Permit t 411 T
a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00576
° COMMUNITY DEVELOPMENT DATE ISSUED: 12/7/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AA - 09100
SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE
SUBDIVISION: TIGARD CORPORATE CENTER LOT: OOC JURISDICTION: TIG
Project Description: Fire sprinkler TI - add /alter (2) sprinkler 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: 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: 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: $ 500.00
Owner: Contractor:
HOUSEHOLD CREDIT SERVICES DELTA FIRE INC
12447 SW 69TH AVE 14795 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97224
Phone: 503 - 686 -2083 Contact #: PRI 503 - 620 -4020
FAX 503 - 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/7/2006 $62.50
[TAX] 8% State Surcharl 12/7/2006 $5.00
Total $67.50
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 OU - calling 503.246.6699 or 1.800.332.2344.
Iss d By: 6,(0t4i4.-li-P--/
Permittee Sig ature: /14 /G`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.
Firc,j'rotection System
' Building Permit A FOR OFFICE UST. ONLY
Tigard of Ti Received d . Pemi No •
•J g lhteB . a �11�1 , 1 �/� . u PW "� ` � 5 7,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
B Phone: 503.639.4171 Fax: 503.598.19OEC U 7 2006 Date/13 . Other Permit:
T I G .1 It D Inspection Line: 503.639.4175 Date ReadyBy ®See Page 2 for
Internet: www.tigard- or.gov p I o e p � `, �� / '� `� Notified/Method Supplemental lnformatiom
TYPh1t �ql 1 �,1�11Y1�/
rstm REQUIRED DATA: I- 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
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ I- and 2- family dwelling Comercial /industrial
Valuation: S
m
❑ 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: 11/41`'( hw ( 1i Ale New dwelling area: square feet
City /State/ZIP: r'AC n k c Garage /carport area: square feet
1
Suite/bldg. /apt. no.: G I Project name: H 6')c,, Covered porch area: square feet
Cross street/directions to job site: VV 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.
\f e. 5prinlhlex (2,) Valuation: S Fyy'\ . c
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
A APPLICANT ❑ CONTACT PERSON NOTICE
Business name:1A t� RC, All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board
Contact name: i- - 4t &1ef
under ORS 701 and may be required to be licensed in the
Address: iclit r 6 s 79 Z jurisdiction in which work is being performed. lithe
City /State/ZIP: t�r�r tea►c'�. 0 — 1 9-014 applicant is exempt from licensing, the following reasons
/- ^ apply:
6,2 9,/
Phone: (603) O' N o Fax: : 6 05) to g..0 U 'KJ5
E-mail :Ma'kiia[ . elo kIC.. Go (A.
�.
CONTRACTOR BUILDING PERMIT FEES*
Business name: �M �tr2 (Pleaserfertofeeschedule)
I , y � Permit fee:
Address: I Lli r) f)IJJ 7a ac AVM.,
State surcharge (8% of permit fee):
City/State/ZIP:
Q(.4\ 1yjt lk Cria.g.14 FLS plan review (40 %ofpermit fee):
Phone: (t j z� ( — 110 Fax: (660•)6 — 1058 (Due upon application.)
CCB lic.: &I II 7cA Total permit fees:
Amount received:
Authorized signature: j /(4•3/4_ — This permit application expires it'll permit is not obtained
Print name: Nell .- be brae k Date. l /5/0 Cr • within 180 days after it has been accepted as complete.
Flea, ` Fee methodology set by Tri- County Building Industry
Service Board.
11Building \Perm its \FPS- PermitApp.doc 0323/06 440- 4613T(11 /02/COM/WEBI
1 r'
City of Tigard: Fire Protection Permit Checkl ' . ' ,,4
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.
,r Alteration 0 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
J wet ❑ Dry
Additional Standpipes Vk)
Information: Hazard Group l,'`�
Density Niq
Design Area
K. Factor
Sprinkler Project Valuation: $ fi00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ AJ A-
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: _ $ tJk-
D.) Residential Sprinlder (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
Sprinlder Project Square Footage: ^ l sq. ft.
Fire Protection Permit Fees / v
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $ ( ( 9,1=7n
Permit fee based on square footage (see D above): $ AAC
State Surcharge (8% of permit fee): $ ,
FLS Plan Review (40% of permit fee): $ JJ J
TOTAL: _ $ ( •7 5)C)
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.
L \ Building \ Permits \F PS- Permit App.dox 2
I
. CITYQF TIGARD FOP
BUILDING DIVISION PERMIT Z04V& - G~S7fc
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 Lk
Inspection Requests (24 Hrs.): (503) 639-4175 /
INSPECTION WORKSHEET FOR DATE:( 7 TIME: PAGE:
SITE ADDRESS: (ZA4-7 Stu CLASS OF WORK:
SUBDIVISION: LOT TYPE OF USE:
PROJECT NAME: H 0705E Oczj~> C&ffb j j-
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: -~NF--LTA PHONE
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Tlq
d~z-43~ ~ l
Corrections/Comments/ Instructions:
t
[ZIPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
-7
Inspector: Date: C Phone (503) 718- ~