Permit •
li u <CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT DATE ISSUED: 9/19/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134AA -02100
SITE ADDRESS: 10340 SW NIMBUS AVE NB ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: PST
Project Description: Add 3 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: sf N: S: E: W:
OCCUPANCY GRP: 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: 36o . D ID
Owner: Contractor:
ROBINSON, CONSTANCE A + FIRE SYSTEMS WEST INC
ROBINSON, LYNN + BELL, KAY ET 600 SE MARITIME AVE #300
BY INSIGNIA COMMERCIAL GROUP VANCOUVER, WA 98661
BEAVERTON, OR 97008
Phone:
Contact #: PRI 360 693 - 9906
FAX 503 - 289 -2208
Reg #: LIC 49732
FEES
Description Date Amount - REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/19/2007 $62.50
[TAX] 8% State Surcha 9/19/2007 $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 if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopte• : • the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may o.tai a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
41111111111
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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
REC Building Permit Application EI %E J FOR OFFICE USE ONLY
e. !� /
City of Tigard DateB v �Z D� Permit .
7 fl a
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IptIP
13125 SW hall Blvd., Tigard, OR 97223 t-.},.l i Plan Review I
Phone: 503.639.4171 Fax 503.598.1940. /-,-,, 9 10UT Date /By: Permit:
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TIGARD N
Inspection Line: 503.639.4175 vv J OF T� Date Ready /By: 1 aris ® See Page 2 for
Internet: www.tigard- or.gov etELDI G ARD Notified /Method: -r Supplemental Information
G DIVISION
TYPE OF WORK REQUIRED DATA: 1- 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 Valuation: $
y g ®C ommercial /industrial
❑ 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: /d J 42/6 S • 0 i New dwelling area: square feet
� !�
City /State/ZIP: �ea-Jei -Tdn CJr•e, �✓ ► Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: dui /c4 d N� 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
j ' / / DESCRIPTION OF WORK work indicated on this application.
Ac d I l "J 3 1pe.'it Valuation: $ 301 . 9b
d Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER . TENANT Number of stories:
Name: di Type of construction:
Address: * g 4, 74 Occupancy groups: .
, Q �
City / State/ZIP: cx„.74 / 74 7 Existing:
Phone: (Si r3) 9 rf" 7 Z E. E-7 Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: O'. ke Nf.e /4-2/4 All contractors and subcontractors are required to be
Contact name: �� / ��,� "PIN. under with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: & D0 $ ' 4e . 4,, 4 3 0 a jurisdiction in which work is being performed. If the
City /State/ZIP: L4', �Q 9 ?' 4 / applicant is exempt from licensing, the following reasons
apply:
Phone: (74,b) 42 g 3 Q - 1 7 d (, l Q I Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
y"f� es-S - C_ Permit fee:
Address:
State surcharge (8% of permit fee):
City /State/ZIP: (40% FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB tic.: 9 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: 3e - :91,
7---- Date: ' / , /�'� within 180 days after it has been accepted as complete.
'�` * Fee methodology set by Tri- County Building Industry
Service Board.
1: \ Building \Permits \FPS- PennitApp.Joc 03/23/06 440- 46t3T(11 /02/COiWWEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00493
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007
Phone: (503) 639 -4171 a., I a____
Inspection Requests (24 Hrs.): (503) 639 -4175 '
INSPECTION WORKSHEET FOR DATE: 9/20/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 10340 SW NIMBUS AVE NB CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: PST
DESCRIPTION: Adsprinkler heads.
7--
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360. 693 -9906
Inspection Request Scheduled For: Date: 9/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 056027 -01 360 -693 -9906 N
Corrections /Comments/ Instructions:
/
• /
•
- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
._ 2 z Yz i
Inspector: D ate: Phone #: (503) 718-