Permit BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2005 -00318
t ; , , iliki DEVELOPMENT LOPMEN
TSERVICES -639 -4171 DATE ISSUED: 7/21/2005
- 13125 PARCEL: 2S112DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 105 ZONING: I -P
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK LOT: 004 JURISDICTION: TIG
Project Description: Adding (44) sprinklers.
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: $ 4,020.00
Owner: Contractor:
PACIFIC AMERICAN PROPERTY EXCHAN AFP SYSTEMS INC
PACIFIC SANTA FE CORP 19435 SW 129TH
17700 SW UPPER BOONES FERRY RD TUALATIN, OR 97062
PA Ig1LAND, OR 97224
Phone: 503 - 692 -9284
FEES Reg #: LIC 67534
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 7/7/2005 $7.30
[FLS] FLS PIn Rv 7/7/2005 $36.52
[BUILD] Permit Fee 7/7/2005 $91.30
Total $135.12
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 -• , ,99 or 1- 800 -332 -2 e . _
Issued By: iii._ /, ,r_ .40, ., /t, 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.
„; JSS S&i 7y�it
d Fir Protection System
Building Permit A�
�? pp;l�; 1 U � E j FOR OFFICE ONLY � ` ' ^' `s +a : . a : •
u 11 City of Tigard Receive
Re
0 ._. s P ermit N.. 1�..�.2 GO
—3
13125 SW Hall Blvd., Tigard, OR 97223f 1 Plan Review Q•�
Phone: 503.639.4171 Fax: 503.598.066i . 0 7 2005 - 4 ,'�+dtl ' bil�i ep tj Date/B �� /� Other Permit:
Inspection Line: 503.639.4175 ' " „V`' ' e iv Date Ready/By .� Ill/ a See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: f .. / 1 '� Supplemental Information
BUILDING DIVISION ) • a o c .
.4 e ,._ , s . 's. re ' sb, F . '* : + tx E, »+- y z. c"- - ^e"'.. s - -. - 'r ' s ; utr s ;,� „,�:.a. s ou r . t r
fi i . a t x : . 4 � l i g r OF r U' .:
�.,,� ,�. ,� .;_,� : �. `d 3, �;,.: , r« �...,.� °,.,� �,. RE iJ1REDDATA �`1 Al����,' �M , ”
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
`Addlhon/alteration/replacement Cl Other equipment, materials, labor, overhead, and the profit for the
,, , �' ; t - t s '+ } o work indicated on this application.
r , 4 a AT.EGOR OF CONSTRUE ION '
.t ... , . : m.: sue.. ,m•4.-; mat , w e , K1 , „, , -r:
El 1- and 2- family dwelling commercial /industrial
Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
r' ,,, r� 70BSIE lISFORIVIAT>yN ANDL�OCATION i Total number of floors:
"au.:.m :.. . .h +. , I;t. 21 a: ,. .a.... ; , . , s.. WZA ;. .. rs . v im: _ i,„;Wii ;. , iti, « ,,.
Job site address: / 5 s Leak 5 ii 3 1 -- FF, Ix New dwelling area: square feet
City/State/ZIP: ` f w� rptit; ✓ D � I - Garage /carport area: - square feet
Suite/bldg. /apt. no.: )65 Pr ect name: (1. /Dr / 0 p v ; Covered porch area: square feet
Crosss to job site: '/ /` Deck area: square feet
1—t�1 f 0 I t 3? it' J 444 z-5 - -rD& )-r' 1 A l el Other structure area: square feet
` - y ' r c y✓%- i� IRE TA eO C ``
Subdivisio 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
M ) '' D SCRIPTION OF = ORK work indicated on this application.
