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Permit (88) CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #: BUP2005 -00112 �N�l� DATE ISSUED: 3/22/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115BA-02500 SITE ADDRESS: 16200 SW PACIFIC HWY W2 ZONING: C - G SUBDIVISION: TIGARD TOWNE SQUARE LOT: 001 JURISDICTION: TIG Project Description: Alteration of (5) sprinkler heads. 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: UNK : sf N: S: E: W: OCCUPANCY GRP: 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: _070, 06 Owner: Contractor: AFP SYSTEMS INC 19435 SW 129TH TUALATIN, OR 97062 Phone: Phone: FAX 692 - 1186 503 - 692 -9284 Reg #: LIC 67534 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 3/22/2005 $62.50 [TAX] 8% State Surcha 3/22/2005 $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 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: � � �( Permittee Signature: � it ' 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. e Protection System Building Permit Appli CE,VE, ,,1 FOR OFFICE USE ONLY City of Tigard Received AN • ► Olen , .1, /f0 -0 / � 13125 SW Hall Blvd., Tigard, OR 97223 M AR 2 Zp i ; Plan . Phone: 503.639.4171 Fax: 503.598.1960 ° ,, " ;. :.- i� Date : Other Permit: Inspection Line: 503.639.4175 �' r F'' IL B Date Ready/By: UM El See Page 2 for Internet: www.ci.tigard.or.us CITY OF TI .` 1w' Notified/Method: Supplemental Information R DJN(,fJVVISJQ�T + --ti'} '� h:`�", nr.. ';; ';m.� -'�'!' vt ^ :,. , ,,i •e.;• _ .•c, - ,' ^� '• ".c. - :.n.,.:- . . l '.;- .� {'_,: _ -, _ .. t'� ?1 , r .n =* : ., : : :!: ' C:: , r. r -' 7 ,RE, A T I ,R4V1 E IYG . ELI; IN G �. � = �: � . ,r, � � `= � �.OR�: .�, ti. .�. „. � - �� =.' :a,'. c : � � � '�'-� Q UIRE ,.DA ^rY' 2- 1 �7:�)L:�{;�' !:1•' 1 +'7���� :+•'..'. e:] a: : "c, :ea_,,•a'P- .:..a.. • r--;- e :•': L,. .4._.+� {r'.:. .-.., .. - �, +`� a.'. - • °S�._t. ,., ..: • �. , .• • : ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all A ddition/alteration/replacement Other: equipment, materials, labor, overhead, and the profit for the GG r' , .a a. . �. c, ;: • - R_ -:.t ' °, 72- ; '' ,a ' . � „ work indicated on this application. '� � +;..• '� � 1 =09+ .RSc�•7' §',. ���y! � • "`li.'�'�"77r;`J ": -1'... M�... ;�... T'• - ..Y� : -.... -:“ :T _? Y pC -,.., 1 , ..n -�IiY` OF"'C •, lV$TRti) 1 ;�' �' ' - . ,�, �6 : 7 ..,�+A.q xt: .. »d?•_ ^7- .'e %��: .. ,�. .t� -w`: �. .., .5. .- .:.'sr� w .. .� = i�frwks ^L • t'; a; Valuation: $ ❑ 1- and 2- family dwelling `..Commercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: t N, ss': .. "FiY -';yl vkt'-' - .+. ' c1t i.Y• rti: �:'. {. :. ''R'" - 'S w- •_• R a, • K• it !•r .. , ,, i0 : .-; -, V1-!,•)0:i . - '4,1 ' 41 Vii TN`©RtA.146 0:ii ` O'CtO . ,7 4: , ;,`•:: . 3 � '' , ! Total number of floors: j *.::" kFti.r1 •.in;Ck.4. -.-= i�.+. = :tz.A-7-_ , ,�,.1 - itv . ', - xf4:. s'_ ka . fi9° `,,k �E;;..: r� �s, -: - Job site address: J t Q, Z b 0 .5 >.‘.) �ArA—t F1 L L l \ � \ J t New dwelling area: square feet City/State/ZIP: ` - �� f r Z t Garage/carport area: square feet Suite/bldg. /apt. no.: co e ; Project name: 6424. Y �a - 6V0 K Covered porch area: square feet Cross street/directions to job site: Ge7J-re1L-- Deck area: square feet • Other structure area: square feet •':..4AEO REUbAI iROM EteraaJSE:CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: • equipment, materials, labor, overhead, and the profit for the .t-z, -' �^w ! o .