Loading...
Permit BUILDING PERMIT a 'CITY OF TIGARD PERMIT #: BUP2007 -00396 ' COMMUNITY DEVELOPMENT DATE ISSUED: 7/30/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 1106C - 10000 SITE ADDRESS: 12494 SW WINTERVIEW DR ZONING: R - SUBDIVISION: THORNWOOD PARTITION LOT: 001 JURISDICTION: TIG PROJECT: BACKLUND Project Description: Residential fire sprinkler addition, (3) heads. 470 square feet REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R3 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: P BAT�� IMP SURFACE: PRO CORR: PARKING: VALUE: 6 —GYI Owner: Contractor: ISSAC BACKLUND CRAFTWORK PLUMBING INC 12494 SW WINTERVIEW 7742 SW NIMBUS AVE TIGARD, OR 97224 BEAVERTON, OR 97008 Phone: 503 - 598 - 7177 Contact #: PRI 503 - 644 - 8698 Reg #: LIC 79666 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/30/2007 $187.50 [TAX] 8% State Surcha 7/30/2007 $15.00 Total $202.50 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. • - • ' ' • • •tification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may tain a copy • ese rules or di t • - is •s o OUNC by calling 503.246.6699 or 1.800.332.2344. i n ure: Issued By:� di 4 1d / Permittee S g at x 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. Il. ,,. _ Building germit Application Fire Protection System FOR OFFICE USE ONLY City of Tigard Received ��A f lit/ 7- 0c55.5 �flf�J Permit No ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Re • ►� C Phone: 503.639 4171 Fax. 503 598.1960 DateB : ,p C) Other Permit. T i G n 1t D Inspection Line. 503.639.4175 Date • • y �� 0 See Page 2 for Internet. www.tigard - gov Notified/Me od: 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. IN 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: /2 _1 j . S W (-../'jerk, t,I e Dr New dwelling area: square feet City /State /ZIP: ; `J ar ! GO 911-24.1 911-24.1 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: 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 A / (� DESCRIPTION WORK 1 work indicated on this application. jT ci L 3 .f v� I eIIn k ley ^Cc, 1,J -to €X; 57 )►7� - �^ I ✓ Valuation: $ 5 r ; r r i 'el V'^ - Existing building area: square feet New building area: square feet Si°! PROPERTY OWNER ❑ TENANT Number of stories: Name: r 534 � a t)v ■ 1 Type of construction: Address: 12 L V jy ` S t,, Li jNi ,i ew (lf Occupancy groups: City /State /ZIP: 4-, ge„) OIL 6111 VIA Existing: Phone: (fc)) i Fax: ( ) New: (ii 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 tojee schedule) Business name: 0 S.Q-t. 0 4 PA t-.15 Permit fee: Address: -7 3(,, CI'vvt, f Pi - State surcharge (8% of permit fee): City/State /ZIP: /3f4 L.- 0 a `7 loo D FLS plan review (40% of permit fee): Phone: (go 3 ) Itt.(d- ASS' k f) I Fax: t1J J) 644- fl/P5 (Due upon application.) CCB lie.: ) 6 6 6 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: Date: within 180 days after it has been accepted as complete. • Fee methodology set by Tri -County Building Industry Service Board. I \Building\Pennits\FPS•PermitApp doe 03/23/06 440-4613T(1 I /02/COMAVEB) • 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: I $ C.) Fire Mann 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 (8% 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. "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 #: BUP2007 -00396 13125 SW Hall Blvd., Tigard, OR 97223 DATE IS - D: 7/30/2007 Phone: (503) 639 -4171 I C I / r ‘3 ' t Inspection Requests (24 Hrs.): (503) 639 -4175 °-_.. � � INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7:00AM _ % PAGE: 6 SITE ADDRESS: 12494 SW WI NTERVIEW DR CLASS OF WORK: SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE: PROJECT NAME: BACKLUND DESCRIPTION: Re:dential fire sprinkler addition, (3) heads. 470 square feet OWNER: BACKLUND, ISSAC PHONE #: 503-590 -7.t77 CONTRACTOR: CRAFTWORK PLUMBING INC PHONE #: 503644 -0698 Inspection Request Scheduled For: Date: 10/1!2007 Pour Time: Code # Inspection Description Confirm # Contact # Message si2 1/1/‘" 1 999 ' Sprinll�:r final 056673-01 503- 596 -'1177 Corrections /Comments /Instructions: e /t/ c l/ ; / i j • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: " Date: 1 b Phone #: (503) 718 - . , CITY OF TIGARD BUILDING DIVISION P IT BUP2007 -00396 13125 SW Hall Blvd., Tigard, OR 97223 D ISSUED: 7/3012007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/9/2007 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 12494 SW WNTERVIEW DR CLASS OF WORK: SUBDIVISION: THORNWOOD PARTITION LOT #: 001 TYPE OF USE: PROJECT NAME: BACKLUND DESCRIPTION: Residential fire sprinkler addition, (3) heads. 470 square feet • OWNER: BACKLUND, ISSAC PHONE #: 503-598-7177 CONTRACTOR: CRAFTWORK PLUMBING INC PHONE #: 503 644 - 8698 Inspection Request Scheduled For: Date: 8/9/2007 Pour Time: „ /u Code # Inspection Description . ' Confirm # Contact # - sage 910 Sprinkler rough -in /test 053713-01 503-598-7177 Y 1./ Corrections/Comments/Instructions: • ' r ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 ' CSC Date: g/6/6 Phone #: (503) 718 - ! q