Permit CITYOFTIGARD � g,GZ�� 9E0.9 15410
,, ,� DEVELOPMENT SERVICES PERMIT
BUILDING PERMIT P 51) 0 2Mj1
�� '���� #.......: BUF 98 0221
1, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 06/10/98
PARCEL: 2S113AA -01000
SITE ADDRESS...: 16550 SW 72ND 16550 -62 AVE #B -09
SUBDIVISION : ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •00C JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK 9FP5 FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.: .... 0 sf N: S: E: W
OCCUPANCY GRP.:U2 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: 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. $ : 2'00
Remarks : Add earprinlker system. - This is a spec space - Presume the
occupancy will be an "H" as the system design is EX1
Owner: FEES
PACIFIC REALTY ASSOC type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 158.50 BON 06/05/98 98- 306311
STE 300 SPCT $ 7.93 BON 06/05/98 98- 306311
TIGARD OR 97224 FIRE $ 63.40 BON 06/05/98 98- 306311
Phone #: 624 -7787
Contractor:
DELTA FIRE INC
14795 SW 72ND AVENUE
TIGARD OR 97224
Phone #: 620 -4020 $ `29.83 TOTAL
Reg #..: 000641
-- REQUIRED ACTIONS or 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 -001 -0010 through OAR 952- m101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
f
P e r m i t t e e Signature :
IV
C �� ��-- -� s u e d B y: �� 841)
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
1
Fire Protection Permit Application Plan Check • ( _2j4 '
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd la - 5 = �i
TIGARD, OR 97223 Print or Type Date to P.E. g 9-
503 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS1 10
Permit #QP99 C2 J
Called /G9- 7 io is / 4v
Job Name of Development/Project Type of System (Complete A or B as applicable)
M e . r, eka i %ass 1 3 U 4 . . 1
A dres Address A.) Sprinkler Wet 4 Dry 0
t U5 - 1- 67?zna_aw - t 2 » A-oe"
Name ., k( v-� Standpipes
pt�es, bv-N 9 n e ss (( � c" � 7 'QK' n... 1.) A-
Owner Mailin g / D. j 12- d 8 sLA v v--- g,�1Additional Hazard Grou �}Ar 2 frs -
lke 3l.o:
r." . Zip Phone Information Density
f K 4 { tart -. a uq ( .30
Name DD /� �/ ^ Design Area
Occupant Mailing Addr K. Factor is y
City/State Zip - Phone A.1) Sprinkler P t Valuation $
Contractor Name B.) Fire Alarm
(Sprinkler or 'nom,` 4-A.- c:ife -
Atarm Company) Mailing Address , Submittal Shall Include Battery Calculations YES 0
Prior to permit ? . 0 . f" �, 44 O i i5
issuance, a City/State Zip Phone Individual Component YES 0
SPY Cut Sheets
of all licenses Tuc,lu i -- , cc ¶764e2 (ID —yd'LO B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date -
expired in COT -�` i Project Valuation Subtotal (A & or B) $ ex"
database lg t 1 L Z. -11 -9 8 a' oto
Name Permit fee based on valuation
$
(see chart on back) I S. St
Architect Mailing Address 5% Surcharge $
- 7. 9'3
City/State Zip Phone FLS Plan Review 40% of Permit $
(-0 3.40
Describe work A.) New 0 Addition* Alteration 0 Repair 0
to be done: TOTAL $ 2- •S3
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans required
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:
ature of OwnerlAgent Date
A.) In Existing Building New Building 0 l �� `0' -9a
Building Contact Person Name /% Phone
. Data B.) Commercial 0 Residential 0 -C) L'' c ' yr"e Li ` Q
FOR OFFICE USE ONLY:
No. of stories: Plat # MaplTL #:
Sq. Ft: Notes _ .. • • _ • •
Occupancy Class T y p e of Co ructio
is \faesupr.doc
r
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
is \firesupr.doc
TIGARD BUILDING INSPECTION DIVISION MST
e ction Line: 639 -4175 Business Line: 639-4171
�ti BuP 9e---a...2,2/ e Requested a /��� AM PM BLD
,�1 7,2--x. Suite .% MEC
Contact Person C Q. ( iA z.& Ph .... D_ 0 PLM
Contractor , ,r-, -e Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: •
Slab
e ., , ,. / .
Post & Beams SIT
Ext Sheath/Shear
7 --
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall /
ire Sprinkle C
Fir e� tlar
Susp'd Ceiling
Roof
Misc:
PART FAIL
N• " BING
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 /9
Other Approach/Sidewalk Date 2i / Z l / 9 _ Ins 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 D
Date Requested � l l AM PM BLD
Location . //�� ,' 4 -� Suite 4 7 MEC
Contact Person n A / � , Ph Co 2-6D 40 2-6 PLM ! ! .i - , 1 c'--e..' Ph SWR
•
I' � � _ DINS Tenant/Owner ELC
• g Wall ELR
Footing Access:
Foundation 14t vil FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina mingth /Shear ?6.771.-4 % s �/` `
Framing � -_:L A L� MT
Insulation ' / _ •-
Drywall Nailing .i' / /�`7C 4P U/ / '
Fire ,
44 aow-lal Y1 20 5
Susp'd Ceiling
Roof VM1116..
Misc:
Fi 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 • [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Other Approach/Sidewalk Date .2 -'/i/ �/ . Inspect Ei
Other [
Final
PASS PART FAIL DO NOT EMOVE this inspection record from the job site./