Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
°, COMMUNITY DEVELOPMENT Permit#: FPS2013-00149
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2013
Parcel: 2S110CB10100
Jurisdiction: Tigard
Site address: 15382 SW ARLINGTON TER
Project: Arlington Heights No.3,Lot 89 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 89
Project Description: 13D fire suppression system for a 3,815 sq.ft.house.
Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW
9095 SW BURNHAM 4230 GALEWOOD ST,STE 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 10/31/2013 $310.05
12%State Surcharge-Building 10/31/2013 $37.21
Type of Use: SF Info Process/Archiving-Lg$2.00(over 10/31/2013 $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 10/31/2013 $10.00
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 $361.26
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 3815
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 Notif . •• - - Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o,, . a copy of the rules
or dire •uestions to OUNC b -Ilin. 03.232.1987 or 1.800.332.2344.
Is- ed By:
"Apelt� �� ' / Permittee Signature:
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 , oject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System �1� FOR OFFICE USE ONLY
111111 " City of Tigard t �" Received 2,1/13 (�,,� PemutNo.:
Date/By: U 13125 SW Hall Blvd.,Tigard,OR 9`�C' '! Plan Revie � ( ,_ ��Phone: 503.639.4171 Fax: 503.598.1960 12. Date/By: !)I l C j Other Permit: �1,4 l3_co/ 7 ei TIGARD Inspection Line: 503.639.4175 � Date Ready y: 3uris: 0 See Page 2 for L
Internet: www.tigard-or.gov Q" ��0,iav .Notified/Method:/Q/3( /13 4;7 �6 Supplemental Information
TYPE OF WOOS'00 REQUIRED DATA:1-AND 2-FAMILY DWELLING
ONew construction ❑' ':PI I ition 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.
and 2-family dwelling El Commercial/industrial Valuation: $ 34—k
❑Accessory building ❑Multi-family Number of bedrooms: y
❑Master builder ❑Other: Number of bathrooms: S , S
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address: 16 3%2 SwA1V� Lc e„rr New dwelling area: 3q,15— square feet
City/State/Z1P...;1 �� C7 V'�� Garage/carport area: id b0 square feet
Suite/bldg./apt.no.:a Project name: 1 iln. Covered porch area: i SI) square feet
Cross street/directions to job site: 0-yd1/4. G.i-v ra 5i oh JQ a ®. Deck area: square feet
f2- e of e-y\pl .t. 1
f 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.
iie ; , ') L� vi AL �/ r , s. Valuation: $ SL-1�J l Ull YY �^ T Existing building area: square feet
New building area: square feet
21/PROPERTY OWNER ❑ TENANT Number of stories:
Name: b YLE, to (S 0 Y }S Type of construction:
Address: �30 � � �o] 54...c„ ( Occupancy groups:
City/State/ZIP: (�/ a J
Existing:
Phone:(� 3cj7-75-7' F )
New:
t.12.APPLICANT ❑ CONTACT PERSON NOTICE
(s-Business name: CO t.�, .4—'f— (rte rd 'i"'C C +1 (� All contractors and subcontractors are required to be
Contact name: 5� �� licensed with the Oregon Construction Contractors Board q , , 1 under ORS 701 and may be required to be licensed in the
Address: Lo tr s- VV �-yvk wt. 0 r- jurisdiction in which work is being performed.If the
City/State/ZIP�� r 6 2 7 Z Z� applicant is exempt from licensing,the following reasons
( 655 l"- apply:
Phone: (jL,� ,-�q Z�� Fax: :( )
E-mail: 4 , , /G✓ (,t Qif In✓`- . (�on,..-,
"l IC•ONTRAe[TOR BUILDING PERMIT FEES*
Business name: cS . 4.l' A4A/� (Please refer to fee schedule)
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) T Fax:( ) (Due upon application.) _
CCB lic.: 6 / 7/4 O Total permit fees:
Authorized signature: Amount received:
` This permit application expires if a permit is not obtained-,
Print name: l i^ ' Date: v/� / �3 within 180 days after it has been accepted as complete.
p r "'� ` c/ * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PennitApp.doc 03 3/06 440-4613T(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
15382 SW ARLINGTON TER, TIGARD, OR,
97224
Residential - Fire Protection System
999 Sprinkler Final
2013-12-19 00:00:00
FPS2013-00149
PASS - No C of O
1" Ames model 2000b, serial no. 23972
Violation Summary:
Inspector Contractor