Loading...
Permit BUILDING PERMIT C I fY OF TIGARD PERMIT #: BUP2003 -00343 i � DEVELOPMENT SERVICES DATE ISSUED: 6/17/03 �'' I — 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10865 SW WALNUT ST PARCEL: 2S103AA -00101 SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: 3,123 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: El TOTAL AREA: 3,123 sf • ROOF CONST: FIRE RET? OCCUPANCY LOAD: 156 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: $ 8,500.00 - Remarks: Fire sprinkler modification for remodel. Alteration of (20) heads. Owner: Contractor: SCHOOL DISTRICT NO 23 J WYATT FIRE PROTECTION INC. 13137 SW PACIFIC HWY 9095 SW BURNHAM TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 684 -2928 Reg #: MET g 00 p 0 0 0 4 4593 FEES LIC REQU112ED INSPECTIONS Description Date Amount Sprinkler inspection [BUILD] Permit Fee 6/10/03 $129.70 Sprinkler Rough - [TAX] 8% State Tax 6/10/03 $10.38 Sprinkler Final [FLS] FLS Pln Rv 6/10/03 $51.88 Total $191.96 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: Perm ittee Signature: /�j� Call 639 -4175 by 7 p.m. for an inspection the next business day I I fite r$tectilln`' y Rem Building Permit Application FOR OFFICE USE ONLY Received / �� Buildin / /�� . ( ��1 Date/By: to /0 D Permit No : 41 ��a/d -r7� 3 � lJ P l a nning Approval Other Q / /,, City of Tigard r _ Date/By: Permit No.: hapon5-to / `�W 13125 SW Hall Blvd. i • �,�� Plan Review / Other Tigard, Oregon 97223 ,qL X - L`"'' Date/By: C - 13 - 03 �S� Permit No.: Phone: 503- 639 -4171 Fax: 503 f I 8 i. ��' "�'�i I Post - Review Land Use AL k, F d G 1 I Date/By Case No Internet: www.ci.tigard.or.us 0;1 0, r,it\ir Dl\ - --• Contact .11.1,1",s: ® See Page 2 for 24 -hour Inspection Request: 503'639'41 Name /Method. — / /3, Supplemental information TYPE OF WORK REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING Addition/alteration /replacement ❑ Other: 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 INFORMATION and LOCATION No. of bedrooms. No. of baths: Job site address: fi 0$(0.c5 5.W . WQ,Q,nLut Ave. - area number a floors - New dwelling ea (sq. ft.). Suite #: Bldg. /Apt. #: J Garage /carport area (sq. ft.) Project Name: FouJ.Qh, Midrib_ Sc�h Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. tin — P t h \—V 3 cJvl _ / CwC - r o` t-i er 8 A Valuation $ S c t' Existing building area (sq. ft.) New building area (sq. ft.) 3/ 2. 3 Number of stories ❑ PROPERTY OWNER I ❑ TENANT Type of construction r Name: 'n (, 8 - ,J Scd-o01 O 67. New: Occupancy g roup(s): Existing: • / Address: GR 60 S, t,,,l . SA•t.J D &u .(, an City /State /Zip: 71 (.> N - R. 0 Phone: Fax: NOTICE: All contractors and subcontractors are required to be ❑ APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: _ ()JJTpp, C jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: BUILDING PERMIT FEES* E -mail: Please refer to fee schedule. CONTRACTOR Business Name: W u Five, ?yck ) Uric. Fees due upon application $ Address: gpOi S 4 . J- hainem City/State /Zip: -r( ciy- ) OR q 1 223 Amount received $ Phone: ( $ q- • 2Gj 2 $ g I Fax: b $q- • q (051 Date received: CCB Lic. #: (040 — 11 Authorized //� Notice: This permit application expires if a permit is not obtained within Signature: �/ Date: C� / �D /Q3 180 days after it has been accepted as complete. RI U 2O RO l /� " *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \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: 511- Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 2-c7 Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry ❑ Additional Standpipes Information: Hazard Group Density .10 Design Area K. Factor Sprinkler Project Valuation: $ 9, SOD .°° 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) 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): $ Q 5OO.oO / Permit fee based on valuation (see attached chartL $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ 10 FLS Plan Review 40% of Permit Fee: $ 51 ,b8 TOTAL: $ VA \ . 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 f -.4.—. CITY OF TIGARD 24 -Hour BUILDING , - Inspection Line: (503) 639 -4175 INSPECTION DIVISION , Business Line: (503) 639 -4171 MST _, BUP 3 - ad 3 Q3 Received - //..L Date Requested �• AM PM BUP go Location lb o J Suite MEC Contact Person Ph ( ) 42 LE - a%1 p PLM Contractor / y Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain 2 cio3 _ 0( �p �i'7 Slab Inspection Notes: Post & Beam Shear Anchors Ext Sheath/Shear ' Int Sheath/Shear Framing Insulation • Drywall Nailing / Firewall 4- g - Pe- ei / C - © !C { Susp'd Ceiling Roof Other: 1 i 20 a - 5 T l D e, ' ART FAIL . 7) ':'77 -NG Post & Beam - . Under Slab Rough -In Water Service n Sanitary Sewer 4- /Q2 01 54 S z 4.4%, �� Rain Drains Catch Basin / Manhole Q e 7 5 � 6- Storm Drain Shower Pan Other: Final PASS PART FAIL . MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers _ Final PASS PART FAIL ELECTRICAL Service - ci 7 Rough -In S UG/Slab / . s Low Voltage ` / �Ci C___ Fire Alarm Final El Reinspec 'in fee of $ requ before next in ction. Pay at C Hall, 13125 SW Hall Blvd. PASS PART FAIL III Please call for rein : - on RE: El Unable to inspect — no access ire Supply Line i ADA ///4) Approach/Sidewalk Date Inspector - Ext Other: Iiiltb DO NOT REMOVE this inspection record from the job site. 'rJ PART FAIL