Permit . 4
C ITY OF TIGAF D BUILDING PERMIT
■, PERMIT #: BUP2007 -00626
COMMUNITY DEVELOPMENT DATE ISSUED: 12/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AB -00300
SIT 1 AADDRESS: 07350 SW LANDMARK LN 130 ZONING: I -H
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CRFEATIVE HOMES REMODELING
Project Description: Addd (2) 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: : 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: $ 461.00
Owner: Contractor:
HICKS, PRENTISS C WYATT FIRE PROTECTION INC.
PO BOX 23633 9095 SW BURNHAM
TIGARD, OR 97223 TIGARD, OR 97223
Contact #: PRI 503 - 684 - 2928
Phone: FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/10/2007 $62.50
[TAX] 8% State Surcha 12/10/2007 $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. Yo • ay y btain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ii /
Issued By: Permittee Signature: o / �1/�
Call 503.639.4175 by 7:00 a.m. for an inspection that • siness day.
This permit card shall be kept in a conspicuous place on the job sit- until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Fire Protection System
, � RECEIVED
Building Perriiit Applicatio - ' FOR,OFFICE USE ONLY ,
City of Tl and eceived
Tigard, OR 97223 DEC `� `. 2UU] Date/By: 1 aa-// o/Q 9 B a Permit Nt? V 1 _AP 4
13125 SW Hall Blvd., Ti
g Date/By: Review
'- Phone: 503.639.4171 Fax: 503.598.1�� ��( FIGARO Date /By: Other Permit:
TIG.ARD Inspection Line: 503.639.4175 D ING BUI DIVISION Date Ready /By: Ju p See Page 2 for
Internet: www.tigard- or.gov CJ G.LJ !V Vf 1V��• Notified/Method: Supplemental Information
., , a-;:.; . ' ;:;:- ,..ten. �:z,}'s�..a•
» TSYP;E OF W , > A EQUIRED 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
4 ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
? _`•> .CATE ,;,,,AA=:";',,,, „.
; ',-,'A ' work indicated on this application.
GO F E; CONSTRUCTION% ^ : , - ;
❑ 1- and 2- family dwelling '3 Commercial /industrial _Valuation: $
111 Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
":.3•1•, .. . , R -, x . , ., . , , . ' Total number of floors:
-' ..,-. g > SIT
p, J E ; ; :I N FO M
R ION - AND a LOC A TIO N - , i i ,"
Job site address: 78 .ED /4 ,( ) e_ 6A4)t25 New dwelling area: square feet
City/State /ZIP: --7 4 / Q) '� �.. 7Z. Garage/carport area: square feet
Suite/bldg. /apt. no.: 130 Project name: C 1 4 u6- Hi6 gg — Covered porch area: square feet
Cross street/directions to job site: /PEW 1 y1 Deck area: square feet
Other structure area: square feet
". /C D Cairr nA'T A f? i- Ii.iL'.�lnr'?A• "i?'.: ;• ;iirr^,ri m. &.
5 .' ,;7 - .v ,,,,cu t'lYxE EMTC,'`,t' V O l Jr lL " r l
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
DESCRIPTiO1:*10F` WORK.: A 13:.,•. o work indicated on this application.
741" t'T 5 P4 1 4- MO 0/ C.`--S Valuation: $ 4(o l ' Cis
Existing building area: square feet
New building area: square feet
PR
"':F' •.❑ OPERTY; OW NERs� :F�a� =�
_- � , :: �:.,;,; »»;�•,.;� , ,�,,, ,..., � Number of stones.
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( )
z
ANT '` '
ii. _ :, , ' ., ,; , °: .." . ti ® CONTA M9, ... s,., $4 1°'; y=:
Business name: co ,0 � n u •. °
,e. -l���L 3 All co ntractors 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:
W
,;; .,..;..,; ,,CONTRACTOR: :
a:., .. .
.,.... " 7: -BUILD * " "';
N „
q Y -), i6G�i �: �h
�"' 3 >. ` -. �"'»;:: , s;:�;: (Please refer. -td fees ckediile ) ;�r��' `��'. a.�, =;
Business name: � � � � � �� 1 � � � �"�-
�0 / 5 � , , j n _ J' /n / N---4---/101 Permit fee:
Address: /i(/ �i7(/ ���//ll//
City/State /ZIP: ice, 0 OR- 973 State surcharge (8% of permit fee):
6,y-).- / FLS plan review (40% ofpermit fee):
Phone: ( O3) - 2_9z_ e Fax: 6 604 - 9 6,51 (Due upon application.)
CCB tic.: 7 - - -- - - -- -- - Total permit fees: -
Authorized signature: '-----
ignature: „2---t...-e,--- Amount received:
This permit application expires if a permit is not obtained
Print name: tUcie,u6 TN/fr.) Date: JZ -0 -z) 7 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(I I /02 /COM/WEB)
x ,11
1 f�
City of Tigard: Fire Protection Permit Checklist ' ~
Page 2 -. Supplemental Information
Describe work:ao b'e.-dorie ' °` " °. ;f
1.) ❑ New 2.) M dification 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 o'f System (Complete A, "B; C qi i s applicable)",
x,:.:
Y.
A. Comm
erctal S rankles. ���
,., - . ., •+ _,. H „ct ,, , -EE's ar,..,w. <., e�E.'E ��`= t:, = "= , . ., , ., « .. ..
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
•
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Typed - I=ioizd Ftre Si sets ton` S "`stem' ",::. ;,'
Hood Project Valuation: $
Pty° ,;. . �E,r ''�" x5
W -'' <� fix 5,. ' t.
e arm- :.>
ay �•
E . -. - ., dE ,-r ,
4P, , ., ,a.-E. ...�: x „., .., »E;;,„ ... ..... ... .._ . .,. rJ:�i�• ... - R.: „. ..r ''��� .•`:�'4''�F n 9 - - � .. � ,'• �� - ..
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
..;� .. a:���� •,E:3:i :;�:;:��- m °m; ,'F..: ; % 3fE a . •;,��„',.; aqE,,.
,g•.:.E: -'- ,3;.; ^,` vac'
-
D.
:
es n n
de ttal S rt kler�a S n <<:Al
E.,
p ;( tad one-
Sy '.
•
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 - ”' n\' -.a ,`, „- •`,'f:
Sprinkler Project Square Footage: sq. ft.
.. • e.�, , s �•'Fir`e .ProfecfioriaFPermit'= =Fees ..,�. � `� E
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.tigard.or.us /city_ hall /departments /cd /dots /PPS- Permitlpp.doc 2
;-.- ,-.-
CITY OF TIGARD . - • • , ., - 4 1
BUILDING DIVISION
A PERMIT #: Bup2007.00626
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 12/10/2007
Phone: (503) 639-4171 SO i r
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 64
SITE ADDRESS: 07360 SW LANDMARK IA 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CREATIVE HOMES REMODELING'
DESCRIPTION: Add (2) sprialder heads.
OWNER: HICKS, PRENTISS C, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503-64-292B
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 SprinHer final 061266-01 503-639-2411 N
Corrections /Comments/ Instructions:
IpAss N, PARTIAL APPROVAL ri CANCEL NO ACCESS
—
" r =- FFAIL F 'ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: - Date: / fi /0 7 Phone #: (503) 718- Z 4 1 7 / y
%. .