� °: ,,. «'w.,..'X� .Y.; -.; r- :R•- '' =.rrr. #, ..^.n = t ,.,, � ,1- + a "' '. a {�" � "rr,.a.,,� ; • ��u,• work indicated on this application. +a^t -.. : a , ' "• :) y}�p{ 'O E..4 134 �, ,:t45 - } r ' }.:.$ P. PP , - _ �- , •yC..' :NR'.�P��-�it4i:�� ��= 'C.•xta'a��.i',:?. v'- • ._'.^.'� if. �' +. L �Y. y� -. j 'jF.i .i..+, L5. A-D5 Valuation: $ Existing building area: square feet New building area: square feet t.. Y li? o .. R.t ....:�C ^ 1. 4. A '••. .i -'4 # 4 't a+- , t, eV y�1 a -' "a= ,j' TaBD Number of stories: -:.?;-.2..e.: :--,,.:,• •y. t.. l.', I — .7 , ..k.. t g4P I. ..A. ._ l • J 4 ' 1 . , ., :4A 1 ii 7 Name: (.2...4\-...1, � b ( +. n Bb v V-5 6,04...)-1-077 Type of construction: / Address: I t O -� “..) �t. -L F L. tit-41 Occupancy groups: City/State/ZIP: / 11 C� /i- �J . f)12.. . Existing: . Phone: ( ) Fax: ( ) New: �; ;; ��^ �4�,{ 9. ,� _ - • - :;;,+,fir,:' . � • t F 1 , = + t . - � s -. YT .. f!•? ,' t °xrV =az., :�?... t+ .a " - r ?. ., , , J ,.F, •,, :..�QL�IR l'.4//'''!�� '' p�* ^ �.: ` .Z - ' i : - �� d' - = ' .:- :. / ;may -r�i '- h,. az.;_ , ; �:' ; -t_:`x e�. „c.:ris '?. - s;.� -: xo-rul+ . <. .:. t ::.-- ,,,•', ,'. ,.':. ,..i�" r --- Business name: p !J 7 t ; e - r ✓ .- 5 All contractors and subcontractors are required to be Contact name: ) / � ^ licensed with the Oregon Construction Contractors Board 7 � L _ � �� under ORS 701 and may be required to be licensed in the Address: 1.C1 4 3 Li ) CT j •7 C, r} - ,1 -, jurisdiction in which work is being performed. If the /StatelZlP: --/34.1_4_:7--, l Q applicant is exempt from licensing, the following reasons Ci ty N f il- 1 I. apply: Phone: ( ) (R,rj Z,.. I A, Fax:: (�'D)) WI Z.— it e 6 bl E -mail: '-+:s :;.,;',- :•+w•_ + ki.: r� "z - i +•., it ;w t ' w,� y i• = ii,..4 r-$= .0.:..` m. f .:." :g - ti : Y,. - x +y t y r . ' G e,144 i y€ + F, " 9F .. . � 1I y � o, ,K - a .._ ors' - .�i. _ _,iv.�r�.' -_f• : :---%..--;:t--4, L. r4"'r:�... _. _.. , - _ Business name: 1 . t . J y . �'A'tS '' �,� ', �• - BUIL:DI'1�G'EERIVIIIE , ?FEES'•' Address: ` ) f G, q , 5 I - f. ` , J 4 ,J 1 Please refer to fee schedule City/State/ZIP: --t.- `q a D �� . Cj ��� Fees due upon application Phone: ( or>;) CR 5 Z _ Z Fax: (6,119 ( II `6L,1 Amount received CCB lic.: - Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 7...,,,,..) L Date: - 7 0 o ■ Fee methodology set by Tri- County Building Industry Service Board. i:\ Building\Perrniu \FP$- PemmApp.dot 12/03 440- 4613T(11 /O2/COM/WEB) 1 — 4 111 11 -- Fire Protection Permit Check List 1.) 0 New 2.) Modification to sprinkler heads only: 0 Addition X1-10 heads: No plan review required. T ZS Alteration El 11 Plan review 0 Repair Number of sprinkler heads: 6 Additional description of work: L 0*--6, 1 14#041.?. g Wet 0 Dry Additional Standpipes Information: Hazard Group Density Design Area • . • K. Factor • Sprinkler Project Valuation: $ • Atfillan.WitgaVATSIIVIWA160,4i0OVAPAr Hood Project Valuation: $ ) 4i:453710 Submittal shall Battery Calculations 0 Yes • • • include: Individual Component Li Yes Cut Sheets Fire Alarm Project Valuation: $ !:04rAtAitillili..451).