Loading...
Permit • BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2005 -00258 J ��I DEVELOPMENT SERVICES DATE ISSUED: 6/15/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S136CD-00100 SITE ADDRESS: 11705 SW PACIFIC HWY J ZONING: C -G SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG Project Description: 6 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: _5v, 00 Owner: Contractor: PACIFIC CROSSROADS PROPERTIES, I GUARDIAN FIRE PROTECTION BY WYSE INVESTMENT SERVICES CO 1012 SW A ST 200 SW MARKET ST STE 345 CORVALLIS, OR 97333 PA eeLAND, OR 97201 Phone: 541 - 752 -2258 FEES Reg #: LIC 100355 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/15/2005 $62.50 [TAX] 8% State Surcharl 6/15/2005 $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 ru s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rule or direr questions to OUNC by calling 503 - 246 -6. 9 or 1- 800 -33 X344. Issued By: V ,, q c, Permittee Signature: - • 'e-, -- 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. r 6 Fire Protection System CE VE D Building Permit Application FOR OFFICE USE ONLY City of Tigard pm 15 2005 Received �� 13125 SW Hall Blvd., Tigard, OR 97223 Date/8 . /5 ' n 4 _r :► Phone: 503.639.4171 Fax: 503.598.1960 BUILDING DtV: CITY OF TIGAF/ /xnr+% /�' m;�lld /B y: ew 'Other Permit: t) � � • 'lir >• Date/By. Inspection Line: 503.639.4175 ,_ Date Ready/By: RI SeePage2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information . TYPE OF WORK ' REQUIRED DATA:,1- AND 2- FAMILY�DWELLIN ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 1 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 ❑ Other: Number of bathrooms: . -JOB SITE .INFORMATION, AND :LOCATION - ,, ' . Total number of floors: Job site address: // 1(7=3' S. Cc..- e L, /, / New dwelling area: square feet City /State /ZIP: s----, S r Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: ,... 4., AL: ad4tift- 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: 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, over d, and the profit for the ' - DESCRIPTION, O K. F= WOR work indicated on this applicati o--oQ 5 f�t S v ��frk� S � •" - "��f 6.- Valuation $ / se 7 7 _ / j_13L Existing building area: square feet --�� ��"�' New building area: square feet . ❑ PROPERTY OWNER ' - . ' ❑ TENANT ' Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New El APPLICANT CONTACT PERSON NOTICE Business name: 6 C -1 ,,, , p,,, All contractors and subcontractors are required to be • Contact name: �s it_ �� ;�t- licensed with the Oregon Construction Contractors Board l j t l under ORS 701 and may be required to be licensed in the Address: /p / ?- S: a e; '4 s r jurisdiction in which work is being performed. If the City /State /ZIP: Core vAlt , , 9-7 ; 3 3 applicant is exempt from licensing, the following reasons apply: Phone: (.1j( ) ?r 77- 511 Fax: : ( 9'l / ". ) ?9 Z•I?— 5 , 0 E -mail: el C/ CONTRACTOR - • .. . 6? �. - 0 Business name: . BUILDING PERMIT FEES* .. , , Address: Please refer to fee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lie.: /oo of - / /)� /c9 Amount received `e' Date received: Authorized sign, . e: This permit application expires if a permit is not obtained Qj /f within 180 days after it has been accepted as complete. Print name: i IN/WO )� / ©S --------. * Fee methodology set by Tri- County Building Industry 6 Service Board. • is \ Building \Permits \FPS - PermitApp.doc 12/03 440- 4613T(l1 /02/COM/WEB) ■ 1 • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describevi kto`be,done: ' - " • 1.) New 2.) Modification to sprinkler heads only: ❑ Addition 3-1110 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. • ❑ Repair Number of sprinkler heads: (p Additional description of work: e riR( ���/�� £556.•. `� Type of System (Complete A, B, C or Das 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: $ C.) Fire Alardi ' Submittal shall Battery Calculations ❑ Yes include: • Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ D:) Residential e 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. Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ TOTAL: $ Plan review requires a completed application and 3 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 MCET level "3" technicians. 1:\ Building \Permits\FPS - PermitApp.doc 2 CITY OF, TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00258 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2005 Phone: (503) 639 -4171 aemu yppuylj�l Inspection Requests (24 Hrs.): (503) 639 -4175 ' INSPECTION WORKSHEET FOR DATE: 6/28/2006 TIME: 7:09AM PAGE: 48 SITE. ADDRESS: 11705 SW PACIFIC HWY J CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE: PROJECT NAME: SUSHI HANA DESCRIPTION: 6 sprinkler heads. OWNER: PACIFIC CROSSROADS PROPERTIES, I, PHONE #: CONTRACTOR: GUARDIAN FIRE PROTECTION PHONE #: 541 - 752 -2258 Inspection Request Scheduled For: Date: 6/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 920 Suppression trip test 010311i-01 541 -752 -2258 N Corrections /Comments / Instructions: ( 1 % 50 A int 117 PASS PARTIAL APPROVAL ❑ CANCEL • ❑ NO ACCESS n FAIL , CALL FOR INSPECTION ❑ ADDITIOi AL FE ASSESSED Ins ector: ' / D ate: one #: 503 718 - p SY/ ( )