Permit 1° BUILDING PERMIT
CITY OF TI CARD PERMIT #: BUP2006 -00406
�
��i� DEVELOPMENT SERVICES DATE ISSUED: 9/8/2006
. �' 1 ' 'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 136AD -05900
SITE ADDRESS: 11445 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Fire suppression upgrade for type one hood.
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: A2 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: $ 500.00 •
Owner: Contractor:
VIP'S RESTAURANT INC UNIVERSAL FIRE EQUIPMENT
29757 SW BOONES FERRY RD 8049 SW CIRRUS DR
WILSONVILLE, OR 97070 BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 641 -8702
FAX 503 - 643 -1472
FEES .
Reg #: LIC 86723
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/25/2006 $62.50
[TAX] 8% State Surcha 8/25/2006 $5.00
[FLS] FLS Pln Rv 8/25/2006 $25.00
Total $92.50
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: at- Permittee Signature: • t 4 t - -
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.
. �
Fi re lea ee ib s`t'em 5 RCtC OP
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Building Permit App 1; k � i ! , FOR OFFICE ICI: I;SI': ()NI.)
City of Tigard r el . B ved . , „ M EZIM U •a.o9'b 1/ A
° 13125 SW Hall Blvd., Tigard, ��I 2� pl Re
' ' Phone: 503.639.4171 Fax: S"03'S88.Z 2006 Date 1B . d . , !,i Other Permit:
Ti G A I Z D Inspection Line: 503.639.4175. Date Read ® See Page 2 for
Internet: www.tigard -oikgOl j Uk A ib ui iiitu Notified/Method: B Supplemental Information
7 Fe1fhTrf!- ''''VrRS T?CI ism
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 ❑ 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 ❑ Multi - family Number of bedrooms:
. ❑ Master builder Der: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: S j j J i/ e ( G-3,(J New dwelling area: square feet
City /State/ZIP: ` 1 4 6 St-0 c>/\-c..1 F l t. ' ttr ) Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
• Cross street/directions to job site: 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.
k ( C p () )e____ aluation: $ —
e44 L, E.- CA.ul G4 f< C Fl i< sv_ r - Existing building area: square feet
New building area: 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: --- 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: ( ) I Fax: : ( )
E-mail:
/ CO CTOR BUILDING PERMIT FEES"
Business name: ,' / � 5 net' (Please refer re fee schedule,
rl Permit fee:
Address: 'i (3 � 1 SkA3 � R K� -b i_ —
City / State/ZIP: "Z�.Q ti State surcharge (8% of permit fee): —
FLS plan review (40% of permit fee):
Phone: (Co ; ', A .' j " Fax: ( ) (Due upon application.)
CCB li . 1 sa3� 3 y — 8 9 Total permit fees:
II ' / c 1 - Amount received: L
Authoriz - I sign tur . /
• 1 . This permit application expires if a permit is not obtained
Print name: I Date: g - c3 , within 180 days after it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry
Service Board
L' Building\Pcmib\FPS- PamitApp.doc 0323/06 440.4613T(II /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to b a done:
1.) ❑ New 2.) Modification to sprinkler heads only.
[a' Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
"Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $ SO 0 —
M
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: $ —
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systemsirequire 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 #: BUP2006-00406
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/812006
Phone: (503) 639 -4171 /�,�dy�, 'l
Inspection Requests (24 Hrs.): (503) 639 -4175 `__—
INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7 :06AM PAGE: 62
SITE ADDRESS: 11445 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SIN BAR AND GRILL
DESCRIPTION: Fire suppression upgrade for type one hood.
OWNER: VIP'S RESTAURANT INC, PHONE #:
CONTRACTOR: UNIVERSAL FIRE EQUIPMENT PHONE #: 503 -641 -8702
Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: (Z; - ,i
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 037381 -01 503-314 -1898 N
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Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , ❑ CALL FOR INSPECTION ❑ ADDITI NAL ES ASSESSED
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Ir
Inspector: r Date: t0 Phone #: (503) 718