Permit '''' ,....
4,, CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2006 -00464
� I � � , DEVELiOPMENT R R 9 ICES �639 -4171 DATE ISSUED: 11/1/2006
13125 SW PARCEL: 1S134AD-06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: SOLID ROCK FELLOWSHIP. Fire sprinklers, 60+ -.
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: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1,558 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: $ 22,001.00
Owner: Contractor:
ROBINSON, CONSTANCE A + ALPINE FIRE PROTECTION LLC
ROBINSON, LYNN + BELL, KAY ET 21410 NE 147TH ST
BY INSIGNIA COMMERCIAL GROUP BRUSH PRARIE, WA 98606
BEAVERTON, OR 97008
Phone: Contact #: PRI 360- 772 -4191
FEES Reg #: LIC 168077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/26/2006 $264.10
[TAX] 8% State Surchari 9/26/2006 $21.13
[FLS] FLS Pln Rv 9/26/2006 $105.64
Total $390.87
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- ! • ough OAR 952 - 001 -0100. You may obtain a copy of thes ules o'r direct questions to OUNC by
calli n 03-246-6•° • o :0 332 -2344.
Iss ed By: ,� 7 Permittee nature: v ,,![ ��
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 Pro es 0 o te`m N,mlus
� ' y ECEIO�E ,I� /a - -
Bu><ld>Ine Permit Appl>ICat><olP soli (Jrrlc l•. USE ONLY
City of Tigard S F P Received �j�
q `J g t 7 DatefBy. / i k7 .15 6 e 7 Permit No (f i�oo b. 'yvv e (
. 13125 SW Hall Blvd, Tigard, OR 9722 Y ? ToGAPiD Plan Revie b
■ Other Permit:
Phone: 503.639.4171 Fax: 50 3. 59 8. 1 DateBy.�D'�" "� ���
T I G n It 17 Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By. r Juti See Page 2 for
. Internet: www.tigard- or.gov Notified/Method/ Jd - 06 ? i i Supplemental Information
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
'/ Cddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2 -family dwelling [']Commercial /industrial Valuation: $
•
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND 1 LOCATION
'1 Total number of floors:
•
Job site address: Sc.� 111
.0 5 (54) 1 S tl .0.SS E.,-.1.4—, E.,-.1.4—, 3, dG r New dwelling area: square feet
City /State/ZIP: L O.S'Ot7 s co N t wpb . ti' t t A4 i U v 1111.3 Garag /carport area: square feet
Suite/bldg. /apt. no.: Qr T I Project name: 5 F...(1 shi Covered porch area: square feet
Cross street/directions to job site: Aj t1An.(1 u S 't Sj,S rti' 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
a %�.1 6 I sr) vy, Fi re 5r-L 1Ue.,— Valuation: $ 27, oOb
S i ( {- Go Existing building area: 0a square feet
New building area: iV square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories: /
• Name: Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ - CONTACT PERSON NOTICE
Business name: A\ k "F All 0 „ f 1 C, All contractors and subcontractors are required to be
Contact name: „3-0\11/4,,..‘ �'�r"�() �, `'� licensed with the Oregon Construction Contractors Board
IQ under ORS 701 and may be required to be licensed in the
Address: Z 11 \ 0 i ti % 0 4 S} ( jurisdiction in which work is being performed. If the
City /State/ZIP: /Z f � S L. e r C1 l t 6 � � 6
applicant is exempt from licensing, the following reasons
�+.! apply:
• Phone: (3liV) 77 - b_tl Lig , I Fax: : (3(0) Z5 j- % ( 1 3
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
\,p Business name: 4 46 ,, (Please refer to fee schedule)
0 Address: 6► Permit fee: at( _ t b
• 1 State surcharge (8% of permit fee): 2 (. ( 3
City /State/ZIP:
FLS plan review (40% of permit fee): & r- ( '
Phone: ( ) I Fax: ( ) (Due upon application.) ( . o5
CCB tic.: t(Rt o Total permit fees: 3t(7. s77
Authorized signature:
- Amount received:
. This permit application expires if a permit is not obtained
I Print name: To ti.N., ; 1.o yveS v+-- I Date: y— Z (t 6, within 180 days after it has been accepted as complete.
' Fee methodology set by Tri -County Building Industry
Service Board.
I :I Building \Permib\FPS- PmnitApp.doc 0383/06 44046131[11 /02/COM/WEB)
n1
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only.
❑ Addition ❑ 1 -10 heads: No plan review required.
al III Alteration ❑ 11+ heads: Plan review required.
❑ Repair --
Number of sprinkler heads: (9 0
Additional description of work:
Type of System complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes V
Information: Hazard Group
Density .
Design Area
K. Factor V
• Sprinkler Project Valuation: $ Zt 00'0
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
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
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft. ,
Fire Protection Permit Fees
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: $ 3Q0.97
• 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.
I:\ Building \Permits \FPS - PermitApp.doc 2
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171 �..�11 •
Inspection Requests (24 Hrs.): (503) 639 -4175 , 1 L
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 37
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: SOLID ROCK FELLOWSHIP. Fire sprinlders, 60 + -.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALPINE FIRE PROTECTION LLC PHONE #: 360 772 - 4191
Inspection Request Scheduled For: Date: 11/1512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 039786-01 503-888-0235 N
Corrections /Comments /Instructions:
__ fl z ....._,,,,_
•
II IMP'_ AI
• f. p IF ' - I ' ►IP *
PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL El CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
7 .,_,
Inspector: I 1 Date: ` ` 6� Phone #: (503) 718 ��
% . '
ir
•
CITY.:OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
NSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7 :02AM PAGE: 36
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOUD ROCK FELLOWSHIP
DESCRIPTION: SOLID ROCK FELLOWSHIP. Fire sprinklers, 60 + -.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALPINE FIRE PROTECTION LLC PHONE #: 360 - 772 -4191
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
295 Misc. inspection 039725-01 503-888 -0235 Y
Corrections /Comments /Instructions:
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL FEES ASSESSED
Inspector: £ i'r Date: IN 4 Phone #: (503) 718-
CIiF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' `'I � ..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5 :07PM PAGE: 16
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK: '
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: SOLID ROCK FELLOWSHIP. Fire sprinklers, 60 + -.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALPINE FIRE PROTECTION LLC PHONE #: 360 -772 -4191
Inspection Request Scheduled For: Date: 11/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 039323 -01 503-888-0235 N
Corrections /Comments /Instructions:
y ` ∎ r_,'11' i1 ' L Ia_ ► -O A Ilk .I.V
El PASS PAL APPROVAL 0 CANCEL 0 NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI' A FEES ASSESSED
Inspector: .� EI► _ Date: 1 , • . , l Phone #: (503) 718-