Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00283
;; DEVE - 639 - 4171 DATE ISSUED: 7/11/2006
PARCEL: 2S113AC -00103
SITE ADDRESS: 07244 SW DURHAM RD M900 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinklers
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 4.er . f 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: $ 300.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI PO BOX 230545
PORTLAND, OR 97224 TIGARD, OR 97281 -0545
Phone: Contact #: PRI 503 - 620 -6140
Reg #: LIC 63846
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/11/2006 $62.50
[TAX] 8% State Surcha 7/11/2006 $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 may obtain a copy
- - - ) of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332- 234J.- --
F 4 A. ,, t i Issued By: � � P ermittee Signature Z. s _
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.
.Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
,
City of Tigard / Dat /B :` / -
1 V Permit No.: _s l ' 1,01 � ��
13125 SW Hall Blvd., Ti Plan Rev ew
Phone: 503.639.4171 Fax: 503.598.1960 y " ; � � Date/By: Other Permit:
Inspection Line: 503.639.41751 )1 1 1 90 ` I I_ Date Ready/By: Jun l H See Page 2 for
Internet: www.ci.tigard.or.us ` . Notified/Method: (� Supplemental Information
TIGARD ' \
CIT D a1�lSIoN
w , q � K
TYPE OF WORK REQCIRLD 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
litAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
i ¢ ' 65 i : CATEGORY OF CONSTRUCTIO"r W.
El 1- 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 7:4,174,11 " Total number of floors:
Job site address: Li . SW i - 2_ Sint loo New dwelling area: square feet
City/State /ZIP: t,r 0{e._ -Z-Z4 Garage /carport area: square feet
Suite/bldg. /apt. no.: c ,o0 Project name: Qyv1s -P\ u s — r . C Covered porch area: square feet
Cross street/directions to job site: .7 gyp` 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
w,, DESCRIPTION OF \\ ORK 'work indicated on this application.
Valuation: $ )L)0'`'
i\dOI ( I \ca.ri
Existing building area: square feet
New building area: square feet
❑ PROPERTY Obi iNER R TENANT Number of stories:
Name: 1- /3.,L,,v\ , j,� l - (\ 4. Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( )
New:
L APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: .j_,,L:e V" ) All contractors and subcontractors are required to be
Contact name: �� licensed with the Oregon Construction Contractors Board
r� r° +�� e a �`°��- under ORS 701 and may be required to be licensed in the
Address: ,.Q k Z 3 0 5 L..' L jurisdiction in which work is being performed. If the
City/State /ZIP: 1 applicant is exempt from licensing, the following reasons
�l c fie. C 1 - 7 Zg) apply:
Phone: ( 9)3) Le, ZD , i t,/ Fax:: ( )
E -mail:
w�` �s� ands C`O T I'
i: i� k 1? 4A gn "PS'atIf ..rc ., w & w . ��.. x.� -1 �; a. `1 - . . a` .a - . Coa_ V=
Business name: e_
�.. BEIC,UING TE I'F FEES*
Address:
Please refer to fee schedule.
City/State/ZIP:
Phone: ( ) Fax: Fees due upon application . ( O 7 -SD ( )
CCB lie.: Amount received
J Date received:
Authorized signature. • i
Z I/ ∎ This permit application expires if a permit is not obtained
Q— within 180 days after it has been accepted as complete.
Print name: e 0( \ Date.
a Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building\Permits \FPS- PermitApp.doc 12/03 440- 4613T(1 l /02/COM/WEB)
•
Fire Protection Permit Check List
Describe wor to :be done �_
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:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet U 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 ❑ Yes
include: Individual Component ❑ 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 y P�
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\Forms\FPSchecklist.doc 12/24/03