Permit a CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00521
°- ` COMMUNITY DEVELOPMENT DATE ISSUED: 11/21/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D C - 00100
SITE ADDRESS: 15675 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
Project Description: Fire sprinkler for rack storage.
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: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 7,500.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRE SYSTEMS WEST INC
15350 SW SEQUOIA PKWY #300 600 SE MARITIME AVE #300
TIGARD, OR 97224 VANCOUVER, WA 98661
Phone: 503 - 624 -6300 Contact #: PRI 360- 693 -9906
FAX 503 - 289 -2208
FEES Reg #: LIC 49732
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/31/200E $120.10
[TAX] 8% State Surcha 10/31/200E $9.61
[FLS] FLS Pin Rv 101311200E $48.04
Total $177.75
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: (t—tsd1 Alw Permittee Signature:
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.
i s 9� to
' Fire System
Building Permit Application l'(R Ol I ICI•: I»I: ( )NI.l ,
t Ci of Tigard COVED �'
}� /D ` . 1 g RE Date/B� / DAM _ , �j 1' Pemut No.: 0 ,� -e 415?
IN ° 13125 SW Hall Blvd, Tigard, OR 9 7[22 3 Plan Review ��
Phone: 503.639.4171 Fax: 503.598.19r • T :3 1. 2 00 6 Date/B . Other Pet-nit:
f i G n r p Inspection Line: 503.639.4175 ll Date Read y: ■ DM ® See Page 2 for
Internet: www.tigard - or.gov CITY O F TIGARD Notified/Method Supplemental Information
ILDING DIVISIO
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
• O' 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 p2I 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: i 5675 5 t..t) '7 kip fiv4 New dwelling area: square feet
City /State/ZIP: -f 6,4-it-r? 6R- Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: t) r e elQ(.F geriCi 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.
F 0 pm-c, c.P ' /V 672— 1 /f%NL/ C Valuation: $ — 7 j O 0
/ad)
A144-69--f, Existing building area: square feet
New building area: square feet
• J PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name: Ai i`,(‘ Type of construction:
Address: O/ar lia' J /SR_ AMA/ 12A- / VK Occupancy groups:
City /State/ZIP: FE' 'v pic [S L, Existing:
Phone: 6x3 ) — MO 4 Fax: ( ) New:
AP APPLICANT ❑ CONTACT PERSON NOTICE
Business name: F (gLS $rzr,
V' ' S f,/0/ — All contractors and subcontractors are required to be
Contact nameJS y/ s f licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6o O S C 010)12-( T) rm i4V 06 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
• City /State/ZIP: win/ &vV , 4...)4 Q9G ' 7 -- apply:
Phone: Q6O 6 93 ?I 0 w I Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: 'F51_,A
(Please refer w fee sr hedule)
. Permit fee:
Address:
State surcharge (8% of permit fee):
City /State/ZIP: o
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application)
CCB Iic.: 4 .7 7 7 L Total permit fees:
Authorized si att-n r>�/ Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name) i S j (w7Ost;1/ Dater /0-3 I - p �+ * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Pamits\FPS- PcnnitApp.doc 0323/06 440 -46131 Il /02/COM/WEB)
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: ‘,O
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Ijij Wet ❑ Dry
Additional Standpipes
Information: Hazard Group p"_
Density
Design Area
K. Factor 6, (p
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: 1 $
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: 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 (8% 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:\ Buildin \Permits \FPS- PermitApp.doc 2
CITY OF TIGARD =��
BUILDING DIVISION PERMIT #: BUP2006 -00521
13125 SW Hall Blvd., Tigard, OR 97223 = DATE ISSUED: 11121/2006
Phone: (503) 639 -4171 1' 1 1 1 1 1p
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' �,i- " I
INSPECTION WORKSHEET FOR DATE: 11128/200 €; TIME: 7 :03AM PAGE: 57
SITE ADDRESS: 15675 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE GOLF .
DESCRIPTION: Fire sprinkler for rack storage.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693-9906
Inspection Request Scheduled For: Date: i1129/2006 Pour Time:
t�
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 040273 -01 360-693-9906 Y 1
Corrections /Comments /Instructions: – A5 -
, Iv - - -• i — - . . _ 'MI/ I
- e____
.----
E PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ F. F"I 1 CA FOR INSPECTION ❑ ADDITI NAL ES ASSESSED
Inspecto 407/0 Date: U'v Ze (O Phone #: (503) 7187-4
1