Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00560
°' ` COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 200 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: THE PARTNERS GROUP. Fire sprinkler, (156) 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: 3N : 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: 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: $ 18,453.00
Owner: Contractor:
LEISER, ANNE TRUSTEE DELTA FIRE INC
6009 SW PENDLETON CT 14795 SW 72ND AVE
PORTLAND, OR 97221 PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 620 -4020
FAX 503 - 620 -1058
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/21/200E $225.70
[BUPPLN] Pln Rv 11/21/200E $90.28
[FLS] FLS Pln Rv 11/21/200E $18.06
Total $334.04
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. 10, \,,.."-ca,64,'L�P./, ,4,_!
Call 503.639.4175 by T: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.
r Fire Protection System_) ?1 3 6to 4 $$ /Pe ae
Building Permit Application FOR OFFICE USE ONLY
City of Tigard i ., , 7rnS Received - _ a 6 � Permithfo �eJ/ -- a) .. •
. / a 13125 S W Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.196 �,_ . �� ;r Other Pemut.
� Jr v:i y DatdH.
Inspection Line: 503.639.4175 Q- tc ,_e<, :; ',b ,: i ^'?s� Date Ready/By. 63 See Page 2 for
T I G n It D Notified/Method: Internet: www.tigard or.gov Supplemental Information
TYPE OF WORK 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
g 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 ig Commercial /inustrial Valuation: S
d
GI 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[/ ry-- t /7 t & ei x j ,, . New dwelling area: square feet
City /State/ZIP: "ri cLusts d f OR Garage /carport area: square feet
Suite/bldg. /apt. no.: A Project name:The, Vc.As teas 6,mi ) , p 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.
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.
'rife_ $ � % 453
rife_ �jprallilter 1
Existing building area:/ a feet
■
New building area: `� square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: Q
Name: Type of construction: Z
Address: Occupancy groups: re
City /State /ZIP: Existing:
Phone: ( ) Far: ( ) New:
ksi APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 17,0Act F ' €, ri All contractors and subcontractors are required to be
Contact name: 0�P licensed with the Oregon Construction Contractors Board
.1� under ORS 701 and may be required to be licensed in the
Address: j "17c (),3 7a Me__ jurisdiction in which work is being performed. If the
City /State/ZIP: Pt��nra. OR R7 Au
applicant is exempt from licensing the following reasons
a a p I
Phone: (5 49 t�4 Fax: : 4'503)(0 `r}0 - toss
E-mail: U' GC mli aS cz t�¢1} f'� sire -. ..0 OM
U
CONTRACTOR BUILDING PERMIT FEES"
Business name: a i k .r rv . (P��Rl�rofeesrhedule)
Permit fee: 7 j. 76
Address: I q 74e, 6 w 7ata A4P _ o P'.'
City / State/ZIP: ` 1�C r4taYlek O P\ g7aau State surcharge (40% of permit fee): �. oC�
FLS plan review (40 /o of permit fee): q ^
Phone: (0D3) &G - (,L ' 0 Far: (C50�1��'' LOV� (Due upon application.) 1U r0•
CCB lic.: co u 7N f/ Total permit fees: V534 . 0C1
q Amount received: S ''5,/, ey
Authorized signature: A cec t i:
..4t, � ,eP This permit application expires if a permit is not obtaine d
Print name: I.I,eid; Jcc r �(d t12 IA _ Date: Ei/ /0( * within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
I:'\ BuildingPcnniNWPS-Permitlpp.doc 03/23/06 4404613T(1 I /02/COM/WEB)
1
r
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe iciik'to be .done: ?
1.) ❑ New 2.) Modification to sprinkler heads only:
pt. Addition ❑ 1 - heads: No plan review required.
Alteration a 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 16(
Additional description of work:
Type of• System (Complete A, B,' C or D as applicable)
A.) Commercial Sprinkler
( Wet ❑ Dry • -
Additional Standpipes yJ�
Information: Hazard Group L � •
Density ,IJ�
Design Area UJ R
K Factor S - G Z
Sprinkler Project Valuation: $ vs tib5
B.) .Typel Hood Fire Suppres System .
Hood Project Valuation: $ h
C:) Ftre Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ 4 .J A-
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 $29150
7,201 and greater $381.50
Sprinkler Project Square Footage: PG sq. ft.
. Fire Protection Permit :Fees '
Project valuation subtotal (see A, B & C above): $ I .q 1 3
Permit fee based on project valuation (see fee schedule): $ a
Permit fee based on square footage (see D above): $ /J •
State Surcharge (8% of permit fee): $ 1$,CCo
FLS Plan Review (40% of permit fee): $ C 'Q, as •
TOTAL: $ 33q. Oct
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:\ Buildin Permits\ FPS - Permit- \pp.doc '7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: RUP2006- 00560
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121137200E
Phone: (503) 639 -4171 A A,
In Requests (24 Hrs.): (503) 639 -4175 "' I L
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7 :01AM PAGE: 26
SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMO► - LOT #: 008 TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: THE PARTNERS GROI . Fire sprinlder, (15 heads.
OWNER: LEISER, ANNE TRUSTEE, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620.4020
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 044518.01 503 -620 -4020 N
Corrections /Comments /Instructions:
i.
di"
4 PASS , P - AL APPROVAL ❑ CANCEL El NO ACCESS
❑ , IL '/ CA FOR INSPECTION ❑ ADDITION AL F. S ASSESSED
0 /
■ Inspector: � Date: ∎ Phone #: (503) 718 -
Nth
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: 13uP2006.0o56o
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (503) 639 -4171 'Ay
w�
Inspection Requests (24 Hrs.): (503) 639 -4175 ._' F�' L.
INSPECTION WORKSHEET FOR DATE: 3/2/2Q07 TIME: 7 : 00AM PAGE: 39
SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 005 TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: THE PARTNERS GROUP. Fire sprinkler, (156) heads.
' OWNER: LEISER, ANNE TRUSTEE, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 044244 -0 503-572-2795 N
Corrections /Comments /Instructions:
I / ilk fair
la I1
✓ors /11 -or o Aram
' ' 1
_ if
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI • NA FEES ASSESSED
Inspector: `r / Date: P hone #: (503) 718- `" \
1