Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00404
` - COMMUNITY DEVELOPMENT DATE ISSUED: 8/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 115 BA -026 00
SITE ADDRESS: 16230 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
PROJECT: TIGARD TOWN SQ. RETAIL EXPANSI
Project Description: Sprinkler system and antifreeze loop.
REISSUE: t'QS FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 280 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 18,700.00
Owner: Contractor:
SN DEVELOPMENT PATRIOT FIRE PROTECTION INC.
1121 SW SALMON ST '4708 NE MINNEHAHA ST
PORTLAND, OR 97214 VANCOUVER, WA 98661 -1843
Contact #: PRI 360 - 699 -4403
Phone: 503 - 242 -2900 FAX 360 - 699 -4485
Reg #: LIC 70822
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/7/2007 $184.05
[TAX] 8% State Surcha 8/7/2007 $14.72
[FLS] FLS Pin Rv 8/7/2007 $73.62
Total $272.39
•
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.
Issued By: fidagi4 � l � Permittee Signature: ern r/ Ol' I.
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 ((,z 2 SSG ) Rict F(c 1/
Building Permit Application • FOR OFFICE. LSE ONLY
City of Tigard rn P1=0 Received - ' ; 1._1,/i7 -9j v
13125 SW Hall Blvd., Tigard, OrthCEIVED tel
DaB„
Plan ReA�®
Phone: 503.639.4171 Fax: 503.598.1960; I ` Datd6 . • 0 Other Permit:
Inspection Line: 503.639.4175 . _ .. ''..1.' J .
Date Re 7.y y : y: , ®S ee Pae 2 for
Internet: www.citigard.or.us AL' ' (2i _', 2007 Notified/Meth..f/V , , M. Supplemental g Informa '.n
1
ji ki C. - rvir: ii • . "REQUIRED DATA: 1- AND 2' • ILY DWE - •
New construction ❑ Demolition Permit fees* are based on the value of the work per o
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
CI I- and 2- family dwelling 4Commercial/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: L(t2tx sb...) -PiRE_tcle. 1 M< New dwelling area: square feet
City /State /ZIP: -ric' IcR13 , Q Q. ¶ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:Tel 14F1)115ka Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
�rit 09 / JVU 1 � 1 t,�2.t- -AIY� Qo 3 Other structure area: square feet
PALI AL WILLY . REQUIRED DATA: COMMERCIAL -USE CHECKLLST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
• Indicate the value (rounded to the nearest dollar) of all
fax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
, A `� N IC7, Valuation: $ 11 • '100
LP Existing building area: square feet
New building area: square feet
1 ti
PROPERTY OWNER ,. ❑ TENANT 1 Number of stories:
Name: �a (, t'[ 14 V t lY1C tit 1 I 1 .J�.
Type 5 �)
T e of construction:
Address: last s1/4/4 tb Occupancy groups: /4
City /State /ZIP: PchtliJt+Mb 7 (X. 112.64-
Existing:
Phone: ( S r j 2 j ) ' 2 4 79 ty3 Fax: 64 221, - �3 New:
()Cr. lig c,b05,-> 280
APPLICANT ❑ CONTACT PERSON .
NOTICE
•
Business name: pk'zU61 Gtee.0--0"..1 , 1 N.(` All contractors and subcontractors are required to be
Contact name: 14 14 `ugQ� licensed with the Oregon Construction Contractors Board
`^ under ORS 701 and may be required to be licensed in the
Address: 4.10a Ai LE I e J 1 4 ' ' jurisdiction in which work is being performed. If the
City /State /ZIP:ki ( n ,, \ A- 416 _ � apply: applicant is exempt &ogylicensingife _ fgl w 5 easons
(lob WA-. �cw � � p 1 5
Phone: �) ( Far:: ) ) 6� — 4.4.8 T f 7
E -mail: (l,ew i m if1 B i r4 s z
CONTRACTOR
Business nam P - �, �� ���' 1 r� �_ BUILDING PERMIT FEES*
Andress: 2-1 c n IGg Aiti A tfe- , G _L i —
j .. " Please refer to fee schedule.
City /State/ZIP1 .Vex . R��p141
y ' �� j� Fees due upon application
Phone:Si ) Lori_ L-44 J 3 Fax: ) b99 . 44 — —
CCB lic.: 1 O$ 2Z Amount received Pd, .�� 37 •
c Date received:
Authorized s j
/ This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name: M Date: R/2 /01 • Fee methodology set by Tri- County Building Industry
Service Board.
i\ Building \PermitsTPS- PennitApp.doc I:/0J 440- 4613T1I 1 /02/COMIWEB)
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:
TA, a of S stem Com lete A, B, C or D as a , licable :
A.) Commercial Sprinkler
$, Wet I ❑ Dry
Additional Standpipes VIP
Information: Hazard Group (,p,(, )
Density tap
Design Area 1500
K. Factor $. O
Sprinkler Project Valuation: $ i$ ° 1�
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
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): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
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.
