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Permit �~ CITY OF TIGARD v BUILDING PERMIT PERMIT #: BUP2004 -00438 • 1p DEVELOPMENT SERVICES DATE ISSUED: 10/1/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13125 SW HALL BLVD PARCEL: 2S102DA -00401 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG 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: , IMP SURFACE: PRO CORR: PARKING: VALUE: 4 $$ 9, 00 Remarks: Addition and alteration of (100) fire sprinkler heads for TI. Owner: Contractor: TIGARD, CITY OF CASCADE FIRE PROTECTION 13125 SW HALL 24023 NW SHEA LN. #110 TIGARD, OR 97223 WOOD VILLAGE, OR 97060 Phone: Phone: 503 - 491 -8755 Reg #: LIC 89086 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler inspection [BUILD] Permit Fee 10/1/2004 $110.50 Sprinkler Final [TAX] 8% State Surchan 10/1/2004 $8.84 , [FLS] FLS Pln Rv 10/1/2004 $44.20 Total $163.54 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 -88 I thir.s2ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by callin• 503) 246-66'9' or 1- 800 - 332 -23 Issu -. By: /\ t 419, , / ,,2,,i4,644.___/ Pe rm ittee Signature: ` � - - C: 1 639 -4175 by 7 p.m. for an inspection the next business day 1312 SwHAL - t D(-`® . . '' Fire Protection System 1 • ' ., -' /� - a r�IuKl e G lr{� AG(i Tz Permit Applica • e, V ® FOR OFFICE USE :ONLY City of Tigard V t Received / l • Received (�® pem> t No / I II �• 4,,e) �� 13125 SW Hall Blvd., Tigard, OR 97223 3 1." ' A Plan Review Phone: 503.639.4171 Fax: 503.598.1960 y� grry y ( � 1 Date/B : - rf • o it f ✓' Other Permit: Inspection Line: 503.639A175 �� P O F - ft f _ I Date Ready /By: 9Q (,f 0 See Page 2 for Internet: www.ci.tigard.or.us 01\1 DWI • Notified/Method: (" / / ` Supplemental information illt:C1 ' V e,c,\\ k-c)sro -' =-s: - -- '<'�`., ' -.,, q: :,'. -.^� - - �.'� "� -;: .T+� - -- ='=ra-,�" ., <f €s '4 ra'° :2�KK.+sa.,�`t�° •�e ::4`Y. °.t.*�":;2;^: « - '� 3:: ,;..m;..:,, < .,- r '; 11 s�;," ,"," fir..? �;i5 : - " �;., s >= 3i :'; . �.. ` r .., ,1451 _ " ,i`:�` ,. `S ' -„ X ; "�`r s ��� :y%?'s�. r`:r.,.?- . q ,...?`i . t a: a� ' " -'; ;s §esLL^� - =:., zt .. t € . $. 'Ss:= ,. ' . n ag t. , ' `I,,, .. ` %V1.„,.. , " .,,, ;�' t iti REQUIRED ?xl MIL .c s�a -�. �..- � -�� .. s.:�,����.."- �.. es�L°�,�c' '�..,rk a,k- - -:��, !° ��4. 5, 3< � ;�;���s�r•°st±'�t� g'.;�d s=sr-..,. - ,. -_ ['New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the &; ` l'aied' bi V WF6 - Alin OR- " ;,i= �"a' ' . ' work indicated on this application. 1. ..:' Q ' G ,C, R iIC [O i iw " ._ . ld".V. PP Valuation: $ ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ;'' ' °'� ` a Q'"�" ` , ' ` . Total number of floors: .t ." M i ; ; , '4 ,; J ®B " IN 3 :.- °a RIVIATIO ' A' N�D° LOCA ON�t..t � � ' < - �" � _� ��s�- �'�'k� =:mss =..:�.; ,..'t.. �s .�,� �: �.;t:'. r�s.;;. ie�� K. `::��kt'riw�da _. Job site address: 1 ^? I Z S S Ul/ WA I I B LV cI New dwelling area: square feet City/State /ZIP: - tiAR..4 0 CZ. Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: eny /, ,' /�e /ia.em �.R. f G/MD� Covered porch area: square feet Cross street/directions to job site: • • 7 Deck area: square feet J EX 7 To C t-rlj 'id % L...L Other structure area: square feet fliEQTJ-II2EDbA \TA:4C071WRCIAT °USElCHECKLIST 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 , :r' .".;i"'-- x„".:ti:: :;'.;_ "f "•,-" . 7,3* t =t`'t '3: - . u's. -1-` ".�. :C.>'X?S �aM ; '? ":,^ -�:" "'.�.,�.` «,zi .,r,,, 41'-..,. equipment, materials, labor, overhead, and the profit for the ' ' t° . i - *Mig SaDESCRIPT{ ON OF wgR t i ; work indicated on this application. • A d t L O N O � P Ci> 12 t dJ le 1-.Vie e blect5 valuation: $ 88 9 P.'e L. oc it'r•LD I kG e I‘_ Existing building area: square feet New building area: square feet y; ®'TE *" e Number of stories: Name: 7 r,1Am a C,-E. IAA LL. Type of construction:p 4 V I O ®aii? Address: 1 - 1 a S SW N L.L 1 L J d Occupanc groups: A z o t6gT City/State /ZIP: • \ G BA , ©R.- Existing: Phone: (50 5 (039-14111 Fax: (503) 5e18-1 New: °'zll: m=om' 7 ax„> s " �k- .x�;�. ;t�yw - i 'r'e �.;�r,�.r?;:,A,,�<» i g,:: .