Permit AL , BUILDING PERMIT
C ITY O F TI GARD PERMIT #: BUP2004 -00249
ll DEVELOPMENT SERVICES DATE ISSUED: 6/21/2004
-' "' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14650 SW 97TH AVE PARCEL: 2S111AC -02700
SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5
BLOCK: LOT: 037 JURISDICTION: TIG
REISSUE: 0 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: Mal 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: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 656 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: $ 27,678.00
Remarks: Fire sprinkler system for addition.
Owner: Contractor:
TIGARD TUALATIN SCHOOL DISTRICT MASTER FIRE CONTROL, INC
6960 SW SANDBURG ST 12125 SE HWY 212
TIGARD, OR 97223 CLACKAMAS, OR 97015
Phone:
Phone: 503 - 656 -0782
Reg #: MET 00002891
FEES LIC REQ�II L INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 5/27/2004 $305.80 Sprinkler Final
[TAX] 8% State Surchari 5/27/2004 $24.46
[FLS] FLS Pln Rv 5/27/2004 $122.32
Total $452.58
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 (5 46 -6 ' or 1- 800 -33 -2344.
Issue , "' ■ -, 6,,e0 - i -.
Permittee
Signature: (-� en --L_.
Call 639 -4175 by 7 p.m. for an inspection the next business day
/ SGT f9.- t
Fire Protection System
W4t.,f ;Y FOR OFFICE USE•O \LY
13uilding Application Received Building I j
Date/B : p Permit No.: ■_ �I /I
Planning Appr.val Other
City of Tigard RECEIVE Date/B : Permit No.:
13125 SW Hall Blvd. Plan Revie R Other . .
Tigard, Oregon. 97223 MAY 2 7 2004 Date/B : • ' ` v s� Permit No.:
Phone: 503-639417,1 . '
Fax 503 - 598 - 1960 G "' l I '� Date/B ;view : land Use
r._._ 1 I Date/B Case No. . ■/!* r14 .
Internet: www.ct.tigard.oi.us CITY OF TIGAR
p ... 4 t ' .a ' Contact , • J' ® See Page 2 for
ISION " ' ' "'
24 - hour Inspection Request: r§ �1Q ' Naine/Method: ! Su. � lemental Information
_ .
•
. f. it4 17 , ` 00:0 W.. RK't MERriel0-:s ' ; ? °€� ; � :; ,. �;,; REQUIRED ATA �` y t �,,, {
Demolition ° _ 1"& 1 o WE G '` ' 474 } 4,� ,.
0
New construction v. , . , u., � -` ap .4.7. , ' -p,....4g4
[✓]Addition /alteration/replacement ❑ Other: •
city - :. " .. • No te:•'Perniit f ees a re based on t
• sed the total value of the work performed. Indicate -
�,N:���`�, �Z EGO��X�b� `�C�'U1!ISTRI�N?1�"� � a .. • � � z , , -
❑ I & 2- Family dwelling . ❑ Commercial/Industrial the value (rounded to the nearest , -- dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family .
❑ Master Builder ,. , - ._ Othe : 7cu Valuation $
..P
"f" *° : ' O _ ` ,ORMA Ql!1 an i UG4 TI,O m - - N _ .. .,.... „ Va
No o bedrooms No of baths•
�` =,�4' Total number of floors -
Job Site address: ....141;50 - S=am• ° ,J - 1 C a ''' - - : ``"' ' , New dwellir g`area (sq. ft.)
Suite #: I.. _ _ • Bldg. /Apt. #: Garage /carpo'rt area (sq. ft.) . •
•
,i
Project Name: . lw 0.t_. / M, EN ca _ . ° C overed porch area (sq. ft.)
Deck area (sq. . .
Cross street/Directions . ns to job site: Other' structure area (sq. ft.)
... - 4- e . • ., ,,, ,r� ..; tv !kw u A, ray. ; c' f a ,
s .: •, Q DATA -. �g- 0
:r 3 r Y COMbE LAUSE"C eKLk&.W
Subdivision: Lo #:
Tax map /parcel #: - -.- - _ A. - `' �DES CRPTIQNOFWORIC•- ` Note: Permit"fees• are on the total value of the work performed. Indicate
± e i+- the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
\ - a - - - C S P11,2. N-5—(En. t . $ 7-1 / ?,� —
Valuation
�►-� ���Tt �� Existing building area (sq. ft.)
