Permit '' CI ° T Y OF TIGARD BUILDING PERMIT
°" COMMUNITY DEVELOPMENT PERMIT #: BUP2008 -00224
DATE ISSUED: 7/9/2008
T IGA R D> 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
- , PARCEL: 2S102CB -03200
SITE ADDRESS: 09975 SW FREWING ST ZONING: C -G
SUBDIVISION: MASSIH OFFICE BLDG LOT: 021 JURISDICTION: TIG
PROJECT: MASSIH OFFICE BUILDING
Project Description: Fire alarm
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 32 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N 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: $ 1,500.00
Owner: Contractor:
KAMELIA MASSIH FIRE PROTECTION SERVICES
1831 SW DICKINSON LANE 5573 SWARTIC DR
PORTLAND, OR 97219 BEAVERTON, OR 97005
Phone: Contact #: PRI 503 - 590 - 3732
FAX 503 - 628 - 6214
Reg #: LIC 154333
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/1/2008 $62.50
[FLS] FLS Pln Rv 7/1/2008 $25.00
[TAX] 12% State Surcha 7/1/2008 $7.50
Total $95.00
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 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.
Issu By: I!�_! ■�,, . Permittee Sign• A .`.. ,.d �- -
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.
- -Fire Protection System
Building Permit Application • FOR OFFICE USE ONLY .
Received
Ci}� of Tigard [,
`d g ED Date/B 7 + O b .� Permit No. r // ,', - i
II 1...' ° 13125 SW Hall Blvd., Tigard, 113. Plan Review 7 9 0 M
Phone: 503.639.4171 Fax: i3.: EQ EINI
Date/B : 1�' 9 r Other Permit:
T I GARD Inspection Line: 503.639 ,, 1111 _ 2�� Date Ready /By: lu�ri ® See Page 2 for
Internet: www.tigard- or.gov JUL Notified /Method. /l lep, Supplemental Information
TYPE t-V4R��K��r D `u 'v REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 3 - Igemolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
CO 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 ® Commercial /industrial
Valuation: $
❑ 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: 9965 SW Frewing New dwelling area: square feet
City /State /ZIP: Tigard OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Pacific Park Plasa Covered porch area: square feet
Cross street/directions to job site: liwy 99w 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $$1,500.00
Provide smoke detection for ElevReturn 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: 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
y apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: Fire Protection Services Inc
Permit fee:
Address: 5573 SW Arctic Dr
State surcharge (8% of permit fee):
City /State /ZIP: Beaverton Or 97005
FLS plan review (40 %ofpermit fee):
Phone: (503) 590 -3732 Fax: (503) 628 -6214 (Due upon application.)
CCB lie.: 154333 Total permit fees:
a Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: David M Phipps Date: 007-01-08 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \FPS- PermitApp.doc 03/23/06 440-4613T(11 /02 /CO(1AVEB)