�€- ,.- ,.ra�.aN >� i ��"�' :? %,�'' ��' „^ra»a: -� _,, PLICAN7 �„ ,s , lid COIkTAC x�ERSON °'. ;✓i s'.: -.aRi A:a. _ ..*�S' °" s•.�' ..a «« .,, _,»S. -, �:. -fit , t:.. ,,.,. ° gin'. <-:, ` . x.�. .. .a��'+,.r, , - �,. . .aMoE.44 N ®TI(:'kE' `z".'�. l' ,. " t ...,a sa' ,. aa r°:� zr. ,®.;:(xz<,�f�,s�I; l �e c t .�'` . : yS�.«' -<'` Business name: 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: f T : a re'�w w3 • i ' A I Nq h it s .: ., „ � ; C w,4.w . . . . - . ' 04:-.. t M Business name: C 14d ter. ,..max= , '- - _ . 6143 e ' llZe ��eoTe�TIO N 7.,_ ABV R I RMiT Fi ES *= • - 544 Address: Please refer to fee schedule. City/State /ZIP: W001;:› v l L_ G Oleg__ q7 O(C) Fees due upon application Phone: ( 5 3) ( 19I - circi 1 5 I Fax: ( co; - f Q (•' it 7 b r CCB lic.: �` ` .g 89(22E367 CJI�V(J 5 2 O Amount received • vv�^� d Date received: Authorized signature: / �,` / � / This permit application expires if a permit is not obtained ' / l within 180 days after it has been accepted as complete. /r Print name: , eON ()D /V N 1 / Date: 1//0/ * Fee methodology set by Tri-County Building Industry `,�� Service Board. i'\Building \Permits \FPS- PermitApp doc 12/03 440- 4613T(11 /02 /COM/WEB) I> Fire Protection Permit Check List U[.. : w• • - „ , •, - si lx1 i -r?' a a re e "* " ., emu, � 1.) ❑ New 2.) Modification to sprinkletheads only: ddition ❑ 1 -10 head's: iNorplan review required. Alteration )R11+ head's:"- Plan - r required. ❑ Repair Number of sprinkler heads: CEO Additional description of work: • A - 0'0 I ll o ry OF hops ?ate it O Pe L .. ' `�.=.e&M,.��w,='v . - =i,., ; ":. €: si' -� a' ' � � sr�� 'a ... . . 4; ;; • t . �. , : � T4 :pe o 1 System t oin?p zot B i c .p a s, appi c a b le ) : 4 -: v „ .., ,.... . 3 ),Commercial Springer . il s .:.EI_..xM N ._.:_ . - _. - • <Wet ❑ Dry Additional Standpipes Information: Hazard Group, , 1. k f Density -.Q -'1 (Di- . • , .,, .Area ...... '< . . 1 r , 4D K. Factor 6 Sprinkler Project Valuation: $ .. . �„ .� a�*.�,•.«r.'�. , `,F�"^5. "'�§r'�`:"'?"•��.` = +..:zn ...aa..� 'p3>.. i �.:^ „��� s s ;§" €'� 1 ;,�-,.': ;� •:sa,,.r��,� �,��; , 'a: i E illf tWype. E-_. Hood^ -,k><r S pAressron System.�. teg r _ ', Hood Project Valuation: $ 4/ 14 :: -, +x� :.. .... .... .. ..... . a , ; 4.'.. :...�;.z ?'x#�y. '..`;Gt°.. •':,3�2i :�tx°i : ,� _ - ,.: Se.. "a- .a"�y�.z�'. ".�'i / , � ^zYh.'? s''.,'d'.: � "'��v:'�<<,.- ,. . - : C:)- F giAltiM E • ` t , : , >r , i s _ s ,.., n ,, i C ... ah as .w... .. ,.m . 9,�. w».ffi an. a - , - =a s �» , a . , t ..tine ' a`.." -m',..x': ;_�."..a „'” r f•. • ' Submittal shall Battery Calculations _ . D. ,Yes; include: Individual Component.., . . ,0 . Yes /v ... Cut Sheets Fire Alarm Project Valuation: $ , " D )„Resi nt>, Sprinkler :$144 A113 Systeip). . VlrAP it.Ri Square Footage: Permit Fee: Q ° ' , 1:v; ri, =W 0 to 2,000 $187.50 • , y. : _'Pr, ', :, 2,001 to 3,600 •'$232.50 • i; �'" .c; <: t � �su : : 3,601 to 7,200 292.50 '; ; a W _ r ' d , ^ ....,, 7 201 and greater $381.50 v f, o- c l�' e ; x Sprinkler Project Square Footage: sq. ft. ,p / ` Project Valuation Subtotal (A, B & C): $ C7 Permit fee based on valuation (see attached chart): $ 1 0 5 eta& Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ g if FLS Plan Review 40% of Permit Fee: $ 7/ 83 • - TOTAL: $ • 91 J 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. N i:\ Building\Forms \FPSchecklist.doc 12/24/03 . , • • • • CITY OF TIGARD 24 -Hour BIJfLDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP 00 i Received 2 Date Requested // AM PM BUP Location / J � - z Suite MEC Contact Person Ph ( ) PLM Contractors Ph ( ` ) SWR BUILDING Tenant/Owner / ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fire Alarm -� r Susp'd Ceiling Roof Other: /� ma PASS PART FAIL 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 PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please cal for reinsp -ction RE: ❑ Unable to inspect – no access Fire Supply Line ■■ �f ADA Approach/Sidewalk Date ` I ! I nspect Mk! Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL