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Permit (84) v CITY OF TIGARD BUILDING PERMIT 0 PE RMIT #: BUP2008 -00115 COMMUNITY DEVELOPMENT DATE ISSUED: 4/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 115BA -02500 SITE ADDRESS: 16200 SW PACIFIC HWY U ZONING: C -G SUBDIVISION: TIGARD TOWNE SQUARE LOT: 001 JURISDICTION: TIG PROJECT: 123 FIT Project Description: Modification of fire sprinkler system, add (1) head and relocate (1). 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: 2N sf N: S: E: W: OCCUPANCY GRP: B 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: $ 250.00 Owner: Contractor: SN PROPERTIES PARTNERSHIP CREEKSIDE CONSTRUCTION 1121 SW SALMON ST- 1795 SW 216TH AVE PORTLAND, OR 97205 BEAVERTON, OR 97006 Phone: Contact #: PRI 503 - 789 -7781 FAX 503 - 591 -7522 Reg #: LIC 111475 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/14/2008 $62.50 [TAX] 12% State Surch 4/14/2008 $7.50 Total $70.00 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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Orego Ility Noti 1 - '.n Cente Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy oft se rules or direct q 6 es ' = • by calling 503.246.6699 or 1.800.332.2344. Iss d By: , �� /� .I ' Permittee Signature: X 00,),,_, ( 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. • ` Bu,Vdittcz Permit Application ' ' Fire Protection System FOR OFFICE USE ONLY City of Tigard Received Date/13 : Sy /Y Og Permit No.: � ,, X., --Col l ig • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 12 . Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit: T G A K D Inspection Line: 503.639.4175 Date Ready/By: RI See Page 2 for Internet: www.tigard- or.gov Notified/Method: 7ica 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. ❑ 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ El 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: I G 70o s t„► Pat. c.,, Hwy U New dwelling area: square feet City /State /ZIP: , �t>� DP, Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 1 Z 3 r,'._ 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. M -y ee) p S._,t,. $ys L n 7. r 6 f5 Valuation: $ Zs0 00 I i Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: 5 fJ Pr11- p Lnr,- slt' Type of construction: Address: 1 I 'L I 61,o S 6.1. r. s A- Occupancy groups: City/State /ZIP: po r i I „k 0A. 9 7 7 0 5' Existing: Phone: ( ) Fax: ( ) New: ❑ 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* Business name: 6,....,h—A- (Please refer to fee schedule) G t"t kS� t�l-. Permit fee: eCa , S Address: 1 155 SW 2 1 b} k A.-k. 6 State surcharge (12% of permit fee): 7 . 5 0 City/State/ZIP: �fw� Or 97uD F LS plan review (40% of permit fee): O Phone: (Sh ) ) 781- 7 78 / Fax: ( ) (Due upon application.) CCB lic.: i i / L/ 7 S Total permit fees: C)6 /J , Amount received: ( 76 Authorized signature: f 4w✓ This permit application expires if a permit is not obtained Print name: Da -1 .13,--,117 I Date: Li pe 6 within 180 days after it has been accepted as complete. • Fee methodology set by Tri-County Building Industry Service Board. 1:I Building \Permits\FPS- PermitApp.doc 03 /23/06 440- 4613T(11 /02ICOMIWEB) 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 130 heads: No plan review required. teration ❑ 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 El 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. "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- PecmitApp.doc 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008 -00 1 1 5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2008 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 i INSPECTION WORKSHEET FOR DATE: 4/15/2008 IME: 7:02AM PAGE: 12 SITE ADDRESS: 16200 SW PACIFIC HWY U CLASS OF WORK: SUBDIVISION: TIGARD TOW NE SQUARE LOT #: 001 TYPE OF USE: PROJECT NAME: 123 FIT DESCRIPTION: Modification of fire sprinlder sVstern add (1) head and relocate (1). OWNER: SN PROPERTIES PARTNERSHIP, PHONE #: CONTRACTOR: CREEKSIDE CONSTRUCTION PHONE #: 503 - 769 -7761 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message G9 SprinHer final 068401 -01 503-789-7781 N Corrections /Comments /Instructions: _ _ • \ . c iL yv N...r)),..._/, , 1 02/ //,, `, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: r , )' 4" D ate: q/14AL Phone #: (503) 718 -�� p () I