Permit • .0 CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00006
A.tpail DEVE SERVICES 1639 -4171 DATE ISSUED: 01/12/2000
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: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 -1 HR . 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:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 23,000.00
Remarks: Fire suppression system
Owner: Contractor:
TIGARD CORPORATE CENTER LTD DELTA FIRE INC
15400 SW MILLIKAN WAY P.O. BOX 4010
BEAVERTON, OR 97006 TUALATIN, OR 97062
Phone: Phone: 620 -4020
Reg #: LAC 00064174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt . Sprinkler Rough -In
PRMT BON 01/12/200C $244.25 00321103 Sprinkler Final
5PCT BON 01/12/200C $19.54 00321103
FIR2 BON 01/12/200C $70.30 00321103 ORIGINAL
FIRE BON 12/30/199E $27.40 99- 320783
Total $361.49
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
1 1
Pe rm itee \ ' --` u l
Signature: ll
Issued By: I r„......_ .
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
1..� Fire Protection Permit Application Plan CheckgM
CITY OF TIGARD ComrriOcial or Residential Recd By
13125 SW HALL BLVD. Date Recd Z - �5f -C I
TIGARD, OR 97223 Print or Type Date to P.E. ) (o -
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST i — 0 - 261419
Permit # iO t?2LX 'ZOXl
l /
Job MM ame of Development/Project ( Type of System (Complete A or B as applicable)
M `st.J i. 0 J I .. I L ° G��.4 ■..
Address dg 4,1 Uq A- 4.- A.) Sprinkler Wet ❑ Dry ❑
Name L-tci
Owner M. Standpipes
il g Address Hazard Group
. CO ' $. ON / kkiti t4JAA Additional
, City/Stat- Zip Phone Information Density
Pk; 1_.. e 4 .! k . •
me Design Area
Occupant Mailing Address sw K. Factor
/State Zip Phone A.1) prinkler Project Valuation $
L.:. IL, al C O u. l
Contractor am - B.) Fire Alarm Z '1
(Sprinkler or ‘
Alarm Company) Mailing Address - 1 Submittal Shall Include Battery Calculations YES ❑
Prior to permit \ x' .1 ` 2- 61 t. A-u C _
issuance a City /State Zip ',Phone Individual Component YES El
cOpy MA W/ ) Cut Sheets
of all licenses a1L IiwD b12- 97 \ /o 016 - ( AO° B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT log l - 1 � / � / � Project Valuation Subtotal (A & or B) $
database
Nameu6 Permit fee based on valuation $
(. (see chart on back)
Architect Mailing, dret S // tek _ J 8% Surcharge $
City/State Zip Phone FLS Plan Review 40% of Permit $ / , 0
Describe work A.) New 0 Additi9k Alteration Repair O TOTAL $ ' ` � I
to be done: (A `
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.
I 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
are in compliance with Oregon State laws.
Additional Description of Work:
c
, / 1 . nature of 0 - r/A • ent Date
a ri
/ A.) In Existing Building New Building ❑ 4. 1 / , , /
Y ontact Re me Ph
Building j� -mac /if �" 3) 6
Data B.) Commercial � Residential ❑ �
FOR • FICE USE ONLY:
No. of stories: Plat # Map/TL #:
• Sq. Ft:
Notes
Occupancy Class Type of Construction
•
is \dsts \forms \firesupr.doc 10/14/99 - -