Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00329
� 4 " DEVELOPMENT SERVICES DATE ISSUED: 7/12/2005
-'�'�' �-�-' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT: 003 JURISDICTION: TIG
Project Description: Installation of fire alarm for elevator.
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: $ 2,000.00
Owner: Contractor:
ZIMMLER DEVELOPMENT LLC PRAIRIE ELECTRIC
7165 SW FIR LOOP SUITE 100 6000 NE 88TH STREET
PO BOX 230699 VANCOUVER, WA 98665 -
liPARD, OF 7 3 3440
one: Phone: 360- 816 -0434
FEES Reg #: LIC 60178
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/12/2005 $62.50
[TAX] 8% State Surchaq 7/12/2005 $5.00
[FLS] FLS Pin Rv 7/12/2005 $25.00
Total $92.50
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 may obtain a copy of these rules or direct questions to OU C by
calling 503 - 246 -.699 or 1- 800 -332 -, i4.
//f/ / �`
Issued By: _,,`` A jam.' I _� 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.
• I Fire Protection System RECEU\ ' ED
r , 4. Building Permit Application ,1` FOR OFFICI USE ONLY .
City of Tigard JUL 1 2 _ttt+S Received n P
Date . / � �z P ermit No. I T // a,
13125 SW Hall Blvd., Tigard, OR 97223 OF T AR Plan Review iT�I�'
Phone: 503.639.4171 Fax: 503.598.1960 CITY O 4 , t 1 .1,. I Date/By: .1 5 Other Permit:
Inspection Line: 503.639.4175 Bull_ ®IN c '' II
Date ReadyBy: WI ®See Paget for
Internet: www.ci.tigard.omrs � � �� Sr Notified/Method: Supplemental Information
..
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY 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
❑ Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONS TRUCTION work indicated on this application.
El I -and 2 -family dwelling Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION, Total number of floors:
Job site address: c : .4..„ ,f9Lsin� A4 a New dwelling area: square feet
•
City /State /ZIP: 7/3"7 S 8 -O ,g, 7264.,4c, Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street /directions to job site: 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
DESCRIPTION OF WORK work indicated on this application.
fle4 "i409/ 09 S� y+ ,g, i2 c1Ft147?o 4
Valuation: $ 20,0_
Existing building area: i square feet
New building area: square feet
" ❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
• ❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: . � / � z Ati^ fl .sin.S S s _ 0.4 , ,c- 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: ( ) Fax:: ( )
E -mail: •
CONTRACTOR
Business name: ,00 //Z /f ,- ,G, - , ,, zle - BUILDING PERMIT FEES*
• Address: e 5" Q7 4., e�j,(/ Please refer to fee schedule.
City /State /ZIP: 6j�/1„,,eievl/r� j�/ Fees due upon application
.
Phone: (n) e6" —/31, �_.Eaur( )C,e' / /Se -21,77_ Amount received
CCB lic.: „poi i' 3�. / 0X-7 J
Date received:
. Authorized signature' . - e This permit application expires if a permit is not obtained
, L within 180 days after it has been accepted as complete_
Print name: �,s�,y ,3 ms4s, Date: 7/j /bs— * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\FPS- PermilApp.doc 12/03 440- 4613T(I1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page l - Supplemental Information
Describe work to be done: •
1.) El New 2.) Modification to sprinkler heads only: .
El Addition ❑ 1 -10 heads: No plan review required. •
El Alteration ❑ 11+ heads: Plan review required.
El Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C as applicable):
A.)` Commercial Sprinkler
El Wet El Dry
Additional Standpipes
Information: Hazard Group
Density •
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
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.
1:\Building\Permits\FPS- PermitApp.doc 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2005
Phone: (503) 639 -4171 . a�'� 3
Inspection Requests (24 Hrs.): (503) 639 -4175 J. °`:_..
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 85
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
• DESCRIPTION: Installation of fire alarm for elevator.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 - 598.3440
CONTRACTOR: PRAIRIE ELECTRIC PHONE #: 360 - 81&0434
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message �j
998 Alarm final 018057 -01 503 - 209'5425 0 � ,a
Corrections /Comments /Instructions:
1
kk AP '5
I PASS n PARTIAL APPROVAL n CA NCEL ❑ NO ACCESS
I FAIL ' I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i � Date: f b ` 'J Phone #: (503) 718-