Permit II .; CITY OF TIGARD BUILDING PERMIT PERMIT #:
COMMUNITY DEVELOPMENT DATE ISSUED: 2 22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: FANNO CREEK PLACE
Project Description: Bldg A 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 11,284.00
Owner: Contractor:
OPUS NORTHWEST LLC DELTA FIRE INC
1500 SW FIRST AVE. STE. 1100 14795 SW 72ND AVE
PORTLAND, OR 97201 PORTLAND, OR 97224
Phone: 503 - 916 - 8963 Contact #: PRI 503 620 - 4020
FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/2/2006 $158.50
[TAX] 8% State Surcha 11/2/2006 $12.68
[FLS] FLS PIn Rv 11/2/2006 $63.40
Total $234.58
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: W_ Permittee Signature: 4 /././ ' j il '. ; • • •
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 /_03 7 Uf fer 0 , •
, Building Permit Application FoR OFFICE USE ONLY
5 Is City of Tigard � ECE1VED Received,, , • �. rte, GbS.
13125 SW I tall Blvd., Tigard, OR 97223 �� „e i�
B Phone: 503.639.4171 Fax: 503 v60 2006 Date/B . ( �� Other Pe _ i, /����
TIC n It D Inspection Line: 503.639.4175 Date Re . y � 3uns ®. Page 2 for
Internet: www.tigard or.gov Notified/Meihod: ) i /� Supplemental Information
Ne V z`P • X . w .
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. TYPE OF WORK REQUIRED'DATA: I- 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
ila Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
±• , ' CATEGORY <OF:CONSTRUCTION -'" .^ s work indicated on this application.
El I- and 2- family dwelling Commercial /industrial
Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms •
❑ Master builder ❑ Other: Number of bathrooms.
F, ,: ";:7. SITE - INFORMATION LOCATION -- , . - Total number of floors:
Job site address: l Co 0 "57 0 l X �nY>PS 1 ' P1rf p New dwelling area: square feet
�
City /State/ZIP. •Tic ci ((` a p l ! ate/ Garage /carport area square feet
Suite/bldg. /apt. no : A Project name: fanv)n ( ,ii., b14 }'r• Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA :COMMERCI
Subdivis ion: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.. equipment, materials, labor, overhead, and the profit for the
. `,` ', ,•• DESCRIPTION OF WORK -- I work indicated on this application.
Valuation: S II (-r61
Existing building area:73 J ��1
7 square feet
New building area: square feet
❑, PROPERTY •OWNER. _ , .I•„ „ ' TENANT_' Number of stories: 3
Name: Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone. ( ) Fax. ( ) New:
. -' ■ : rAPPLICANT ' , 0 CONT , PERSON. _ ' _ ;( .,.. ;•
._ —n , - NOTICE r
Business name: �e ( i. ct f" Q 1 TYIC All contractors and subcontractors are required to be
Contact name: jiI'1( j S{eu,)Qr4- licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 c>(/•• 7a, M e jurisdiction in which work is being performed. If the
City /State/ZIP. "y0fAuo 0 R qua `� applicant is exempt from licensing, the following reasons
r c apply /5k.• ` 57
Phone- (503) codo - q Fax: (503)(49-0465'g- 7' /a . A
E -mad
aS G 3.5
_ ;CONTRACTOR' n - - , ' ' " , ; - BUILDING PERMIT FEES*
Business name: � - l , e( • �C (Pleourejerrofeesrhedule�°
Address lu7 S (A 7d, t-Ct me, o Permit fee:
`, State surcharge (8% of permit fee):
City /State /ZIP. -- Pot --- V\ - ltd \ 0 9' 7 f-9-14 FLS plan review (40% of permit fee):
Phone: (50:2.)) 6(40 - t Oc9-t Fax: (5 Z) n90- /Q7. (Due upon application.)
CCB lie.: ( I 76 Total permit fees
Amount received.
Authorized signature �j� /1 .6g
�� -C7C eo This permit application expires if a permit is not obtained
Print nam• rlexti fryAr IA ate I III lv�
within 180 days after it has been accepted as complete.
,
• Fee methodology set by To-County Building Industry
Service Board
11i3uddmg \ Permits \FPS- PemoApp doc 03/23 /06 4404613T( 1 0LCOMJWEB1
. •
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City of Tigard: Fire Protection Permit Checklist
• Page 2 - Supplemental Information
ibork
1.) 0 New 2.) Modification to sprinkler heads only:
g i Addition 0 1-10 heads: No plan review required.
Alteration 0, ii + heads: Plan review required.
0 Repair
Number of sprinkler heads:
Additional description of work:
A;B; 'C 'or .4.40'llealile):
'.. - /Commercial Sprinkler • , . :". • - ,
Cg Wet 0 Dry
Additional Standpipes k--3 e)
Information: Hazard Group L-443,4\
Density 0 10
Design Area c9 Sc;?
_ K. Factor 5. cf71-
Sprinkler Project Valuation: $
Type I . utiott Fire Suppression System
Rood Project Valuation: $
C) Fire Alai*
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
Residential Spiiiilder (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 $29250
7,201 and greater $381.50
Sprinkler Project Square Footage: A Ac sq. ft.
, 7 ,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): $ A
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $ (
TOTAL: $ 6S"
Plan review requires a completed application and 2 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 \ EPS-PermttApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006- 005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 _�' . "I I
INSPECTION WORKSHEET FOR DATE: 12121/2007 TIME: 7:03AM PAGE: 91
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FAIVNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Bldg A Fire sprinklers
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916.8963
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -'1020
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 061815 -01 503-620.402.0 N
Corrections/Comments/Instructions:
4 4111/EMPA
r r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( • �r Date: I t7 Phone #: (503) 718 - '�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00633
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 12/10/2007 TIME: 7:01AM PAGE: 55
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Bldg A Fire sprinkle's
OWNER: OPUS NORTHWEST LLC. PHONE #: 503- 916 -8963
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 12/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 061122 -02 971 - 235-0082 Y
Corrections /Comments /Instructions:
_ me__—. 4 S r.- -
❑ PASS 4050 "ARTIAL AP : • ._ - ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector — Date: ' o d Phone #: (503) 718- Z.-g`l
CITY OF TIGARD
BUILDING DIVISION PERMIT #: DUP200 1.00533
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2007
Phone: (503) 639 -4171 A'
,� ° 111
Inspection Requests (24 Hrs.): (503) 639 -4175 W _ ..
INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7 :00AM PAGE: J2
SITE ADDRESS: 16037 SW UPPER E300NES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: FANNO CREEK PLACE
DESCRIPTION: Bldg A Fire ;sprinklers
OWNER: OPUS NORTHWEST LLC, PHONE #: 503. 916 -13963
CONTRACTOR: DELTA FIRE INC PHONE #: 50362( -4020
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes �rNK
295 Misc. inspection 059983 -01 971 - 235.0082 Y
Correction /Comments /Instructions:
q R.L eG- 0 0 `7 -7 ej,./LZe:..-S
c^/' -' Se__ 7 S 71Mc
❑ PASS Imo . ' RTIAL APP: • ' ❑ CANCEL ❑ NO ACCESS
❑ FAIL orALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ - _ Date: I/ ZD 0 7 Phone #: (503) 718 - Cary
•