Permit •
C Ae-Q - ' 6L(/C
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #° • ° • ° ° ° : BUP98 -0222
_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06 / 10 / 98
PARCEL: 2S113AA -01100
SITE ADDRESS...: 16580 SW 72ND 16580 -84 AVE #B -11
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •00D JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK•0 FIRST 0 sf N: S: E: W:
TYPE OF USE•••:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST•:3N . °.• 0 sf N: S: E: W:
OCCUPANCY GRP•:H3 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? : ME Z Z ? : REQD 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. $ : 20000
Remarks : Add fire sprinkler system. This is a spec space. Based on the hazard
EX1, we presume the occupancy will be an °H°
Owner: -- FEES ---
PACTRUST type amount by date recpt
15350 SW SEQUOIA PARKWAY • PRMT $ 140.50 BON 06/05/98 98- 306310
SUITE 300 5PCT $ 7 °03 BON 06/05/98 98- 306310
TIGARD OR 9722300000 FIRE $ 56.20 BON 06/05/98 98- 306310
Phone #: 624 -6300
Contractor:
DELTA FIRE INC
14795 SW 72ND AVENUE
TIGARD OR 97224
Phone #: 620 -4020 $ 203 °73 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 S p r i n k l e r 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: ( 0.05t---■ Issued By: _
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639-4175 by 7:00 p.m° for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Che In -2_<
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Recd to -5 °P il
TIGARD, OR 97223 Print or Type Date to P.E. at - 4s-CX
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST foi 119
;as" # . ." 9 .-.
Called . /Ira -- i' _'
4 r
Job Name of Development/Project Type of System (Complete A or B as applicable)
ca.e tier, en.,.s.. in, eas P/ V._ 1 1
Addrgss Add - A.) Sprinkler Wet 10 Dry 0
I lc5' O -Kgat� Sw 1z Ave:
.
Name Standpipes
Owner Mailing•Address ` r j IS b cegt"4k� ona Group
1to3Le \ 1Z ,,, Additi
C' ate Zip I Phone G2- - te Information Density •
?DlCkw••- I be. 97 7 1 ! 3 V
Name Design Area
\ 3C)Da
Occupant Mailing Add ss K. Factor
si(0'Z
City/State Zip - Phone A.1) Sprinkler Project Valuation $
Contractor Name B.) Fire Alarm
(Sprinkler or Dc j 4-A- p f[,Q, ,1: c_
Alarm Company) ailing Address Submittal Shall Include Battery Calculations YES 0
Prior to permit j. 0. gym gotD
issuance, a City /State Zip Phone Individual Component YES ❑
spy Cut Cut Sheets
of all licenses td�
l- ,oA. gld Z
cto to2 - Yo o .B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date esis
expired in COT I , � '' - IS Project Valuation Subtotal (A & or B) $ . Cao
database
Name Permit fee based on valuation
(see chart on back) $ /90 . TO
Architect Mailing Address 5% Surcharge $
- 7. CiC5)
City/State Zip Phone FLS Plan Review 40% of Permit
$ Sto• 2.4)
Describe work A.) New 0 Addition ft Alteration 0 Repair O TOTAL
$
to be done: Zp? . 70
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.
1 hereby acknowledge that 1 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
p are in compliance with Oregon State laws.
Additional Description of Work:
. r-e. 50( 1 •...Sr-Le lc cS •ture of Owner /Agent Date
In Existing Building New Building ❑ ((, LAIsi s r _ Co -5
Building Contact Person Name Phone
Data B.) Commercial la Residential ❑ VI "Noe- LP. 0(t Co 2 - '/O'Z.
FOR OFFICE USE ONLY:
No. of stories: Plat # . Map/TL#: .
Sq. Ft: -
Notes • . •
•
Occupancy Class Type of ConstN ction .
pat. - ?/D ib e.
is \firesupr.doc
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
iresupr.doc
,\ I/
_ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
- 13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # E LLR IS — O 1 D l0
_ nfo �1diCi'� Phone (5 03) 6847 2971 - I -c-is
�� DATE ISSUED
:'� - - TDD No. (503) 684 2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY D • L ---
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
f o Se 0 sw 8 S <<-,
Address RESIDENTIAL — Restricted Energy Fee $40.00
— 1 1 q Ve lR- i) 0 V-- CI-122q (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION ( ❑ Heating, Ventilation and Air Conditioning System*
Contractor 0 rrec tN w f C,Type L o ` ( r.-.1 ❑ Vacuum Systems*
7 32 A S W , `/ c� tZ �a.r» U . /Uoft-'f(c4 ❑ Other
Address
Date V c / 9 S Z 2 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner ! Check Type of Work Involved:
ID
Contractor's Board Reg. No. / 137 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone # C5°) 6 3 i - 2 in I ❑ Clock Systems
3. OWNER APPLICATION p. Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks( *). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503- 639 -4175. ❑ 1
Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signin r this p mit m t be the applicant or a person a. Enter Fees $ 0 6
authorized to bin a appli ant.
•
b. 5% Surcharge (.05 x total above) $ 2 . SD
Signature
TOTAL $ g2..50
Authority if other than applicant
ENERGAP.CHP
F TIGARD BUILDING INSPECTION DIVISION MST
____________ Line: 639-4175 Business Line: 639 -4171 Ui
� / BUP 9i--d...)-.- � ( 3-74/ ) Date Requested v / /�� AM PM BLD
Location �lD_ CJ .�,�Zl/ ��/�,ol �r� Suite / � MEC
Contact Person ,y « 9 (i 4 _. Ph l � & PLM
Contractor LJ�)? /A. ,.�- LJ Ph SVVR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab . ' fo....re .. . d e � , r i 1 ^ SIT
Post & Beam / —•—
Ext Sheath /Shear ~�,
Int Sheath/Shear \
Framing
Insulation
Drywall Nailing
/ Firew re p nn e5� /,1_69
Fire a
Susp'd Ceiling
Roof
Misc:
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 04 2/9 ' Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.