Permit I q -...-- BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2006 -00468
Aui DEVELOPMENT SERVICES DATE ISSUED: 9/28/2006
Ail. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -00100
SITE ADDRESS: 10350 SW LINCOLN ST ZONING: R
SUBDIVISION: TOWN OF METZGER LOT: 005 JURISDICTION: TIG
Project Description: METZGER SCHOOL: (1) smoke dector, (1) horn /strobe.
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: 2 -1 HR sf N: S: E: W:
OCCUPANCY GRP: E2 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: {� 3So0. 0.6
Owner: `� Contractor:
TIGARD TUALATION SCHOOL DIST #23J SIMPLEXGRINNELL LP
6960 SW SANDBURG ST 6305 SW ROSEWOOD ST
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone: Contact #: PRI 503 - 683 - 9000
Reg #: LIC 149921
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcha 9/28/2006 $6.54
[BUILD] Permit Fee 9/28/2006 - $81.70
Total $88.24
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: Acki _ _ * 3 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 RECEGVED r.
Buildins? Permit Application SEP 2 8 2006 rule Orrlcl•: JSI.: ONLY
ecely» q r .9
I II Cit of Ti CIT OF TIGA Dates . - -. •9� �i _ ./ r d
C ° 13125 SW Hall Blvd., Tigard, OR 972 d ifI DING DIVISION iew Other Permit:
• Phone: 503.639.4171 Fax: 503.598. 411-
Date/B
T I G A 1;17 Inspection Line: 503.639.4175 Date Ready/By. SI See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Ira Supplemental Information
• TYPE OF WORK REQUIRED DATA: 1- 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
cgLAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- 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: / ��� s(J (- // JCQ( New dwelling area: square feet
• City /State /ZIP: <-7 ore_ ' 7' S Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: !k ; � �,i.(. Covered porch area: square feet
Cross street /directions to job site: 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.
i SF'l -E_ it i 1402.6-1 / Valuation: $ 3 . 8() , 00
( _ I
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: • Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE .
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) I Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business nam (Please refer to fee schedule)
\1d�- LAYE-A .- Permit fee:
Address: ( 0gas S) OSIEtsiQ®> S , State surcharge (8% of permit fee):
City /State/ZIP: (A E E( ) &2 . 97030
1 FLS plan review (40% of permit fee):
• Phone: (CSC (AS • 9 I Fax: (S3$3) Col S. CQ 52._( (Due upon application.)
CCB lic.: I tQ 7 t Total permit fees: 3 y
Authorized s
Amount received:
This permit application expires if a permit is not obtained
I Print name: s v 3/ it, t'< (..E� I Date: 9 . 2g , Qc within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
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I
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) 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.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
•
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
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.
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): $
State Surcharge (8% of permit fee): $ •
FLS Plan Review (40% of permit fee): $
TOTAL: $
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.
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