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Permit 4 1 /1 '' ' v CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00379 COMMUNITY DEVELOPMENT DATE ISSUED: 12/19/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 113AA - 00400 SITE ADDRESS: 16260 SW 72ND AVE B2 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT: 018 JURISDICTION: TIG PROJECT: AMSOIL Project Description: Fire sprinkler TI 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: 2 -1 HR : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 55 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,840.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES DELTA FIRE INC 15350 SW SEQUOIA PKWY #300 -WMI 14795 SW 72ND AVE PORTLAND, OR 97224 PORTLAND, OR 97224 Contact #: PRI . 503 - 620 -4020 Phone: FAX 503 - 620 -1058 Reg #: LIC 64174 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/25/200E $76.80 [TAX] 12% State Surch 11/25/200E $9.22 [FLS] FLS Pln Rv 11/25/200E $30.72 Total $116.74 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 B : � / j/ _, ��y Permittee Signature: ,r , '�1% "t I l %�� 4 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. ,e 2 LeO c li0 72 r d . • Fire'Protection System • Building Permit Application � rO ll ()Fri( l l u s a: ()N1.1 City of Tigard C� . ,.. Da : // Cam/ ell. w�'� Perm No. ■ i t " . „„e0 37 li g II e 13125 SW Hall Blvd., Tigard; OR 1,. Plan Review — eV Phone: 503.639.4171 Fax: 503.598.1W 4 TO Date/By: 4 ' "I it CB Other Permit: . i C ` it D Inspection Line: 503.639.4175 \AQ\1 Date Ready/ :y: h J ® See Page 2 for Internet: www.tigard- or.gov � A A° N 1 l � \ A Notified/Method: /} 4, or I Supplemental Information rr 0 ■ s� a •l 4 . _ iJ.1 a ,, r 7 TYPE OF ' i!'ai 1 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 ® 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 ® m Comercial/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: 16260 SW 72 Ave. New dwelling area: square feet City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet Suite/bldg./apt. no.: I Project name: Oregon Bus. Park I Amsoil 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. Fire Sprinkler Valuation: $$3,840.00 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: ® APPLICANT tEl CONTACT PERSON NOTICE Business name: Delta Fire, Inc. All contractors and subcontractors are required to be Contact name: Heidi Scarbrough/Eric Loewer licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 14795 SW 72 Ave jurisdiction in which work is being performed. If the City/ State/ZIP: Portland, OR 97224 applicant is exempt from licensing, the following reasons apply: Phone: (503) 620 -4020 Fax: : (503) 620 -1058 E -mail: heidis @deltafire.com CONTRACTOR BUILDING PERMIT FEES* Business name: Delta Fire, Inc. ( Teter rotes selueals) Permit fee: Address: 14795 SW 72" Ave. State surcharge (8% of permit fee): City/State/ZIP: Portland, OR 97224 FLS plan review (40% of permit fee): Phone: (503) 620 -4020 I Fax: (503) 620 -1058 (Due upon application.) CCB lic.: 64174 I Total permit fees: Authorized signature: 1 / Amount received: �� I J........_ T his permit application expires if a permit is not obtained Print name: Heidi Scarbrough I Di. 11/19/08 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1:1Building \Permits \FPS- PemitApp.doc 03/23 /06 440- 4613T(1I /O2/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. ▪ Akeration ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 24 Additional description of work Type of System (Complete A, B, Cor D as applicable) - • A.) Commercial Sprinkler ® Wet ❑ Dry Additional Standpipes NA Information: Hazard Group Light Density 0.10 Design Area 1500 K. Factor 5.62 Sprinkler Project Valuation: $ 3,840.00 B.) Type I - Hood Fire Suppression System Hood Project Valuation: 1 $ NA C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ NA 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: NA sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ 3,840.00 Permit fee based on project valuation (see fee schedule): $ 76.80 Permit fee based on square footage (see D above): $ NA State Surcharge (8% of permit fee): $ 10.07 FLS Plan Review (40% of permit fee): $ 33.58 TOTAL: $ 127.60 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:\Budding‘Pamits \FPS- PamitApp.doc 03/23/06 440- 4613T(II /02JCOM/WEB) CITY OF TIGARD -. BUILDING DIVISION PERMIT #: pUp�2003- 00379 13125 SW Hall Blvd., Tigard, OR 97223 / --' DATE ISSUED: 12,+19 /2008 Phone: (503) 639- 4171Ip p �� l Inspection Requests (24 Hrs.): (503) 639 -4175 6 _—.. INSPECTION WORKSHEET FOR DATE: /2122/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 7 16260 SW 72ND AVE 14VE B2 CLASS OF WORK: `� SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE: ,, PROJECT NAME: AMS( }IL f DESCRIPTION: f�iro sprinkler TI 4. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: DELTA FIRE INC PHONE #: 503-620.4020 Inspection Request, Scheduled For: Date: 12/22 /2008 Pour Time: Code # Inspection Description . Confirm # Contact # Mes- - • �-�-- Final inspe :. 07918.4-01 503-956-6290 C ns /CommI! struction • N d ' l£ -q - •-e• kriSe. e - IC it C,l■ i r e ( — — — e ll— ---- • ..y b t Q i` , . : , PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. Vt G' V . Date: 1 7/A0 91° Phone #: (503) 718- " = -1 ;, -