Permit ' a TI ARD C ITY OF PERMIT #: BUP2004 -00469
�� DEVELOPMENT SERVICES DATE ISSUED: 10/20/2004
��� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 07298 SW TECH CENTER DR PARCEL: 2S101 DC -01100
SUBDIVISION: ZONING: I -H •
BLOCK: LOT: JURISDICTION: TIG
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: 2N : sf N: S: E: W:
OCCUPANCY GRP: Fl 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 12,000.00 •
Remarks: Alteration of existing sprinkler system to accomadate higher design density.
Owner: Contractor:
CIRCLE A W PRODUCTS COMPANY PARKER FIRE PROTECTION INC
ATTN: PHIL PINGSTERHAUS 30205 SE KELSO RD
BY B -LINE SYSTEMS, INC BORING, OR 97009
H IL 62249
one:
Phone: 503 - 663 -6278
Reg #: LIC 124300
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 9/30/2004 $158.50 Sprinkler Final
[FLS] FLS Pln Rv 9/30/2004 $63.40
[TAX] 8% State Surchari 9/30/2004 $12.68
Total $234.58
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:
-.7
2� y
Permittee iC
Signature: /A ,��eil/l e,�fi ix_p_..e2
Call 639 -4175 by 7 p.m. for an inspection the next business day
71 $wTC14ct riA
Fir P o te L ion System
/ • rr • Build'n ermit A FOR OFFICE USE ONLY
City of Tigard Received — Q Q% L- Permit No.': • , 4 -- lIy6
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598 ,1p603 0 20wir M'�hl� DateB : ♦ • L f I Other Permit:
Inspection Line: 503.639.4175 W Date Ready/By: ® See Page 2 for
r
Internet: www.ci.tigard.or.us , y of 0 G p F_ D Notified/Method: ENE Supplemental Information
vl
'•ukLON OIViGiOM
TYPE OF WORK 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 Commercial /industrial
❑ 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: 1-3
' s .6,4.- Ve.-- 22,/ r New dwelling area: square feet
City/ State/ZIP: 7 I . OR 9 722 3 30 "re, C� -/Gara area: square feet
Suite/bldg. /apt. no.: Project name: ft l4-`, —6 0,, C Covered porch area: square feet
Cross street/directions to job site: C h e - c. - 72,...1 ^ v tJ l Deck area: square feet
�-
� t G l A-4-e,- 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, overhead, and the profit for the
' DESCRIPTION OF WORK work indicated on this application.
Al- k,,,. --rry o4- e�c't3+ & slw-t>^�.r .-1-3.k...... Valuation: $ �3 ODD
-4-a Q(dt�ar-t A k q e.-- Jes��� I - Existing building area: ;2,2 Ot?)squaze feet
J e � e �` New building area: (i square feet
S r PROPERTY OWNER ❑ TENANT . Number of stories: I
Name: Type of construction: 54¢_ 1e_
Address: / 2 5 j 15 S 5 LJ -7a a � 1 � Occupancy groups:
City/State/ZIP: q
: '� `e ., , Q12 q 7.a 3 Existing: pPAt4�� �1Q i
Phone: ( ) J Fax: ( ) New: C IA .53 I V Coo 4 (1-y
. g. APPLICANT - ❑ CONTACT PERSON
NOTICE ,
Business name: R.,,,, k- e _ c - Fives P €o k (b•s. , f,.0 - All contractors and subcontractors are required to be
Contact name: 9 p ew ik eAr, Ca( fy`L� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: Q > s SE Ke (1-, P--id , jurisdiction in which work is being performed. If the
City/State/ZIP: f)rY ( V h q 7 001 applicant is exempt from licensing, the following reasons
�r 2 ` apply:
Phone: (90) 6 c3 .)7 Fax: : (SJ3) 663_ 7,29 7
E -mail:
CONTRACTOR
Business name: P P C•4 - t�ln ,
�✓ t� L- BUILDING PERMIT.'FEES* .
Address: 3 D.,.. Kell, S
q Please refer to fee schedule.
City/ State/ZIP: � t ` 1 7p
Fees due upon application
Phone: ((3 ) j 3 - gl 7 z6 Fax: (553 ) G 6'3 — 7,2 4 ? 7
CCB lie.: , Amount received
I' el 4 � 1-1z� o,�
Date received:
Authorized signature: 1 / �� Irk ♦ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: C \ Noy S{�,.4&■..,) l Date: I /`3c/e4:_ * Fee methodology set by Tri-County Building Industry
l l Service Board.
i:\Buitding \Permits \FPS - PermitApp.doc 12103 440- 4613T(11102JCOMTWEB)
Fire Protection Permit Check List
Describe work to be done: . . -
1.) El New 2.) Modification to sprinkler heads only:
El Addition ❑ 1 -10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
El Repair
Number of sprinkler heads:
Additional description of work: C c(...k,$�e-y S��'.2�.fi��
y Cam$ 1 +o) CL Kr
Type of System (Complete A, B, C or D as applicable): • •'-
A.) Commercial Sprinkler.; • -
X Wet ❑ Dry
Additional Standpipes
Information: Hazard Group v C�. o�
Density , `?j I
Design Area 3
K. Factor 11'
Sprinkler Project Valuation: $ J- °DO
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
. C.) Fire Alarm : ,
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ �f
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.
Project Valuation Subtotal (A, B & C): $ f a ci7
Permit fee based on valuation (see attached chart): $ ( ' , 5
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 2 , 6 g
FLS Plan Review 40% of Permit Fee: $ 3 , 1-0
TOTAL: $ 2g¢ 5 $
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\FPSchecklist.doc 12/24/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / /D AM PM BUP 0/0Z 4 / - 00 4716?
Location • - 7,...,1_9 - g Suite MEC
Contact Person Ph ( ) 3 Sa '"O c17 U PLM
Contractor R1-(J- Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: � - IT /mil
Post & Beam �%�_C am- /
Shear Anchors ( /l L J 5 /9
Ext Sheath/Shear c�/ / er2,
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
re Sprinkler f '
"Fire Alarm
Susp'd Ceiling ` I ' v
Roof ( I V
Oth : • I_
PART FAIL
• 6 NG
Post & Beam
Under Slab • �� —�
Rough -In Ir• 1jMa
Water Service I - ,
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for einspec ••n RE: _ Unable to inspect - no access
Fire Supply Line (D
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL