Permit 4, i " CITY OF TIGARD
FIRE PROTECTION SYSTEM PERMIT xi
7 2 COMMUNITY DEVELOPMENT Permit #: FPS2010 -00054
.-,. s t Date Issued: 05/20/2010
,TAI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
r.,r.,r. Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Sonic Drive -In Restaurant
Project Description:
Owner: FEES
MWF TIGARD LLC Description Date Amount
2123 NW ALOCLEK DR #1203 Permit Fee - COM 05/20/2010 $102.20
HILLSBORO, OR 97124 Plan Review - Fire Life Safety - COM 05/20/2010 $40.88
PHONE: 503 - 617 -0175 12% State Surcharge - Building 05/20/2010 $12.26
Contractor:
SANDERSON SAFETY SUPPLY CO.
1101 SE 3RD AVE
PORTLAND, OR 97214
PHONE: 503 - 889 -3110
FAX: 503 - 889 -3192
Type of Use: COM
Class of Work: NEW Type of Const: VB
Occupancy Grp: A -2 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Unknown
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 $155.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 2950
Residential Square Footage: 0
Fire Alarm Valuation: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. AlLwork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuanc- . if work is sus.: ded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit 4 otification Center. Th. e are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You .. -y obtain a copy of the rules
or . ect questions to OUN . ailing > • . - 46.6699 or 1.800.332.2344. /60../
lss ed By:. iLl ' /` I e Permittee Sign re: %.f
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.
Building Permit Applicatio
Fire Protection System FOR OFFICE USE ONLY
City of Tigard MAY 11 : ll3 Received /�
Date/B . // /1 V Permit No./.--70_5 —(7061 . 5 .
4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.59 Date/By: ' ark_ � S 20 /d — 060hr
1 OF TIGARD Dat Other t e nnit
11 G A R U Inspection Line: 503.639.4175 ING DIVISION Date Ready '.y ;cos. ® See Page 2 for
Internet: www.tigard- or.gov BUILD Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
A New construction ❑ Demolition 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.
❑ 1- and 2- family dwelling bitCommercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 111 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11535 Le To 2..� L l New dwelling area: square feet
City / State/ZIP: ,. o , . • L 0 R- °k 124 Garage /carport area: square feet
Suite/bldg. /apt. no.: Pro name: 0 iG Covered porch arca: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE C73ECKLIST
Subdivision: 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 "W work indicated on this application.
Fif H.09 ,i o.... 5
. 4em... i f . i. $k i y e xl,,S+- Valuation: $ 2.950
none s 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:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: 5t7v ( C e-Dc..; g -Th All contractors and subcontractors are required to be
Contact name: (� Ed. SP,q wa_ / t }� Cahn ; ,...4„,„„..,..„„..
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 /State21P: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES* A t
Business name: s / _ (Please refirto fee schedule)
1 115 / .
$E S(� Permit fee: 3 +p'
Address: l \ O • y .�
permit fee):
(
State surcharge (12% of
City/State/ZIP: ' pt7 f J.. G R '
e in ,14 g p 1 q , tb E 1 A
q FLS plan review (40% of permit fee): y7 33 P
Phone: (�3) ezq - 31 \ O Fax: (503) $$9 - 319 Z (Due upon application.) ,�'I
CCB lie.: lot-I 9 U 9 Total permit fees: i -19 . 81
Authorized signature: t zi Amount received:
Ji This permit application expires if a permit is not ob ined
Print name: e(2, a-k,e-- Date: 5 / 1 ) it, within 180 days after it has been accepted as complete. /
* Fee methodology set by Tri- County Building Industry e