Permit •
A A '` BUILDING PERMIT
., CITY OF TIGARD PERMIT #: BUP2006 -00359
� DEVELOPMENT SERVICES DATE ISSUED: 7/28/2006
.,� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DC -04601
SITE ADDRESS: 07409 SW TECH CENTER DR 150 ZONING: I -P
SUBDIVISION: TECH CENTER BUSINESS PARK LOT: 002 JURISDICTION: TIG
Project Description: Fire sprinkler TI, add (1) head and relocate (3) 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 76 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: $ 2,976.00
Owner: Contractor:
WATUMULL PROPERTIES CORP MASTER FIRE CONTROL, INC
621 SW MORRISON SUITE 800 12125 SE HWY 212
PORTLAND, OR 97205 • • CLACKAMAS, OR 97015
Phone: 503 - 223 -3171 Contact #: PRI 503- 656 -0782
Reg #: LIC 55377
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/28/2006 $72.10
[TAX] 8% State Surcha 7/28/2006 $5.77
Total , $77.87
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
Ore n- Utility- Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtt'n a copy
hese rules or dire t questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: t 42,44,4
Permittee Signature: "/
/
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
Fire Protection System
building Permit Application Received FOR OFFICE USE ONLY
,, D - Building / � �9
Date/By: / g om` Permit No
Planning Ap • royal � (,�'fJ Other r
City of Tigard Date/By: Permit No.: ZA /p
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax 503 - 598 -1960 'V'li Date/By: eW Case No.
-- �
Internet: www.ci.tigard.or.us Contact �1 ® See Page 2 for
24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: / / rte - Supplemental Information
•
..
_ .' • � REQUIRED DATA:‘ .
0 New construction ❑ Demolition • 1 & 2 FAMILY DWELLING : .
jg Addition/alteration/replacement ❑ Other:
^ ' • "CATEGORY OF CONSTRUCTION Note: Permit fees* are based on the total value of the work performed. Indicate
❑1 & 2- Family dwelling Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
rAA OHS1TE.INFORMATION- andtOCATION • _. No. of bedrooms: No. of baths:
Job site address: ']441). SUIYCLC (4 CtQ opAie Total number of floors
New dwelling area (sq. ft.)
Suite #: I bQ I Bldg. /A # , may �,r'- Garage/carport area (sq. ft.)
Project Name: SAM 'MEN CAL r 8000 .` � I. 1 . Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
S W .) -7 y 0 So � O e -" zi l Other structure area (sq. ft.) •
L REQUIRED DATA ,
,.COMMERCIAL - USE CHECKLIST . . .
Subdivision: I Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
.. • = ' • • DESCRIPTION OF WORK . the value (rounded to the nearest dollar) of all equipment, materials, labor,
R , ^ �_ 0 ICy SeR14 qa D _ S overhead and profit for the work indicated on this application. �]/ ^
l �/ Valuation Zn I v . u9
Existing building area (sq. ft.) .
New building area (sq. ft.)
Number of stories
fl PROPERTY OWNER . I ❑ TENANT ... Type of construction .
Occupancy group(s): Existing:
Name: New:
Address:
City /State/Zip: I A •
NOTICE: All contractors and subcontractors are required to be
Phone: Fax: licensed with the Oregon Construction Contractors Board under
-❑ ,APPHICANT t ❑ CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing, the following reason applies:
Address:
City /State/Zip: I A .
Phone: I Fax: ,... ;
•BJI _ F
E - mail: _ ; ' : ..' leate refer to fee scbe 'ii1e - . - . .
:,t. CONTRACTOR • _ > . ,
Business Name: 010 V VI RE �N 1 L Fees due upon application $ •
Address:- 1 Z12.,S Es 1.116411,3/4•( 2l 2
City / State/Zip: CLP C VZg1 ) 4 5 OREdovt 17 015 Amount received $
Phone 6 " '
t . _ - • ;:. Z. Date received: •
CCB Lic. #:
Authorized /a' , �� Q - Notice This permit application expires if a permit is not obtained within
Signature: �� Date: Q 180 days after It has been accepted as complete.
/J LEY _ �L�/ 'on/ 4 4 i .. *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Pemit Forms\BIdgPermitApp.doc 01/03 .
• w
Fire Protection Permit Check List
A.) ❑ New /Addition Alteration - ❑ Repair •
B. dification to sprinkler hea s only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: . 11+ heads: Plan review required.
Number of sprinkler heads: AND I aii:KATC
Additional description of work:
Type of System :(Complete A, =B or. C as applicable): • - • . • .
A.) Sprinkler Wet Dry ❑ •
Standpipes N//
Additional Hazard Group EtW Q\
Information Density .1� fv'
Design Area 1500 SQ CT
K. Factor 5. 6,
Sprinkler Project Valuation: $ 2,5 76'
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: $
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see chart): $
8% State Surcharge: $
FLS Plan Review 40% of Permit: $
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 NICET level "3" technicians.
•
iAdsts\forms\FPSchecldist.doc 11/21/01
CITY OF
BUILDING DIVISION PERMIT #: BUP200Cr00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 qIl
Inspection requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8 191200E TIME: 7:04AM PAGE: 70
SITE ADDRESS: 07409 SW TECH CENTER DR 150 CLASS OF WORK:
SUBDIVISION: TECH CENTER BUSINESS PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: SAM MEDICAL
DESCRIPTION: Fire sprinkler TI, add (1) head and relocate (3) heads.
OWNER: WATUMULL PROPERTIES CORP, PHONE #: 503 -223 -3171
CONTRACTOR: MASTER FIRE CONTROL, INC PHONE #: 503
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 034592 -01 503-655 -6992 Y ALEX Corrections /Comments /Instructions:
9)3 (W 07 a
1 (k)5T , - , c[.e_ ESCH
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CC:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I. . CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: af Date: 8 `, Phone #: (503) 718- Z