Permit CITY OF TIGARD
BUILDING PERMIT
e DEVELOPMENT SERVICES PERMIT # • BUP98 -0106
- 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 03/18/98
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 CONST.: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.$: 21000
Remarks: Providence Info Serv. Fire Protection Permit
Owner: FEES
PROVIDENCE type amount by date recpt
11308 SW 68TH PKWY PRMT $ 146.00 DRA 03/03/98 98- 303790
TIGARD OR 97223 5PCT $ 7.33 DRA 03/03/98 98- 303790
FIRE $ 58.60 DRA 03/03/98 98- 303790
Phone #: 234 -9900
Contractor:
BASIC FIRE PROTECTION INC
940 NE LOMBARD ST
PORTLAND OR 97211
Phone #: 285 -1855 $ 211.93 TOTAL
Reg #..: 000486
REQUIRED 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 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- 00110 through OAR 9 03101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signa / , , Issued By: II ' iI LL
A �J
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
e Fire Protection Permit Application Plan Check# 5 /
CITY OF TIGARD Commercial or Residential Recd By i . " ,; .; ,
13125 SW HALL BLVD. Date Recd '
TIGARD, QR 97223 Date to P.E. : /
(5031639-4171 Ext. 304 Print or Type Date to DST a ilOg $ Re
Incomplete or illegible applications will not be accepted Perm # �� I C
Called/7`5 J (Jl a U3S°
ct y `, 6',i-r l ,
Name of Development/Project Type of System (Complete A or B as applicable)
Job ?t kt e,/..x..E. JF0 . SOLO.
Address Address A.) Sprinkler Wet r e Dry ,'
1V B0 SkrJ 640 T ' >k Standpipes
me
...). (iG,.k. S Y
Hazard Group
Owner Mailing Address
Additional Lao
Information Density
City /State ip Phone .10
‘s- c zfs2- Design Area
Name /-560 , T (
Occupant Mailing K. Factor 5 " ' 4
City/State Zip Phone Sprinkler Project Valuation $ Z 110001
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
N a Submittal Shall Include Battery Calculations YES 0
Contractor _ — _ _
� tL t"t9.4. Ee_ CI Individual Component YES
(Sprinkler or Mailing Address Cut Sheets 0
Alarm 940 ,...)e. L op-kz, e-l� Fire Alarm Project Valuation
Company) City /State Zip Phone $
— R,en 4 . 100 1 9724 . Z • i'fS 1 p r o ect Valuation Subtotal
Attach Copy State Const Cont. Board Lic.# Exp. Date (A or B) $ e , ; ;' l r
of It Wi,41 SO 9 8' ' '
Current COT Business Tax or Metro # Exp. D e 5% Surcharge $ 7 , 9� '
Licenses
Name FLS Plan Review 40% of Subtotal $ t,. , - •
Architect Mailing Address TOTAL $ . 7 ' '
City/State Zip Phone PLANS MUST BE SUBMITTED, approved and a permit issued prior
Lag —7377 to installation. Three sets of plans and site plan (and vicinity map)
Describe work A.) New 0 Addition 0 Alteration/8' Repair O required which shows location of nearest hydrant.
to be done: I 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 Partialf Exitway O that plans submitted are in compliance with Oregon State laws.
Additional Description of Work: Sign. / re of owner /A • : Date
C • tact Person Name Phor�`
A.) In Existing Building New Building 0
M∎k.E. -ea. 2 8 , s - / g C
Building J v
Data B.) Commercial g Residential 0 FOR OFFICE USE ONLY:
No. of stories: jn Plat # . Mapf l#:
f...
Sq. Ft: 3 ZO3 /4 ,8:3
Notes
Occupancy Cass Type of Construction
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APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639 -4171
DATE: 3/ a PERMIT #
Valuation: Z/, «^'n =
Permit Fee:
5% Surcharge:
Plan Check Fee:
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation: Addition: Repair: Alteration:
Complete: Partial: / Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: . IN NEW BUILDING:
NUMBER & STREET: 11 SO $.L CoTs-
NAME OF BUILDING or BUSINESS ...C51/4.3% E. 104 F b . S Ut e
NO. OF STORIES: Z •- SIZE OF BUILDING: OCCUPIED AS: O 'R c €
TYPE OF SYSTEMS: Wet: Dry: Combination: ---
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4
DENSITY ,/O GPM/Ft2 DESIGN AREA /S ft2 SPRINKLER AREA Z2S ft2
SPRINKLER ORIFICE SIZE: ! "K" FACTOR S a TEMP. RATING /Cs
OWNERTee00. (lea SYS—.a3rs. ADDRESS: JAC CZ?_
CONTRACTOR: frll -ti `V v.+�1e 1v Ca
PLANS DRAWN BY:14 kE.. ADDRESS: 940 OE LMt
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: �RCR C. h ��edrefelle/1 PHONE: ZS --
SIGNATURE OF APPLICANT: . ~-IJJ
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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