Permit �. CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
411 13125 SW HaII Blvd., Tigard, OR 97223 (503) 6394171 PERMIT # • BUP98 - 0067
DATE ISSUED: 03/27/98
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 • 47875 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 39375 sf PROTECT OPENINGS?
TYPE OF CONST.: 3N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 87250 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 760 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 2 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSNT ?: MEZZ ?: READ SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. $ : 155580
Remarks: Fire elan system
Owner: FEES
PROVIDENCE type amount by date recpt
11308 SW 68TH PKWY FIRE $ 223.20 DRA 01/29/98 98- 302895
TIGARD OR 97223 PRMT $ 573.00 B 03/27/98 98- 304478
5PCT $ 28.65 B 03/27/98 98- 304478
Phone #: 234 -9900 FIRE $ 229.20 B 03/27/98 98- 304478
Contractor:
3 -D PROTECTION SYSTEMS INC
110 SW PORTER STREET
PORTLAND OR 97201
Phone #: 221-0299 5 1054.05 TOTAL
Reg #..: 000646
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fire Alarm Ins p
applicable laws. All work vill be done in accordance vith Smoke detector i
approved plans. This permit vill expire if work is not started Misc. I n s p e c t i o n
within 188 days of issuance, or if vork is suspended for more
than 180 days. ATT®TIOR: 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 95240101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: Issued By: 6
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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Fire Protection Permit Application Plan Check ..
CITY OF TIGARD Commercial or Residential Recd By .I�
13125 SW HALL BLVD. l Date Recd r '
TIGARD, OR 97223 .<-) 0 Date to P.E. - '1i
:503) 6394171 Ext. 304 Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit # P°Ii5 -(rte'?
Called
Name of Development/Project Type of System (Complete A or B as applicable)
Job PROVIDENCE - TIGARD �{
Address Address A.) Sprinkler Wet /`r L01) Dry p
11308 S.W. 68th Parkway St. dpipes
Name
PROVIDENCE TIGARD Haz - rd Group
Owner Mailing Address Additional
11308 S.W. 68th Parkway Information Density
City /State Zip I Phone
Tigard, 0R9.7223 234 -.9.100 Desig •rea
Name
Same , K actor
Occupant Mailing Address
City /State Zip Phone Sprinkler Project Valuation $
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
Submittal Shall Include Battery Calculations YES 0
Contractor Name
3 —D PROTECTTON SYSTEMS TN' Individual Component YES[
(Sprinkler or Mailing ddress Cut Sheets
Alarm O 1 �0 S.W. Porter St.
Fire Alarm Project Valuation $
Company) City /State Zip Phone 15 5, 5 8 0. 0 0
Portland, OR 221-0299_
pro ect Valuation Subtotal A or B
Attach Copy State Const. Cont Board Uc.# Exp. Date ( B) $ { �� 72,
of 0064665 2/26/18
Current COT Business Tax or Metro # Exp. Date 5% Surcharge $ o�� ,;,t
Licenses Name 4813 3/1/98 FLS Plan Review 40% of Subtotal $
Architect Mailing Address TOTAL $ , �, .
b /
City /State Zip I 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 0 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 Partial 0 Exitway O that plans submitted are in compliance with Oregon State laws.
Additional Description of Work: Si a of Own;nte
Phone
A.) In Existing Building a New Building 0
Dennis Latt 221 -0299
Building
Data B.) Commercial )D Residential 0 FOR OFFICE USE ONLY:
Plat # Mapfil#:
No. of stones:
Sq. Notes D"
Occupancy Class Type of Construction
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Fire Protection Permit Application Plan Check#
- .:ITY Y OF TIGARD Recd By
13125 SW HALL BLVD. Commercial or Residential Date Recd
TIGARD, OR 97223 Date to P.E.
;503) 639 -4171 Ext 304 Print or Type Date to DST
Incomplete or illegible applications will not be accepted Permit#
Called
Name of Development/Project ■ pe of System (Complete A or B as applicable)
Job 17 a_ 1 tom,,,
Address Address c , �1L A.) S 'nkler Wet 0 Dry 0
130 S1� (a b � rF'w"�' Standpipes
me
rovidLeit Hazard Group
Owner Mailing Address Additional
11301% S) 6 0 Q 'G Information Dens ■
911(4S tate �p I Phone -•
1 f el Design Area
Name
• S_� _ K. Factor
Occupant Mailing Address
-
City/State Zip Phone Sprinkler Project Valuation $
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
Name
Submittal Shall Include Battery Calculations . YES p'
Contractor a- 0 P . O� rGa/4��
� T S Individual Component YES [�j'
(Sprinkler or Mailing Address Sheets
�ti,t� �•� d/r[ ��r rid
Alarm O % Company) C' /Sta�t�p Zip Phone Fire Alarm Project V a l uation $ i��
d�CrJL- ak elf 1.ol 22l -o Zi 1
Attach Copy State Const. Cont. Board Lic.# Exp. Date , Project Valuation Subtotal (A or B) $ 9
of li V S / ,/
Current COT Business Tax or Metro # Exp. Date 5% Surcharge $ �; 1
Licenses "
Name FLS Plan Review 40% of Subtotal $ U
Architect Mailing Address TOTAL $ „„�
City /State Zip I 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 ?l Alteration 0 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: Signature gen Date ii 141 5/Mg
Contact Person Name Phone
A.) In Existing Building (3 New Building ❑ 1. i ' � J ' /'
Building L(/ VI, V �
Data B.) Commercial ❑ Residential ❑
FOR OFFICE USE ONLY:
Plat # Map/TL#: • No. of stories: ..:..:., .
Sq. Ft: Notes
Occupancy Class Type of Construction
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