., .a.,.t,,, ,. e ..t,,.t<. -sv-. ,, _� ..,, .c ,-« ..,, -2 ?w, « ”, :r M*S4O , ,,+ wig, Ak .. . .. .: I
Valuation: $ -
Existing building area: C poCyquare feet
New building area: Cl/ iv ° Square feet
PROPERT ¢WN lg TEN N umber of stories:
� .��.�..1 ; , �. . r , e s,� � .�...,°�s ,� .... , .au4 .. .R.,a., ° A�. ,,._.e=- r.,'�, ..C�Sr....,.� ._,.�.. �.': 1 w ��.,
Name: 66 Cam. rt)64try Type of construction: ! (I 6
Address: . / CGL 5 S W . . A ✓� - ) 85 Occupancy groups: u i 7 y
City/State /ZIP: - f ; Z t 0 P , Existing: M
Phone: ( ) Fax ( ) New:
F , PLIC iT "u ' . .. �. ,,, C ON � T k A r4, P ER S O g " N -, � 3 , r t c, - t : _
�,,.... �;, s . ,a ear �.. n . ,�.';nL a �` fm. w„ „ � . .. i .,. � :��,�I .� -` O TI CE � � �
Business name: L ' - 0 5i. 5 TV S ) �� All contractors and subcontractors are required to be
Contact name: \ f i licensed with the Oregon Construction Contractors Board
Z ✓.�N �ib �'L� under ORS 701 and may be required to be licensed in the
Address: ) 411/ S 5 I ei —n-) • , 1/� r jurisdiction in which work is being performed. If the
City/State /ZIP: 1 /71Z '�� applicant is exempt from licensing, the following reasons
1 >t cl�(ac t�l r ) 1 . apply:
Phone: ( ) to L - (.7-2_ Yi 9. Fax:: ( ) LeTz it k.
E -mail:
s+ .s r ci<" .:a .f. . " r 'i �i #" , o-" g � i 3' .i
' ., ?. � y = , C ONTRACTOR' -t '.� i , d� _ `
�'"� . � a- . r *� , . ors.« �... .,.�,,. -. v b. �'��.a . 'v . -.a.,� �, � .. , .�'.. , .5�,..,aa�; .. ,� ,�fl �rr�,�.;1
Business name:
1 ` 1� `J �tM S 1 q} L er'BUILATI�GP,RMMIT FEES*
Address: / ,. ,.. ., �.rr, .. . :� ..
-- ' 7 c 1 ill � Please refer to fee schedule.
City/State /ZIP: `�
17 1_43e---
- 43e 1 ' 1 1 ►`� 1 o Z ( T L/ LQ 7 — Fees due upon application
Phone: ( ) f p e , q (c " Fax: ( ) c 1 ' 2 - ` I I %L
CCB lic.: lS ` Amount received
Date received:
Authorized signature: Cr---i T a permit is not obtained
within permit 180 days application after it expires has been if accepted as complete.
Print name: `,7 1 L Le Date: ,.,.. * Fee methodology set by Tri- County Building Indusny
1 — �' "' Service Board.
i:\Building\Permits\FPS- PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
Fire Protection Permit Check List
Ditatii60116o be done 1$ k x ..' ... i t, , 0 90 $
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: 4J
Additional description of work:
daps L k ►��� To � � 70 � tc,a'—
Jype of Systen (iCornplete A B, ° ,C or D as applicable) t x .h
A)..Commercia1S�rinkler��.. y rk 4
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group L--, 44-r
Density b
Design Area ,----
K. Factor 6 , (�
Sprinkler Project Valuation: $ 9 7 �) m�
Bn� 'WM Rood fire Snppresi on System
Hood Project Valuation: $
�s ... �� ..mod t & a, ;..
_ �.... , h� ��,��� � � �
Submittal shall Battery Calculations I I Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D Res `dentialS rink ler ( tandA to rie y `�"'� '°
�p , . � ,S item) A:����� �.• �� . ��� �x �����', ��::
Square Footage: Pen nit Fee: -4!-&17J,,
0 to 2,000 $187.50
2,001 to 3,600 ` ,
$232.50 4 o ,� w 94`mft
3,601 to 7,200 $292.50
7,201 and greater $381.50 w .
Sprinkler Project Square Footage: 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 Peniiit Fee: $
FLS Plan Review 40% of Peuuit 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.
i:\ Building\Forms \FPSchecklist.doc 12/24/03
CITY TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP2005 - 00318
Phone: (503) 639 -4171 � 7/21/2005
Inspection Requests (24 Hrs.): (503) 639 -4175 sag- I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
7/27/2005 7:15AM 50
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 15865 SW 74TH AVE 105 LOT #: TYPE OF USE:
PROJECT NAME: CREEKVIEW INDUSTRIAL PARK 004
DESCRIPTION: COGNEX EXPANSION
Adding (44) sprinklers.
OWNER: PHONE #:
CONTRACTOR: PACIFIC AMERICAN PROPERTY EXCHAN, PHONE #:
AFP sYCTEMS INC 50 692 9234
Inspection Request Scheduled For: Date: Pour Time:
7/27/2005
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 012203 -01 503 - 692 -9284 N
Corrections /Comments /Instructions:
1 �
,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL A CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 41161l Date: 7-27 Phone #: (503) 718 -
Imp