Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00407
. DEVELOPMENT O r S O SERVICES
CES --4171 DATE ISSUED: 9/20/2006
I
PARCEL: 2S1 12 DC -01400
SITE ADDRESS: 15865 SW74TH AVE 110 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT: 004 JURISDICTION: TIG
Project Description: Sprinklers
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: 3N sf N: S: E W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 148 BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 3,200.00 ■
Owner: Contractor:
JDS, LLC & SANTA FE CORP FIRE SYSTEMS WEST INC
17700 SW UPPER BOONES FERRY RD i 600 SE MARITIME AVE #300
PORTLAND, OR 97224 / VANCOUVER, WA 98661
Phone: Contact #: PRI 360 693 - 9906
FAX 503 - 289 -2208
Reg #: LIC 49732
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/28/2006 $81.70
[TAX] 8% State Surcha 8/28/2006 $6.54
[FLS] FLS Pin Rv 8/28/2006 $32.68
Total $120.92
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: ji; Z //_ , 7 Permittee Signature: i �7i_ 04,1-42--z____/
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.
�> K6S �� —
Fire Protection Sys e
ir
Building Permit ApQliyc _ tion t, ` � �` •,> -
�{ "c \ , . ,+�.j �. . i14li1 , f 4 t. . 9TF� t _ f, ,.,
City of Tigard [c:.a �` L Received c Permit N .
City g Date/By: J ,g
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review n rl� 9_00(0_ Dv o `
Phone: 503.639.4171 Fax: 503.598.1960 A G :; , � e/By U / ` /� Other Permit: 2‘10‘
Inspection Line: 503.639.4175 AUG �' 200141a44-'1A „ a Date Read ' 1uri ®S Pag f 7G
Internet: www.ci.tigard.or.us �,,,, �, Notified/Method: Supplemental Information
•
Cal g OF I WWA/
• JoU (rYP f;1..G'ORK 1 S < < 0 1 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
i gl Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1 -and 2- family dwelling Commercial /industrial
Valuation: $
El 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: tigro4 1 j 6)(6 j 5:) '7 L+'J p _ New dwelling area: square feet
City /State /ZIP: riyi n / 6.p. Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Fr..".00 /No ,_S 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: 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.
$ ti
l
Vauaon: O -'
h pt. "'``e gaits F /Re SPAN is Z'°
Existing building area: square feet
New building area: square feet
PROPERTY' OWTI
PROPRTY OWWNNER ENANT • Number of stories:
Name: u' (, , p ion f`ripu Lf 44 Type of construction: 3 8
Address: /a - s ox 47 9 Occupancy groups: B /4i,
City /State /ZIP: 5Ji � -, t b� V R I e/ 70`) 5 Existing: f�
Phone: ( '3 ) I) a Fax: ( ) New:
.pi-A PPLICANT ❑ CONTACT PERSON NOTICE
• Business name: f 5'1rd51 ) - ∎) L..) 2S3 r All contractors and subcontractors are required to be
Contact name:a C�lpynl0` licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: yo S'15 / 11- y ! I l) me. A /L . d3QL jurisdiction in which work is being performed. if the
City /State /ZIP: 1l11,,►ev�s� +.•l)'� 9�E c applicant is exempt fro licensin the following reasons
apply: i • (
Phone: (360 69 3 A 16 Fax:: ( ) 3a .10$
E -mail: 6••
. CONTRACTOR 5 - .
Business name: dam-- rf (,,
-BUILDING PERMIT FEES'.
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application 1Z�.` Z
Phone:( ) Fax:( )
�� �� Amount received /?0-99--- CCB lic.:
Date received:
Authorized signatur�.,,,, -. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
• Print name:J c. i Or►ol / Date: 9- ZS * Fee methodology set by Tri -County Building Industry
Service Board.
i:\ Building \Pennits\FPS- PermitApp.doc 12/03 440 -4613T(11 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done: _
1.) ❑ New 2.) Modification to sprinkler heads only:
fEl Addition ❑ 1 -10 heads: No plan review required.
kr , . Alteration 11+ heads: Plan review required.
Repair
Number of sprinkler heads: Z
Additional description of work:
Type of System Complete A, B, C or D as a . p cable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group L14rI flt, P-osk C-Y
Density
Design Area
K. Factor s, 6.
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes ��
include: Individual Component El 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.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
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.
1: \ Building \Permits\FPS - PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: x.11 2 c�.r�c
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2012006
Phone: (503) 639 -4171 r e -
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 02,vvi PAGE: arc,
SITE ADDRESS: 15066 SW 74TH AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INOVATORS
DESCRIPTION: Sprinklers
OWNER: ,IDS, LLC & SANTA FE CORP, PHONE #:
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693 -9906
Inspection Request Scheduled For: Date: 9/2112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 036926 -02 360-693-9906 N
Corrections/Comments/Instructions:
n
�� l
Alid fig / 4 wsy -
n P ASS n PARTIAL APPROVAL n CANCEL I NO ACCESS
FAIL n CALL `•R INSPECTION ❑ ADDITI NAL F S ASSESSED
Inspector: 1 / Date: 1.I i Phone #: (503) 718-
CITY. OFTIGARD
BUILDING DIVISION PERMIT #: BUP200& -00407
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9120/2006
Phone: (503) 639 -4171 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 .�.4 "`_ L.
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7 : 02AM PAGE: (gip
SITE ADDRESS: 15865 SW 74TH H AVE 110 CLASS OF WORK:
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT #: 004 TYPE OF USE:
PROJECT NAME: BRAND INOVATORS
DESCRIPTION: Spririkiers
OWNER: JDS, LLC & SANTA FE CORP, PHONE #:
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-69a.9906
Inspection Request Scheduled For: Date: 9121/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 036926 -01 360- 693 -9906 N
Corrections /Comments/ Instructions:
....AI _
II'r
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL I I CALL FO- INSPECTION n ADDITI NAL EES ASSESSED
Of A
Inspector: i f f Date: .21 D,6 Phone #: (503) 718- `V -'