Permit III a ,..CITY OF TIGARD BUILDING PERMIT
PERMIT #: BU
: a: COMMUNITY DEVELOPMENT DATE ISSUED: 3/6/2007 P2007 -00061
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 10 3 D D -01201
SITE ADDRESS: 13920 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: FIRE PROTECTION
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: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: 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: PARKING:
VALUE: $ 27,800.00
Owner: Contractor:
GOODWILL INDUSTRIES JET FIRE PROTECTION LLC
1943 SE 6TH AVE 1935 SILVERTON RD NE
PORTLAND, OR 97221 SALEM, OR 97301
Phone: 503 - 238 -6190 Contact #: PRI 503 - 588 -5262
FAX 503 - 364 -2204
Reg #: LIC 162252
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/31/2007 $305.80
[TAX] 8% State Surcha 1/31/2007 $24.46
[FLS] FLS Pin Rv 1/31/2007 $122.32
Total $452.58
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: 741 � Permittee Signature: Sze. A
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 Permit Applicati ErotE' � FOR OFFICE: USE ONLY
. , col- ea
City of Tigard a �, W G(/�i(p!
131 SW Hall Blvd., Tigard, OR 9722 3 1 2007 Plan Review - i �7 t�
Phone: 503.639.4171 Fax: 503.59 960• — Ir, Received 0
Date B M
.ire �6 Other Permit:
Inspection Line: 503.639.4175 l 14 y t hutint.a Date R. y. v Ea See Page 2 for
' 'G^''"
Internet: www.tigard- or.gov BUILDINO DR1 IOIN Notified/Method: , Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
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.
El m
1- and 2 -family dwelling 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: t392O S -1J, PA-uric �Y � New dwelling area: square feet
City / State/ZIP: 6) - j4) Garage /carport area: square feet •
Suite/bldg. /apt. no.: I Project name: GoODu,)I L 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.
4-6tl F(te SPlrla S1
Valuation: $ 17 £00
Existing building area: square feet
New building area: Z -r t square feet
•
❑ PROPERTY OWNER I ❑ TENANT Number of stories: l
Name: - Type of construction:
Address: Occupancy groups:
City /State/ZIP: Existing:
Phone:( ) Fax :( ) New: .
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: , pi I2E,_ F 712 � d tV All contractors and subcontractors are required to be
Contact name: R ie_i+ '`T� licensed with the Oregon Construction Contractors Board .
under ORS 701 and may be required to be licensed in the
Address: r St LV ,AI 12I) 0.E _ jurisdiction in which work is being performed. If the
,, t applicant is exempt from licensing, the following reasons
City / State/ZIP:
J 41,Et. apply:
Phone: (5313) see -5 I Fax:: < 7 ) (4 _Z,
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
e, (Please refer to fee schedule)
Business name:
/��-' / pi4CA4 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.)
CC lic.: t 62„2,52, Total permit fees:
u thorized signature: / Amount received: / , 'J
This permit application expires if a permit is not obtained
P t name: Date: within 180 days after it has been accepted as complete.
7 D ' • Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingTennits \FPS- PennitApp.doc 03/23/06 440- 4613T(11 /02/COM/WEB)
•
City of Tigard:. Fire Protection Permit Checklist
P .2 = Supplemental Information .
Describe work to be done:
1.) - Z, New , . 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair •
Number of sprinkler heads: 36e2
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 �a
0
Design Area 1 500
K. Factor 0, a
Sprinkler Project Valuation: $ '27 00(2 •
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: $
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 #: BUP2007 -00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639 -4171 AI
Inspection Requests (24 Hrs.): (503) 639 -4175 F.
INSPECTION WORKSHEET FOR DATE: 6/7/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: FIRE PROTECTION
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 236.6190
CONTRACTOR: JET FIRE PROTECTION LLC PHONE #: 503 - 568 - 5262
Inspection Request Scheduled For: Date: 6/7 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 049764 -03 503. 209.3586 N
Corrections /Comments/ nstructions:
SE-5
< PASS J ?ARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS
❑ % • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecto Date: G I Phone #: (503) 718- / Y
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639 -4171 :alit
Inspection Requests (24 Hrs.): (503) 639 -4175 .....� I .
INSPECTION WORKSHEET FOR DATE: 6/8/2007 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: FIRE PROTECTION
OWNER: GOODWILL INDUSTRIES, PHONE #: 503.238 -6190
CONTRACTOR: JET FIRE PROTECTION LLC PHONE #: 503.588 -5262
Inspection Request Scheduled For: Date: 6/8 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes , -
999 Sprinkler final 049815.01 503 - 507 -2025
Corrections /Comments /Instructions:
Fe.--ti;-4- 1 e
9)17444C) 0 g-----, K t s o yv4- e _ - - - -
W ASS E ^ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ r d - -.IN! Date: 6 g Phone #: (503) 718- Z-4 Yr
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: BUP2007 -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639 -4171 11 I`II
Inspection Requests (24 Hrs.): (503) 639 -4175 F :..
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: FIRE PROTECTION
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 - 238.6190
CONTRACTOR: JET FIRE PROTECTION LLC PHONE #: 503 - 588-5262
Inspection Request Scheduled For: Date: 6/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me:s:ge 6 c.6
910 Sprinkler rough -in /test 048358-01 503-507-2027 Y
P IA 611"
Corrections /Co ments /Instructions:
-Q-c (■(--/-P c
c--- (I/4 1,,, ,1-- =Lc (0 druv-e'
(f )
LA _ 7 -6 C J 6' : L___ ---)-‘._._t_______
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date: C / / � (° 7 Phone #: (503) 718- 2- 12 4
`� .
CITY OF TIGARD
BUILDING DIVISION ._ ' / S PERMIT #: BUP2007- 00061
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 3/6/2007
Phone: (503) 639 -4171 �'°0 "'� t �
Inspection Requests (24 Hrs.): (503) 639 -4175 1 .L
INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 45
SITE ADDRESS; 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOOD a; ► 9 ski ' IES
DESCRIPTI• 1: FIRE PROTECTIO
OWNER: GOODWILL INDUSTRIES, PHONE #: 503- 238 -6190
CONTRACTOR: JET FIRE PROTECTION LLC PHONE #: 503-5138-5262
r
Inspection Request Scheduled For: Date: 5/15/2007 Pour Tim - • ..
Code # Inspection Description Confirm # Contact # Me: - . -
995 Misc. inspection 048301 -01 603-507-2025 �� �
Correction omments /Instr 'ons:
.44) ,.....-- 62,________
4 i \I°
C
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater / � / 7 Phone #: (503) 718-
CITY OF TIGARD , A
1 BUILDING DIVISION . PERMIT #: BUP2007 -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639- 4171�'� r
Inspection Requests (24 Hrs.): (503) 639 -4175 `'- -
INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: FIRE PROTECTION
OWNER: GOODWILL INDUSTRIES, PHONE #: 503- 236 -6190
CONTRACTOR: JET FIRE PROTECTION LLC PHONE #: 503.5L38 -5262
Inspection Request Scheduled For: Date: 4/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough- in/test 046917 -01 503 - 507 -2025 N
Corrections /Comments /Instr ' ns: ic.....,
-...-- _______---
7:0c, 4-ri - // ex) i4J-1
5 c o) . _,
PASS % PARTIAL APPROVAL ❑ CANCEL [1] NO ACCESS
111 FAIL IY/ • LL FOR INSPECTION ❑ ADDITIONAL FEES SESSED
Inspector: _ _ - Date: Ks 6 Phone #: (503) 718 - Z '
1111111b ,