Permit a ' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00456
° ` COMMUNITY DEVELOPMENT DATE ISSUED: 9/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135BD
SITE ADDRESS: 09600 SW OAK ST 350 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
PROJECT: SLEEP WELL PARTNERS
Project Description: Fire alarm 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: 2 -1 HR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 25 BASEMENT: sf AREA SEP. RATED:
STOR: 5 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 3,625.00
Owner: Contractor:
ASA PROPERTIES, INC WESTERN STATES FIRE PROTECTION
BY PAUL DEVILLE 13896 FIR ST STE B
PO BOX 3110 OREGON CITY, OR 97045
HONOLULU, HI 96802
Phone: Contact #: PRI 503 - 657 -5155
FAX 503 - 657 -5182
Reg #: LIC 104570
FEES
Description Date Amount
REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/29/2007 $76.80
[TAX] 8% State Surcha 8/29/2007 $6.14
[FLS] FLS Pln Rv 8/29/2007 $30.72
Total $113.66
•
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
issuanc- : • , •rk is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Ores .n Utility Noti ic-tion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of tr ese rules or direct D - • ns to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Iss - d B
b
(ro- �� /
By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that • siness • : .
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.
:• "tBuilding Permit Applica ' q �o �au.J ®�� 5T
ka Fire Protection System FOR OFFICE USE ONLY
of Tigard AUG ` 9 j r z
Cl a //
City Ti d g H�17 2 �O Received / 0 Penult No.: (�f(W(J IiO J�'
IN ° 13125 SW Hall Blvd., Tigard, OR 97223 P l a an Re p
Phone: 503.639.4171 Fax: 503.598��0Y OF T IGARD � Date/By: • % r itH,(O7 Other Permit:
TI G n k D Inspection Line: 503.639.4175 BUILDING DIVISION y Date Ready /By: 9' tux ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: /9/0 �a.3 Su plemental Information
TYPE OF WORK REQUMB DATA: 1- AND 2 -F DWELL G
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
1Yekddition/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 ,Commercial /industrial Valuation: $
❑ 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: 9 00d K S fA ,C' New dwelling area: square feet
City /State /ZIP: '" . • 2 • "`� Garage /carport area: square feet
`at • Idg. /apt. no.: . r0 Proje t name: ifk l : / "I_ Covered porch area: square feet
Cross street/directions to job site:
�� / ems LaC, Ad d 4 Deck area: square feet
/ Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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
1 DESCRIPTION OF WORK work indicated on this application.
AM-C-. 4....14 t { - CI pt at., 444...4A... Valuation: $ 36 2 ) ! 0—
Existin building area: square feet
New building area: square feet
PROPER
OWNER G G 5 I ❑ TENANT Number of stories: s
Name: 2�L G / - Type of construction: Z>.
Address: Occupancy groups: g
City/State /ZIP: Existing:
Phone: ( �`� Fax: ( ) New: 2e
PLICANT ❑ CONTACT PERSON NOTICE
usiness name. All contractors and subcontractors are required to be
ontact 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
�
q apply:
47/ _v
Phone: ) cm-g,21-9/3D I Fax: : ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES"
Business name: / �//�� �i (Please refer to fee schedule)
/ 3 + '4S�'e'".t� 4 57.6.4„ .. .„ F c �,�Tr� f >f.J Permit fee:
Address: ! / r fir f t`6 Fr
to d State surcharge (8% of permit fee):
City /State /ZIP: Cn l L G C 7d L � o
Q Ke� nwJ ` 7 7 FLS plan review (40 /o of permit fee):
Phone: (S 6 .5 .„ j — f rr- � F ax: jfaJ) 6 r7- 37f1 (Due upon application.)
CCB lic.: la y� o Total permit fees:
Authorized signature: t/ �� Amount received:
H This permit application expires if a permit is not obtained
Print name: u Date C a dd ? within 180 days after it has been accepted as complete.
l�� T vQ c / • Fee methodology set by Tri -County Building Industry
Service Board.
1:tBuilding'Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(II /02/COM/WEB)
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 r: •
Information: Hazard Group
Density ;
Design Area
K. Factor
Sprinkler Project Valuation: $ •
B.) Type I - Hood 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 Fees • ' ,
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 permif fee): $' ,
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees _are
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppre
engineer, or NICET level "3" technicians.
I: \Building \Permits \PPS- PemutApp.doc 2
CITY OF TIGARD -
BUILDING DIVISION eci.i) PERMIT #: gt1P2007 -00456
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g1 ?Q12007 Phone: (503) 639 -4171 APu ,�
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I �I 1?
INSPECTION WORKSHEET FOR DATE: 9/77/2007 IME: 7:00AM PAGE: 84
SITE ADDRESS: 09600 SW OAK ST 350 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: SLEEP WE-IL PARTNERS
DESCRIPTION: Fire alarm TI ' . �(�
OWNER: ASA PROP ERTIES, INC, 1 P HONE #:
CONTRACTOR: WESTERN STATES FIRE PROTECTION l PHONE #: 503-657-5155
Inspection Request Scheduled For: Date: 9/27/2007 1/1/V‘
' /�/� Pour Time: e frv,--
Code # Inspection Description Confirm # Contact # Mes : ge
998 Alarm final 056250-01 971- 221 -9130 Y
Corrections /Comments /Instructions:
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X PASS i PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: � Date: 1 / 2 7 / 7) Phone #: (503) 718 - ! zY