Permit QITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00453
COMMUNITY DEVELOPMENT DATE ISSUED: 8/28/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AB -02000
SITE ADDRESS: 07175 SW BEVELAND RD 105 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 004 JURISDICTION: TIG
PROJECT: SHAW
Project Description: Fire sprinkler TI, alteration of (2) 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: 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: $ 280.00
Owner: Contractor:
BERMAN, JOHN M + WYATT FIRE PROTECTION INC.
SUMMERS, MICHAEL L 9095 SW BURNHAM
7175 SW BEVELAND RD #210 TIGARD, OR 97223
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 684 - 2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
•
[BUILD] Permit Fee 8/28/2007 $62.50
[TAX] 8% State Surcha 8/28/2007 $5.00
Total $67.50
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 ay obtain a copy
of these - - : .' t questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
/
Iss -d By: 1 /l i/� Permiftee Signature: _
Call 503.639.4175 by 7:00 a.m. for an inspection that b siness 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 Protection System
Building Vermit Application „ FOR OFFICE USE ONLY
City of Tigard Dade s d ,) Permit No.: '9 —00Z/53
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review „9_8,/
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
Inspection Line: 503.639.4175 Date Ready /By: lur. ' See Page 2 for
Internet: www.tigard- or.gov Notified/Method: ( d p Supplemental Information
x - - �
r mt 4 ': i ° TYPE OF WORK - i 4 -' $ - _ + - 'REQUIRED DATA 1 AND 2 FAM1I:1' DW
r
El 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
- ) CAT OF C O N STR UC 3 TIO, y ' ; work indicated on this application.
❑ 1- and 2- family dwelling //Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
= - - , g ; 4 y ,: i ., , - .;:i. ilOB...SITE INFORMA "AND L 7 - ` r Total number of floors:
O ° OG: ATIO N : ,;;
Job site address: .7 / 75 Ct,.) e e ) Y New dwelling area: square feet
City/State /ZIP: '77 r De_ Garage /carport area: square feet
Suite/bldg. /apt. no.: / Project name: havo T I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
d/: QIJIRED.DATA :tGOMMEKLlAL =U H1 c L 1 S b
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
e.: ,,•,,;,:- gan: :.:;.;:- ,.>,:.:,;,;:>:.., ,r:,:: : :<,a <_: :. a and the profit for the
equipment, materials, labor, overhead, a e r
is °` ,Mz _
.;;, � <� ° DES- CRIPTrlO1V °= - -`OF. WORK'`` = �,;,;,-� = t`�`�,. - ;� <�; work indicated on this application.
Mitt r / Valuation: $ 26 (0 , —
I G' -Pi ►�e� 5 tom) ►�,�2
Existing building area: square feet
YI 4-- � Y� 1�'PrVYI ('.�1 New building area: square feet
�
”, -- �I r :' ®' PROPE "OW - ER �, -�. 13 ' : »' ,f' ' �,:: --,
RTY N ❑, ? ,, Number of stories:
n
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
I' ;,j, _ , .A.- -, - -:- F.,. A PPLICANT �••. - _• •: u., ® C
» : ON TA P ,,� v ,,,,,,,,,a,,,,, ,'3 > - = "•
�.��` =Nip ;:�' 3 -. NOT. CE „ ; a �Y„iu -� �7'
Business name: ..4 9 , _e_____ Ca e y 11.,v6-) 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
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
, 5- CONT .�i:� - x r
i : x -' ,,,e i ' '.,:,,,.,'::.,.,,,,i",,,,.',1', t . , .. <_ � . ; , :- � . � ; ” v `� � v - ; a,2 - = �� B F EE S
j _ �, -- (Please re ferto'yee,schedule)-_ L � a'
Business name: f re_.... i ' -ol� Permit fee: (.0
Address: c C i. ) u
` e�t� V State surcharge (8% of permit fee): � j '
City/State /ZIP: —11-t.:10L4.41 ! ®� Ol i Z2�
FLS plan review (40% of permit fee):
Phone: (56) L 0 2G l � 8 Fax: bb3 ) 6 �L,{ _ 1 6 5 7 (Due upon application.)
