Permit t
, CITY OF TIGARD BUILDING PERMIT
®,'` ' �� PERMIT #: BUP2008 -00172
COMMUNITY DEVELOPMENT DATE ISSUED: 6/23/2008
T I G A RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AD-06504
SITE ADDRESS: 11462 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: AMERICAS TIRE COMPANY LOT: 003 JURISDICTION: TIG
PROJECT: DISCOUNT TIRE
Project Description: TI. Fire alarm.
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: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 73 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: Y REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 10,453.00
Owner: Contractor:
DISCOUNT TIRE RFI BUILDING TECHNOLOGIES
4026 W. WHITTON 25977 SW CANYON CREEK RD
PHOENIX, AZ 85019 SUITE E
WILSONVILLE, OR 97070
Phone: 602 - 272 - 9356 Contact #: PRl 503 - 682 - 9900
Reg #: LIC 67147
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/19/2008 $126.85
[TAX] 12% State Surch 5/19/2008 $15.22
[FLS] FLS Pln Rv 5/19/2008 $50.74
Total $192.81
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 `�` , _ , /_ Permittee Signature: 24,4, /
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.
'Building Per 1m��Ap i ``at � j .i . c t i / ' �U� �fe�s T
• Fire Piotection System � FOR OFFICE USE ONLY
City of Tigar Received /�
J ° 6ti ° ° � T A it No.: r / —,_ , _, c
13125 SW Hall Blvd., Tigard, OR 97223 \ 1 �9 'Ian Revie 11 If 0
s
. Phone: 503.639.4171 Fax: 503.598.1960 MP elGPSl% oate/By: tW' Other Permit: a/4pD.piq
TI G A IZ D Inspection Line: 503.639.4175 `J` Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard or.gov Q� `Cj� Notified/Method: J Ati Supplemental Information
CS TYPE OF WORK REQUIRED DATA:1- AND 2- FAMILY DWELLING
g 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 �ommercial/industrial Valuation: $ �D / 3c-e2
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND L CATION Total number of floors:
Job site address: l/ 44. 1 14, pACj ',i New dwelling area: square feet
City /State /ZIP: -77/1 ila 0R 7 .5 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 4/ -7;2‘• 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.
tip II / / J Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: 44146tiCit/5 /pis Atr "rig Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: i a All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: i ndjJ y
/ 1 under ORS 701 and may be required to be licensed in the
Address: d5977 7 5tt�l , 6 „'"volf ( L 4 /(j � 5r g jurisdiction in which work is being performed. If the
City/State /ZIP: WOOL) (f 1k • Qa �i7�70 , 4 a pplicant is exempt from licensing, the following reasons
/� apply:
Phone: (, ) .�Ja //,, Fax:: (,03 )
E -mail: r11 te0 p ,i &Of
CONTRACTOR BUILDING PERMIT FEES'
Business name: W E
(Please rejoto fee schedule)
Permit fee: /4 •
Address:
City/State /ZIP: State surcharge (12% of permit fee): /5; e>
FLS plan review (40% of permit fee): .-7) --xi
Phone: ( ) I Fax: ( ) (Due upon application) -P/ • /
CCB lic.: 6 l Total permit fees: 7
Amount received: A � • �(
Authorized signature: (
This permit application expires if a permit is not obtained
Print name: t C — PA £L Date: ela 3/049 within 180 days after it has been accepted as complete.
Fee methodology set by Tri -County Building Industry
Service Board.
l:\ Building \Permits\FPS- PennitApp.doc 03/23/06 4404613T(l1/02/COM/WEB)
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 El 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 $
C.) Fire Alarm • •
Submittal shall Battery Calculations [ Yes
include: Individual Component [I Yes
Cut Sheets
Fire Alarm Project Valuation: $ /0 1 /53
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 (12% 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.
I:\ Building \Permits \FPS- PermitApp.doc 2
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2008 00172
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2008 Phone: (503) 639- 4171'
Inspection Requests (24 Hrs.): (503) 639 -4175 -� -..
INSPECTION WORKSHEET FOR DATE: 7/28/2008 TIME: 7:03AM PAGE: 50
SITE ADDRESS: 11462 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: AMERICAS TIRE COMPANY LOT #: 003 TYPE OF USE:
PROJECT NAME: DISCOUNT TIRE COMPANY
DESCRIPTION: TI Fire alarm.
OWNER: DI COUNT TIRE, PHONE #: 602 -272 -9356
CONTRACTOR: RFI BUILDING TECHNOLOGIES PHONE #: 503- 682.9900
Inspection Request Scheduled For: Date: 7/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
990 Alarm final 073234 -01 503. 582 -5608 N
Corrections/Comments/Instructions:
•,� g. c t7
e9,5...) r ei PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 _
Inspector: _ - Date: 7 8/c28 Phone #: (503) 718-
`
CITY OF TIGARD , A BUILDING DIVISION PERMIT #: BUP2008 00172
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2008
Phone: (503) 639-4171 '1
I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2008 TIME: 7 :00AM PAGE: 43
SITE ADDRESS: 11462 SW PACIFIC HWY
CLASS OF WORK:
SUBDIVISION: AMERICAS TIRE COMPANY LOT # 003 TYPE OF USE:
PROJECT NAME: DISCOUNT TIRE COMPANY
DESCRIPTION: Ti. Fire alarm.
OWNER: DISCOUNT TIRE, PHONE #: 602- 272 -9356
CONTRACTOR: RFI BUILDING TECHNOLOGIES PHONE #: 503682 -9900
Inspection Request Scheduled For: Date: 7/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Alarm final 073126 -01 503-582 -5608 N
Corrections /Comments/ Instructions:
1 1 0
o Pc .4 - n/C�
&tt Zr-0
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i►:�3_I_ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 y/ 0 Phone #: (503) 718- 1 7 / y
y