Permit v CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00555
M ill
COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S134AD -06201 .
SITE ADDRESS: 10450 SW NIMBUS AVE RC ZONING: I -
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinkler alteration for TI, (24) 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: 5N 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: $ 2,800.00
Owner: Contractor:
KG INVESTMENTS FIRE SYSTEMS WEST INC
KYLE LATTA 600 SE MARITIME AVE #300
10240 SW NIMBUS SUITE L3 VANCOUVER, WA 98661
PORTLAND, OR 97223
Phone: 503 - 598 -9980 Contact #: PRI 360- 693 -9906
FAX 503 - 289 -2208 , .,
FEES Reg #: LIC 49732
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS Pln Rv 11/15/200E $28.84
[TAX] 8% State Surcha 11/15/200E $5.77
[BUILD] Permit Fee 111151200E $72.15
Total $106.76
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 o 'n a copy
of these r - . .' -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ued By Permiftee Signature: e /. 7
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 Pe.rniit Apnlicati �
1'01(0141C L us o .
City of Tigard E�! ® D e ® ow A Permit No.: , z o - l)• %
1, .
13125 SW Hall Blvd., Tigard, OR 97223 pl.∎
Phone: 503.639.4171 Fax: 503.598.1 15 2006 D . , 414111111111 Other Permit:
T 1 G A ,t 1) Inspection Line: 503.639.4175 Date Ready/B . g" ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
. 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 0 Other: equipment, materials, labor, overhead, and the profit for the
•
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 73 m
Comercial /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: ' 0 4 S 0 5%A) keg M,( S New dwelling area: square feet
City /State/ZIP: Ti r,,q, -r) D Rests QM Garage /carport area: square feet
Suite/bldg. /apt. no.: Ii. (Project name:" 5, bZ 4.s 7140L171 /44 Covered porch area: square feet
Cross street/directions to job site: .c50p r )Pr12f / ozb1 -1--5 Deck area: square feet
Other structure area: square feet •
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
D /glove / zoGAT$ FARO Si�R.rNiKLir; Valuation: $ 2100Q,
Existing building area: square feet
New building area: �/�squuare feet
p PROPERTY OWNER . I . 0 TENANT N umber o f stories: / I
Name: &)U COp s � f GA0-4 Type of construction
Address: ' Upyp 6 , 74 Occupancy groups: `J 4..r riti 2/b(L0
city / State/ZIP: 18,87HV J/ f O o 910 75 Existing:
Phone: (9)'•3) g5-71190 Fax: ( ) New:
X APPLICANT ... r . ' 0 CONTACT PERSON . NOTICE
Business name: FIX( c‘fl r�S7 S kk yr All contractors and subcontractors are required to be
Contact name: �7i 4,
s S � id �'� , / licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: &O® Ali ? b A /( #loo jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: )(Aid( 0 %. k.J p 9 �/d' 6/ apply:
Phone: (36 0) G°!3 904 I Fax:: ( )
E-mail:
CONTRACTOR • • - • . . BUILDING PERMIT FEES*
�� / (Pleas reforo fee schedule) .
Business name: ri„ Permit fee:
Address:
State surcharge (8% of permit fee):
City / State/ZIP: FLS plan review (40% of permit fee):
Phone: ( ) I Fax: ( ) (Due upon application.)
CCB lic.: 4 q —7 37____ Total permit fees: IOC„ f
Authorized signatu • —+ Amount received:
This permit application expires if a permit is not obtained
Print name: _34- r s Date: fr �� within 180 days after it has been accepted as complete.
J • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Pe mits\FPS- PamitApp.doc 03/23/06 4404613T(I I /07/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00555
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 11/15/7006
Phone: (503) 639 -4171 4"141411t
Inspection Requests (24 Hrs.): (503) 639 -4175 s ag ___.
INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 10450 SW NIMBUS AV • CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS C TER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Fire sprinkler alteration for TI, (24) heads.
OWNER: KG INVESTMENTS, PHONE #: 503- 598 -9980
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360- 693 -9906
Inspection Request Scheduled For: Date: 312/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes"
999 Sprinkler final 044211 -01 503 -957 -1180
Corrections /Comments/ Instructions:
�A -ASS &PARTIAL APPROVAL El CANCEL El NO ACCESS
❑ FAIL V •'ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
f Z2
Inspector Date:J 0 7 Phone #: (503) 718 - 24 f/
NI
L
CITY -OF TIGARD
•
BUILDING DIVISION PERMIT #: BUP2006 -00555
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 - AMA,
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' :_..
INSPECTION WORKSHEET FOR DATE: 1112012006 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Fire sprinkler alteration for TI, (24) heads.
OWNER: KG INVESTMENTS, PHONE #: 503- 5913-99B0
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360
Inspection Request Scheduled For: Date: .11/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 040023-01 360-693 -9906 Y
Corrections /Comments /Instructions:
a.
iI Asa
wr f NIP ;411111,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: �lake, �k Date: 4611 Phone #: (503) 718742