Permit t. BUILDING PERMIT
. r. CITY OF TIGARD
PERMIT #: BUP2005 -00646
Jl�l DEVELOPMENT SERVICES DATE ISSUED: 12/29/2005
. 6= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S133AD-02200
SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE ZONING: R -7
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI - addition to Fire alarm phase 2
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: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET? Y
OCCUPANCY LOAD: 71 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: 25 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 3,918.00
Owner: Contractor:
WESTGATE BAPTIST CHURCH ADVANCED SECURITY & FIRE
12930 SW SCHOLLS FERRY RD 2218 NE SUNRISE LN
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: Contact #: PRI 503 - 519 - 4550
FEES Reg #: LIC 152853
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/15/200f. $81.70
[TAX] 8% State Surchari 12/15/200: $6.54
[FLS] FLS Pln Rv 12/15/200: $32.68
Total $120.92
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 direct questions to OUNC by
calling 503 -246- 99 0 1- 800 -332- 44.
Issued By: , Permittee Sig nature:( ,tom ( Zi___,
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 5a/ / L
Fire Protection yste ®P�10S-;.��
B u i l i � Permit Applications` t FOR OFFICE USE ONLY •
City of Tigard �1 l O � D em Received . / Ag1 /A Permit No.: R. „ _OD .„ _
13125 SW Hall Blvd., Tigard, OR 97223 ; , LO Plan R eview
Phone: 503.639.4171 Fax: 503.598.1960 'F' //�N 'gi+h;�i{i il), Date/By. -� ' Other Permit:
Inspection Line: 503.639.4175 Dis_ ^`I_IL \ Date Ready /:y: 11111/r tu�ns ® See Page 2 for
Internet: www.ci.tigard.or.us �' D \ J1 .-' Notified/Method: , rCy Supplemental Information
v
TYPE. OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the v lue of the work performed.
Indicate the value (rounded to th nearest dollar) of all
A Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhe , and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ 1 - and 2 -family dwelling 42 Commercial /industrial Valuation:
❑Accessory building El Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: •
JOB' SITE INFORRMATION_AND_LOCATION Total number of floors:
Job site address: 1,o7&0 ..w / gp o' 4-v `- _ New dwelling area: square feet ` ��
■
City /State /ZIP: 7,' i9rd ,7l< 9 /eld 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:wd j f,3,94)• e 8,4 .4 I Covered porch area: square feet
Cross street /directions to job site: t^ b!i r Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 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
nn 7( _ DESCRIPTION OF WORK work indicated on this application. Oa
/T I 11 r / O n *O F , ,-' e /91 !'
4 r Sys 1 1 e • Valuation s 3 7/6
s/ si
building area: square feet
New building area: square feet
• '❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups: E- ere 71
City /State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
.. a APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: j9d v /9 'Iced � Se c t / l r ; - 1- / 0- Fire._ All contractors and subcontractors are required to be
Contact name: D /9 v / / d /' A v j �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 02.2 ) g N,F S44 6 r, ; se n , jurisdiction in which work is being performed. If the
City /State /ZIP: /4 j /is bO r . eR q) {,v.4 applicant is exempt from licensing, the following reasons
apply:
Phone: (.503 514- /15.5() Fax: : (503) 6 D g31 I
E -mail: a ,9 v, d _ in or/ v; k /',' sn . corn
. CONTRACTOR
Business name:
) ' ' BUILDING PERMIT FEES* •
Address:
Please refer to fee schedule.
City /State /ZIP:
Fees due upon application
Phone: ( ) Fax: ( )
Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Q , y)(2 Date: /,^ 1 / / 1�1Q 5 * Fee methodology set by Tri- County Building Industry jtj //i Service Board.
i:\ Building \Pernits\FPS- PennitApp.doc 12/03 440- 4613T(11/02/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 -1 0 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B) Type I - THnneI Fi S System -
Type 1 Hood Suppression VUUt VIl I.J *L
Hood Project Valuation: $
C.) Fire, Alarm "
Submittal shall Battery Calculations g Yes
include: Individual Component ,®, Yes
Cut Sheets
Fire Alarm Project Valuation: $ 3, Q 17. Od
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.
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.
I: Building \Permits\FPS- PermitApp.doc 2
i
CITY OF TIGARD . . F .
BUILDING DIVISION } PERMIT #: t:3UP200&OQ i6 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1729/2(05
Phone: (503) 639-4171 411 I I t
Inspection Requests (24 Hrs.): (503) 639 -4175 t__..
INSPECTION WORKSHEET FOR DATE: 1/4/2006 TIME: 6: i9AM PAGE: 34
SITE ADDRESS: 10730 SW 130TH AVE MULTI CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTGATE BAPTIST
DESCRIPTION: TI - addition to Fire alarm phase
OWNER: WESTOATE BAPTIST CHURCH, PHONE #:
CONTRACTOR: ADVANCED SECURITY & FIRE PHONE #: 503-6 194550
Inspection Request Scheduled For: Date: 1/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
98 Alarm final 024340-01 &)3 -572- 7379 N
Corrections /Comments /Instructions:
0101 A _ 4 1111110 • ,
A 4411 1 1 1,1 la , V 3 (,ag/
P c t I o
C
yN PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: V f) Date: 1 Phone #: (503) 718 -