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Permit 111111 C ITY OF TIGARD BUILDING PERMIT B : COMMUNITY DEVELOPMENT DATE PERMIT ISSUED#: / U 6 / P 2 2 0 0 0 0 9 9 00004 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 104AD - 04 500 SITE ADDRESS: 12617 SW WALNUT ST ZONING: R - 4.5 SUBDIVISION: TVF &R FIRE STATION LOT: JURISDICTION: TIG PROJECT: TUALATIN VALLEY FIRE AND RESCU Project Description: Fire Alarm 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: S2 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 91 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:Y DWELLING UNITS: 4 FRNT: ft REAR: ft FIR ALRM : U HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 6,000.00 Owner: Contractor: TUALATIN VALLEY FIRE & RESCUE METRO SAFETY & FIRE INC 20665 SW BLANTON ST PO BOX 33650 ALOHA, OR 97007 PORTLAND, OR 97068 Contact #: PRI 503 - 231 -2999 Phone: 503-649-8577 FAX 503 - 256 -4691 Reg #: LIC 63651 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 1/6/2009 $159.50 [BUILD] Investigation Ft 1/6/2009 $159.50 [TAX] 12% State Surcha 1/6/2009 $19.14 [TAX] 12% State Surcha 1/6/2009 $19.14 (additional fees not listed here) Total $397.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules - • th in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling .246.6699 o 1.:!•.332.2344. Iss ed By: / 'I/ �� Permittee Signature: /0 ,. 1 i ( C-�/7 �c'�— Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System � FOR OFFICE USE ONLY City of Tigard Vkiv DateB Received a fire % Permit No.: 1 ! .- 6000 II • 13125 SW Hall Blvd., Tigard, OR 97 C 750 Plan Revie i ' � i Phone: 503.639.4171 Fax: 503.598.1960 `P 0 v DateB : 4 �J 1k LC• I Other Permit: T I G A K D Inspection Line: 503.639 J � Date Re. ° - :y: Ju 0 See Page 2 for • Internet: www.tigard - or.gov 001 X Notified/Method: I 0 , Supplemental Information Or G �� J TYPE OF V' P REQUIRED DATA: 1- AND 2- FAMILY DWELLING New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling �$ Commercial /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: t Z(a1 / Z (.L.)111fvu4.. 3'77 New dwelling area: square feet City/State /ZIP: 'J lets sb 0 . Cf 7 2.Z3 Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: 'r') F .1- (Z 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: 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. ' Valuation: $ (D I000�° -- Existing building area: square feet New building area: square feet K PROPERTY OWNER ❑ TENANT Number of stories: Name: /l/ F a- 2 Type of construction: 5-F Address: AD/pips"' 6w ' ,f07.01 ' 1 Occupancy groups: 52 City/State /ZIP: A Lo -t D (2 97e ie, 7 Existing: Phone: ( ) Fax: ( ) 7 New: 0C-C- [o7 cif ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: 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: applicant is exempt from licensing, the following reasons apply: Phone: ( ) Fax:: ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* ' (Please refer to fee schedule) Business name: /4/3 T i t o . F6 Ql-- F- it e � e _ . Permit fee: Address: i 43 2c( -S E.. Srei-R-k- S ! City /State /ZIP: { d, .,a R , q 7 Z3 State surcharge (12 % of permit fee): FLS plan review (40% of permit fee): Phone: (563 ) 2 3 1 • Zit 49 ' Fax: ( 553) ZS � ( s . c ! / (Due upon application.) CCB lie.: tiO3(,5 Total permit fees: Authorized signature: /6/04,ej / Amount received: This permit application expires if a permit is not obtained Print name: li t�t� ceks Date: f - 5 _ 09 within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(II /02/COM/WEB) 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. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: _ 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 Design Area K. Factor Sprinkler Project Valuation: $ 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: $ 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 (12% 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. I:\ Building\ Permits \FPS- PemritApp.doc 06 /25/08 2 tItY OF TIGARD BUILDING DIVISION PERMIT #: nt ,p2(10aila 13125 SW Hall Blvd., Tigard, OR 97223 I . 1 DATE ISSUED: 4)442006 ,.., :a! pi l i .iN Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 l INSPECTION WORKSHEET FOR DATE: 12/31/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: •26'17 SW WAI,NUT ST CLASS OF WORK: SUBDIVISION: TVIr&R FIRE. STA11014 LOT #: TYPE OF USE: PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU DESCRIPTION: 11,700 sf. fir° Elation OWNER: PHONE #: 603-049-05/7 TiJALATIN VALLEY FIRE: & RESCUE, • CONTRACTOR: FIRST CASCADE CORPORATION PHONE #: 50'3 Inspection Request Scheduled For: Date: 12/31/2003 Pour Time: Code # Inspection Description Confirm # Contact # Me- -ge k 9913 Alarm fir2:!17 079299-01 503-341-7634 Y 4T1(Al Corre tions/Comments/Instructons: r" I V p (m 51--S / --•3 / /.)-13 / 2-3 /a / / 2-3 4 1 (i r 1 \ / 2-2-./ /7 • (?•;) ( ciiiiitti9i C ) ( q ,6 , I ) 1 9- Lie- 5e( At_ - .2. ,-- AI t / 21)bk 0 O2-)-- .0 , C - ___ _ _ _ .. -__________ - i .■, ( • O CANCEL (b i k NO ACCESS 0 V C ION El ADDITIONAL FEES ASSESSED Inspector: Vtiut4./ Date: a -$k /0 ' Phone #: (503) 718-__ 1* 111/4 2 # 'lek t.., .,e rr • '.1i 41.1, '54 • i I ' .1 I -- vt--19 2 . —1.1 —47717-19 rg i____ 'VIA rve "Tr - ery - rp) d 01 /L4 0 . • = .