Permit III ,, CITY OF TIGARD BUILDING PERMIT
.
PERMIT #: B /21/20 -00338
:, COMMUNITY DEVELOPMENT
DATE ISSUED: 10/21/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102AB - 01800
SITE ADDRESS: 09460 SW TIGARD ST ZONING: I - P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 056 JURISDICTION: TIG
PROJECT: BRIDGEPORT CABINETS
Project Description: Fire suppression system in paint booth.
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: 5N sf N: S: E: W:
OCCUPANCY GRP: Fl TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 4,000.00
Owner: Contractor:
GREEN VALLEY DEVELOPMENT LLC UNITED FIRE HEALTH & SAFETY EQUIP
BY GARY HELMER 4611 NE MARTIN LUTHER KING JR
10585 SW WALNUT ST PORTLAND, OR 97211 -0771
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 249 -0771
FAX 503 - 249 -0572
Reg #: LIC 65290
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/8/2008 $76.80
[TAX] 12% State Surcha 10/8/2008 $9.22
[FLS] FLS Pln Rv 10/8/2008 $30.72
Total $116.74
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.
Those rules are _ t forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 5e •. 46.6699 • ; 10.332.2344. •
/i
Iss -d By: J LL J A i. , PermittekSignature: i�• �q.4 �� - ii
,.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i Z bEP @, `O L ,o nc, ST
Mihring Permit Application
Fire Protection System O FOR OFFICE USE ONLY'
City of Tigard Receive Permit No.:
Il
° 13125 SW Hall Blvd., Tigard, OR 97 - Plan R t� ' i
O Phone: 503.639.4171 Fax: 503.598. :: 0 D :4 � I 6 Other Permit
T I G A k D Inspection Line: 503.639 % 1i Date R .. y By: �' El See Page 2 for
Internet: www.tigard -or.gov OC� \ 1W, ;_ � 'l:fied/Method: 0 /7 Q$ r Supplemental Information
a l \ /o / 7 oS _, /rte .�jf
TYPE OF WORIc `` T QUIRED DA /t: 1 / D 2- FAMILY DWELLING
❑ New construction ❑ p:,,,,, l,, `y 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® m
Comercial/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: 9460 SW Tigard Street New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
---
Suite/bldg. /apt. no.: 104 Project name: Bridge Port Cabinets Covered porch area: - --- squarefeet
Cross street/directions to job site: West of SW Main Street 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.
Install Amerex Industrial Fire Suppression System in Paint Booth Valuation: $$4,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Bridgeport Cabinets Type of construction:
Address: 9460 SW Tigard Street Occupancy groups:
City/ State/ZIP: Tigard, OR 97223 Existing:
Phone: (360)518 -3348 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: United Fire and Safety All contractors and subcontractors are required to be
Contact name: Ed Wallace licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4611 NE M.L.K. Jr. Blvd. jurisdiction in which work is being performed. If the
City/ State/ZIP: Portland, OR 97211 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 249 -0771 Fax: : (503) 249 -0572 '
E -mail: ed @unitedfireandsafey.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: United Fire and Safety (Please refer ro fee schedule,
Permit fee:
Address: 4611 NE M.L.K. Jr. Blvd. —76 .
City /State /ZIP: Portland, OR 97211 (40% State surcharge (12% of permit fee): G
r
FLS plan review (40 of permit fee):
Phone: (503) 249 -0771 Fax: (503) 249 -0572 (Due upon application.) 3 0 • — 70 1
CCB lic.: 65290 Total permit fees: I f ' • 7G/
Authorized signature: Amount received: /!G - -71
T his permit application expires if a permit is not obtained
Print name: Ed Wallace Date: 10 -7 -2008 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
I.\Building\Permits \FPS- PermitApp.doc 03/23/06 440-4613T(I 1 /02/COM/WEB)