Permit �� - � B UILDING PERMIT
CITY OF TIGARD P2 - 0583
PERMIT #. BU 005 0
� .I�� DEVELOPMENT SERVICES DATE ISSUED: 11/4/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BC -00300
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI
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: 327 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: $ 2,475.00
Owner: Contractor:
BPP RETAIL LLC WYATT FIRE PROTECTION INC.
BY BURNHAM PACIFIC PROPERTIES 9095 SW BURNHAM
ATTN: JOHN WATERS TIGARD, OR 97223
ANN DIEGO, CA 92101
Phone: 503 - 684 -2928
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/1/2005 $72.10
[TAX] 8% State Surcharl 11/1/2005 $5.77
[FLS] FLS Pln Rv 11/1/2005 $28.84
Total $106.71
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questi - n t- OUNC by
calling 503 -246 9 1- 800 - 332 -2344. /' //
Issued By: Permittee Signature ,,�e.-- /,./
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Fie Protect tern gOo,k cf al
Builds Permit Application `' ' FOR OFFICE USE ONLY
l City of Tigard G�,V DateBea 1 �>'o0 b - /-I 3
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.19 1 `�Q� `,. ,, O, Date/B :
i �t r
Inspection Line: 503.639.4175 0 L _ ► F: Date Ready/By: � �'l E1 See Page 2 for
Internet: www.ci.tigard.or.us 1` t 1 � t - Y `s.�; No rified/Method•" / . � Supplemental Information
1� O v��7�v' ii ir . 1 _ rat/ _ ' T Y p>$ 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
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
:_: = - - CATEGORY OF :CONSTRUCTION.' • ., work indicated on this application.
:'. ;. Valuation: $ ,
❑ 1- and 2- family dwelling [a'Ci mercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.11'1': O ` r� Total number of floors:
.:�'` -- .� -�.� . . :JOB ' SITE IN FORMA TION;A�D: L'OCATION F . ` u. _ - .. - ..:
Job site address: 1 '� SGEAd� e. • New dwelling area: square feet, t
;M �/ Garage/carport area: s uare feet 1`
City /State/ZIP: � G~ ` V ` � � (J 'I L Z 3 q
Suite/bldg. /apt. no.: J 1 Project name: D r `ryee — Covered porch area: • square feet
Cross street/directions to job site: C21eP tk sht a i i N [3 Deck area: square feet
J Other structure area: square feet
_REQUIRED DAT4 COMMERCIAL- USE.CHECKLIST
Subdivision: I Lot no.: Permit fees* are based nn 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
-'t.. ' work indicated on this application.
• .. - " ' DESCRIPTION "OF, • � '�' � -
F D ReIOCJAT$ 1r8 N FII.A2_ '- Valuation: $ 21S
l Existing building area:' *00 square feet
New building area: square feet
' _ ❑ PROPERTY OWNER - • : I. `` " =/ - . - :' O. TENANT : ;-:, Number of stories: I
Name: Type of construction: 5 B
Address: Occupancy groups: j/� 3 27
City /State /ZIP: Existing:
inn
Phone: ( ) Fax: ( ) New:
• :;•_-i, • . - APPLICANT . ' ' ; ,s4. � . '.❑, CONTACT PERSON - NOTICE
Business name: ( See �- � 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: IState'ZIP applicant is exempt from licensing, the following reasons
b' : a pply:
Phone: ( ) Fax:: ( )
E -mail: •
.. -t. . CONTRACTOR :o J .. - • •
Business name: A,1-1- 1-- re pb'1 .. .wh `1N�/ B UILDING PERMIT FEES*
Address: 4S g■RN i Please refer to fee schedule.
City/State/ZIP: 1 ► 1 , / OR G11za3 4t,t D\O 1
1 Fees due upon application `
Phone: (0703) kr A . 2g Fax: ( S°3 ) (4 - 4 b5 �1
A' V Amount received
CCB Iic.: l.p4V-1
Date received:
Authorized signature: . -.!,� L^ Q This permit application expires if a permit is not obtained
/ ` r ��L/ within 180 days after it has been accepted as complete.
Print name: ' 7 f fA-M Date: li — J —0 S • Fee methodology set by Tri -County Building Industry
Service Board.
1 Budding PermtsFPS -Pc r.:Appdoc ::.03 440.4613T(II,03COM/WEB)
----rroe: _ ,. ,
City of Tigard: Fire Protection Permit Checklist o`\ a �
Page 2 - Supplemental Information D `
De to be done: = i ' : -
1.) ❑ New 2.) Modification to sprinkler he. • s only:
❑ Addit' • n ❑ 1 -10 heads: No plan view required.
'Alter. ion ❑ 11+ heads: Plan re ' iew required.
❑ Repai
Number of sprinkle eads:
Additional descri , tion of work:
T' ANT Imp rb \ien
Type of System ( • i mplete'A;: -B,;C or. D: as'appti` ' ∎ le).:-:;: _ . .
:A. Commercial S 1 cinkler'..`-. r- }?k;' ' `d• 4,;; r : ; •r:: y . <.�. _ _ . . " .
.b =' Jli.�t�.: •K:'�s.ieE`.1 c ': Y r..Yo= .G.:., i ��p , if .i .
❑ Wet ❑ Dry
S Additional Standpipes
�I `� d Information: Hazard Gr' p
r Density
� 4 do �,4 Desi a ea
_ i< K. Fay or
1
a a �,t Sprin l er :ro$: lu : $ Z 4 -B T e I -' Rood_FireSup resin System - ' " E`�" rit . ` .r`
' _ : `` '_
. f ` - .
Hood Project Valuation: I $
..1:c, ��y� �� M''� '.,+. °a' -�"r '� �� C`�°•�p+ r.��r = -� •-. <-
:C.) Fire Alarm � .,� .. �:�-:,>. . - � -�� . �. �- ��`�- �,:_ : �. �:� . : � - . - Submittal shall Ba ery Calculations ❑ Yes
include: Indi 'dual Component ❑ Yes
Cut Sh; ets
Fire Alarm 'roject Valuation: $
V R7f 'b `�f•^� ii�Cf" Mr j4 ;p f... :'�.•^ 'Ir.�lia S A %:• , •.. }7 N.•
', D Residential Sprin . er (StandiAllone 1 Sys m)- ,; -�rt� ;x. - -. ; 5 � :..: ='P .
Square Footage Permi ee: ;;•,i4' . _r ' :� r :
0 to 2,000 $187. t x ' g' ` {�.�, �.- .
2 to 361 - .4 g t.
$ { ' ,r, ;_ # ....
3,601 to 7, 00 _ $292.50 Ye. - F:• .: e -tl -;
7,201 an' greater $381.50 ' r r ` �M ;� t ,,r ......11
Sprinkler Project Square Foota • • : sq. ft.
Project Valuation Subtotal (A, B & C): $ 2,415
Permit fee based on valuation (see attached chart): $ - 12 .1 v
P - rmit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 5 '1 .
FLS Plan Review 40% of Permit Fee: $N
co ") I
TOTAL: $ 1
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 NICET level "3" technicians.
i:'Building\Forms \FPS Checklist.doc 12/29/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S -00583
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2005
Phone: (503) 639 -4171 � d 1 u �I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 . P._L
INSPECTION WORKSHEET FOR DATE: 12113/2005 TIME: 7 :02AM PAGE: 80
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Fire sprinkler TI
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 6842928
Inspection Request Scheduled For: Date: 12/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 023337 -01 503- 684 -2928 N
Corrections /Comments /Instructions:
I
■
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FE S ASSESSED
Inspector: Date: ( one #: (503) 718-
_iXii,c:3)__________
Cll F TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00583
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2005
Phone: - (503) 639 -4171 i,W �p ,^�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 12244 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Fire sprinkler TI
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503- 664 -2.928
Inspection Request Scheduled For: Date: 12/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 023661 -01 360- 601 -7940 N
Corrections/Comments/Instructions:
Al
• P ( 11WrZ i 0 IFINEW— k f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: , Date: t � ` Phone #: (503) 718-