Permit CITYOFTIGARD
„..., �.,;, ' DEVELOPMENT SERVICES BUILDING PERMIT
..IN VII I PERM I T # • BUP98 -0165
!.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
DATE ISSUED: 04/28/98
PARCEL: 1S136DA -00100
SITE ADDRESS...: 11308 SW 68TH PKWY
SUBDIVISION • ZONING:MUE
BLOCK . LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF C0NST.:3N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 600
Remarks: Providence Info Serv. Fire Protection Per•it.
Owner: FEES
PROVIDENCE type amount by date recpt
11308 SW 68TH PKWY PRMT $ 25.00 GEO 04/16/98 98- 305007
TIGARD OR 97223 5PCT $ 1.25 GEO 04/16/98 98- 305007
FIRE $ 10.00 GEO 04/16/98 98- 305007
Phone #: 234 -9900
Contractor:
BASIC FIRE PROTECTION INC
940 NE LOMBARD ST
PORTLAND OR 97211
Phone #: 285 -1855 $ 36.25 TOTAL
Reg #..: 000486
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Sprinkler Rough —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 1. days of issuance, or if work is suspended for •ore
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 - 01-010 through OAR 952-90101987.
You •any obtain a copy of these rules or direct questions to OUNC
by calling (593)246 -1987.
Permittee Signature: / Li p _/.:/. Issued By: /■—_—
++++++++++++++++++++++ /++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:0 "" p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + ++ + + + + + + ++ + + + + + + + + + + ++
Fire Protection Permit Application Plan Check # q�!.
CITY OF TIGARD Commercial or Residential Recd By ,.
13125 SW HALL BLVD. Date Recd — / 6 - ?8'
TIGARD, OR 97223 Date to P.E. ' 4
(503) 639 -4171 Ext. 304 Print or Type Date to DST 0 . . . '
Incomplete or illegible applications will not be accepted Permit* . -CAC 5"'
Called !/11
Name of Development/Project Type of System (Complete A or B as applicable)
Job �Qv,..). -sucf. _L . Se i e-E-5.
Address Address A.) Sprinkler Wet ,Izf Dry 0
« MCI $ 3 ` I ` 2 AW Standpipes
Name
Hazard Group
Owner Mailing Address
Additional L 7
City/State Zip Phone
Information Density — /0
Design Area
Name 2 C O
x9
Occupant Mailing Address K. Factor 5.-‹ S
City /State Zip ' Phone Sprinkler Project Valuation $ �y+�
1
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
`-- _
Submittal Shall Include Battery Calculations YES 0
Contractor Nam
r riQE., t eo-Mr— O l.3 Individual Component YES
(Sprinkler or Mailing Address Cut Sheets
Alarm 94C, AJE L00-t-S/14 1 Fire Alarm Project Valuation
Company) Ci IState Zip Phone $
2 zAn1 Cie 572/) zees -Pass Project Valuation Subtotal (A or B) $
Attach Copy State Const. Con Board Lic.# Exp. ate
of
Tr ��
Current CO Business Tax or Metro # Exp. Cite
COT 5% Surcharge $
Licenses 304/ Z /// ge FLS Plan Review 40% of Subtotal $
Name
Architect Mailing Address TOTAL $
c.1 -tip C4o d� 3ca. ZS
City /State Zip Phone PLANS MUST BE SUBMITTED, approved and a permit issued prior
to installation. Three sets of plans and site plan (and vicinity map)
Describe work A.) New 0 Addition 0 Alteration fl Repair O required which shows location of nearest hydrant.
to be done: 1 hereby acknowledge that I have read this application, that the information
B.) Basement 0 HoodNent 0 Spray Booth O given is correct, that I am the owner or authorized agent of the owner, and
Complete 0 Partial 0 Exitway O that plans submitted are in compliance with Oregon State laws.
Additional Description of Work: Signa re of Owner /A Date
/G -9,
/ tact Person Name Phone
A.) In Existing Building New Building ❑ f
ik
Building c- Gu-- ZFSS — j 2tS.S
Data B.) Commercial 1 2 ' Residential ❑ FOR OFFICE USE ONLY:
No. of stories:
Plat # Map/TL#: -
•
Sq. Ft:
Notes
Occupancy Class , Type of Construction .
ildstslfiresupr.doc
8/96
SU a)/ t /11/2,4t a-e
CITY OF TIGARD BUILDING INSPECTION DIVISION ` n- r irl''.- 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 �
GC�C�
Date Requested: �q A.M. P.M.
Location: j?�(! . 0('i 17 f BUP: 96 — Oleo
PK�l� l 1 I ' L2 , Su ite: Bldg: 1 :ii !e:•. 2. r • ` dg; •
Contractor. i J _ / — L4 .s Phone: .51 q — 3 / � ` : ii J x ,
Owner. Phone: C76 Z /r , ELC:
a ELR:
SIT:
BUILDING pG on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceilin_ Rain Drain A/C UG Slab +S
Shear /Sheath �'�_ C Dr Heat Pump i /i''�.ti..� � P
Low Volt
4.
- 1 mike Approved Approved Approved Approved
Appr /Sdwlk No . • . • ved Not Approved Not Approved Not Approved Not Approved
FINAL - FINAL FINAL FINAL FINAL
7/7 6c( ?- 3 3(
•
...
Ma, e'/
....., (,) d'kcz, „....._0,..-,-
( (/ P/eA /1-t i 17 ''
0 Call for r 0 Reinspection fee of $ required before inspection
foore n xt insp 0 Unable to inspect
Inspector. / Date: C // ef � / Pag of
Il