Permit ~ CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00437
tPollia DEVELOPMENT SERVICES DATE ISSUED: 11/02/1999
'` " III 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12447 SW 69TH AVE PARCEL: 2S101AA -TTOOC
SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE
BLOCK: LOT: OOC JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: 20.535 sf N: S: E: W:
TYPE OF USE: COM SECOND: 20,535 sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 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: Y SMOK DET:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: / � OCOR R PARKING:
VALUE: $ 81,729.00 /�; 5_ 6 l
Remarks: Fire suppression system } e 1 < 9 vb ( -/3
ity› t‘licka_le_
Owner: Contractor:
TIGARD CORPORATE CENTER LP DELTA FIRE INC
15400 SW MILLIKAN WAY P.O. BOX 4010
BEAVERTON, OR 97 TUALATIN, OR 97062
Phone: 503 - 579 -4713 Phone: 620 -4020
Reg #: LIC 00064174
FEES REQUIRED INSPECTIONS
•
Type By Date Amount Receipt Sprinkler Rough -In
FIRE BON 09/30/199E $64.40 99- 318748 Sprinkler Final
PRMT GEO 11/02/199E. $580.30 99- 319489
SPOT GEO 11/02/199E. $46.42 99- 319489 R 6 S 6 tS A L
FIR2 GEO 11/02/199E. $167.72 99- 319489
Total $858.84
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 Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987. ,
Permitee �, ��
Signature: G
Issued By: / / % '
e. Call 639 -4175 by 7 p.m. for an inspection the next business day
/\
Fire Protection Permit Application Plan Check #� B-
CIT . OO TIGARD Commercial or Residential Rec'd By
13`125 SW HALL BLVD. Date Rec'd 3d - f7 '
TIGARD, OR 97223 Print or Type Date to P.E.
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST /0 %,21/9W
Permit # j ?l1'1 -(01
Called
r, Job -�' a of Develo entiProjeq, Type of System (Complete A or B as applicable)
1 i N d/2 ei-p i CI Yp Y ( P PP
Address A/ - S ` cu �� 1 / /l�� ,�r A.) Sprinkler Wet 4 Dry ❑
/ me � 7 , ���-- Stan pipes
Owner Mai' g Address Hazard Group
19-160 w tea Additional
A r ty /�e 9 , zip Pho Information Density era
Name ' et i Design Area
Occupant Mailing Address °� K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $ -)
i ontracto me \ �� B.) Fire Alarm � , r �� (Sprinkler or �� Submittal Shall Include Batte Calculations YES r ,„. Alarm Company) ailing Address _\ Battery ❑
Prior to permit 1 [,�'l Cis ` 6 `j 2GVo � ;C _
issuance, -a-- /State Zip Phol Individual Component YES ❑
SPY `, Cut Sheets
of all licenses i t -\\r�o ( i c) i nx) • `2G B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic. Exp. Date
expired in COT ` Lp Project Valuation Subtotal (A & or B) $ t ,� '
database L Q 9 I r
Name Permit fee based on valuation $
Architect Mailing Address (see chart on back)
7 /o Surcharge $
•
City/State Zip Phone • FLS Plan Review 40% of Permit $6 (/ / ,1�
• Describe work A.) New' Addition 0 Alteration 0 Repair 0
u `
to be done: TOTAL t
B.) Modification to sprinkler heads only: ��
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and
2. 11 += Plan review required the location of the nearest hydrant.
1 hereby acknowledge that I have read this application, that the information given is
• Number of sprinkler heads: correct, that I am the owner or authorized agent of the owner, and that plans submitted
of c
�fWork: compliance with Oregon State laws.
Additions Description
Signature of w rlA.- t Date
A.) Ir Building New Building ❑ �
Building / ontact P n • m on (� � "
j9
Data B.) Commercial Residential ❑ �tt'. ` ' (r d' ) (P ���^ !� ` `
t FOR OFFICE US,LY:
No. of stories: Plat # Map/TL#:
•
Sq. Ft:
4101 a Notes
Occupancy Class Type of Construction
•
•
i:\dsts\forms\firesupr.doc 7/2/99
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1 �'t�0 .3
Date Requested S112 O n AM a PM
BLD
Location 2 t/ U )=Wt' Suite MEC
Contact Person T 4 U Ph �P2' (io7P PLM
Contractor Ph SWR
<WLDING) Tenant/Owner ELC
Retaining Wall ELR
Footing ACC�SS: - . ��
Foundation _,,('/ Aej �X� �� )6c)00" FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: L � ' I l �-� L
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall ? S 5J _ Flooe-
Sprink e
Fire Alarm I C 776t-al
Susp'd Ceiling 7
Roof
Misc:
�): ART FAI
= NG
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] einspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ se call for reinspection RE: [ ] Unable to inspect - no access
ADA 77
Approach /Sidewalk at G/ �d Inspector 7 -01/1f ) Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 1597 - °nig S7
Date Requested I ` g AM PM BLD
Location (.7, 1 ( / ( � Suite MEC
Contact Person ia/A i Ph (OZb --I /07/0 PLM
Contractor Ph • SWR
131VILDIND Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation � �� �/ - t i FPS
Ftg Drain
r.
Crawl Drain Inspection Note (1. dA ► � (-t SGN
Slab ;� SIT_
Post & Beam v L S L / - P - �' '�
Ext Sheath /Shear U ` G i! / _
Int Sheath/Shear 'glow ,
Framing Insulation
Drywall Nailing
Firewall
r S pnn AT .
Fir
Susp'd Ceiling
Roof
Misc:
nal
PAS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �^ Approach /Sidewalk Date Inspector ' Ext
Other //47 [[[ ' 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Q Business Line: 639 -4171 BUP 1199 -0D V R7
Date Requested (�
� % - / Q AM )( PM BLD
Location 1 t "1) I01 Ite G ` MEC
•
Contact Person ,.1 Ph (0 W - " C OW PLM
Contractor Ph SWR
cluILDINCL> Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: o -
Slab �tJti' (' /_..:.
Post & Beam i - SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing �? ,,�
Firewpunka 6-�O 897 � C C L / 77 e � i c. g CA /1/9
Fire Alarm s j
Susp'd Ceiling 4 l� /M /'VC / -/a ! /fix ys / 02A40
Roof Q d�- ale //c CY BA/. .
Misc: "! /
Final '' ` � " Se s 4447ThA ,
PASS PART FAIL
PLUMBING /OS
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final .
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date /2, )2,0/ eq Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.