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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT !PI COMMUNITY DEVELOPMENT r Permit#: FPS2013-00132 T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 /p Parcel: 2S109DA13600 Jurisdiction: Tigard Site address: 15154 SW SUMMERVIEW DR Project: Arlington Heights,Lot 55 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 55 Project Description: Provide new 13D fire sprinkler system for new 3,145 sq ft residence. 10/2/13,reprinted to correct Type of Use Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW 9095 SW BURNHAM 4230 GALEWOOD ST SUITE 100 TIGARD,OR 97223 LAKE OSWEGO,OR 97035 PHONE: 503-684-2928 PHONE: 503-387-7577 FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-RES 09/25/2013 $246.45 12%State Surcharge-Building 09/25/2013 $29.57 Type of Use: SF Info Process/Archiving-Lg$2.00(over 09/25/2013 $4.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 09/25/2013 $14.50 Stories: 3 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $294.52 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 3145 Fire Alarm Valuation: $0.00 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 the 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 952-001-0090. You may obtain a copy of the rules or direct•.-stions to •b'C by ca 'mg 503.232.1987 or 1.800.332.2344. Issue. By: 4,11/01!, PermitteeSign 407( -� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • COMMUNITY DEVELOPMENT Permit#: FPS2013 00132 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 2S109DA13600 Jurisdiction: Tigard Site address: 15154 SW SUMMERVIEW DR Project: Arlington Heights,Lot 55 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 55 Project Description: Provide new 13D fire sprinkler system for new 3,145 sq ft residence Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW 9095 SW BURNHAM 4230 GALEWOOD ST SUITE 100 TIGARD,OR 97223 LAKE OSWEGO, OR 97035 PHONE: 503-684-2928 PHONE: 503-387-7577 FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-RES 09/25/2013 $246.45 12%State Surcharge-Building 09/25/2013 $29.57 Type of Use: COM Info Process/Archiving-Lg$2.00(over 09/25/2013 $4.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 09/25/2013 $14.50 Stories: 3 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $294.52 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 3145 Fire Alarm Valuation: $0.00 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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / e— Issued By:0011111111."— Permittee Signature: `� i/// Call 5 . 9.4175 by 7:00 a.m.for the next available inspe ion date. This permit card shall be kept in a conspicuous place on the job site unt completion of the project. Approved plans are required on the job site at the time of each inspection. 4 Building Permit Application Fire Protection System �5, �t FOR OFFICE USE ONLY • 1111 City of Tigard _.../i, \� Received �� ✓ Permit No.: �i°j�.��/�—dpi3� _ •'` DateB �1 13126 SW Hall Blvd.,Tigard,OR r c�`�" Plan Review- / Phone: 603.639.4171 Fax: 503.6 s':.1'•�0 ��13 Date/B 11/11 � (� Other Permit: 115 o'iO/3_4,5/3 TIGARD Inspection Line: 503.639.4175 eC) �y® Date Rea G Juris: 0 See Page 2 for Internet: www.tigard-or.gov d!' ,® N ad/Method: 7/••45-7 9j�/ Supplemental Information TYPE OF WORTR��1l r,1� REQI�iRED DATA:1-AND 2-FAMILY DWELLING iew construction Eli.4nolition 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. Valuation: $ `� and 2-family dwelling 111 Commercial/industrial 2.;f . 5' ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: S . JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address: / 15,4t_ 6pv 5 u ����V I E >bI, New dwelling area: 3).� square feet City/State/ZIP: 174,4124))" ©2 9-7 2_2 4- Garage/carport area: 4E50 square feet Suite/bldg./apt.no.: Project name:? )a 7/1 G --7-S Covered porch area: 34 square feet Cross street/directions to job site: Deck area: '6a square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: 5s 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 �y� I ' ',DESCRIPTION OF WORK /� �L �-,/� �/ work indicated on this application. /1LK/ /BD rl cJ�/�!/�Y Li'JL l s , Valuation: $ — p. /i/ v 3/'4-' sc i--r 5 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ',MI'PLICANT ❑ CONTACT PERSON NOTICE Business name: dD�� �'7 02 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 name: N y,4_7.--7-1!i po5)-7- �jCfJA (Please re.fcrtofce schedule) Address: 9jgg 514/ Eg UK--�Imt , `` Permit fee: -City/State/ZIP: -ek�D 02 9°7 3 State surcharge(12%of permit fee): / FLS plan review(40%of permit fee): Phone:(5 I , - �9 jf j I Fax:(�3 e>8¢ _9( 7 (Due upon application.) CCB lic.: &407 Total permit fees: Authorized signature: �- _ Amount received: �) `/ 1 This permit application expires if a permit is not obtained Print name:, v /ve j„K- io Date: 9 `6 -f - * within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PemutApp.doc 03/23/06 440-4613T(11/02/COM/WEB) Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15154 SW SUMMERVIEW DR, TIGARD, OR, 97224 Commercial - Fire Protection System 999 Sprinkler Final 2013-12-11 00:00:00 FPS2013-00132 FAIL 1. Provide stamped and approved plans for Inspection. 1" Ames model 20008B, serial no. 23555 Violation Summary: Inspector Contractor