1:\Building\Permits\FPS- PermitApp.doc 2
CITY OF TIGARD # . A
BUILDING DIVISION PERMIT #: SUP2QQJ -00404
13125 SW Hall Blvd., Tigard, OR 97223 dr DATE ISSUED: 8/14/2007
Phone: (503) 639- 4171� '
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/27/2007 TIME: 7:00AM PAGE: 81
SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: - TIGARD TOWNE SQUARE LOT #: jj TYPE OF USE:
PROJECT NAME: TIGARD TOWN SO. RETAIL EXPANSI
DESCRIPTION: Sprinkler system and antifreeze loop. f i
OWNER: SN DEVELOPMENT, PHONE #: 603-242 -2900
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360.6934403
Inspection Request Scheduled For: f Date: Pour
,� � 9/27/2007 ��� Time:
r
Code # Inspection Description. . f 0 Confirm # Contact # Me ' ge
r t
295 Misc. inspection / 056416.01 360-699.4403 Y
Corrections /Comments /Instructions:
t1
e t a (aS—S fl P�/t, ` !/ l L re- r -4stt-,A,,
t tes-5-..,--,....Q..
/v o : f & a 1 s ( k L2c).-.. GuLd._,,,Es-
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/ / /s-- __ If/s
ise e-7
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�� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
r ■ j FAIL ❑ CALL FOR INSPECTION 1:11 ADDITIONAL FEES ASSESSED 71
\ . VA (11---- Inspector: Date: / Z� �� Ph one #: (503) ��
P ) 718-
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: BUp2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 a DA E ISSUED: 8/14/2007
Phone: (503) 639 -4171 4 ' , 6 Inspection Requests (24 Hrs.): (503) 639 -4175 n I ..
INSPECTION WORKSHEET FOR DATE: 10/16/2007 TIME: 7 , . - PAGE: 43
SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIGARD TOWN SO. RETAIL EXPANSI
DESCRIPTION: Sprinkler system and antifreeze loop.
OWNER: SN DEVELOPMENT, PHONE #: 503-242 -2900
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 36(6394403
Inspection Request Scheduled For: Date: 10/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
296 Misc. inspection �� 5768 _ _ 0•Q1 364699-4403 N
Co ofn nts /Instructions. /
R4 3 p 0_342--42÷.)
- hp Lo,A--4,i2r,---Q_ \c")---rlz-e--A1 ---. 5 - - e--S' -
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/04 4 vv\ <--
5 1 ,s-,, o,, w. -s
,,.4,.. 1 ,1. iii pi- (,,
❑ PASS 14 PA IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: () (/ l/ Date: ) o/' Y I Phone #: (503) 718- 242'
CITY OF TIGARD
7
BUILDING DIVISION PERMIT #: C3UP 007 00 04
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2007
Phone: (503) 639 -4171 11111
a
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: i215/2007 TIME: 7 :01AM PAGE: 50
I
SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI
DESCRIPTION: Sprinkler system and antifreeze loop.
OWNER: SN DEVELOPMENT, PHONE #: 503242 -2900
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360- 699 -4403
Inspection Request Scheduled For: Date: -i2/612007 Pour Time:
Code # Inspection Descrip on Confirm # Contact # Message
296 Mir {c. inspe . ion 060813 -01 360-699-4403 N
T i e q o?on omments /Ins ructions: '►
( 0kLy ) -
AA I
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, Alk-/)n # • 1 c- " -- eL , C ----4--t-
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1 0 , ...) - e)Ji -t -q__ 5-4_,<.V.L_ to • (2
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a' ■ - - • vf• _. _ c :,.
( 7 --
.
❑ PASS gPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IfiAuti
Date: 1 ggl 6 .. Phone #: (503) 718 - )-(-0(.4
Patriot Fire Protection has visually inspected branch line piping at Tigard
Towne Square for obstructions that would limit sprinkler protection. The
sprinkler lines in question are clear of the 2X6 joist bracing that appeared to be
obstructing them. The sprinkler deflectors are above the top plane of 2X6
bracing and will deliver water around this obstruction.
Please note that this is shell protection and all heads are provided with bushed
outlets. Once the "build out" occurs the heads will be raised up and placed on a
1" tee fitting to accommodate new sprinkler drops into ceiling. This will raise the
heads approx. 4 -5 ".
If you have any other questions, please contact me 360.699.4403.
Thank you,
Dan Murray
Project Designer
Patriot Fire Protection, Inc.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 004t>4
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/14/2001
Phone: (503) 639 -4171 � i- bl
Inspection Requests (24 Hrs.): (503) 639 -4175 - p_ e_ l ..
INSPECTION WORKSHEET FOR DATE: 4/15/2008 TIME: 7:02AM PAGE: 47
SITE ADDRESS: 16230 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TIGARD TOWN SQ. RETAIL EXPANSI
DESCRIPTION: Sprinkler system and antifreeze loop.
1
OWNER: SN DEVELOPMENT, PHONE #: 503.242 -2900
CONTRACTOR: PATRIOT FIRE PROTECTION INC PHONE #: 360 - 699 -4403
Inspection Request Scheduled For: Date: 4/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
259 Final inspection 06835%01 36%699.4403 N
Corrections /Comments /Instru tions: 1 1 1 vi
P Ao 4- e sfi —
rik 2D oe - o 0 5\ (
- 1 - 642-(L- -,,,,--,- - 112 i ‘ Zp
ci --,
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` // `' ` Date: / Phone #: (503) 718- 2 -4 z--Y