Permit d,.
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00039
, ili DEVELOPMENT SERVICES R9 I 503-639-4171
DATE ISSUED: 1/6/2006
- 13125 SW Hall Blvd.,
PARCEL: 2S 113AD -01700
SITE ADDRESS: 16940 SW 72ND AVE ZONING: C -G
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
Project Description: 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: : 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: $ 2,227.00
Owner: Contractor:
BRIDGEPORT LAND LLC WYATT FIRE PROTECTION INC.
3939 NW ST HELENS RD 9095 SW BURNHAM
PORTLAND, OR 97210 TIGARD, OR 97223
Phone: 503 - 241 -2875 Contact #: PRI 503 - 684 - 2928
FAX 503 - 684 -9657
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 1/6/2006 $72.10
[ BUPPLN] Addl Pln Rv 1/6/2006 $5.77
Total $77.87
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 quest;on. to •UN by
calling 503 -246 -6 9 or 1- 800 - 332 -234 .
Issued By: Permittee Signature: 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.
Fire i otection System
Building Permit Ap tio'f' fl FOR OFFICE' USE ONLY
" 11 L IL- L , Received /
City of Tigard DateB : Permit No,� A ._,, to , Oa
' 13125 SW Hall Blvd., Tigard, OR 97223 d Plan Revie
Phone: 503.639.4171 Fax: 503.598.19600 R 2O 6 yLrara'NI�q O l +� Date/By: Other Permit: .
Inspection Line: 503.639.4175 II Date Ready/By: 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD ,..4../A.04111,/%\
Notified/Method: Supplemental Information
BUILDING DIVISION
�M , q t r '� j `� y e.w _.. bxf "" `. ate^ _ -- r ... t w , }� r t#i s , 1 ' ssr ;e t tiro' - 3_ ti "v'r ii4 i •r � ,. r +:;5 .>u,. - j .
j n a ; 2, z ' l � TYPE ; W .),: vag,t+,�`.lf :+ . N ro 0 . �' RE DATA 1 1 A ND 2 FA ly1IL Y 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
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
,• s. � r, �aa� tip' work indicated on this application.
� ` .�i °- .,.3 trAted M : wC CATEGORY O C ONSTRLIC ION � ; , ._.. ,, ri . ,
4 ,." . . . ::ii .
Valuation: $
❑ 1- and 2- family dwelling ®- Commercial /industrial
❑ Accessory building ID Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
," ". � rJ dinoE' INFORlY1ATiamiD, +LOCATION x y y 1' t`"'
i ..w. . . z .', e� - - . ,.w.n, w. .. ,x ig.---,gym x it -a fw,. 4iaci:b a»t..A : "� c ;
Job site address: /6 9 . D Total number of floors:
- '7, Vo o�C c . New dwelling area: square feet
City/State/ZIP: - /4 j O2 -7,9, 4 Garage/carport area: square feet
Suite/bldg. /apt. so.: 'C' / Project name: 4. -c-O t -r /�— ' Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
, r `fr�•� #.s 1`'°fvl y ^,nxf 9:"i�,y�4�4all� 'w,y,.dsatF +6 +. ''u� n^x a �oxnr .
Q1J D DATA CO 1JSE C ECKLIST
Subdivision: 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
gnr t l" � ��p ` t DESCRIPTIOlS OF tWORite if ` i� i11x �� n � v," work indicated on this application.
4bb 9s Fie"AiKC25 . ic S G.- �61" Do,n5 /w4 .Valuation: $ / 2Z7 . 0-0
w / i t - L / l__ c Existing building area: square feet
New building area: square feet
tinz Zo #x wa r r s � sa
fa PROPERTY O ; WNER � ��d %1 4 � TENANT°t ,I ig Number of stories:
°i ..4, 4..- 1.,.,ro,lai uis* yogi' � .4,u L'+,4c...w...+�P!'s" i ititp. �. , x fk .m . 1:iiiglitr'ra. r t a;.,ptta
Name: Type of construction:
•
Address: Occupancy groups:
City/State /ZIP: Existing:
•
Phone: ( ) Fax: ( ) New:
ro ; yt,,, V a 11 ' ",,; " `+d31'dd:°x.,,_. { . rY _ 5 , . ,.x ' -' )' S S?Z iNti L C:,' rc .. a '� , . e-1 tto f
'�' t. .,,,,: a z, ,t , iSiii l : k21 .. t , U;' d �COLV:I'ACT P- ,ERSOly; .� r 4.. W, :i 1,, ,i aI�� w. . 4
_ I [J�. PLICANT � r v �4 .,, , 1 ,.. i y F- r s : NOT.ICE.,, • �+r�L,�x3r�'c»f -e�dn •t ... dE::s..e,u+`! +t?��S�.n'r�!4;'� dr_•,£'�i .�:�a �� `s.,z1 �,rSr *;3,s.�`:_ .: :ijff:�,..r,�x x. ... . G . � . � . ,.. ... - .
Business name: � �_E C C ' -n), 2 All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/ State/ZIP: apply:
Phone: ( ) Fax: : ( )
E -mail:
6 �"' s�, :3*,t t33x� t� !s''.r W3" '+'�` -� .^t�- "a'�•. -3'1 'sa�r - 3" yy sfi �+T�•.. h �§ �` } 1r^ iK'.� a .ai» .-
ic ,-.r g. ,-� s k i CalTRACTORts� 1- 2 2 ;; 5r { "P
g t:017 ,t F;i e •? *, r 1; ^; -ti�sr a . .u�•:z s,f: .:,�.rtr:a;c9.:i141'.n .'c Je.r47 ' ,��- ':T'SS A"! li'cli ,,s i at
Business name: 1A/ YA j'' // 1 --- P, D c,- Dl./ p '' BUIUDING PERMIT'F i
Address: 9 D 9 S J 4‹...) j Aj .--1- /t" l
Please refer to fee schedule.
City / State/ZIP: ��(� 9 1 pZa 3
Fees due upon application Q/�
Phone: (SO 3) &M. — 2 9 z. e, Fax: ( ✓'o3) 6 i, q- -' ' 7 r1�7. O
Amount received
CCB lic.: 6, 4077
Date received:
Authorized signature: f� / This permit application expires if a permit is not obtained
f✓ (/ within 180 days after it has been accepted as complete.
Print name: 6- ,447-7.+A N Date: Q / -06 -64 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Permits\FPS- PermitApp.doc 12/03 440- 46I3T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I3UR2005.00039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/6/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/26/2006 TIME: 7 : 03Atvl PAGE: 17
SITE ADDRESS: 16940 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Sprinker heads.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503 -341 -21375
CONTRACTOR: !WATT FIRE PROTECTION INC. PHONE #: 503 -634 -20213
Inspection Request Scheduled For: Date: 1/26i12006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 025737 - 01 50`. -684 - 2920 N •
Corrections /Comments/ Instructions:
Crimmi
6)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FO' INSPECTION ❑ ADDITIONAL FEES ASSESSED
*.41
Inspector: =,� Date: Phone #: (503) 718 - %5