Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
"'II COMMUNITY DEVELOPMENT Permit#: FPS2014-00171
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2014
Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 17
Project: Mizumi Buffet Subdivision: FREWING'S ORCHARD TRACTS Lot: 15
Project Description: Fire suppression for Type I hood.
Contractor: UNIVERSAL FIRE EQUIPMENT Owner: ROIC OREGON LLC
18260 SW 100TH CT 8905 TOWNE CENTRE DR, STE 108
TUALATIN,OR 97062 SAN DIEGO,CA 92122
PHONE: 503-691-9000 PHONE:
FAX: 503-691-9004
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/29/2014 $102.20
12%State Surcharge-Building 10/29/2014 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/29/2014 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 10/29/2014 $10.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $165.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,850.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Not . - --.er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir: questions to()UN b . ing 503.232.1987 or 1.800.332.2344. ,
Is ued By: / Permittee Signature: 77
Call 503.639.4175 by 7:00 a.m.for the next available' s••ction date.
This permit card shall be kept in a conspicuous place on the job si until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit//Application
�� i/CE- du#L I OR UI I I( I I ,I (1\I l Received City of Tigard BIEL Date/By: /s / Permit No.: ! —40/7/
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Revie
■ rZ Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 OCT 2 U 2014 DateBy: l O l (� (�
I \It l� Inspection Line: 503-639-4175 Date Ready/By: I tea la See Page 2 for
Internet: www.tigard-or.gov CRY f F 1 AHL) Notified/Method: ( ./i l 0&f � Supplemental Information
TYPE OF CRY�/f, lu"!f 1 QUIRED DATA:I-AND 2-FAMILY DWELLING
ew 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 CONSTRU N work indicated on this application.
❑ 1-and 2-family dwelling ommercial/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: /35 00 4L.../) /3/3:C494-14, #4,7 New dwelling area: square feet
City/State/ZIP: 7/� q 3 Garage/carport area: square feet
r I
Suite/bldg./apt.#: �� Project name f Z K,�1 / ' 41-e-k 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ �s `�
�n S`�a� 1, .avr, f r)��/( R I9?
�.S9 e //n.., J S.7 S,� A/� 03-z..„ Existing building area square feet
•PK,�J 431Ls )- h, New building area: square feet
❑ PROPERTY OWNER I Q-'if ANT Number of stories:
Name: Ai, 7,..,,v, Ts7f4,..j., Type of construction:
Address: `3g y l-c., l Occupancy groups:
City/State/ZIP:-- fy�r tb-k, 5 77?3 `i Existing:
Phone:( tr) 2 bb Fax:( ) New:
( 'CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedn&J
Business name:6n vetsA_( Fri-tom Ceti t lh Wv Structural plan review fee(or deposit):
Contact name:t�l `le�p�i4 v FLS plan review fee(if applicable):
Address:/ 6 0 5.1.,),, /0-0 43 C.1)
City/State/ZIP:�fy�/,g�y-2, 8.2 ' 7p6 Total fees due upon application: s�
Phone:' 65y-5a o , Fax:. )6�J C� Amount received: J
/ / PHOTOVOLTAIC SOLAR PANEL SYSTEM FIDES"
E-mailu'? 1)v1Si,c I c.4.1703/T)2.vi � -iswv, /. LO1
C RACTOR
Commercial and residential prescriptive installation of
roof-to. 's ounted Photo Voltaic Solar Panel System.
/J 6 a Submit two - ets of roof plan with connectio. = •ifs
Business name: J A-S- , and fire departure : ess,along with i 0 Oregon
Address: Solar Installation Specia . .de ' ist.
City/State/ZIP: Permit fee(includes • .1 - 'ew $180.00
and ad n' istrative fee .
Phone:( ) Fax:( ) State su , . _e(12%of permit fee): $21.60
CCB Lic.: S-.6 7 ze Total fee due upon appication: 01.60
Authorized signatur . r-L This permit application expires if a permit is not obtain
within 180 days after it has been accepted as complete.
Print name:( _/ / 4 Date:le2 -Zo -- u * Fee methodology set by Tri-County Building Industry
( Service Board.
I:\Building\Permits\BUP!COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 Accessibility: Barrier Removal Improvement Plan
■
Commercial & Multi-Family - Additions or Alterations
Tic;A I:D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Pemtits\BUP_COM_PermitApp.doc Rev.04/21/2014
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13500 SW PACIFIC HWY 17, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2014-00171
Chip Barnett
Violation Summary:
Inspector Contractor