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Permit t _ v CITY OF TIGARD BUILDING PERMIT ° PERMIT #: BUP2008 -00240 ° ' COMMUNITY DEVELOPMENT DATE ISSUED: 9/29/2008 TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CC -00500 SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C - G SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG PROJECT: H MART Project Description: Hood fire suppression system. • 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: 2N : sf N: S: E: W: OCCUPANCY GRP: M 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: Y SMOK DET:U DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,150.00 Owner: Contractor: 13500 PACIFIC CORP GUARDIAN FIRE PROTECTION BY CAP ADVISORS 1012 SWA ST 38345 W TEN MILE RD, STE 170 CORVALLIS, OR 97333 FARMINGTON HILLS, MI 48335 Contact #: PRI 541 - 752 -2258 Phone. FAX 541 - 752 -4259 Reg #: LIC 100355 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee • 7/10/2008 $69.65 [TAX] 12% State Surcha 7/10/2008 $8.36 [FLS] FLS Pln Rv 7/10/2008 $27.86 [BUPPLN] Pln Rv 7/10/2008 $45.27 • Total $151.14 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 503.2 - ! or 1.800.332.2344. Issued = / � % , Permittee Signatu ^ ,��� , ,.il l"' ._ 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. • • - MA2T 1 c I /-/Grp )3 bon 5 W PAC —TF- - c— N tA) - Ming Permit Application Fire Protection System FOR OFFICE USE ONLY City of Tigard ` Received ` Date/13 : 7 j��� Permit No.: • .: --00 v III • 13125 SW HaII Blvd., Tigard, OR 97223 V Plan Review C . Phone: 503.639.4171 Fax: 503.598 .19 �` " Date : • 0 , Other Permit: �, _� a ... e`; T I G A R D Inspection Line: 503.639.4175 � ® Date/13 Ready/By: No tified/Method: 7 /� ��� See Page 2 for Internet: www.tigard- or.gov k _ / ` Supplemental Information _ t • . / i«. A. TYPE OF WO ' ("-i REQUIRED DATA - AND 2- FAMILY DWELLING N I ❑ New construction ❑ DVV�� • performed. i op��? Permit fees are based on the value of the work p �� Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ 0, equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling J 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: /3 (0 pQ .._ , C - 7 - ` , r (,.. New dwelling area: square feet City/State /ZIP: �y� 9 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 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: 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. Gam, ,4-- Valuation: $ 2.. it /; / Existing building area: square feet �T�/ 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: 5, CI l / c ) 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 apply: Phone: ( ) I Fax:: ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: 6 4 � ) /--- - ed. P 7- (Please refe Permit el ` . Permit fee: 6 Cg— Address: /c9 /_ S. C `i S State surcharge (12% of permit fee): -5 t e.� s7 3 (40% 1--. • 36 City/State /ZIP: �y,( (/ . � � � FLS plan review (40 /o of permit fee): � 0 Cw Phone: ( S1t � ) 7 5 5 - 'z, - S ' I Fax: (Sit f )— '7 _ _ 4-1›. s- 7 (Due upon application.) p CCB lie.: /ao 3 e rmit fees: L a-7 Authorized signature: -"----f------- Amount received: /51. ` This permit application expires if a permit is not obtaided Print name: r T 7 q e / � U 6 .,.--- © Date: 7 -A2- e within 180 days after it has been accepted as complete. ' Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building 'Permits\FPS- PemtitApp.doc 03/23/06 4404613T(l1/02/COM/WEB) /FPI- a ' City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: _ 1.) ❑ New 2.) ' Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: _ Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ ; -S('7 , 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. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 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 \Penmts \FPS- PermitApp.doc 2 INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: `N 100.1 --0mA° REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description PASS Date 1 By ✓ Code Inspection Description • PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation - 105 Underground /slab cover - 410. Fill 110 Temporary electrical service • 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135. Low voltage 220 Slab 140 Sign installation 310 Crawl drain • 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: • 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 • Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295. Misc. inspection: . 620 Hydronic,piping 899 MFG - Structure final 625 Duct work 498 • Grading final 630 Fire damper _ 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing undetslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing • 998 Alarm final 320 Plumbing rough -in 5(999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415. Grading 395 Misc. inspection: 205 . Footing _ 399 Plumbing final 210 Foundation walls • 215 Footing drain . • 420 Sprinkler supply lines SWR - Sewer Permit • • 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: • 499 Final inspection _ 599 Final inspection t: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07