Permit CITYOFTIGARD
� �n,,,,;, 1 DEVELOPMENT SERVICES BUILDING PERMIT ,+�i,,��llij AbiPERMIT ## „ BUP98 -0206
1 3125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 05/21/98
to
PARCEL: :I. S 136I)A -00100
SITE ADDRESS...: :11308 SW 68TI••I I :'KWY
SUBDIVISION....: ZONING: MUE
BLOCK... : LOT „ „ „ „ „ „ „ „ „ „ „ „ „„ J(JRISDICTION :TIG
REISSUE: FLOOR AREAS•- ....._.._....-- .___..- EXTERIOR WALL CONSTRUCTION__
CLASS OF WORK. :FPS FIRST 0 sf N„ S E: W:
TYI:'E OF (JSE :„ „ „ : C( :)M SECOND...: 0 sf PROTECT OPEN:INGS?--- _.._- _.._._.._..-
TYPE OF CC)NGiI'„ :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 go:'„ RATED:
BSI"IT ?: MEZZ ?: REOD 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„ $: 1.500
Remarks : Fire suppression system
Owner: -• - -- -- __ -------- FEES _.-- _-- _..__ --
BENENSON CAPITAL CO type amount by date •recpt
708 3RD AVE PRMT $ 25„ 00 B 05/20/98 98- 305904
NEW YORK NY 10017 SPCT $ 1.. 25 B 05/20/98 98- 305904
FIRE $ 10„ 00 B 05/20/98 98- 305904
Phone #: 212-867-0990
C:ontracto•r: --------------- . -___ —
BASIC FIRE. PROTECTION INC
940 NE LOMBARD ST
PORTLAND OR 97211
Phone ##: 285 -1855 $ 36.25 TOTAL
Reg ## „ „ : 000486
-- REQUIRED ACTIONS or I NSPECT I ONS-- •• -••--
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 .• ,,,,,,,- .,•,••,,,•_•,•••.,,, .-._— ..,,._.._...w .__....._......—.. ........__- .._—.........__
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-091-0810 through OAR 952- 88101987. ,_,•—, ,_._..._.__— ____.._..__.- _.......__..._..__..__.._-_.........._..........._..._.-
You many obtain a copy of these rules or direct questions to OU)
by calling (583)246 -1987.
......._____....._.....__ .........______
Pe•rmi.ttee Signature: _• _ _1L' 1vl 1 Issued By: _
+ + + + + +•+ + + + + + + + + + + + + + + + + + ++ + + ++ ++++ ++++++++++++++++++++++++++++++++++++++++
Call 639 -4175 by 7 :00 p „m„ for an inspection needed the next business clay
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +++
Fire Protection Permit Application Plan Che # S' -6.5(-- CITY OF TIGARD Commercial or Residential Recd ByPGLj
13125.SW HALL BLVD. RECEIVED Date Rec'd - V -
TIGARD, OR 97223 Print or Type Date to P.E. 5 - Z)
(503/639 -4171, x. 304 1111111 hipletVgPillegible applications will not be accepted Date to DST '6•- '34-44fr
CM :1%1'1111Y GEVELOP�iENT Permit # 60 ‘q 62010
Called
Job Name of Development/Project Type of System (Complete A or B as applicable)
1 . Ns Ft, . S Cw .
Address Address A.) Sprinkler Wet , fE' Dry p
r ame m Standpipes
e , C .
Owner Mailing Addr ss • Hazard Group
lo% �Yit tktlel Additional
City/State Zip Phone Information Density
,N `(ooV- i I 1 011 212 - 11
Name Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $
Contractor Name — _ B.) Fire Alarm
(Sprinkler or lc.� r 1 QX��eq , e.(.0,0
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 0
Prior to permit 9 Ai E Lo kzva t
issuance, a City/State Zip Phone Individual Component YES 0
copy Cut Sheets
of all licenses 3 �.�.As". of Z$- /f6 .B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT +5_G 4 � /2 ^ �, Project Valuation Subtotal (A & or B) $
database
Name - _ __ _ Permit fee based on valuation $
Mailing Address (see chart on back)
Architect g 5% Surcharge $
City /State Zip Phone FLS Plan Review 40% of Permit $
Describe work A.) New 0 Addition/2f Alteration/6 Repair 0 T OTAL $ /' ' C
to be done: f( `p J c.
B. :: • s • rinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
• 1. 1 -10 • - . • plans required
2. 11 += Plan review required the location of the nearest hydrant.
I hereby acknowledge that I h- ve read this application, that the information given is
Number of sprinkler heads: correct. that 1 a the • authorized agent of the • • - r d that plans submitted
are i complia , -- wi ii, • • - to laws.
Additional Description of Work:.
I . l . t,�CltIt.IC / , / 5.-(9 —Prc..-.---
Sin ure of Owner • gent Date �y
A.) In Existing Building % New Building Q � ` O 2Z5 S —/2-15--S Building / Contact Perso r ame Phone
Data B.) Commercia22r Residential p FOR OFFICE USE ONLY:
No. of stories: Plat # . . * Map/11.#:
Notes _
F
Occupancy Class Type of Construction - • -
i:\firesupr.doc
•
A
CITY OF TIGARD
BUILDING PERMIT FEES
. . TOTAL
STATE 'BUILDING
VALUATION OF PERMIT F.L.S. • TAX PERMIT
PROJECT FEES (40 %) (5 %) FEES
1 -1500 25.00 10.00 1.25 36.25
1,501 -1600 26.50 10.60 1.33 38.43
1,601 -1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901 -2,000 32.50 13.00 1.63 47.13
2,001 -3,000 38.50 15.40 1.93 55.83
3,001 - 4,000 44.50 17.80 2.23 64.53
4,001 -5,000 50.50 20.20 2.53 73.23
5,001 -6,000 56.50 22.60 2.83 81.93
6,001 -7,000 62.50 25.00 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
9,001- 10,000 80.50 32.20. 4.03 116.73
10,001- 11,000 86.50 34.60 4.33 125.43
11,001-12,000 92.50 37.00 4.63 134.13
12,001- 13,000 98.50 39.40 4.93 142.83
13,001- 14,000 104.50 41.80 5.23 151.53
14,001- 15,000 110.50 44.20 5.53 160.23
15,001- 16,000 116.50 46.60 5.83 168.93
16,001- 17,000 122.50 49.00 6.13 177.63
17,001- 18,000 128.50 51.40 6.43 186.33
18,001- 19,000 134.50 53.80 6.73 195.73
19,001- 20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21,001- 22,000 152.50 61.00 7.63 221.13
22,001- 23,000 158.50 63.40 7.93 • 229.83
23,001-24,000 164.50 65.80 8.23 238.53
24,001- 25,000 170.50 68.20 8.53 247.23
25,001-26,000 . 175.00 70.00 8.75 253.75 •
26,001-27,000 179.50 71.80 8.98 260.28
27,001-28,000 184.00 73.60 9.20 266.80
28,001- 29,000 188.50 75.40 9.43 273.33
29,001-30,000 193.00 77.20 9.65 279.85
30,001-31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 • 292.90
32,001- 33,000 206.50 82.60 10.33 - 299.43
33,001 - 34,000 211.00 84.40 10.55 305.95
34,001- 35,000 215.50 86.20 10.78 312.48
35,001- 36,000 220.00 88.00 11.00 319.00 •
36,001-37,000 224.50 89.80 11.23 325.53
37,001-38,000 229.00 91.60 11.45 332.05
i:\firesupr.doc