Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00194
,����� DEVELOPMENT SERVICES DATE ISSUED: 5/10/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S1 13AC -00102
SITE ADDRESS: 07250 SW DURHAM RD BLDG J -100 ZONING: I -P
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT: 025 JURISDICTION: TIG
Project Description: Modification of (8) sprinkler 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 45 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: $ 1,040.00
Owner: Contractor:
PACIFIC REALTY ASSOCIATES WYATT FIRE PROTECTION INC.
15350 SW SEQUOIA PKWY #300 -WMI 9095 SW BURNHAM
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: 503 - 624 -6300 Phone: 684 -2928
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/10/2005 $62.50
[TAX] 8% State Surcha 5/10/2005 $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 -2344.
Issued By: ,,...---7 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.
Fire Protection System
Building Permit Application FOR ONLY' - •
City of Tigard Date/B -%d — 10:r 1 e 3 iJt? y
G Permit No : 0-"' % L
13125 SW Hall Blvd , Tigard, OR 97223 P lan Renew Other Permit.
503.639.4171 Fax 503.598 1960 �/b�yot l 'i Date/By:
Inspection Line. 503.639 4175 �, AM, 67I Date Ready/By. T lu,u i EI See Page 2 for
Internet: w ci.ugard or us Notified/Method. • ) ) Supplemental Informat,on
A1V 3F Y DWELLING
- - .• - �. - - TYPE OF= 'WORK;: ' R - � . `.'Ii
EQUIRED;DATA: 1- - AMIL
❑ New nstruction ❑ 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
. ST , work indicated on this application.
' ° � - �� °�? 4 e � ,..• -r ;, - - CATEGORY O CONS ��' 1 �' {' ". - ..
Valuation $
El 1- and 2- family dv,ellmg mmercial /tndustnal
❑ Accessory building El multi-family Number of bedrooms.
C1 Master builder ❑ Other: Number of bathrooms:
*. _ - ' i .. .- ' ; ;�t `. 7;*V Total number of floors:
t' . , . ' - N F A AN = `,_ - , ,, °•w-' ,
^'Y �:'X- Y•.� ;.",' -`,! " JOB -_ SITE IORM I
•- __ _. __ ' ^ i... ' .; . ,.. LC _;.. ' a - .. __.. <' ,. _.:n l`w 6: - '`k:
Job site address: 0 IL l\ , i ,A, New dwelling area. square feet
City/State/ZIP: 1 0 Garage/carport area: square feet
Suite/bldg./apt. no.: t UCH Project name: a 1 V Covered porch area square feet
Cross street/directions to job site: ` Deck area: square feet
Other structure area: square feet
;REQURED DTA;,GOMMERCIAL =USE .CHECKLIST
Subdivision. 1 Lot no.: Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel : equipment, materials, labor, overhead, and the profit for the
` -.." ` "'= " °t `'"'"`"'`'t'' 1 work indicated on this application.
..... • : . ..: : DESCRIPTION' OF •W O RK ' - il t - >:_'.' • . ,: r,. „_2 ua;+v`i-4::r.� J _ �{
Valuation: $ �c 0
s \ ..• V I't - 6 ',► 11
Existing building area: square feet
New building area: square feet
C PROPERTY' OW ' , ” . °❑`1TEN ; :73— iri l- Number of stones:
Name: %CA ci C, teal I S5OG\U ' S L .? - Type of construction:
Address: i 7 2 fli , h W 0 p.,_ ` Occupancy groups:
City /State /ZIP: i i 0 ' Existing:
Phone: (C: ) a . V Fax: (5o3) ¼24 - - 1-1 - 1s New:
E e PLICANT 0 CA CT . `P ERSON r s')• " "7, c -
:: ONT ' ' :: Y. r NOTICE
Business name. see, f+ V t r V l t vA I !� ( All contractors and subcontractors are required to be
Contact name. n licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address• Junsdiction in which work is being performed If the
Clry /State /ZIP: apply:
a
applicant is exempt from licensing, the following reasons
Phone: ( ) Fax: • ( )
E -mail
CONTRACTOR '` '^ ,.
Business name: `f V ( [ ‘ ireI t —
N t e • : :r
`' I Yp-�G�"l {� lv } _1 (�G BUILDING PERMIT FEES*
Address. coa� �1V Vo\JINklik t f f ee schedule. j -7 Pease re er to (`� City /State /ZIP: 1 I O1 �Z�� W , 0
e Fees due upon application
Phone (V)) j*. jt • 1 7 Fax. ( h ) otdwi • / 7 Amount received
CCB lie..
/`� Date received:
Authorized signature: 7:
�°"'/ / � +/ This permit application expires if a permit is not obtained
/�r� w, 6 within 180 days after it has been accepted as complete.
Print name / /1J�jj =J �Iic___ Date //O/�'DT * Fee methodology set by Tn - County Building industry
Service Board
i ,Bu:Idmg.Perrvts.FPS- Pc -mrAOp cc. ':,C•3 440- 46137(11 /02/COM/'EB)
F ly Il • .
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be doh e: •
1.) ❑ New 2.) Mod ation to sprinkler heads only:
7 >edition 1 -10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
— Repair)
Number of sprinkler heads:
Additional description of work:
To pr v-eMe
- e of S stem: Com lete `A; B; or D` as a • , licable):
A.)' Commercial S`. rinkler _ .,_` :: . -
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Grous
Density
Design Area
K. Factor
S • rinkler Pro'ect Valuation:rj
. sfein
B.) T +e I - Hood'FireS
�u S _` � :
Hood Pro'ect Valuation: $
C.) Fire Alarin .:;, ' h': .`_.. _ .., • ...r.
Submittal shall Battery Calculations n Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $
D.) Residential S rinkler Stand Alone S' stem
S •uare Foota • e: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50 M . k'
3.601 to 7,200 $292.50 -
7,201 and greater $381.50
S . rinkler Pro'ect S i uare Footage: s 1. ft.
Pro'ect Valuation Subtotal (A, B & C): EIME !
Permit fee based on valuation (see attached chart): $ .
Peiinit fee based on square footage (D) (see fees above): S
State Surcharge 8% of Permit Fee:
FLS Plan Review 40% of Peiintt Fee: S
TOTAL:
Plan review requires a completed application and 3 sets of plans at submittal. Plan revie\ti% "
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.
Du T cc o; n-,s FPS Ci;ccik!:st doc 12/29/03
i t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -0019 4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/100006
Phone: (503) 639 -4171 �i eigln��41
Inspection Requests (24 Hrs.): (503) 639 -4175.
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 7:08AM PAGE: 52
SITE ADDRESS: 07260 SW DURHAM RD BLDG J-100 CLASS OF WORK:
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 LOT #: 025 TYPE OF USE:
PROJECT NAME: STASH TEA
DESCRIPTION: Modification of (8) sprinkler heads.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 603 -624 -6300
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 684 -2928
Inspection Request Scheduled For: Date: 8/24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 014188 -01 603 -684 -2928 N
Corrections /Comments/ Instructions:
S <try s o'i
/'
_..„--
c .., F .....-
•
,ASS , , PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 104 1- " --'-----
Date: I C--O j" Phone #: (503) 718 -
►1