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Permit . .. CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00510 *to DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005 • 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DD -00800 SITE ADDRESS: 13815 SW PACIFIC HWY 80 ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Hood fire supression. 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: 2N : sf N: S: E: W: OCCUPANCY GRP: B 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: $ 1,450.00 Owner: Contractor: D.W. SIVERS COMPANY GUARDIAN FIRE PROTECTION 4730 SW MACADAM AVE 1012 SW A ST #1 CORVALLIS, OR 97333 P Pho LAND„ OR 97201 Phone: 541 - 752 -2258 FEES Reg #: LIC 100355 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/29/2005 $62.50 [TAX] 8% State Surchari 9/29/2005 $5.00 [FLS] FLS Pln Rv 9/29/2005 $25.00 Total $92.50 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 Cen - . Those rule are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of thes- -s or di - e - ti. : •U , C by calling 503 - 246 -6699 or 1- 800 - 332 -2344. I Issued By: JC- � r j�,� Permittee Signature: ---", /,-: / .- ...— Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit cans 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. / /5 pete4C4c wour Fire Protection System .r Buildine Permit Application " �' Doll off icy Hsi: ()NIA. City of Tigard R EC E I t • Received Permit No.: U Date/13 . . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi _ r �� / _ , Other Permit: Inspection L Phone: 503 Line: 03. 639.4175 Fax: 503.598.1960 I Plan R . i i ine: 503. 2 �_�,1.- ' • I Dat Read El See Page 2 for gar S E P 9: .. , / Q r% p Internet: www.citigard.or.us Notified/Method: lemental formation CITY OF TIGARD i / i • iimpfr TYP I r � " I �' • n r R QUIRED 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 R .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 ,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: /? ' ,Scv p.i. L —/ 0 New dwelling area: square feet City /State /ZIP: - / ,7 Garage /carport area: square feet . Suite/bldg. /apt. no.: go Project name: - y9 - 7:),,c,s e e 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: 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 DESCRIPTION OF WORK work indicated on this application. tom' / ', ( SSA/!/' a 4Se� / Yy , � `/� L Valuation: $ / i1 -� __ // l 77 Existing building area: square feet . New building area: l/k square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: v I Name: Type of construction: ?,ly Address: Occupancy groups: 11 City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: MPPLICANT ❑ CONTACT PERSON NOTICE Business name: •c t ,1 I -,, act• /)i'07 All contractors and subcontractors are required to be Contact name: ' g„v ice. ,r ( t v .,v licensed with the Oregon Construction Contractors Board fc under ORS 701 and may be required to be licensed in the . Address: i0 /7-- S c C "i a jurisdiction in which work is being performed. If the City /State /ZIP: �2 (.46.1,.. ("j I 77 g a 3 applicant is exempt from licensing, the following reasons apply: Phone: (Cf) 75� .� I Fax: : ( () 752 `f- c`S E -mail: , CONTRACTOR Business name: I t- 1� dQ BUILDING PERMIT FEES* Address: AQ /� 6. cf. A s Please refer to fee schedule. City /State/ZIP: , 2('44 5 3 .' Fees due upon application Phone: (S ) '75 -- z."- I Fax: ( 55)- -- cfis CCB lie.: l�' 5� Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained � ‘ip5---- within 180 days after it has been accepted as complete. Print name: rot•c/ �fG�r ces cwt/ I Date: 4 f • Fee methodology set by Tri -County Building Industry Service Board. i:\ Building \PemtitsWPS- PetmitApp.doc 12/03 - -440- 4613T(I I /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: • 0 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 Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ /'!-sZ 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. Project Valuation Subtotal (A, B & C): $ /ys Permit fee based on valuation (see attached chart): $ 6.$152 Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ p� FLS Plan Review 40% of Permit Fee: $ as4 TOTAL: $ qa . 50 Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at • submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. l:\Building\PermitsTPS- PermitApp.doc 2 CITY Oic TIGARD BUILDING DIVISION PERMIT #:C _Gj lC5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639- 4171d°9p �' Inspection Requests (24 Hrs.): (503) 639 -4175 ^ - - -, INSPECTION WORKSHEET FOR DATE: 10 „ /._ TIME: PAGE: SITE ADDRESS: 1 k.'' 1.0 fik e i FiG (460y CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: dm T tioP DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 2-ti --t1i G 1 1 ©oz Corrections /Comments / Instructions: ii P T — e- -1-- gbV _______,___ p 4, 4104- ill. c� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL F 1 INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 10 ti / Phone #: (503) 718-