Permit �� .. CITY OF TIGARD BUILDING PERMIT
A PERMIT #: BUP2006 -10004
i� DEVELOPMENT SERVICES DATE ISSUED: 3/20/2006
..� I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S126BC-01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Fire sprinklers
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: : sf N: S: E: W:
OCCUPANCY GRP: 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,000.00
Owner: Contractor:
PORTLAND OFFICE ASSOCIATES AFP SYSTEMS INC
BY TC PORTLAND, INC 19435 SW 129TH
8930 SW GEMINI DR TUALATIN, OR 97062
BEAVERTON, OR 97008
Phone: Contact #: FAX 503 - 692 - 1186
PRI 503 - 692 -9284
Reg #: LIC 67534
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/31/2006 $91.30
[TAX] 8% State Surcha 3/31/2006 $7.30
[FLS] FLS Pin Rv 3/31/2006 $36.52
Total $135.12
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: "2 YA /... Permittee Signature: Sp .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.
J oao Su) WasJ+ ► s
'Fire Protection Syste - 60a 19 .....
Building Permit Apple ® E FOR OFFICE USE ONLY -
City of Tigard �ji 200 Date/B s2' I •• 067, i Permrt No ± , • • . 900
13125 SW Hall Blvd., Tigard, OR 97223 6 " 1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 \ , f' Date/B ��4
Inspection Line: 503.639.4175 CITY OF TIGAR , J ,.. i i Date Ready i %.IIV 'MI El See Page 2 for
Internet: www.ci.tigard.or.us
BUILDING pNl Notified/Method. Supplemental Information
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
%Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I- and 2- family dwelling g.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: 90a S ij "`A__ _^�-_ gd New dwelling area: square feet
City /State /ZIP: 17.,,,,,E ® � em J�' '� Garage /carport area: square feet
Suite/bldg. /apt. no.: 500 I Project name: Covered porch area: square feet
Cross street /directions to job site: an t S , S d,t t Deck area: square feet
Cachlr (/' Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision. I 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 this application.
i I l Valuation: $
xlsting building area: ( f'.- square feet
New building area: square feet
-❑ PROPERTY OWNER TENANT Number of stories:
Name: as k
c Type of construction: I a
Address: C i� Jw O t� S" Occupancy groups: j2 -.) -.) City /State /ZIP i
Existing:
Phone: ( ) Fax: ( ) New:
' ❑ APPLICANT ❑ CONTACT PERSON NOTICE '
Business name: R F 1 S 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 ex mpt from licensing, the following reasons
City /State /ZIP: apply: I_ �
Phone: ( ) I Fax: • ( ) 4, dam'
E -mail: I b 0 / } . 13J r` '
, - • - CONTRACTOR' �4 1. 3
i� F S "'-` BUILDING PERMIT FEES*
i
Business name:
Address: S "
P / - V l. Please refer to fee schedule.
City /State /ZIP. �V 11 A it �� � % 70 t!J
4� q Fees due upon application
1
Phone. ( ) 6 `1 — Sz %y Fax: ( ) b q 2 ) ' 2 - ( ( ( (
Amount received
CCB lic : 6 5 34
Date received:
Authorized signature: This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: J \
`,t„ J ol, - I Date: , - 1'7 o C • Fee methodology set by Tri- County Building Industry
Service Board.
i. \BuildingWennits \FPS- PennitAppdoe 12/03 440-4613T(11/02/COM/WEB)
a `
•
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.
Project Valuation Subtotal (A, B & C): $
' - Permit fee based on. valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
.State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
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.
I: \Building\Permits\FPS- PermitApp doc 2
CitY -OF TIGARD
BUILDING DIVISION PERMIT #: i3UP2006- 10004
' 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 3/20/006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11/2006 TIME: 1:07AM PAGE: :,5
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AEROTEK
DESCRIPTION: Fir() sprinklers
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692 -9284
Inspection Request Scheduled For: • Date: 4/11/2006 Pour Time: / ,t
Code # Inspection Description Confirm # Contact # Message p ,
999 Sprinkler final 027722 - 01 503 4` (AA
Corrections /Comments /Instructions: -
ASP
HILM
.r' • W -� 1 V ' _' "
•
•
ASS ; ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n FOR INSPECTION ❑ ADDITI AL EES ASSESSED
Inspector: AM Date: ` t (J 7 Phone #: (503) 718 ��
CITY TIGARD
BUILDING DIVISION PERMIT #a/R200‘ D O0 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS:gpgb I S.JA.Ok Sg,/ �� S o CLASS OF WORK:
SUBDIVISION: r LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: ' L
OWNER: W PHONE #:5 j— 2:— R CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 74' Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 S �-
/
Corrections /Comments /Instructions:
•
•
. i •f � oi i I
Wfiv sirr
•
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL F. ES ASSESSED
t Inspector: � / Date: �� Phone #: (503) 718- � �
•