Permit A- - --- CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00150
-2-11l tile- DEVELOPMENT SERVICES DATE ISSUED: 4/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BC - 00300
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD ZONING: C - G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Alteration of sprinkler system, (7) 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: A2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 174 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: ,cicl 0 v
Owner: bb Contractor:
BPP RETAIL LLC A PROFESSIONAL FIRE SYSTEMS
BY BURNHAM PACIFIC PROPERTIES 17273 S STEINER ROAD
ATTN: JOHN WATERS BEAVERCREEK, OR 97004
SAN DIEGO, CA 92101
Phone: Phone: 503 - 632 - 4353
Reg #: LIC 41650
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/18/2005 $62.50
[TAX] 8% State Surcha 4/18/2005 $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 rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
1
Issued By: X12 Z ri _zek i Permittee Signature: A
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.
• \ \
•1 ' Fi r e Protection System
Building Permit Application FOR OFFICE USE ONLY
City of Tigard DDa Received _ U� % Permit No.. ; \j„ J5
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 o Other Permit:
,� i�i'I Date/i3 Inspection Line: 503.639.4175 �, Date ReadyB See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: � ®
Supplemental information
' T 'Y" � '.f: =' 4V"t'= ','� ,. T' •a TYPE -'U .k*li ;V; P— K :. -- -W. *:; ° . n• `'; REQUIRED DAT Y-..*0 kFAMILY D WELLING
❑ lyw 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
s , :'' i. .' k C A T E G ORY O CO CTJON.' -} . `- ` 'S 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: )2272 SW gp . New dwelling area: square feet
City/State/ZIP: — naAe ) 017,
' ?, Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name:M M p4,,(11,44_6 y Covered porch area: square feet
Cross street/directions to job site: ScADLLS F IAL to . Deck area: square feet
69.1319AWAN KAA4Z .ET _ 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
:n; - DESCRIPTION OF WORK. - :- .•.. • work indicated on this application.
Valuation: $ 1$9 . 00
Existing building area: square feet
New building area: square feet
„ .0 - 'PROPERTY -OWNER' - . .. - - `'TENANT Number of stories: ,
Name: Mjs.jt AML(N5 1 Type of construction:
4 Address: 10 1 4 Vi , 6 usAki Occupancy groups:
Ciry /StatelZIP: � �R'S(_tttN0 I o(Z, , � 7 2bC Existing:
Phone: ( ) Fax: ( ) New:
^ "- -- ®'APPLICANT - " :❑ - CONTACT PERSON' ?-. ;:. = NOTICE
Business name: k PCZOP S5(ONO- 'FIRE S`f5T , All contractors and subcontractors are required to be
Contact name: M {46* —Thlt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 112:73 s. C e z zo jurisdiction in which work is being performed. If the
Ciry /State/ZIP: 6t'7,.,1k -R �E''�, OR ., q, py, applicant is exempt from licensing, the following reasons
`' �Q r apply: •
Phone: ( > r 7 0 1 ) 6 T J Z 435.J I Fax:: ( ) &2 `'f8 37
E -mail:
T " .:• - CONTRACTOR _
Business name: 4dA.4.6 -
II
BUILDING;PERM' FEES*
Address:
Please refer to fee schedule.
City/State/ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.: .
— Date received:
Authorized signature: This permit application expires if a permit is not obtained
t within 180 days after it has been accepted as complete.
Print name: M , LC-,A EL-G TATE. Date: 0 1 ((c t 6G • Fee methodology set by Tri -County Building Industry
Service Board.
i:'Building\Pemrin \FPS- PermitApp.doe 12/03 440-4613T(1t /02/COM/WEB)
t>
4P0 _
Fire Protection Permit Check List
1.) El New 2.) Modification to sprinkler heads only:
0 Addition - 2'1-10 heads: No plan review required.
"Alteration El 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads: 7
Additional description of work:
MaDOIP-( RAts SP(24--, 91S
A-4! tOthineiejal•SoiiiikIet • • - .• •
Wet El Dry
Additional Standpipes
Information: Hazard Group aeo
•
Density
Design Area • - •
K. Factor
Sprinkler Project Valuation: $ - • •
System -•_ •
Hood Project Valuation: $ N/A.
,
C.) F1re •:- - • • , - -• .• - . -
Submittal shall Battery Calculations 0 Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) 'ReSidential:Skinkler (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): $ 9b9,
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. ..-
i:'Building\Forms\FPSchecklist.doc 12/24/03 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200&.00150
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2005
Phone: (503) 639 -4171 :�m�
Inspection Requests (24 Hrs.): (503) 639 -4175 —IA- `__..
INSPECTION WORKSHEET FOR DATE: 5/16/2005 TIME: 7 :09AM PAGE: 19
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCMENAMINS
DESCRIPTION: Alteration of sprinkler system, (7) heads.
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: A PROFESSIONAL FIRE SYSTEMS PHONE #: 503- 632 -4353
Inspection Request Scheduled For: Date: 5/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 006943-01 503.632 -4353 Y
Corrections /Comments /Instructions:
_ _ da
-10 JNIM P AELI
,MIIMMI l _ .WP4 rir - -
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-