Permit �
1
CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2005 -00048
r DEVELOPMENT SERVICES DATE ISSUED: 2/23/2005
f II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12498 SW WINTERVIEW DR PARCEL: 2S110BC -TP002
SUBDIVISION: THORNWOOD PARTITION ZONING: R -7
BLOCK: LOT: 002 JURISDICTION: TIG
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: : 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALU E: 4' 7000. 00
Remarks: Residential fire sprinkler system, 3,920 square feet.
Owner: Contractor:
DON MORISSETTE HOMES CRAFTWORK PLUMBING INC
4230 GALEWOOD ST STE 100 7742 SW NIMBUS AVE
LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008
Phone: 503 - 387 -7538 Phone: 503 - 644 -8698
FEES Reg #: LIC 79666
PLM 20 -148
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/23/2005 $292.50
[TAX] 8% State Surcharl 2/23/2005 $23.40
Total $315.90
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 - Zst —)
Permittee
Signature: _
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
Fife System
Building Permit Application FOR OFFICE USE ONLY
Received DateB p( ^ e ,5 _ I m��1 / ,. 41
/ 1
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / /,,, ?ti: •� / /1(7 Other Permit. H�,_„ ...
Inspection Line: 503.639.4175 '41.1 Date ReadyBy See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method �, Supplemental Information
`.'::. ; f,..• TYPE QF ,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 CONSTRUCTIONi. work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
Accessory building Number of bedrooms:
❑ ry g ❑ Multi - family
❑ Master builder ❑ Other: Number of bathrooms:
. - ' JOB SITE INFORMATION AND LOCATION _ Total number of floors:
Job site address: 1 9\4q$ dt..) 1.,0 1 . i -tP■O,4 1 �, New dwelling area: square feet
City/State/Z Zo 0_1. ( ... ) 41. \ 41 •)„2-4 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: -- Lo 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 '
Subdivisio i}. kkN �6 0 Lot no.: Permit fees' are based on the value of the work performed.
�� Indicate the value (rounded to the nearest dollar) of all
°
Tax map /parcel no.: Q— �1're ii— equipment, materials, labor, overhead, and the profit for the
. . . ; DESCRIPTION OF WORK • - work indicated on this application.
Valuation: $
----- --tb FILL 4 aWkt.OE N LAl2 "-Y S£u
Existing building area: square feet
New building area: square feet
-PROPERTY OWNER ., ❑ TENANT Number of stories:
Name: 1. \4 CTS !-1 E.-d- Type of construction:
Address: �� IN Q:41 t_�L db *—ICC) Occupancy groups:
City/State/ZIP: v..4 ey-oLote c)ir.x 4735 Existing:
g
Phone: 01)j) 381 — - /s Fax: ( )
New:
❑• APPLICANT' ❑ CONTACT PERSON NOTICE, ;' F"
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: ( ) I Fax:: ( )
E -mail:
1 � . ., ` ,CONTRACTOR - . -
Business name: c �Ity) k ( �, I , N ) I )J 1 - - 3
`' A BUILDING PERMIT ;FEES* ,
Address: 774 a_ . 1N i t,,i � F1'L) Please refer to fee schedule. ti•
City/ StateJZIP: c bf, &Th 1 0 Q -
2 jj�� �// Fees due upon application
Phone: ( . e D tq eg Fax: (5 &L ` — 59 g y
Amount received
CCB lic.: / 9 L L
Date received:
Authorized signature: j� RA - 4 1 1 �' (S — ` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Viii. 9_170 u. -p_-r-, Date'010________ • Fee methodology set by Tri-County Building Industry
Service Board.
1 \Building\PemutAFPS- PennitApp.doc 12/03 440- 4613T(11/02/COM/WEB)
Fire Protection Permit Check List
De_scribe'work done: : ,a- —',.h
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration El 11+ heads: Plan review required.
El Repair
Number of sprinkler heads:
Additional description of work:
. Type of System•(Cbmplete`A,•B, C or D• as applicable):
��4
- - - -r' s3'w. ... _ "y= i;ir'�u:' sue.. -1 i;ci ,tf - .,..
A:)' ~ Sprinkler °
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B:) <<;T p`e I `= food Fire Suppress onkSystem ,r,,3'ti¢` `'
Hood Project Valuation: $
..C) Fire 11ar w "
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
"D:);; Residential Sp. rinkler ; (Sian d,Albne'Systein). • ' - ' ,
Square Footage: Permit Fee: ;=
0 to 2,000 $187.50 _' _ # • t
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
` ?,:15 '.:r %;,�{. `TSr ; -ii �f,�i5:.:�-,.iL�S '�j�`,..•
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): $ pk • 50
State Surcharge 8% of Permit Fee: $ AZ • '-{o
FLS Plan Review 40% of Permit Fee: $
TOTAL: $ .3 i 5. G 0
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
BUILDING DIVISION PERMIT #: BUP2005 -00048
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/23/2005
Phone: (503) 639 -4171 a g7 `j
Inspection Requests (24 Hrs.): (503) 639 - 4175 � ..
•
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7 :12AM PAGE: 42
SITE ADDRESS: 12498 SW WINTER VIEW DR CLASS OF WORK:
SUBDIVISION: THORNWOOD PARTITION LOT #: 002 TYPE OF USE:
PROJECT NAME: THORNWOOD PARTITION
DESCRIPTION: Residential fire sprinkler system, 3,920 square feet.
OWNER: DON MORISSETTE HOMES, PHONE #: 503 -387 -7538
CONTRACTOR: CRAFTWORK PLUMBING INC PHONE #: 503-644 -8698
Inspection Request Scheduled For: Date: 5/19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 007315 -02 503-209 -4837 N
Corrections/Comments/Instructions:
oLlio git
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " (/� Date: V"\4 /OS Phone #: (503) 718-