Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
C ITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00419 ,c., �� DEVELOPMENT SERVICES DATE ISSUED: 7/9/03 '=- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13535 SW 72ND AVE 170 PARCEL: 2S101 DC -00200 SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: JURISDICTION: TIG 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: 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: $ 1,090.00 Remarks: Relocate (6) fire sprinkler heads and add (3) for tenant improvement. Owner: Contractor: PACIFIC NW PROPERTIES LTD PTNSHP AFP SYSTEMS INC 9665 SW ALLEN BLVD STE 115 19435 SW 129TH BEAVERTON, OR 97005 TUALATIN, OR 97062 Phone: Phone: FAX- 692 -1186 Reg #: 51:0692-9 LIC FEES LIC REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 7/9/03 $62.50 Sprinkler Final [TAX] 8% State Tax 7/9/03 $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 -00 0 threugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by call' g (503) 246 -669 qr 1- 800 - 332 -2344. Iss d By: (S--04--- (S--04--- Pe mi ittee 0°0 � Signature: k_ I. Call 639 -4175 by 7 p.m. for an inspection the next business day t Fire Protection System FOR OFFICE USE ONLY Building Ftrmit Application Received Building g Q y DateBy: 7 3 Permit No.:OU ,266 - 00 // City of Tigard Planning Approval Other DateBy: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 D/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 �. , 11,91011- Post - Review Land Use w e.' Internet: ww.ci.tigard.or.us Date/By: Case No. '' Contact J See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: l ® Supplemental Information TYPE OF WORK REQUIRED DATA: ❑ New construction ❑ Demolition 1 & 2 FAMILY DWELLING f Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling [l Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: Job site address: 1 3 535 S .I,J . 7a...— Total number of floors New dwelling area (sq. ft.) Suite #: Do 1 Bldg./Apt.#: Garage /carport area (sq. ft.) Project Name: & , ' .,l Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: 1 Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, 1 12 ICJ j 3 overhead and profit for the work indicated on this application. Valuation $ (2 Pe)t Existing building area (sq. ft.) New building area (sq. ft.) Number of stories _ ❑ PROPERTY OWNER I ❑ TENANT Type of construction Name: pNf p Occupancygroup(s): . Existing: New: Address: 9 6. b5 5 W Q LLAS wd %Li - 11S City /State /Zip: o D P Phone: (231 Fax: NOTICE: All contractors and subcontractors are required to be ❑ APPLICANT ❑CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: pE P S s- ew-S =ry c. jurisdiction where work is being performed. If the applicant is exempt Contact Name: stn. � +�rr from licensing, the following reason applies: Address: 1 q y35 S w 1 1 a-°1 t. City /State /Zip: - '11.4eci_.,wAr14 00 Phone: 612_12VA I Fax: 612 --11$b BUILDING PERMIT FEES* E -mail: J 0 A-Pe S't S , CO'"' Please refer to fee schedule. CONTRACTOR n Business Name: A FP U Fees due upon application $ Address: 1014 5 S S . W , v 1 ° I ` City /State /Zip: Tveac ©g Amount received $ Phone: 1,90_.- 4 Fax: V/2 Date received: CCB Lic. #: 67 63`'1 Authorized ) .fr, Notice: This permit application expires if a permit is not obtained within Signature: < � Date: 7 — 9 , b3 180 days after it has been accepted as complete. 3 V1• u E *Fee methodology set by Tri -County Building Industry Service Board. (Please print ame) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 Fire Protection Permit Check List Describe work to be done: A.) ❑ New B.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. -- Alteration ❑ 11+ heads: Plan review required. Li Repair Number of sprinkler heads: Additional description of work: 244231,0 041A 0_ ilatut• Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet 'A Dry ❑ Additional Standpipes Information: Hazard Group L. 4,b4-1- Density . d0 Design Area 15b0 K. Factor S, L Sprinkler Project Valuation: $ /0 7 " B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component 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: R 60 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. is \dsts \forms \FPSchecklist.doc 02/28/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -41'71 MST 1 k SUP 4ef I Received Date Requested 7 -R -1 AM PM BUP Location 1 C3 S 7 Suite 170 'MEC Contact Person e Ph (_ ) 6 ?a PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall e pri ler Fire larm Susp'd Ceiling Roof Other: PART FAIL P UMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line L ADA Date / G' f = Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL