Permit 4 -r.
A
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00513
rJi ��, DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BC -00300
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI, 16 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 23 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: Y SMOK DET: .
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,653.00
Owner: Contractor:
VINNACOMBE CONSULTING WYATT FIRE PROTECTION INC.
12790 SE BLUFF RD 9095 SW BURNHAM
SANDY, OR 97055 TIGARD, OR 97223
Phone: 503- 826 -1726 Phone: 503 - 684 -2928
FEES Reg #: LIC 64077
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/29/2005 $72.10
[TAX] 8% State Surchari 9/29/2005 $5.77
[FLS] FLS Pin Rv 9/29/2005 $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 questions to OUNC by
calling 503 - 246 -6 o 1-800- 332 -2344. •
Issued By: , ,e, Permittee Signature: oi 7 al
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 am required on the job site at the time of each inspection.
1 a Saito// trtAery Dy1)-*blik-'d
Fire ProtectietnO-■stem
Building Permit ApplicaREere :I I, :. - FOR OFFICE USE ONLY
City of Tigard r ,f .. Received 0 i, ill,yall=1:21!ff1
Date/B : ....01•11k 0 Jo' .0 .1 • di,.
Y.3125 SW Hall Blvd., Tigard, OR 97223 Plan Review ri
Phone: 503.639.4171 Fax: 503.598.1960 ‘.,,t. -1+; Other Permit:
Inspection Line: 503.639.4175 i SEP 2 9 _4;":.-41 A 11 Date/By: 0,
Date Read //13 : NJ See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / a Supplemental Information
CITY OF TIGARD
' = '.,----:-.-- - ::_ - - Y ": .:,- •': -• • 1 Ti3UiiiDiNG,DIVISION: ."--"-,-',:"-;:::::-::::-,...: '7tri ,,•- :igiiiiiiiri - 6 4 0,:i_ AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Er Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
'.,. - -±. - ..,1-, : ;...:,:; .. - :.' --,,•.-- CATEGORY OF CON S TR UCTION _::,.. I _f . 7.i . .. ; :;:..,.:...::::, work indicated on this application.
Valuation: $
0
1- and 2-family dwelling Wommercial/industrial
El Accessory building El Multi-family Number of bedrooms:
El Master builder El Other: Number of bathrooms:
:;"::. ' '.'-""- •.',P - -' ,.• -I i0B SITE itiioriiv 1. -,' Total number of floors:
- - `• '-''''.'---' - A- — - . - -- r - -,,!- - -r 4 ..,- • ' .,..-' • ". ., e.. ' t''. -7 ,.; :: 7 .7.: 7 4 7 . "...a :;.4 a
Job site address: k2.22•O S 1.-.3p1 New dwelling area: square feet
City/State/ZIP: 1 (2Ap_D OK. Garage/carport area: square feet
i ,
Suite/bldg/apt. no.: I Project name:Ope(044 coryNrylka irt Covered porch area: square feet
Cross street/directions to job site: GVe Dm UNIO Deck area: square feet
Other structure area: square feet
. ak,.:QW.C44.44 . :4:T4, 5 ,*, 404. - 1 - 1SC HECKLIST
Subdivision: Lot no.: Permit fees* are based on 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
.. ' ..-. ' ...' .- : % '''' -." " DES CR I PTION , oi - iviiiiie`'"' - l ' :- ' " ' " '' " Pti work indicated on this application.
:•: - :-,-._•!.. -=,-..',...', ..-DEs .-.CilY7 ..'''' ..fi - . 7 '-:.-,..:Nx-w!?; - iza; ,
ft:1)D ( PI re s pyl NY-l0A2- 1--tethble-, Valuation: $
-.0‘e e\fq 12A1 5e,b c,e.A‘ 12,i r6 • Existing building area: ••••isc, 7 ...I
r) 0 / square feet
New building area: square feet
- • '''. 7 '• ',:-
PROPERTY :OWNER : I
- I • - - -• ■-----.3., El.TENAN Number of stories
'; .Ka!,5:44..,10
Name: tit i■10€ Od9 77€ 0-Dtta.r7/Ja. Type of construction: 5 - 5 , Slo ?I
r; kZr1
Address: Occupancy groups: A 2,3'
City/State/ZIP: Existing:
Phone: ( ) .... Fax: ( ) New:
APPLICANT - - ' - - '' '''''' tra•Ni;i6i.'iiiis' PERSON - '-v--•••'‘' - - . 1' - - - - • - • • - •
- , .• :..-_-• :.': • --,... ,.,' .: '', 477 77 i 7 : 7 7. : .: !. •,, ... • . :-.'.... • --,' -. ';...! - . 7 . 4 i . . 74 .1 . "".:; • ' ■....; NOTICE
.
Business name: ( 5e0 co*41yo 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
applicant is exempt from licensing, the following reasons
City/State/ZIP: apply:
Phone: ( ) I Fax:
E-mail:
A , 7 ' .. X 74 •,i,...,. ■:,, -...,,- ". '''..EL
,.... • 7 77 , ' .'_ . -77 t ''. •f: ': 7 7 ... - . ":. ' CONTRACTOR "!
Business name. J\- 'Bye pt,04-ept 0 IN J
:„-..- . BUILDING PERMIT FEES*
Address: oltci ZNI le,Q..1.‘i-kAiY\ Please refer to fee schedule.
Ci ty/StatelZIP: Tic90, A I 0 12.... 11 -2.:2--
Fees due upon application '7 1 0l0 1 I
Phone: (C7 . 7„,A2,5? Fax: (CA:2 ) 41.24. • Ci ij,C-,
Amount received
CCB lic.: p4.011
Authorized signature: • - 4 ,, , t......., e
/"...." Date received:
This permit application expires if a permit is not obtained
4 within 180 days after it has been accepted as complete.
(
Print name: Ka , . e .
r_IftNi=> Date: 04 • Z43. 05 • Fee methodology set by Tri-County Building Industry
Service Board.
1 Budding Pernou FPS•PerrrotApp doc 12103 440 13T( I I /02/COMAYEB)
,r .. }
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 ❑ 1 -10 heads: No plan review required.
...Sr Alteration �-11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 21
Additional description of w rk:
iltVIV t ST a.5 for CPA 12A •
Type of System (Coin' lete_A; B,,C or D as applicable):
A.) Commercial Sprinkler , -; cY �_.,
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ Z —
• B.) Type I - Hood Fire Suppression Sysfem
Hood Project Valuation: $
-C.) Fire Alarm :. _ ,.• _ ..
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
I).) Residential SprinTile (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): $ 'I kp j3
Permit fee based on valuation (see attached chart): $ - 12.1 0
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ C y1
FLS Plan Review 40% of Permit Fee: $
TOTAL: $ tO10.
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.
is Building \Forms.FPS Checklist.doc 12/29/03
I s
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: BUP2005-00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005
Phone: (503) 639 -4171 l A
Inspection Requests (24 Hrs.): (503) 639 -4175 . • `'' I
INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 99
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: OREGON COMMUNITY CREDIT UN
DESCRIPTION: Fire sprinkler TI, 16 heads.
OWNER: VINNACOMBE CONSULTING, PHONE #: 503-826-1726
CONTRACTOR: 1NYATT FIRE PROTECTION INC. PHONE #: 503-684 -2928
Inspection Request Scheduled For: Date: 10/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 018781 -01 503 -684 -2928 N
Corrections /Comments/ Instructions:
c< PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Vet/ )Ve4177pet Date: A a,0 as Phone #: (503) 718-