Permit �a ' ` •aisC ITY OF ` I GARD BUILDING PERMIT
PERMIT #: BUP2007 -00342
COMMUNITY DEVELOPMENT DATE ISSUED: 6/29/2007
TIGARD I 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 109 ZONING: C - G
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: DECORETTE SHOP
Project Description: Add (2) fire sprinklers
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: $ 995.00
Owner: Contractor:
TIGARD PROPERTIES INC VIKING AUTOMATIC SPRINKLER CO
2106 SE OCHOCO ST 3245 NW FRONT AVE
MILWAUKIE, OR 97222 PORTLAND, OR 97210
Contact #: PRI 503 227 - 1171
Phone: FAX 503 - 227 - 1552
Reg #: LIC 64837
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/29/2007 $62.50
[TAX] 8% State Surcha 6/29/2007 $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 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 r or.d questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss d By: L - • ifL� / / _/1 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.
,Building Permit Application_ ,.
Fire Pro System FOR OFFICE USE ONLY
't Received / J
City of Tigard Date/By: ) 3 O, Permit / // w3
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
.71 C . ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: . Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: ' la See Page 2 for
Internet: www.tigard - or.gov Notified/Method: !,0 Supplemental Information
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
( i' Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
4 1 5
❑ I- and 2- family dwelling [..]'Commercial /industrial Valuation: $ 9
❑ 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: t k g Li S S t ..., PA g. c7c- V Sa: I . e. 10q New dwelling area: square feet
City /State /ZIP: --I me 04/.. q1 2.L3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 104 Project name: � Lore_44- t St-Al Covered porch area: square feet
Cross street/directions to job site: k •1 41 J %AA 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: $
(4. 1 t S Qe% r.,.c,...r 3 -- k.kC I -d . . ,1;1 t—te. Existing building area: square feet
S gt. GO! w.A.J` o ,P 4A o-.4.'! se 2. cr.
New building area: 'square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 'I"
:%/1.... el- ALA u C Type of construction:
Address: W; 1- 7 h k M ,..).. c:19 Occupancy groups:
City /State /ZIP: V f_c.c, (.s 4 b b [ Existing:
Phone: (!6o) sLC „ . g l 4 7.. Fax: ( ) New:
ra APPLICANT ❑ CONTACT PERSON NOTICE
Business name: J I f A t_r... ` s rc. �.. e.... A , All contractors and subcontractors are required to be
Contact name: \ licensed with the Oregon Construction Contractors Board
�v • U 3 A r n ...... f under ORS 701 and may be required to be licensed in the
Address: 72,4 < r•Ortl jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
Afr 1. As,....,) u r c- YL LO apply:
Phone: (SM) Z2.Z 1 „7, I Fax:: (136S) ZL7 l 'S N.
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: S a 4.-&_ At . /� (oQ 4-e_ (Please refer to fee Permit let
11"' Permit fee:
Address:
State surcharge (8% of permit fee):
City /State /ZIP: o
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: ` ti 1G; 3-/f/// Total permit fees: •
Amount received: q 7. So
Authorized signature:
� —�+ This permit application expires if a permit is not obtained
Print name: , J J � D G. / 7 , 0 0 � within 180 days after it has been accepted as complete.
IN. r * Fee methodology set by Tri -County Building Industry
Service Board.
I:\ Building \Permits'.FPS- PermitApp.doc 03/23/06 440 -4613T(I1 /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 , . • •
Information: Hazard Group - •
Density
Design Area
K. Factor J
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ . Yes , , , y ' ,
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
J. 1 ,
•
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 permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" ", fare protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians. .
1: \Building \Permits \FPS- PermitApp. 2 •
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2007 -00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2007
Phone: (503) 639 -4171 A it Inspection Requests (24 Hrs.): (503) 639 -4175 1 -.
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 62
SITE ADDRESS: 11945 SW PACIFIC HWY 109 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DECORETfE SHOP
DESCRIPTION: Add (2) fire sprinklers
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: VIKING AUTOMATIC SPRINKLER CO PHONE #: 503-227 -1171
Inspection Request Scheduled For: Date: 7/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 051606-01 503- 784 -2754 N
Corrections /Comments /Instructions:
/
K fASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , C . L FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: ■ Date: P hone #: (503) 718- Z
_