CCB lic.: , O''1 / Total permit fees:
Authorized signature:
Amount received: 6
This permit application expires if a permit is not obtained
Print name: ;e ,) , i'.( ' - 1 � Date: 15-08 -67 within 180 days after it has been accepted as complete.
I , ! * Fee methodology set by Tri -County Building Industry
Service Board.
l: \Building \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T( II /02 /COM /WEB)
City of Tigard: Fire Protection Permit Checklist
• Page 2 - Supplemental Information
Describe work tobe done:
1.) New • 2.) Modification to sprinkler heads only:
X ' Addition heads: No plan review required.
Alteration El 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads: i 0
Additional description of work:
,—rn.prOV
A) Coderc'ia1 Sprmii1er i1
Wet 0 MT
Additional Standpipes
Information: Hazard Group
• Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation:
(ii) Fire Alarm
„.. ,
„—,
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
D ) Resid ential :Sprinkler , (Stand.Alone•S stem),
Square Footage: Permit Fee: • •
0 to 2,000 $187.50 ARS
2,001 to 3,600 $232.50
3601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
i'Fire Protection Permit Fees .
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
• FLS Plan Review (40% of permit fee): $
TOTAL: $
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.
http://www.ci.figard.onus/city_hallidepartmcnts/cd/docs/ITS-PermitApp.doc
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: f3t1R2007.Ot rya
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/28/2007
Phone: (503) 639 -4171 ...Ail 11.
Inspection Requests (24 Hrs.): (503) 639- 4175}i
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:0 IAM PAGE: 30
SITE ADDRESS: 07175 SW BEVELAND RD.? 105 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 0w TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION: F=ire sprirtl4er TI, alteration of (2) heads.
OWNER: BERMAN, JOHN M +, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 6841 -2928
Inspection Request Scheduled For: Date: 10/2,2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 056731 -01 503 -781 -3639 N
Corrections /Comments /Instructions:
7
•
PASS 4PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Date: �� Z/ Phone #: (503) 7 18 -, ' ‘Z_'
i ( ( I ( v' f :
CITY OF TIGARD w
BUILDING DIVISION PERMIT #: euP20o7 -o0w,3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/:8/2007
Phone: (503) 639 -4171 4a
Inspection Requests (24 Hrs.): (503) 639-4175 `__�
INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7:O0AM PAGE: 16
SITE ADDRESS: 07175 SW l3EVELAND RD 105 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: q84 TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION: Fire sprinkler TI, alteration of (2) heads.
OWNER: BERMAN, JOHN M a-, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 -6841 -2928
Inspection Request Scheduled For: Date: •IW1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 056663-01 503- 781 -3639 N
Corrections /Comments /Instructions:
1.
I •• I 1 .mss l /r L.; L ' L_- - _ - _ '.
.ir r__ P : - d° e..-- 4,...,_____ j=) e_f,tg.Lele______freoct
Pe _ _ A /PARTIAL APPROVAL n CANCEL NO ACCESS
,/AI //CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
AMP
Inspector: Date: 7 7 Phone #: (503) 718- 2 CY/
CITY OF TIGARD , , .Q:
. A ...
BUILDING DIVISION : . „ PERMIT #: BUP2007- 00453
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2007
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 -- !� - `:_..
INSPECTION WORKSHEET FOR DATE: 9!27/2007 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 07175 SW BEVELAND RD 105 CLASS OF WORK:
SUBDIVISION: BEVELANt) LOT #: 004 TYPE OF USE:
PROJECT NAME: QUERIN
DESCRIPTION: Fire sprinkler TI, alteration of (2) heads.
OWNER: BERMAN, J OHN M 4., PHONE #:
CONTRACTOR: WYA FIRE PROTECTION INC. PHONE #: 503.6842928
Inspection Request Scheduled For: Date: 9/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough- inttest 056424 -01 503- 781 -3639 N
Corrections /Comments /Instructions:
( WAS ❑ P; d IAL APPROVAL n CANCEL I I NO ACCESS
FAIL Iffi FALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: _ L — _'''' Date: ! z7 6 7 Phone #: (503) 718 -
N