
f 12e1 N V I -I 5 Valuation: $ S Qo
P�pn f ire + re .S � �-1 .(/�,
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: (,csee con- rYDIC,- t-0(�) 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: ( ) I Fax: : ( )
E -mail:
CONTRACTOR
Business name: `w( re p� G J G • BUILDING PERMIT FEES*
6
Address: � O a S sfvJ RV 9 N14-.161 m
Please refer to fee schedule. .
City/State /ZIP: -Rua, r d, D R, Z23
, � A Fees due upon application 6l 1 Phone: (G ) Y 4. . zeiig Fax: ( 503 ) 1pS4- . O s
CCB lic.: Amount received
Date received: Q J a
- Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: tC L4--? t..) Date: ! 1 Q 6 * Fee methodology set by Tri -County Building Industry
Service Board.
is \ Building \ Permits \FPS- PermitApp.dot 12/03 440-4613T(11/02 /COM/WEB)
CITY OFT -IGARD
BUILDING DIVISION PERMIT #: BUP2006 -00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2006
Phone: (503) 639 -4171
■ F .!! I I
Inspection Requests (24 Hrs.): (503) 639-4175 __—
INSPECTION WORKSHEET FOR DATE: 9/•12/2006 TIME: 7 PAGE: 20
SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK:
SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE:
PROJECT NAME: METZGER
DESCRIPTION: Relocate 2 heads.
OWNER: WACO SCHOOL DIST 23J, PHONE #:
CONTRACTOR: WATT FIRE PROTECTION INC. PHONE #: 503-634 -2928
Inspection Request Scheduled For: Date: 9/12J2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinldor final 036332 -01 503 - 684 -2928 N
Corrections/Comments/Instructions:
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I 4/1/1_. wiw.14
. yx______\ Ill / - amplimi.
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PASS ❑ PARTIAL APPROVAL _❑ CANCEL____. _ ❑ NO ACCESS _
❑ FAIL CALL FOR INSPECTION ❑ ADDI ' ONAL ' ES ASSESSED
or z ra
Inspector: . Date: Phone #: (503) 718
NW- 2 A - 9-- 1