Permit r
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CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00114
- All DEVELOPMENT SERVICES DATE ISSUED: 3/24/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB -01201
SITE ADDRESS: 16252 SW UPPER BOONES FERRY RD ZONING: I -L
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT: JURISDICTION: TIG
Project Description: Add 3 sprinkler heads and relocate 1.
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: : 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: $ 600.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545
PORTLAND, OR 97224 TIGARD, OR 97281 -0545
Phone: Phone: 620 -6140
FEES Reg #: LIC 63846
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/24/2005 $62.50
[TAX] 8% State Surcharl 3/24/2005 $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 e set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct que ions to OUNC by
calling 503 -246 -6 99 or 1- 800 - 332 - 344.
Issued By: .LlicauC. iL/j Permittee Signature: _
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
Bu * ng er r'°' • - * C �U
•
Received n FOR O FFICE USE ONLY .
= L L Date
q U Permit Building
No
1 � B • '. o Z U j l •' Permit 1 ,�,/ ��1f�5 j
Cit of Ti and Planning A.proval Other
Y g �?QO5 Date /B Permit No
13125 SW Hall Blvd. MAR 2 Plan Review Other
Tigard,'Oregon 97223 Date /B Permit No
Phone: 503- 639 -4171 Fa>E15 9S- ICjf1ID ."° h Post - Review Land Use
Internet: www.ct.tigard.orlt�il�ILDING DIVISIO ,� C Case No.
'' Contact See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name /Method • Su u , lemental Information
.. ._ , TYPE,OF WORK=:- .._ . •�.: <. ;,• -,: s: - _ ., ; , =1_ ¢__.�_ .,
' ;REQUIRED:DATA: ± u :,-4'.';'• ;
❑ N construction 111 Demolition 1' &2 FAMILY DWELLING '
K Addition/alteration /replacement El Other: r,
- - CATEGORY`OF.CONSTRUCTION .. '.. :.. Note Permit fees* are based on the total value of the work performed Indicate
❑ 1 & 2- Family dwelling '' Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building Multi- Family
❑ Master Builder ❑ Other: Valuation $
. _. ` ,, , :•_'::/JOB'.SITE :INFORMATIO 'and LOCATION s. .` No of bedrooms. No. of baths:
Job site address: /((2 j s' PIPPiJZ [$DO/1lel /Zjp Total number of floors
Suite #: Bld /A t. #: y New dwelling area (sq. ft.) ...................... .
g P Garage /carport area (sq. ft.)
Project Name: /PAM //+94-fiviS Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.). .
Other structure area (sq. ft.)
•,' ;, •' REQUIItED,DAT;ki,: ,,,, , '.'`, r;- :,. -,- s, +
� COMMERCIAL` =: CHECKLI ,,,.
Subdivision: Lot #: �' ... ....
Tax map /parcel #: Note Permit fees* are based on the total value of the work performed. Indicate
. :4 -;; :: , ..,:Y 1:oESCRIPTION;OF - W, ,ORK -: >';; , > _ the value (rounded to the nearest dollar) of all equipment, materials, labor,
4 b1 3 �/Rr s'Pga elres f - Otet 4 r overhead and profit for the work indicated on this application vo
okidt A-r_ e et _ F I-, Valuation $ 600
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stones
=r PROPERTY:OWNER:‘_v':- ..':A? ® TENANT.: ,:,:.-` '_:', ,,, .: Type of construction... ........................
ame: ,(JJ�,Civu tit Occupancy group(s): Existing:
Address: /S3S O g iAl - S/r LeU//q ilrivy New:
City /State /Zip: Pox/la-NB / 6i. ?7724
Phone: i/1-4- 4,300 Fax: NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
APPLICANT ._f ,, 5.•':_; a': - -,; , ❑ °'CONTACT PERSON` '' 4' : provisions of ORS 701 and may be required to be licensed in the
usiness Name: f , eP C • jurisdiction where work is being performed. If the applicant is exempt
- Contact Name: 592 tar A-R.st.J from licensing, the following reason applies:
Address:
City /State /Zip:
Phone: Fax: - ._,_ .. .�.�-..,.''': :„
wi ":: � Yom•- 'r;,'t :A .,. "'ni.f i
E -mail: � ' . x: :; ' , ` . BUQ: D [ NC'PERMTT . a;F E ' E S ' , .-
o:� ' , : ' ; Pl ea s e, r e f er, t o f -, '�' � ,s; , : P r = '
Business Name: fierfrop Co F ees due upon application ........................ $ 67
Address: 1000 ,-14) - J>/1 -r ief ew S
City /State /Zip: Tit ilin 6 04 972.13 Amount received.... $
Phone: 670 -ti /1-0 Fax: C —47 /4 9 Date received:
CCB Lic. #: 3f k
Authorized ep Notice: This permit application expires if a permit is not obtained within
Signature r1 Date: f dal 180 days after it has been accepted as complete.
L3 K ti C� b" f , 2 e ' V *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i \Dsts \Permit Forms \BldgPermitApp doc 01/03
Fire Protection Permit Check List
Describe work to be done:
A.) ❑ New B.) 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:
Type of System (Complete A, B, C or D as applicable): •
A.) Cofl mercial Sprinkler '
Wet ❑ Dry ❑
Additional Standpipes
Information: Hazard Group '
Density
Design Area
K. Factor
S • rinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire:Alarm
Submittal shall Battery Calculations Yes ❑ ,
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
D.) " Residential. Sprinkler "(Stand Alone System) - ' V - •
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50 V ,
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.
is \dsts \forms \FPSchecklist.doc 02/28/03
CITY OFTIOARD
BUILDING DIVISION PERMIT #: BUP2005 -00114
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24 /2005
Phone: (503) 639 -4171 T
Inspection Requests (24 Hrs.): (503) 639 -4175 R:_ I •
INSPECTION WORKSHEET FOR DATE: 3/25/2005 TIME: 7:07AM PAGE: 109
SITE ADDRESS: 16252 SW UPPER BOONES FERRY RD CLASS OF WORK:
SUBDIVISION: FANNO CREEK ACRE TRACTS LOT #: TYPE OF USE:
PROJECT NAME: REMINGTON
DESCRIPTION: Add 3 sprinkler heads and relocate 1.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: FIRESTOP CO • PHONE #: 620 -6140
Inspection Request Scheduled For: Date: 3/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 002771 -02 503. 804 -7282 N •
•
Corrections /Comments /Instructions:
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ASS ❑'`PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: Date =hone #: (503) 718-