New building'area (sq. ft.)
Number of stories _ •
PROPTit =TiYTOTY„i I' R 1a w -wfA va x ' ` . Type of construction
Occupancy group(s): Existing:
Name: �tc�aa 1ve...1a<<n)�- New :. .
Address:
City /State /Zip: NOTICE: All contractors and subcontractors are required to be
Phone: Fax: , licensed with the Oregon Construction Contractors Board under
V ' s~_ " - , C " " e ` r provisions of ORS 701 and may be required to be licensed in the
.,�` �'� � ONTACT�'PEILSON.. ' :,,
Business Name: . jurisdiction where work is being performed. If the applicant is exempt
Co n tact N ,rv�,o'(w/ J . L�,s.4„, from licensing, the following reason applies:
•
Address: -� .,:i., . ;r• :`,
City /State /Zip , . .
Phone: f . I Fax: . _ ��, B� I I � a
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E-mail:: ,. .._.. ------ - _�,-` - _ . r .. I e' er to. ee; edu �C" r, Aj
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Business Name: ` \ i\t SCE2: "' V L0 - Fees due upon application $
Address: \2, 25 3C tJ,L -( 2 v2 Amount r eceived = $
City/State /Zip: G,rA[�tL� IV�A�S ". °11015 _, •
Fax: 5O3 (05(o
Phone: �3 (oZ5 (01n2 I O"1�2 Da re ceived -'
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Authorized p : i _ce :,:Thi xpire if a perm v � _ , .
— �� ' ”` ` Date: `J"2b � Q ' _ ' Notice
daysft p
after it has been accepted a s c it is not obtained within
Signature: • I
. • , ∎° ,o. `yt1..:S *Fee methodology set by Tri- County Building Industry Service Board. ` h
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. f� 1t.. . i : � ♦) ,,tt nn ?it y .�s es
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•
•
Fire Protection Permit Check List
• A.) ID'New 01Addition • CI Alteration - ID Repair
B.) Modification to sprinkler heads only
Describe work to 1: 1-10 heads: No plan review required.
bedone: 2. 11+ heads: Plan review required.
_
. '
Number of sprinkler heads:
-•
Additional description of Work: • -
• "
:4:ViW•-fS_f4S.SfAi:. '07 fillf05R,Tptgre.:V43'..8...t10.‘af5ailleabre,R
_ A.) Sprinkler wet 1:1 Dry
Standpipes
Additional Hazard Group
• .
.. •
Information Density
• Degign Area
:LI: , KFabtor. _
_ Sprinkler Project Valuation: $ - •
•
•
B.) Type I - Hood Fire Suppression System,
HoOd Project Valuation $
C.) Fire Alarm
Submittal shall Battery Calculations .Yes, -
include: Individual Component Yes Li
Cut Sheets
Fire Alarm Project Valuation: $
. • Project Valuation Subtotal (A, B & C): $ •
Permit fee based on valuation (see chart): $
. _
State Surcharge $
"FLS Plan RevieW.40% of Permit: $
;-- - TOTAL: $ —
- _ " • -
Plan review requires .a completed application and 3 sets of plans at submittal.
Plan review fees are required at subrnittal. - - • -
"New" fire protection . systeiffs require that plans the original seal of an Oregon
.1; r. '•
lieenSetifire suppresto:n enginaaf, or NICET level "3" technicians. .
, •
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested /? - 7 AM PM BUP
Location , Suite MEC
Contact Person - -/-4-r,Ni" Ph ( ) T el — 63 37 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner � ELC ._ ► i:i/0
Footing ELC C
Foundation Access:
Ftg Drain ELR 0 (-/
Crawl Drain 'I ( c
Slab Inspection Notes:
Post & Beam e 4- /r° 0 -60 - 7
Shear Anchors
Ext Sheath /Shear L v vALV U L •�
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final S
PASS PART FAIL ‘\1\
PLUMBING
Post & Beam
Under Slab
Rough -In -
Water Service
Sanitary Sewer -
Rain Drains •
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
P S S PART FAIL
L E TRICICL,
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: / ❑ Unable to inspect – no access
Fire Supply Line /
ADA
Approach/Sidewalk Date / Inspector �'" — Y 7 � Ext
Other:
Final DO NOT REMOVE this Inspection recor from t - ob site.
PASS PART FAIL