****ROtilit,*.:**SW:44iintAttaAK#•*r•%** — . 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 A .:;c;-' ? Sprinkler Project Square Footage: sq. ft. Project Valuation Subtotal (A, B & C): $ be.) 1 — Permit fee based on valuation (see attached chart): $ (0.-2,. e50 Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ 6".e,e) FLS Plan Review 40% of Permit Fee: $ TOTAL: $ 4 • ..7•57) 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. i :\Building\FormsFPScheck1ist.doc 12/24/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00112 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 3/22J2005 ��, Phone: (503) 639 -4171 � m i ��E i l l t Inspection Requests (24 Hrs.): (503) 639 -4175 . -'- INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:10AM PAGE: 62 SITE ADDRESS: 16200 SW PACIFIC HWY W2 CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE: PROJECT NAME: CHRISTIAN BOOK CENTER DESCRIPTION: Alteration of (5) sprinkler heads. OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503 -242 -2900 CONTRACTOR: AFP SYSTEMS INC PHONE #: FAX-692-1186 Inspection Request Scheduled For: Date: 4/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 004402 -01 503-692-9284 N Corrections /Comments /Instructions: 10 , iiO4., 0 ./■----- C ttiji Iw ffir*- 1 „,,, .....„ ____ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL • CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: l5 p 462 Ins Date: Phone #: (503) 718 - CITY OF . TIGARD BUILDING DIVISION PERMIT #: BUP2005.00112 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27J2005 Phone: (503) 639 -4171 : nno i„ Inspection Requests (24 Hrs.): (503) 639 -4175 --Ur 11. INSPECTION WORKSHEET FOR DATE: 3/25/2005 TIME: 7:07AM PAGE: 108 SITE ADDRESS: 16200 SW PACIFIC HWY W2 CLASS OF WORK: r SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE: PROJECT NAME: CHRISTIAN BOOK CENTER DESCRIPTION: Alteration of (5) sprinkler heads. OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503242 -2900 CONTRACTOR: AFP SYSTEMS INC PHONE #: FAX-692-1186 Inspection Request Scheduled For: Date: 3/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough -in /test 002784 -01 503692 -9284 N Corrections /Comments /Instructions: -p12_,( ., ,,_d__p,,,,, ❑ PASS ❑ ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE ASSESSED Inspector: Date: 6 0 Phone #: (503) 718- di ilk CITY OF TIGARD BUILDING DIVISION PERMIT #: BUp2005 -00112 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/22/2005 Phone: (503) 639 -4171 "q' ° "� 9 a''il' I ''� Inspection Requests (24 Hrs.): (503) 639 -4175 `'- I INSPECTION WORKSHEET FOR DATE: 3/24 /2005 TIME: 7:09AM PAGE: 48 SITE ADDRESS: 16200 SW PACIFIC HWY W2 CLASS OF WORK: SUBDIVISION: TIGARD TOWNE SQUARE LOT #: 001 TYPE OF USE: PROJECT NAME: CHRISTIAN BOOK CENTER DESCRIPTION: Alteration of (5) sprinlder heads. OWNER: SN INVESTMENT PROPERTIES, PHONE #: 503-242-2900 CONTRACTOR: AFP SYSTEMS INC PHONE #: FAX Inspection Request Scheduled For: Date: 3/24 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 915 Fire alarm rough -in 002697 -01 [ 603 -692 -9284 N Corrections /Comments /Instructions: 0027 ❑ PASS ❑ PARTIAL APPROVAL /CANCEL 111 NO ACCESS ❑ FAIL 111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 13 R. 1A I" ID LA L6 Cr V__ Date: 3 - Z Li - 6S Phone #: (503) 718- Z